⟡ Ten Visits. No Continuity. Still No Urgency. ⟡
The Respiratory Letter That Confirms What They Kept Ignoring
📎 Document: [2024-08-01_SWANK_Jose_LondonClinic_EosinophilicAsthma_UncontrolledCarePlan.pdf]
Clinic letter confirming uncontrolled eosinophilic asthma, failed emergency care, muscle tension dysphonia, and consideration for biologics after months of neglect.
Filed: 1 August 2024
Ref: SWANK/ASTHMA/JOSE-02
Author: Dr. Ricardo José, Royal Brompton / London Clinic
Conditions Confirmed: Eosinophilic Asthma, Muscle Tension Dysphonia, Breathing Pattern Dysfunction
Action Taken: Corticosteroids, nebules, future referral for biologics — after 10 emergency visits
I. The Asthma Was Always There. So Was the Neglect.
Dr. Ricardo José did what others refused to:
He confirmed childhood-onset eosinophilic asthma.
He acknowledged muscle tension dysphonia (diagnosed by ENT).
He recorded ten A&E visits in twelve months.
He labelled the condition uncontrolled.
He prescribed oral steroids, Pulmicort, and Salbutamol nebules.
He admitted that I may qualify for biological therapy.
All of this — and yet, until this letter, the official narrative from hospitals and safeguarding officers was silence, suspicion, or procedural slander.
II. What He Wrote. What They Ignored.
“You often find that your chest feels tight.”
“You have attended A&E on several occasions, but were not satisfied with the treatment you received.”
“Your asthma is currently uncontrolled.”
“You may be a candidate for biological therapy.”
“There is vocal cord dysfunction and breathing pattern disruption.”
“Your peak flow has ranged from 139 to 226.”
“You spent six months in a hotel due to a sewage leak.”
Every line confirms that this was chronic, escalating, and biologically real.
Not imagined. Not emotional. Not fabricated.
And yet, in every safeguarding meeting and clinical deflection that followed, this letter was omitted, minimised, or completely erased.
III. The Care Plan That Came After the Damage
This document was typed the day after clinic — 2 August 2024.
By that point:
I had been hospitalised for respiratory collapse
My voice had been damaged by forced speech and inflammation
I had lived through environmental exposure, displacement, and gaslighting
Only then — after a year of documented breakdown — did Dr. José offer systemic treatment.
Even then, it was framed as “potential” eligibility.
Because biologics, you see, are expensive.
Apparently, so is truth.
IV. Filed Under: Institutional Delay, Clinically Stamped
This letter now lives in the SWANK Medical Archive as:
A formal admission of uncontrolled eosinophilic asthma
A timeline checkpoint for mismanagement
A clinical counterweight to every safeguarding narrative that claimed “no pattern of harm”
It is the long-delayed truth — timestamped, typed, and now permanently archived.
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