“Though the Witch knew the Deep Magic, there is a magic deeper still which she did not know. Her knowledge goes back only to the dawn of time. But if she could have looked a little further back… she would have known that when a willing victim who had committed no treachery was killed in a traitor’s stead, the Table would crack and Death itself would start working backward.” - Aslan, C.S. Lewis, The Lion, the Witch and the Wardrobe
Showing posts with label ENT follow-up. Show all posts
Showing posts with label ENT follow-up. Show all posts

Sinus Thickening, Throat Tightness, and the Language of Medical Evasion


⟡ The Scan Was “Normal.” The Symptoms Were Not. ⟡

ENT Review After CT Confirms Mucosal Thickening, Persistent Throat Tightness, and Postnasal Intervention

📎 Document: [2024-07-25_SWANK_Hamilton_ENT_CTReview_ThroatTightness_PostnasalPlan.pdf]
Follow-up report from Mr. Nick Hamilton confirming persistent throat tightness, sinus thickening, and voice therapy delay — despite “no gross abnormality.”

Filed: 25 July 2024
Ref: SWANK/ENT/HAMILTON-CT-02
Clinician: Mr. Nick Hamilton, MBChB PhD FRCS (ORL-HNS)
Clinic: Harley Street ENT
Findings: Sinus mucosal inflammation, throat tightness, pending voice therapy, medical minimisation

I. What the CT “Didn’t Show” — And What the Report Did

After months of visible distress, I underwent a CT scan of the head, neck, and chest.

Result?

“No abnormality within the throat, trachea or thorax.”
“Previous sinus surgery noted.”
“Polypoidal mucosal thickening.”
“Thickening in the left maxillary sinus.”
“No drainage obstruction.”
“Still getting a sense of tightness in her throat.”
“Still wheezing.”

In other words: everything is fine, except what isn’t.

II. The Medical Dance of Qualified Denial

This letter confirms:

  • CT scan with mucosal thickening and sinus inflammation

  • Persistent throat tightness and episodic wheeze

  • Continued muscle tension likely aggravated by postnasal discharge

  • Voice therapy referral not yet actioned

  • Recommended Betnesol irrigation twice daily for two months

  • Follow-up arranged

This is care, but it is care filtered through doubt.
It is medical recognition dressed in neutralising language.
It acknowledges inflammation, but avoids escalation.
It documents suffering, but avoids naming harm.

III. Filed Under: Quiet Acknowledgement, Delayed Action

Let the record show:

  • I returned. I followed up. I did the scan.

  • The scan showed thickening.

  • I was still tight in the throat and wheezing.

  • The diagnosis — and my condition — persisted.

And still, at every stage, the language softened what the data confirmed.

This letter lives now in the SWANK Archive as evidence of:

  • Persistent symptoms despite months of reporting

  • Slow-walked therapy for muscle tension dysphonia

  • Subclinical inflammation reframed as “normal”

  • Polypoidal thickening described but downplayed

⟡ This Dispatch Has Been Formally Archived by SWANK London Ltd. ⟡

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