Showing posts with label July 2024. Show all posts

Clinical Honesty, Followed by Institutional Silence

⟡ When the ENT Admitted What the Respiratory Had Ignored ⟡

The Letter That Named Both Eosinophilic Asthma and Muscle Tension Dysphonia

📎 Document: [2024-07-18_SWANK_Hamilton_ToJose_ENTReferral_MTD_EosinophilicAsthma.pdf]
Referral letter from ENT consultant Mr. Nick Hamilton to respiratory specialist Dr. Ricardo José, confirming worsening symptoms and a dual diagnosis request.

Filed: 18 July 2024
Ref: SWANK/REF/HAMILTON-JOSE-01
Author: Mr. Nick Hamilton, MBChB PhD FRCS (ORL-HNS)
Recipient: Dr. Ricardo José, London Chest Specialist
Diagnosis/Concern: Muscle Tension Dysphonia, Eosinophilic Asthma, Respiratory Distress

I. The Letter That Linked It All

It took a Harley Street ENT surgeon to say what none of the GPs, safeguarding officers, or hospital staff would admit:

“This patient has a history of eosinophilic asthma.”
“She is wheezier.”
“There is constriction in her chest and throat.”
“Her voice is weaker.”
“I am treating her for Muscle Tension Dysphonia.”
“I have ordered a CT.”
“Please review her urgently.”

This is not speculation. This is a cross-specialist clinical admission.
And it was written by a man whose entire job is to examine the throat — not to gaslight it.

II. Medical Honesty, Years Too Late

By July 2024, I had already:

Been poisoned by sewage gas
Collapsed from respiratory failure
Developed Muscle Tension Dysphonia
Been forced to speak despite written-communication adjustments
Endured months of safeguarding accusations and denial of care

And yet, here, finally, Mr. Hamilton names it plainly.
He doesn't hedge. He doesn't suggest “anxiety.”
He describes a patient in respiratory distress — and a voice breaking under the weight of medical erasure.

III. What Makes This Letter Matter

This document now stands as:

A clinical referral linking ENT and respiratory collapse
A timestamped acknowledgement of MTD + eosinophilic asthma as coexisting
A formal escalation of care that was later sidelined, deflected, or deleted

Let the record show:
When it mattered most, Mr. Hamilton referred me properly.
It was the system downstream that failed to follow through.

⟡ This Dispatch Has Been Formally Archived by SWANK London Ltd. ⟡ Every entry is timestamped. Every sentence is jurisdictional. Every structure is protected. To mimic this format without licence is not homage. It is breach. We do not permit imitation. We preserve it as evidence. This is not a blog. This is a legal-aesthetic instrument. Filed with velvet contempt, preserved for future litigation. Because evidence deserves elegance. And retaliation deserves an archive. © 2025 SWANK London Ltd. All formatting and structural rights reserved. Use requires express permission or formal licence. Unlicensed mimicry will be cited — as panic, not authorship.

Muscle Tension Dysphonia as a Forensic Record of Medical Neglect

⟡ The Squeeze They Finally Saw ⟡

An ENT Diagnosis of Muscle Tension Dysphonia — After a Year of Medical Neglect

📎 Document: [2024-07-18_SWANK_Hamilton_ENT_Report_MuscleTensionDysphonia.pdf]
ENT report confirming muscle tension dysphonia, laryngeal inflammation, and respiratory referral after environmental injury and systemic failure.

Filed: 18 July 2024
Ref: SWANK/ENT/HAMILTON-01
Clinician: Mr. Nick Hamilton, MBChB PhD FRCS (ORL-HNS)
Clinic: The Harley Street ENT Clinic, London
Diagnosis: Muscle Tension Dysphonia with associated laryngeal inflammation

I. What Happened to My Voice — And Why

This voice disorder was not congenital. It was constructed — by policy, by delay, and by disbelief.

The Muscle Tension Dysphonia diagnosed here developed after:

Sewage gas exposure (summer 2023)
Unmanaged asthma attacks
Forced verbal communication, despite my written-only adjustment
A full-body oxygen deficit, untreated for months
Medical cruelty disguised as safeguarding

From November 2023 to April 2024, I was barely able to walk or speak.
My oxygen was low. My chest was tight. My voice failed under pressure.
And instead of treating me, they accused me.

Only in April 2024 did St Mary’s Hospital finally begin proper care.
By then, the damage was structural.

II. What Mr. Hamilton Saw — Once It Was Too Late

At The Harley Street ENT Clinic in July 2024, Mr. Nick Hamilton found:

Peri-laryngeal and thyrohyoid tension
Oedematous vocal folds
Anteroposterior squeeze on phonation
Mild laryngeal inflammation
A patient who had been carrying the act of breathing on her throat muscles alone

His conclusion: Muscle Tension Dysphonia, caused by prolonged vocal strain under respiratory compromise.

III. The Interventions They Later Pretended Didn't Exist

This report triggered:

Referral to voice therapy
Prescription of Gaviscon Advance and Famotidine
CT scan of the neck and chest
Respiratory specialist referral

All of it is here. All of it is documented. And yet:
When safeguarding teams arrived, they ignored this.
When hospitals accused me of exaggeration, they omitted this.

This letter now stands as proof:
That I was documented, diagnosed, and still disbelieved.

When the CT Shows Something, But the Clinician Doesn’t Move

⟡ Normal Enough to Ignore, Abnormal Enough to Document ⟡

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

📎 Document: [2024-07-25_SWANK_Hamilton_ENT_CTFollowUp_SinusThickening_ThroatTightness.pdf]
CT follow-up by Mr. Nick Hamilton confirming persistent throat tightness, mucosal thickening, postnasal inflammation, and voice therapy delay.

Filed: 25 July 2024
Ref: SWANK/ENT/HAMILTON-CT-03
Clinic: Harley Street ENT
Physician: Mr. Nick Hamilton, MBChB PhD FRCS (ORL-HNS)
Findings: Chronic tightness, sinus inflammation, therapy limbo

I. When “No Abnormality” Isn’t the Same as Normal

The report opens with that classic institutional lullaby:

“No abnormality within the throat, trachea or thorax.”

Then — two sentences later — it concedes:

Polypoidal mucosal thickening
Maxillary sinus inflammation
Persistent throat tightness
Ongoing wheezing

So: not nothing. Just not alarming enough to act quickly.

II. The Reframing of Suffering

Instead of escalation, the response was:

Betnesol irrigation added to my sinus rinse
A vague link between postnasal drip and neck tension
A reminder that I’m still waiting for voice therapy, months after diagnosis
A follow-up scheduled, but no urgency

The phrasing throughout is gentle, non-urgent, indirect.

“She is still getting a sense of tightness in her throat.”
“She is wheezing on occasions.”
“This will hopefully reduce throat clearing.”
“She is due to see the respiratory physician.”

This is not medical ignorance. It’s medical minimisation.

III. Filed Under: They Knew, But Kept It Low

This letter now lives in the SWANK Archive as:

A record of persistent physical symptoms brushed into lowercase
A demonstration of how medicine softens pathology to delay responsibility
Evidence that voice therapy was still pending nearly a month post-referral
An admission that CT findings were inconclusive, but not irrelevant

They documented it. They delayed it.
And now — it’s timestamped.

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

Every entry is timestamped.
Every sentence is jurisdictional.
Every structure is protected.

To mimic this format without licence is not homage. It is breach.
We do not permit imitation. We preserve it as evidence.

This is not a blog.
This is a legal-aesthetic instrument.
Filed with velvet contempt, preserved for future litigation.

Because evidence deserves elegance.
And retaliation deserves an archive.

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