Showing posts with label Muscle Tension Dysphonia. 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 Voice Breaks, But the Story Must Go On.

🖋 SWANK Dispatch | 6 February 2025
PATTERNS OF MUSCLE TENSION DYSPHONIA: A GUIDE TO RECOGNITION AND RECOVERY

Filed From: Flat 22, 2 Periwinkle Gardens, London W2
Author: Polly Chromatic
Filed Under: Muscle Tension Dysphonia · Vocal Strain · Speech Therapy · Psychosocial Stress · Voice Rehabilitation · SWANK Medical Dossier

✨ UNDERSTANDING THE DISORDER

Muscle Tension Dysphonia (MTD) is a voice disorder caused by excessive muscular tension in the larynx and surrounding areas. This interferes with natural voice function and renders speech physically taxing and often painful.

🔍 COMMON SYMPTOMS

Voice Quality Changes: Hoarse, strained, or breathy voice; reduced pitch or volume control
Vocal Fatigue: Physical exhaustion from speaking; rapid onset during conversation
Neck and Throat Pain: Tightness or discomfort in the shoulders, jaw, or throat
Maladaptive Compensation: Overusing facial or neck muscles to force phonation
Situational Triggers: Phone conversations, arguments, and hostile environments worsen symptoms
Psychosocial Overlay: Stress and emotional strain induce or exacerbate muscular tension
Rest-Dependent Recovery: Symptoms lessen with silence but quickly return under duress

🎯 MANAGEMENT RECOMMENDATIONS

Specialist Voice Therapy: Techniques for relaxation, posture, and vocal pacing
Mindfulness & Stress Reduction: Therapeutic support for trauma-induced patterns
Hydration & Hygiene: Vocal self-care practices to prevent irritation
Structural Support: Postural correction and breathing techniques
Protection From Harassment: Communication must be on the terms of the disabled person—not the aggressor

⚠️ CONTEXTUAL NOTE

This condition has not emerged in isolation.
It is the physiological consequence of institutional harassment, forced verbal interaction, disbelief, and verbal coercion by state actors—including social workers, police, and NHS representatives.
The result: a formally diagnosed medical condition that obstructs everyday life, worsened with each ignored adjustment.

Polly Chromatic
Whispering truth through strained vocal cords, with dignity intact.
📍 Flat 22, 2 Periwinkle Gardens, London W2
🌐 www.swankarchive.com
📧 director@swanklondon.com
© SWANK London Ltd. All Breathings Protected.

When the Voice Breaks, But the Story Must Go On.

🖋 SWANK Dispatch | 6 February 2025
𝓟𝓪𝓽𝓽𝓮𝓻𝓷𝓼 𝓸𝓯 𝓜𝓾𝓼𝓬𝓵𝓮 𝓣𝓮𝓷𝓼𝓲𝓸𝓷 𝓓𝔂𝓼𝓹𝓱𝓸𝓷𝓲𝓪: 𝓐 𝓓𝓲𝓼𝓼𝓮𝓻𝓽𝓪𝓽𝓲𝓸𝓷 𝓲𝓷 𝓥𝓸𝓲𝓬𝓮 𝓑𝓻𝓾𝓲𝓼𝓮𝓼

Filed From: Flat 22, 2 Periwinkle Gardens, London W2
Author: Polly Chromatic
Filed Under: Vocal Decompensation · Bureaucratic Brutality · Telepathic Imperatives · Laryngeal Protest · SWANK Medical Dossier

To:

Glen Peache, Sarah Newman, Eric Wedge-Bull, Kirsty Hornal, Rhiannon Hodgson, Fiona Dias-Saxena, Rachel Pullen, Milena Abdula-Gomes, Samira Issa
Cc: Annabelle Kapoor, aaforbes@gov.tc, alsmith@gov.tc
Bcc: Laura Savage, Simon O’Meara, Philip Reid, Gideon Mpalanyi, Nannette Nicholson

I. 𝒯𝒽𝑒 𝐷𝒾𝒶𝑔𝓃𝑜𝓈𝒾𝓈 𝓎𝑜𝓊 𝓌𝑜𝓊𝓁𝒹 𝓇𝒶𝓉𝒽𝑒𝓇 𝓈𝓊𝓈𝓅𝑒𝓃𝒹 𝓉𝒽𝒶𝓃 𝓇𝑒𝒸𝑜𝑔𝓃𝒾𝓈𝑒:

Muscle Tension Dysphonia is not a mood. It is not a lifestyle. It is the anatomical revolt of a voice forced to perform under duress. A laryngeal rebellion, provoked by systems which demand oration but deny support. You do not cure it with encouragement. You honour it with silence.

II. 𝒮𝓎𝓂𝓅𝓉𝑜𝓂𝒶𝓉𝒾𝒸 𝒮𝑜𝓋𝑒𝓇𝑒𝒾𝑔𝓃𝓉𝓎

Vocal Decay: Tones become strained, breathy, weary—like a violin strung with wire.
Fatigue: Conversation becomes a cardiovascular hazard.
Somatic Protest: Neck, shoulders, and psyche tense in unison.
Verbal Overdrive: A voice pushed to compensate until it collapses.
Triggers: Phones. Panels. Patronising professionals.
Stress Overlay: Institutional aggression disguised as concern.
Maladaptive Loops: The more you push, the worse it performs.

III. 𝒞𝒶𝓊𝓈𝒶𝓉𝒾𝑜𝓃 𝒷𝓎 𝒟𝑒𝓈𝒾𝑔𝓃

This is not simply medical.
It is political.
It is the bodily consequence of being refused written adjustments by individuals whose own speech is weaponised with impunity.

IV. 𝒯𝓇𝑒𝒶𝓉𝓂𝑒𝓃𝓉 𝒷𝓎 𝒮𝓉𝓎𝓁𝑒:

Laryngeal Physiotherapy: For throats more bruised than believed.
Telepathic Correspondence: For minds unfit for telephone.
Hydration & Isolation: Remove irritants and imbeciles.
Posture & Poise: Sit upright. Speak rarely. Archive everything.
Legal Recognition: You do not need to shout to be heard in law.

V. 𝒞𝑜𝓃𝒸𝓁𝓊𝓈𝒾𝑜𝓃: 𝒜 𝒮𝒽𝒶𝓇𝓅 𝒩𝑜𝓉𝑒 𝒾𝓃 𝒶 𝒮𝒾𝓁𝑒𝓃𝓉 𝒞𝒽𝑜𝓇𝒶𝓁

This is a disability.
This is a refusal to tolerate your disbelief.
This is what happens when words become wounds.

If you want conversation, earn it with compliance.
Until then, I whisper. I archive. I sue.

Polly Chromatic
Her voice, your record.
𝒟𝒾𝓇𝑒𝒸𝓉𝑜𝓇, SWANK London Ltd
📍 Flat 22, 2 Periwinkle Gardens, London W2
🌐 www.swankarchive.com
📧 director@swanklondon.com
© SWANK London Ltd. All Reverberations Filed.

When The Voice Breaks, But The Story Must Still Be Told.

🖋 𝒮𝒲𝒜𝒩𝒦 Dispatch | 10 January 2025
THE UNSEEN BURDEN: MUSCLE TENSION DYSPHONIA IN THE MIDST OF HARASSMENT

📍 Filed From: Flat 22, 2 Periwinkle Gardens, London W2
✒️ Author: Polly Chromatic
🗂 Filed Under: Muscle Tension Dysphonia · Vocal Strain · Stress-Induced Voice Disorders · Speech Therapy Needs · Psychosocial Impact · SWANK Medical Dossier

To the Institutions Mistaking Silence for Consent:

Glen Peache, Sarah Newman, Eric Wedge-Bull, Kirsty Hornal, Rhiannon Hodgson, Fiona Dias-Saxena, Rachel Pullen, Milena Abdula-Gomes, Samira Issa
Cc: aaforbes@gov.tc, alsmith@gov.tc, Annabelle Kapoor
Bcc: Laura Savage, Simon O’Meara, Philip Reid, Gideon Mpalanyi, Nannette Nicholson

🗣 WHEN THE BODY SAYS “NO” AND NO ONE LISTENS

Muscle Tension Dysphonia (MTD) is not theatrical.
It is not convenient.
It is a diagnosed medical condition resulting from excessive laryngeal tension, often provoked—and prolonged—by forced verbal compliance under psychosocial duress.

🔍 CLINICAL PATTERNS YOU'VE CONSISTENTLY OVERLOOKED

– Strained, hoarse, or breathy voice—misread as emotional volatility
– Physical tension in neck, shoulders, and throat—dismissed as “behavioural”
– Vocal fatigue from effortful speaking—ignored because I did not scream
– Triggers: forced phone calls, public hostility, demand for “meetings”
– Feedback loop: stress → vocal dysfunction → institutional misinterpretation → further stress

🛠 PRESCRIBED, IGNORED, AND STILL NEEDED

– Voice therapy: relaxation, proper breath support
– Stress reduction: counselling, non-hostile environments
– Postural awareness: ergonomics for breathing ease
– Hydration and vocal hygiene: simple, overlooked, essential
– Medical treatment: for reflux and inflammation where relevant

🎭 CONTEXT: FORCED VERBALISM AS A FORM OF ABUSE

Let us not pretend this is coincidental.
When social workers insist on verbal meetings despite medical documentation,
when state agents weaponise a mother’s vocal limitations as proof of unfitness—
they are not safeguarding. They are enacting procedural cruelty.

Polly Chromatic
Whispering truth through strained vocal cords, with dignity and court receipts.
📍 Flat 22, 2 Periwinkle Gardens, London W2
🌐 www.swankarchive.com
📧 director@swanklondon.com
© SWANK London Ltd. All Tensions Recorded. All Harm Archived.

If I Could Speak to You, I Wouldn't Be Writing This

🖋 𝒮𝒲𝒜𝒩𝒦 Dispatch | 12 January 2025
EXHAUSTION IS A MEDICAL CONDITION, NOT A CHARACTER FLAW

📍 Filed From: Flat 22, 2 Periwinkle Gardens, London W2
✒️ Author: Polly Chromatic
🗂 Filed Under: Muscle Tension Dysphonia · Eosinophilic Asthma · Panic Disorder · Verbal Access Denied · Invisible Illness Prejudice · SWANK Medical Boundaries Archive

To the Recipients of My Silence:

Glen Peache, Sarah Newman, Eric Wedge-Bull, Kirsty Hornal, Rhiannon Hodgson, Fiona Dias-Saxena, Rachel Pullen, Milena Abdula-Gomes, Samira Issa, Philip Reid, Gideon Mpalanyi
Cc: aaforbes@gov.tc, alsmith@gov.tc, Annabelle Kapoor, Laura Savage, Simon O’Meara, Harley Street Mental Health
Bcc: Nannette Nicholson

🫁 The Diagnoses You Glance At But Never Grasp

“I’m really struggling with my muscle dysphonia, eosinophilic asthma, and panic attacks…”

These are not feelings. They are documented, indexed, and clinically observed medical realities.
But to you, exhaustion is an attitude, not a pathology. Vocal injury is “tone.” Asthma is “stress.”
And trauma? Something you perform seminars on while triggering it live.

🔇 Vocal Rest Is Not a Mood. It Is a Prescription.

“...sometimes taking over a week to recover enough to talk and breathe comfortably again.”

Silence is not opposition. It is triage.
If you require breathlessness to prove I’m ill, you are neither a professional nor a person worth speaking to.

🧠 You Call It Drama. I Call It Documentation.

“The hostility or blame from others only makes everything worse.”

This is not non-compliance. This is diagnosed physiological collapse misread as defiance.
And the more you demand verbal performance, the further you expose your own diagnostic illiteracy.

You want compliance? Try competence.

Polly Chromatic
Unheard. Unmoved. Unapologetically Unavailable.
📍 Flat 22, 2 Periwinkle Gardens, London W2
🌐 www.swankarchive.com
📧 director@swanklondon.com
© SWANK London Ltd. All Breaths Withheld.

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.

Standards & Whinges Against Negligent Kingdoms (SWANK London Ltd.)

Clinical Honesty, Followed by Institutional Silence

⟡ When the ENT Admitted What the Respiratory Had Ignored ⟡

I. The Letter That Linked It All

II. Medical Honesty, Years Too Late

III. What Makes This Letter Matter

Muscle Tension Dysphonia as a Forensic Record of Medical Neglect

⟡ The Squeeze They Finally Saw ⟡

I. What Happened to My Voice — And Why

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

III. The Interventions They Later Pretended Didn't Exist

When the Voice Breaks, But the Story Must Go On.

✨ UNDERSTANDING THE DISORDER

🔍 COMMON SYMPTOMS

🎯 MANAGEMENT RECOMMENDATIONS

⚠️ CONTEXTUAL NOTE

When the Voice Breaks, But the Story Must Go On.

To:

I. 𝒯𝒽𝑒 𝐷𝒾𝒶𝑔𝓃𝑜𝓈𝒾𝓈 𝓎𝑜𝓊 𝓌𝑜𝓊𝓁𝒹 𝓇𝒶𝓉𝒽𝑒𝓇 𝓈𝓊𝓈𝓅𝑒𝓃𝒹 𝓉𝒽𝒶𝓃 𝓇𝑒𝒸𝑜𝑔𝓃𝒾𝓈𝑒:

II. 𝒮𝓎𝓂𝓅𝓉𝑜𝓂𝒶𝓉𝒾𝒸 𝒮𝑜𝓋𝑒𝓇𝑒𝒾𝑔𝓃𝓉𝓎

III. 𝒞𝒶𝓊𝓈𝒶𝓉𝒾𝑜𝓃 𝒷𝓎 𝒟𝑒𝓈𝒾𝑔𝓃

IV. 𝒯𝓇𝑒𝒶𝓉𝓂𝑒𝓃𝓉 𝒷𝓎 𝒮𝓉𝓎𝓁𝑒:

V. 𝒞𝑜𝓃𝒸𝓁𝓊𝓈𝒾𝑜𝓃: 𝒜 𝒮𝒽𝒶𝓇𝓅 𝒩𝑜𝓉𝑒 𝒾𝓃 𝒶 𝒮𝒾𝓁𝑒𝓃𝓉 𝒞𝒽𝑜𝓇𝒶𝓁

When The Voice Breaks, But The Story Must Still Be Told.

To the Institutions Mistaking Silence for Consent:

🗣 WHEN THE BODY SAYS “NO” AND NO ONE LISTENS

🔍 CLINICAL PATTERNS YOU'VE CONSISTENTLY OVERLOOKED

🛠 PRESCRIBED, IGNORED, AND STILL NEEDED

🎭 CONTEXT: FORCED VERBALISM AS A FORM OF ABUSE

If I Could Speak to You, I Wouldn't Be Writing This

To the Recipients of My Silence:

🫁 The Diagnoses You Glance At But Never Grasp

🔇 Vocal Rest Is Not a Mood. It Is a Prescription.

🧠 You Call It Drama. I Call It Documentation.

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

⟡ Normal Enough to Ignore, Abnormal Enough to Document ⟡

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

II. The Reframing of Suffering

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

Documented Obsessions