⟡ Swollen Nodes and Systemic Blindness ⟡
The Respiratory Letter That Documented What No One Followed
📎 Document: [2024-10-15_SWANK_Jose_LondonClinic_LymphRespiratoryReview.pdf]
Letter from Dr. Ricardo José, Royal Brompton / London Clinic, confirming eosinophilic inflammation and prescribing antibiotics after steroid failure.
Filed: 15 October 2024
Ref: SWANK/RESP/JOSE-01
Author: Dr. Ricardo José
Location: Royal Brompton Hospital / London Clinic
Diagnosis Trail: Eosinophilia, persistent respiratory inflammation, steroid shortfall
I. The Clinical Truth They All Ignored
Five days of sore throat.
Fever. Night sweats. Swollen lymph nodes. Productive cough.
A recent short course of Prednisolone. A history of raised eosinophils. And still — still — the institutional refrain: "nothing to be concerned about."
Enter: Dr. Ricardo José, respiratory consultant and UCL associate professor.
He documents exactly what the system pretended not to see.
II. Symptoms, Signs, and Subtext
In this letter dated 15 October 2024, Dr. José confirms:
End expiratory wheeze
Tender cervical lymph nodes
Enlarged erythematous tonsils
Recent eosinophil count of 1.04
History of short-course steroids
Raised white blood cells and neutrophils
Children not symptomatic (eliminating environmental trigger claims)
This is not mild. This is textbook eosinophilic respiratory inflammation.
And yet, what was offered? Azithromycin, a pat on the head, and a polite "come back if it doesn’t go away."
III. Medical Record or Museum Label?
This letter is now archived by SWANK London Ltd. as:
A primary record of systemic inflammation and diagnostic indifference
A timestamped rebuttal to those who later claimed no evidence existed
A clinical receipt for suffering that was both acknowledged and abandoned
It proves what all the others refused to consolidate:
That a pattern was visible. That eosinophilic asthma was active. That we told them.
And like so many letters from Harley Street — it documented, but never intervened.
⟡ This Dispatch Has Been Formally Archived by SWANK London Ltd. ⟡
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