“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 diagnostic misconduct. Show all posts
Showing posts with label diagnostic misconduct. Show all posts

Know Thy Enemy: Recognising and Managing Severe Asthma


๐Ÿ–‹ ๐’ฎ๐’ฒ๐’œ๐’ฉ๐’ฆ Dispatch | 6 February 2025
A Taxonomy of Medical Incompetence: The Patterns of Eosinophilic Asthma They Refused to Learn

๐Ÿ“ Filed From: Flat 22, 2 Periwinkle Gardens, London W2
✒️ Author: Polly Chromatic
๐Ÿ—‚ Filed Under: Eosinophilic Asthma · Clinical Illiteracy · Respiratory Misclassification · Diagnostic Sloth · SWANK Medical Archive · Archive of Airborne Disdain

๐Ÿงฌ To the Clinicians Who Confused Pride for Practice:

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. ๐’ซ๐“‡๐‘’๐“๐’พ๐“‚๐’พ๐“ƒ๐’ถ๐“‡๐“Ž ๐’ช๐’ท๐“ˆ๐‘’๐“‡๐“‹๐’ถ๐“‰๐’พ๐‘œ๐“ƒ๐“ˆ

Eosinophilic Asthma is not “complex.” It is merely chronically mismanaged by those who approach medicine as if diagnostic uncertainty were a form of charm.

To require a patient to research, document, and demand treatment for a respiratory disorder while gasping for air is not a lapse in judgment. It is clinical misconduct, gift-wrapped in arrogance.

II. ๐’ซ๐’ถ๐“‰๐“‰๐‘’๐“‡๐“ƒ๐“ˆ ๐’ด๐‘œ๐“Š ๐’ฒ๐‘œ๐“Š๐“๐’น ๐’ฆ๐“ƒ๐‘œ๐“Œ ๐’พ๐’ป ๐’ด๐‘œ๐“Š ๐’ฒ๐‘’๐“‡๐‘’ ๐’œ๐’ธ๐“‰๐“Š๐’ถ๐“๐“๐“Ž ๐’ฏ๐“‡๐’ถ๐’พ๐“ƒ๐‘’๐’น:

  • Persistent Inflammation:
    Unlinked to pollen, pets, or other folklore triggers.

  • Treatment Resistance:
    Inhaled corticosteroids fail. Biologics are met with your blank stares.

  • Frequent Exacerbations:
    Not episodes, not flare-ups—institutionally manufactured suffocation.

  • Comorbidities Ignored:
    Nasal polyps, AERD, sinus inflammation—none of which appear in your paperwork but all of which inflame the lungs.

  • Eosinophilic Evidence:
    Documented in blood and sputum. Refused in clinic.

  • Non-Allergic Triggers:
    Chlorine, cleaning products, bureaucrats. The usual culprits.

III. ๐’ช๐“…๐“‰๐’พ๐“‚๐’ถ๐“ ๐‘€๐’ถ๐“ƒ๐’ถ๐‘”๐‘’๐“‚๐‘’๐“ƒ๐“‰ (Not That You Asked):

  • Proper Diagnostics:
    FeNO, blood eosinophils, sputum cytology—science, not vibes.

  • Correct Treatment:
    Mepolizumab. Benralizumab. Not “come back when it gets worse.”

  • Comorbidity Integration:
    ENT referrals. Not safeguarding referrals.

  • Environmental Adjustment:
    Avoid bleach. Avoid disbelief. Avoid clinicians who sigh when you speak.

IV. ๐’ž๐‘œ๐“ƒ๐’ธ๐“๐“Š๐“ˆ๐’พ๐‘œ๐“ƒ

Your ignorance has been noted. Your omissions archived.
This isn’t advocacy. It’s autopsy.

—

Polly Chromatic
Breathing in spite of institutional sabotage.
๐Ÿ“ Flat 22, 2 Periwinkle Gardens, London W2
๐ŸŒ www.swankarchive.com
๐Ÿ“ง director@swanklondon.com
© SWANK London Ltd. All Airways Monitored.


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