⟡ Steroids, Scans & Shrugs: A Diagnostic Chronicle of Institutional Disinterest ⟡
Filed: 29 February 2024
Reference: SWANK/SMH/ASTHMA-BONE-XRAY-2024
📎 Download PDF — 2024-02-29_SWANK_SMH_DiagnosticChronicle_AsthmaSteroidBone_XRaySeries.pdf
I. When the Scan Is Clear but the System Is Clouded
This archive entry contains radiological reports from St Mary’s Hospital (Imperial NHS Trust), covering:
Ongoing obstructive lung disease (asthma with hyperinflation)
Steroid-induced osteopenia (documented but untreated)
Mobility-impairing knee symptoms dismissed as radiographically trivial
No intervention.
No follow-up.
No comprehension of cumulative clinical degradation.
A tidy stack of imaging. A towering heap of nothing done.
II. Highlights from the Elegant Nothingness
Chest X-rays (2024–2025): Hyperinflated lungs, no pneumonia, no plan.
"Asthma AE" reduced to no consolidation noted. The bar for care? Collapse.DEXA Scan (Oct 2023): T-scores -1.6. “Below average for age.”
Translation: early-stage bone deterioration. NHS translation: Ignore.Knee X-ray (June 2023): No fracture.
Ergo: No further inquiry. Pain, weight-bearing difficulty, and mobility impact? Not radiologically photogenic enough.
III. Why SWANK Filed This
Because the accumulation of unremarkable reports in a deteriorating body is not reassurance. It’s gaslight-by-printout.
This document captures the exquisite choreography of bureaucratic healthcare:
Scan → minimise
Symptom → compartmentalise
Systemic risk → defer
This is not medicine. It’s aesthetic restraint performed as policy.
IV. SWANK’s Position
We do not believe clinical neglect is excused by normal scans.
We do not accept “no fracture” as clearance to ignore collapsing joints.
We do not accept lung disease that must present as melodrama to be acknowledged.
Let the archive show:
The asthma is real
The bone loss is real
The indifference — was immaculate
This was not “no findings.”
It was no duty of care.
⟡ This Dispatch Has Been Formally Archived by SWANK London Ltd. ⟡
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Filed with velvet contempt, preserved for future litigation.
Because evidence deserves elegance.
And retaliation deserves an archive.
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