⟡ 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.
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