“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 mucosal inflammation. Show all posts
Showing posts with label mucosal inflammation. Show all posts

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.

© 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.


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