“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 osteopenia neglect. Show all posts
Showing posts with label osteopenia neglect. Show all posts

⟡ Clear Scans, Clouded Judgment: The Radiological Elegance of Doing Nothing ⟡


⟡ 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. ⟡

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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