⟡ Osteopenia, Obstruction & Orthopaedic Dismissal: The Diagnostic Series They’d Prefer to Misfile ⟡
Filed: 7 June 2023 (updated through 2025)
Reference: SWANK/SMH/CLIN-DIAG/ASTHMA-BONE-JOINT
📎 Download PDF — 2023-06-07_SWANK_SMH_DiagnosticReports_KneeBoneLungAsthmaSeries.pdf
I. When the Body Instructs, and the System Refuses to Learn
This dossier is not a complaint. It is a radiographic biography — a procession of neglected diagnostics trailing behind policy contempt.
Across knees, lungs, bone and breath, it chronicles:
Chronic asthma under steroid regimes
Emerging osteopenia misclassified as “normal for age”
Left knee collapse dismissed with bureaucratic minimalism
Two chest x-rays showing obstructive lung disease in full inflation — but zero pulmonary intervention
They saw inflammation.
They reported “no consolidation.”
They missed everything in between.
II. What the Reports Reveal (and Refuse to Mean)
7 June 2023 – Knee XRAY
Result: “No fracture.”
Translation: You can walk, therefore you must.
Clinical impact: Weight-bearing agony ignored due to lack of theatrical evidence.18 October 2023 – Bone Density Scan (DEXA)
Result: T-score of -1.6 at the hip.
Classification: “Below average for age.”
What it should say: Early deterioration induced by chronic respiratory steroids — noted and ignored.30 April & 17 March 2025 – Chest XRAYS
Result: “Lungs hyperinflated.”
Interpretation: Clear sign of obstructive airway disease (asthma), yet no action. No bronchodilator plan. No referral. Just the word “noted.”
Their job was not to scan. It was to see.
III. Why SWANK Filed This
Because the denial of injury is not the absence of harm.
Because normal scans in disabled bodies are often used as instruments of dismissal.
This record asserts:
That early-stage deterioration matters
That obstructive lungs do not need to collapse to be breathless
That bone loss without a fall is still failure
It is not the body that has failed to signal.
It is the institution that has failed to respond.
IV. SWANK’s Position
We do not regard “no fracture” as permission to collapse.
We do not accept “within expected range” as clinical resolution.
We do not tolerate the systemic erasure of diagnostic complexity in disabled and steroid-dependent patients.
Let the archive reflect:
The asthma was known
The bone loss was documented
The knee pain was real
The language was clinical
The disregard — was institutional
This was not “nothing wrong.”
It was everything ignored.
⟡ This Dispatch Has Been Formally Archived by SWANK London Ltd. ⟡
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Filed with velvet contempt, preserved for future litigation.
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And retaliation deserves an archive.
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