⟡ Addendum: On Breath, Bureaucracy, and the Theatre of Emergency ⟡
Filed: May 2025
Reference: SWANK/GSTT/PC-086
Document: 2025-05_Core_PC-086_GSTT_AEUnsafeConductDisabilityDiscrimination.pdf
Summary: Formal complaint to Guy’s & St Thomas’ NHS Foundation Trust regarding an A&E incident on 2 January 2024, when a respiratory crisis was met not with oxygen but with interrogation — a masterclass in medical discourtesy.
I. What Happened
While suffering an acute asthma attack, the claimant was cross-examined by an A&E nurse with the zeal of a customs officer.
Each attempt to answer collapsed into silence; each silence was apparently interpreted as defiance.
With her daughter present and the air thinning by the question, the claimant withdrew to safety — self-discharged, not removed.
Later, the record inverted fact, describing a removal that never occurred. Thus was born a hospital myth in bureaucratic scrubs.
II. What the Complaint Establishes
That “triage” can, in untrained hands, become interrogation.
That silence, far from suspicious, is sometimes survival.
That disability awareness in emergency medicine remains theoretical, somewhere between a training slide and a public relations statement.
III. Why SWANK Logged It
Because this episode marks the origin of procedural contagion: a single night’s arrogance radiating across years of safeguarding fiction.
SWANK regards the complaint as both medical evidence and allegory — the precise moment care abandoned comprehension.
IV. Violations
Equality Act 2010 – Sections 20 & 149: failure to provide communication adjustment.
Human Rights Act 1998 – Articles 3 & 8: inhuman treatment through neglect, interference with family life.
NHS Constitution – breach of dignity, safety, and respect.
Professional Conduct Standards – redefined by omission.
V. SWANK’s Position
Medicine without empathy is choreography without music.
This filing stands as the first aria in the Retaliation Noir cycle — a warning sung in wheezes.
SWANK commends it as a document of exquisite composure: the moment a disabled parent, gasping, still found the grammar to indict.
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