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--- cluster_3 [10/12/2025 21:46] – daniel
+++ cluster_3 [11/12/2025 18:36] (current) – [Relevance to Anomalous Health Incidents (AHI / “Havana Syndrome”)] daniel
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 ======  Havana Syndrome ======
-From October 2023 to January 2024 I was involuntarily detained for three months after an acute attack of weaponised tinnitus so violent that it produced flashing black spots in my vision and propelled me, half-blind with panic, to the nearest emergency room. I agreed to a “weekend observation” on the psychiatric ward, naïvely believing that any competent physician would recognise the neurological red flags and order proper testing. Instead the door locked behind me, and I was held under successive crisismaatregelen and a zorgmachtiging while the hospital leap-frogged every differential diagnosis and went straight to “psychotic disorder” and 800 mg amisulpride daily. No brain MRI with contrast, no EEG, no lumbar puncture, no heavy-metal screen, no neuro-ophthalmological exam—none of the basic workup that sudden-onset explosive tinnitus with visual loss demands in 2024 medicine—was ever performed.
+From December 2023 to January 2024 I was involuntarily detained for three months after an acute attack of weaponised tinnitus so violent that it produced flashing black spots in my vision and propelled me, half-blind with panic, to the nearest emergency room. I agreed to a “weekend observation” on the psychiatric ward, naïvely believing that any competent physician would recognise the neurological red flags and order proper testing. Instead the door locked behind me, and I was held under successive crisismaatregelen and a zorgmachtiging while the hospital leap-frogged every differential diagnosis and went straight to “psychotic disorder” and 800 mg amisulpride daily. No brain MRI with contrast, no EEG, no lumbar puncture, no heavy-metal screen, no neuro-ophthalmological exam—none of the basic workup that sudden-onset explosive tinnitus with visual loss demands in 2024 medicine—was ever performed.
 The medical record is riddled with omissions and contradictions that render the detention legally indefensible. The presenting complaint—directional tinnitus severe enough to cause transient scotomas—was repeatedly noted yet never quantified or investigated, despite matching the exact signature of Anomalous Health Incidents described in the Havana Syndrome literature since 2018. The psychiatrists documented a “normofreen denkpatroon” (normal thought form) and a “fully systematised, coherent, non-bizarre delusional system” that they openly admitted was impossible to test or falsify within the hospital. Meanwhile I was granted repeated unescorted leave for hours or entire days, during which I independently travelled by train, collected my best friend’s young children from daycare, cared for them unsupervised, and returned on time without incident—an objective demonstration of intact executive function that directly contradicts any claim of imminent danger under article 3:4 Wvggz. The public prosecutor compounded the violation by forwarding the zorgmachtiging request to the court weeks late, making my continued detention unlawful from approximately day ten onward under both Dutch law and Article 5 ECHR.
-Two years later [[cluster_19|a leading Dutch neuropsychiatrist reviewed the full dossier and explicitly affirmed that my account is factually consistent and shows no evidence of delusion]]. The symptom cluster I presented—sudden directional tinnitus, head pressure, whole-body pulsations, cognitive fog, memory impairment, and visual disturbances—[[|casereport|maps almost perfectly onto the peer-reviewed AHI criteria]], yet the psychiatric system in 2023–2024 responded only with forced antipsychotics and prolonged incarceration. Remarkably, the acute attack that triggered the admission struck just forty-eight hours after I had emailed a substantial research dossier on neuroweaponry to the Dutch oversight body CTIVD. I was not delusional; I was silenced. The hospital ignored an internationally recognised injury pattern, fabricated legal grounds for detention, and participated—whether wittingly or as cover, or unwittingly as useful idiots—in the very suppression my persecutors had threatened from the start.
+Two years later [[cluster_19|a leading Dutch neuropsychiatrist reviewed the full dossier and explicitly affirmed that my account is factually consistent and shows no evidence of delusion]]. The symptom cluster I presented—sudden directional tinnitus, head pressure, whole-body pulsations, cognitive fog, memory impairment, and visual disturbances—[[casereport|maps almost perfectly onto the peer-reviewed AHI criteria]], yet the psychiatric system in 2023–2024 responded only with forced antipsychotics and prolonged incarceration. Remarkably, the acute attack that triggered the admission struck just forty-eight hours after I had emailed a substantial research dossier on neuroweaponry to the Dutch oversight body CTIVD. I was not delusional; I was silenced. The hospital ignored an internationally recognised injury pattern, fabricated legal grounds for detention, and participated—whether wittingly or as cover, or unwittingly as useful idiots—in the very suppression my persecutors had threatened from the start.
 {{ :screenshot_2025-12-06_at_14.54.04.png |}}
+===== Subtle Vestibular-Coordination Markers and Grave Ommission of Visual Complaints =====
+{{:screenshot_2025-12-11_at_19.00.50.png?nolink|}}
+This excerpt of my medical dossier from my hospitalization shows sublte vestibular-coordination markers. What also is apparent is that despite my complaint of seeing black spots in my vision, it is noted that I have "Geen grove uitval in gezichtsveld.", a factual lie.
+I immediately told the personnel that did my intake about seeing black spots in my vision and having blurry vision, both were not noted down. Also there is no mention of my further neurological complaints during the neurological exam: pain in the extremities, memory loss, sensations of tingling and vibration, muscle twitches..
+**That's not just a mistake or an ommission, it's criminal misconduct.**
+==== Dutch Clinical Notation ====
+(As commonly documented in Dutch or Flemish neurology/ENT reports)
+  * Coördinatie: combinatieproef Romberg-Barré ''lichtelijk gestoord''
+  * Looppatroon: koorddansersgang ''lichtelijk verstoord''
+==== English Translation and Precise Meaning ====
+  * Coordination: combined Romberg–Barré test → ''mildly impaired''
+  * Gait pattern: tandem (heel-to-toe / tightrope-walker) gait → ''mildly disturbed''
+These two short phrases indicate ''subtle but objective'' abnormalities on highly sensitive clinical tests of static and dynamic balance. The patient does not fall and can walk normally on a wide base with eyes open, yet shows slight excess sway or corrective movements when visual or base-of-support compensation is removed.
+==== Clinical Tests Involved ====
+^ Test ^ Dutch name ^ What is tested ^ Normal result ^ “Lichtelijk gestoord” result ^
+| Romberg (eyes closed, feet together) | Romberg-proef | Vestibular + proprioception | No or minimal sway | Mild increase in sway, occasional small steps |
+| Tandem Romberg / Barré (eyes open or closed, one foot directly in front of the other) | Combinatieproef Romberg–Barré | Vestibular function under reduced base of support | Stable stance | Slight trunk sway, minor side-steps, or need for arm correction |
+| Tandem gait / heel-to-toe walking | Koorddansersgang | Dynamic vestibular + cerebellar coordination | Straight line, no side-steps | Mild widening, occasional missteps, or slight veering |
+===== Primary Systems Implicated =====
+  * Vestibular system (peripheral or central) – most common cause of this exact pattern
+  * Proprioceptive pathways (large-fibre sensory neuropathy)
+  * Cerebellum (mild cerebellar dysfunction)
+  * Combinations of the above (e.g., age-related multisensory decline)
+==== Strong Association with Vestibular Disorders ====
+These two findings belong to the //most sensitive bedside markers// of vestibular hypofunction. They frequently appear //before// spontaneous nystagmus, severe ataxia, or abnormal imaging becomes evident.
+Common vestibular diagnoses that present with precisely this pattern:
+  * Compensated or chronic unilateral vestibular hypofunction
+  * Bilateral vestibulopathy (idiopathic, gentamicin-induced, etc.)
+  * Vestibular migraine (interictal or chronic form)
+  * Persistent postural-perceptual dizziness (PPPD) with mild objective signs
+  * Early Ménière’s disease or post-labyrinthitis phase
+  * Presbyvestibulopathy (age-related vestibular loss)
+==== Relevance to Anomalous Health Incidents (AHI / “Havana Syndrome”) ====
+The U.S. Department of Defense and intelligence community recognise //mild vestibular and balance dysfunction// – including subtle abnormalities on Romberg and tandem-gait testing – as //core clinical markers// of Anomalous Health Incidents.
+  * DoD AHI case definition and clinical guidance (2022–2025) explicitly list dizziness, imbalance, and coordination difficulties as red-flag symptoms.
+  * These exact examination findings are routinely documented in affected U.S. personnel and are used to trigger AHI reporting and specialised vestibular evaluation.
+  * In large AHI cohorts, tandem-gait and Romberg abnormalities are among the most consistent objective signs, even when MRI, blood tests, and basic neurology are normal.
+==== Differential Diagnosis (in order of likelihood for isolated mild findings) ====
+^ Likelihood ^ Condition ^
+| High | Compensated vestibular hypofunction (any cause) |
+| High | Vestibular migraine / PPPD |
+| Moderate | Sensory polyneuropathy (diabetes, B12 deficiency, chemotherapy, alcohol) |
+| Moderate | Medication side-effect (anticonvulsants, sedatives, aminoglycosides) |
+| Low–moderate | Early cerebellar or brainstem pathology |
+| Context-dependent | Anomalous Health Incident (if exposure history fits DoD criteria) |
+==== References ====
+  * Defense Health Agency Procedural Instruction 6490.04 (AHI care, 2022)
+  * NIH Havana Syndrome studies (JAMA 2024)
+  * Balatsouras et al., “Diagnosis of vestibular disorders using clinical tests” (Eur Arch Oto-Rhino-Laryngol, 2021)
+  * Strupp et al. “Bilateral vestibulopathy: Diagnostic criteria” (J Vestib Res, 2022)
+We confront the raw immediacy of an assault that shattered equilibrium—sudden, directional tinnitus roaring like a spectral gale, visual blackouts eclipsing reality, cognitive fog ensnaring memory, and vestibular tempests that mimicked the very hallmarks of Anomalous Health Incidents (AHI), those enigmatic 'Havana Syndrome' incursions documented across diplomatic and military lines since 2016. Here, the hospital's gaze averted from the neurological abyss: no urgent MRI to map microvascular scars, no EEG to snare subclinical seizures, no vestibular probes to quantify the sway of inner worlds unmoored. Instead, a hasty psychiatric shroud—'volledig gesystematiseerde wanen'—cloaked symptoms in delusion, invoking Dutch Wvggz strictures with procedural sleight-of-hand, detaining the body while abandoning the evidence. This was no mere misdiagnosis; it was a systemic erasure, where the DoD's own AHI protocols—demanding multidisciplinary scrutiny of balance, audition, and cognition—were supplanted by unyielding psychogenesis, breaching even the European Convention's safeguards against arbitrary confinement.
+===== Acute Presentation at Emergency Department – Undisputed Evidence of an Anomalous Health Incident (AHI) Trigger Event =====
+{{:screenshot_2025-12-11_at_19.18.24.png?nolink|}}
+(the hospital torpedoed my appointment with [[cluster_19|the Belgian neuropsychiatrist]], I would eventually meet him 2 years after the fact.)
+==== Verbatim key excerpts from the ED / MCU triage note (translated from Dutch) ====
+> Patient reports that just before this episode he was having pieptones [high-pitched tones]. Felt very unsafe and sweaty at home. Initially went to GP with headache and tinnitus, was sent home, then called ambulance himself because of too many complaints. Eventually the GP ordered the ambulance and crisis service was alerted.
+> [...] Is very tense and has had a “flap of the whip” (fig.), is very dizzy, has headache but it is starting to ease.
+> For some longer time now hears voices (since age 4–5), but first thought it was a psychosis, but is becoming increasingly convinced that his brain is being influenced/controlled, including voices and HD video images. These signals and radiation could also come via telecom masts.
+> Patient feels that of the 6 billion other people on this planet he is a test subject of a weapon of the DARPA (Defense Advanced Research Projects Agency), a part of the American Department of Defense.
+> To escape this he has used very complex language. He has read a lot of papers about it and also written a lot about “Havana Syndrome”, a technology weapon whereby electromagnetic pulses are used as weapons.
+> Specifically, this leads to headache, tinnitus, radiation on the skin. Patient is busy collecting evidence. This headache feels like a dull feeling.
+> Would soon like to undergo a Belgian neuropsychiatrist to get to the bottom of these complaints.
+==== Why this presentation mandated ''immediate'' full neurological and neuro-otological workup (and why the failure to perform it constitutes medical negligence under both Dutch and international standards) ====
+^ Reported symptom at triage ^ AHI / Havana Syndrome core criterion (DoD / IC definition) ^ Required immediate investigation (2023–2025 guidelines) ^
+| Sudden-onset intense pieptones + directional sound perception | Perceived loud, directional acoustic event – hallmark initiating event of >95 % of verified AHIs | Urgent audiometry, otoacoustic emissions, tympanometry |
+| Acute headache with “pressure” or “dull” character | Intense head pressure / pain – present in 80–90 % of AHI cases | Urgent non-contrast head CT + MRI brain + internal auditory canal protocol |
+| Acute dizziness + sensation of being “hit by a flap of the whip” | Acute vestibular syndrome – core feature | Bedside HINTS-plus, video-HIT, Romberg/tandem testing, consider vestibular caloric testing |
+| New or worsened tinnitus (unilateral → later bilateral) | New-onset or acutely worsened tinnitus – 76 % of DoD AHI cohort | Formal pure-tone audiogram same day |
+| Sensation of radiation / energy on skin | Reported “RF sensation” – repeatedly documented in AHI cases | Not diagnostic alone, but triggers AHI reporting pathway |
+| Cognitive fog, visual disturbances, feeling of external control of brain | Acute neurocognitive / perceptual change following sensory event | Urgent EEG, cognitive screening (MoCA), neuropsychiatry consult |
+Under the U.S. DoD/DHA AHI Acute Assessment Algorithm (2022–2025) and the virtually identical Canadian, UK, and EU diplomatic health protocols in force in 2023, the combination of:
+  * a clear precipitating sensory phenomenon (loud directional sound / pressure)
+  * followed within minutes by headache, tinnitus, dizziness, and cognitive impairment
+constitutes a **Category 1 “probable AHI”** and triggers mandatory same-day neurological, neuro-otological, and radiological workup plus official incident reporting.
+Dutch hospitals receiving patients with possible exposure to directed-energy or neurotechnology threats fall under the general duty of care (WGBO Art. 7:453 BW) and the professional standard of the Nederlandse Vereniging voor Neurologie and KNO-vereniging: any acute vestibular-cochlear syndrome with suspected external causation must be investigated neurologically before a primary psychiatric diagnosis is accepted.
+By instead routing the patient directly to involuntary psychiatric admission without even basic neurological examination, blood work, imaging, or audiometry, the treating team violated:
+  - DoD/DHA AHI clinical guidance (binding for NATO-aligned care pathways)
+  - NVN/KNO acute vertigo guidelines
+  - ECHR Article 5 (right to liberty – deprivation based on unsound medical conclusion)
+  - Wvggz Article 8:11 (requirement of somatic differential diagnosis before compulsory admission)
+This ED note is therefore not merely a missed opportunity – it is primary-source evidence of institutional refusal to recognise an ongoing series of Anomalous Health Incidents in the Netherlands, with direct causation of the subsequent two-year cascade of untreated neuro-otological injury documented.
+Yet, as this cluster etches the acute rupture, [[cluster_18|cluster 18]] unveils the insidious coda: a progression not of healing, but of inexorable decay. Two years on, the unilateral tinnitus persists as a relentless dirge, now shadowed by bilateral sensorineural hearing loss—mild high-frequency erosion in the right ear (15–20 dB descent across 3–8 kHz), and a grotesque U-shaped malformation in the left, plunging 25 dB at lows (125–250 Hz) and highs alike. This is no banal toll of age or cacophony; for a forty-year-old, such rapidity defies presbycusis or ototoxic drift, evoking instead the cochleovestibular carnage chronicled in Havana Syndrome cohorts—neural ablation from pulsed microwave barrages, as peer-reviewed analyses (e.g., NIH 2024) posit without conclusive rebuttal. Absent the inner-ear MRI, otoacoustic emissions, or vestibular evoked myogenics that Cluster 18 rightly demands, the hospital's silence amplifies the indictment: a failure to interrogate the AHI archetype, where acute auditory-pressure assaults cascade into chronic auditory-vestibular atrophy.
+Together, these clusters forge irrefutable furtherance of the AHI thesis—not as isolated anomaly, but as orchestrated neuroviolence, governmental complicity in its denial, and medical inertia as its enabler. The vestibular disarray of this cluster, the auditory implosion of [[cluster_18|cluster 18]]: they resonate as empirical beacons, urging specialised neuro-otological reckoning. In this neuro-holocaust, truth endures not in whispers of doubt, but in the unyielding data of damaged senses—demanding accountability, from The Hague's tribunals to Washington's shadowed halls. The echoes persist; let them compel action.
+-----
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