The flagship deliverable
The Aha Report makes the case intelligible.
Not a supplement list with a diagnosis attached. A written model of what may be happening, why we think so, what remains uncertain and how the next decision will be tested.
The intellectual center of the engagement.
Complex illness produces fragments: laboratory panels, imaging, medications, specialist notes, symptoms, interventions and theories that may never have been assembled on one timeline. The Aha Report turns those fragments into a structured working model.
Every report is individualized. The structure shown here is illustrative and contains no patient information. Sections vary according to the case and the evidence available.
The Aha Report
Illustrative structure
Case in one page
Longitudinal timeline
Known facts and important unknowns
Laboratory trajectories
Terrain map
Ranked working hypotheses
Evidence and rationale
Risk and scope boundaries
Sequenced initial strategy
Measures of response
Questions for local clinicians
Triggers for reassessment
Honest enough to revise.
The report distinguishes observation from inference and established evidence from exploratory hypothesis. It states uncertainty instead of hiding it.
A useful model makes predictions. Follow-up asks whether symptoms, function and laboratory trajectories move as expected. When reality contradicts the model, the model changes.
Comprehensive case review · $1,495
Bring the whole case.
Records review, laboratory interpretation, Terrain mapping, written Aha Report and an initial strategy.
Begin the review