Work with Rachel · Hands-on · Limited spots
The Case Review
When the specialists have closed the case but your child still isn’t better, you bring in someone to reopen it. I read every lab myself, connect the drivers no single specialist connected, catch what got dropped or miscoded, and don’t close the file until the workup is ordered, coded, covered, and correct.
Not sure yet? Email me first — I’ll tell you honestly whether a review is worth it for your child.
What you actually get
Three steps. I do the hard parts.
I read your child’s whole record, build the exact panel (nothing you already have), and place the order myself through my lab account. No doctor to chase — you just go to your local lab for one draw.
When the labs come back, I synthesize all of it with you — what’s driving what, what’s been missed, what actually matters. Not a pile of numbers.
A real direction and next steps, plus who to see — the practitioners actually equipped for your child’s picture. I stay on it as more results come in, billed only for the few minutes each check takes.
What a Case Review is
A second set of eyes that actually reads everything.
Most parents I meet don’t have a shortage of doctors — they have a shortage of anyone holding the whole child at once. Each specialist sees a slice. The labs and the symptoms don’t get laid side by side. Tests get ordered without the partner test that makes them readable. That’s the gap I fill: I take your child’s entire record back to the evidence and work it until the picture makes sense and the next step is clear.
Every lab, every timeline, every prior practitioner’s note — not a skim. I lay the genetics next to the bloodwork next to the history, because the driver only shows up when they’re side by side.
Strep, mold, tick-borne, immune function, methylation — I look for the pattern that actually explains your child, instead of the one slice each specialist saw.
Missing tests, orphaned tests, insurance codes stripped down to whatever was fastest. I catch them and write the letter that fixes them — framed as the office’s omission to correct at no charge.
No doctor to chase, no gatekeeping. I place the exact panel through my own lab account — a physician signs it — and you just walk into your local Labcorp or Quest for the draw. One stick, everything that’s needed, nothing you already have.
When the labs come back I read them all, tell you what they actually mean, and we get you on a real plan for the next steps. Not a pile of numbers — a direction. As more results trickle in, I read each batch, billed only for the few minutes it takes.
Real catches — de-identified
An order can look complete and still be wrong.
3 tests dropped + 20 codes cut to 4
A pediatrician placed a comprehensive PANS panel — but the requisition silently dropped 3 requested tests (including the strep-pair partner and the protein needed to read a copper result) and reduced ~20 medical-necessity codes to just 4, which would have left most of the panel uncovered. Caught against the family’s original request; correction letter written the same day.
A test ordered without the one that makes it readable
Copper was ordered alone — nearly meaningless without ceruloplasmin to calculate free copper. Added the partner test to the same draw, so the family didn’t pay for a number no one could interpret, then have to re-stick their kid for the other half.
A driver three specialists never connected
Rage, agitated dreams, and a non-relapsing course had been read as “just psychiatric” across three clinics. Laid side by side with the history, the pattern pointed at an untested infection — so it finally got tested instead of medicated around.
A dropped test, an orphaned test, or a stripped code — all three cost you money or another needle. Catching them is the job.
Who I am
I’m not a doctor. I’m a mom who’s been where you are.
Three PANS kids. Years of specialists. I learned to read the labs, hold the whole picture, and get the workup done — because no one was going to do it for us. Plan B is a non-profit; the Case Review is paid because it’s hours of my personal time per family, and I can only take a limited number at once. Everything you can do yourself in the app stays free.
Every recommendation is framed as a question to bring to your licensed practitioner — this is decision-support and advocacy, not medical advice or a prescription.