WHAT YOU ACTUALLY GET
Two documents, and a plan you can hand to a doctor.
A Case Review is not a conversation that evaporates. It ends with paper. Below are the two things every family walks away with — real examples, with names, places, and details changed so no family can be identified.
- The Longitudinal Read. Every lab your child has ever had, read in date order against the timeline: why they got sick, what went wrong, what helped, and what the numbers say to do next.
- The Go-Home Packet. The action items from the call — this week, in order — with the lab list your doctor can sign (CPT and ICD-10 codes, tubes, handling), a copy-paste letter, and the plan B if the doctor won't.
What we work through together
- Every possible trigger. We go through your child's life from birth to now — infections, antibiotics, moves, mold, ticks, injuries, stress — and line up what happened right before each change.
- The tests still missing, and why each one matters. A full list with insurance codes and the reason for every test, so a doctor can sign it in minutes.
- Where to get them ordered. What to say to your own doctor, and what to do if they won't sign — the services that will.
- Where to test for mold — in your child and in your house: which tests, which labs, which inspectors are worth paying.
- How to get the blood drawn in one stick — children's-hospital labs and mobile phlebotomists near you who are good with frightened kids.
- What the lab must do so the blood isn't wasted. Some tests are ruined if the tube isn't iced, frozen, or kept out of the light. You get a handling sheet in bold for the phlebotomist, so nothing comes back “unable to run.”
- The order of operations. What to do first, what can wait, and what will make things worse if it's done too early.
- The letters. A copy-paste letter for each of your child's doctors, laying out the history and the request.
- The tracker and Minta, set up so you can see what's helping and get answers between calls.
Everything below is a real example of what families take home, with names and identifying details removed.
Book a Case Review · $4001 · The Longitudinal Read
A real Longitudinal Read from a real Case Review: three years of records, 40 lab reports, read one by one. Names, places, and clinicians removed. It is the document every family wishes someone had written for them in year one.
Why he got sick, what went wrong, what helped
Read from every lab PDF in his file. Every number checked against the source report.
The verdict, one page
Why he got sick. A sensitive, allergic, picky kid from birth. Between his 5th and 8th birthdays he lived in three water-damaged houses and on a tick-heavy farm — an embedded tick went untreated — while the family lived through a prolonged safety crisis. By the spring of his 8th year he had five mycotoxins in his urine, a Bartonella-signature picture, a nose full of MRSA, a gut with no Lactobacillus and fat malabsorption, and — the part nobody measured until a year later — an engine with no fuel: homocysteine 15.8, B6 deficient, zinc low, iron low, calcium low. COVID at Christmas, then a moldy house with sick kids in February, lit it. Sudden-onset PANS, mid-January.
What went wrong. Every crash has the same shape: kill pressure applied to a kid whose exits were closed — still living in mold, no binder verified, no cofactors on board, no measurement of the engine. Five times. The two findings that would have changed the plan earliest — MRSA in the nose and homocysteine 15.8 — were found and then lost: the MRSA was never treated and later mislabeled “unverified” in his own file. The panel that would verify binding was drawn and never resulted.
What helped, in order of evidence. Leaving the mold and glutathione (mycotoxins fell within a month, twice). Stopping herbs (his best day in months, every time). A single acute homeopathic dose. Then B6, biomagnetism, minerals: homocysteine 15.8 → 8.1 → 6.9, zinc 61 → 95, ferritin 14 → 38, oxalates and yeast markers normalized, PANS into remission by mid-year.
The markers over time — engine
| Marker | Year 2 · Oct | Year 3 · Mar | Year 3 · Aug | Year 4 · May | Year 4 · Aug |
|---|---|---|---|---|---|
| Homocysteine (≤9) | — | 15.8 H | 8.1 | 8.6 | 6.9 |
| Whole-blood histamine (Walsh >70 = undermethylated) | — | 76 | — | — | 53 |
| Zinc, RBC (floor 878) | — | 573 L | — | — | — |
| Zinc, plasma | 149 H | 61 | 80 | 95 | — |
| Ferritin | 14 L | 20 | 37 | 23 | 38 |
| B6 status (organic acids) | — | deficient | — | — | replete |
| Copper, serum / ceruloplasmin | 99 | — | 137 | 97 | — / 23 |
Read: true zinc deficiency, iron deficiency, and undermethylation in year 3 — and a “copper toxic” hair test that was chased for 18 months against a normal serum copper and a normal ceruloplasmin.
The markers over time — mycotoxins (urine, ppb)
| Collected | Ochratoxin | Trichothecene | Gliotoxin | Context |
|---|---|---|---|---|
| Year 2 · Mar | 7.07 | 0.61 | 4.54 | Still in the house; herbal storm |
| Year 2 · Apr | 6.71 | 0.088 | 1.07 | Left the house + glutathione → everything dropped |
| Year 2 · Sep | 21.70 | 0.25 | 2.66 | Parasite protocol → suicidal talk returned |
| Year 3 · Aug | 3.43 | 0.17 | 0.016 — gone | Remission |
| Year 4 · May | 5.13 | 0.14 | 1.55 — back | New exposure? Nobody had looked. |
What went wrong — the errors, in order (excerpt)
- Kill herbs while still living in the mold. No binder, no cofactors, engine unmeasured. Result: worst night, then six weeks to suicidal.
- Glutathione stopped — the one thing that had measurably dropped his mycotoxins — and replaced with NAC. Then herbs went up.
- MRSA, large amount, in the nose — found, never treated. Two and a half years.
- Parasite protocol two weeks after a move with ochratoxin at its highest ever. Suicidal talk back within two weeks. Third time.
- The inflammation panel never resulted. Binding was never verified. Still the single most-blocking gap.
- Eighteen months chasing hair copper. The actual deficiencies — zinc, iron, B6, calcium — waited a year.
- An acute homeopathic remedy given daily for seven months.
What the history says to do now (excerpt)
- Inflammation is the lever, not clearance. Engine verified. The organic acids say quinolinic/5-HIAA 8.0 — kill pressure → dark thoughts. Ibuprofen burst, acute strep course, treat the Myco. Repeat the OAT after.
- Kill herbs: low, slow, titrated on the dark-thought marker. Never up while any flare marker is climbing.
- The nose, finally. Swab now. Household swabs.
- Mold: gliotoxin is back. Inspect the current house and school. Re-run the panel in 8 weeks. Get the inflammation panel resulted.
- Gauges on every draw, forever: homocysteine, ferritin, whole-blood histamine, B6 (amber tube), quinolinic/5-HIAA.
The full document runs 12 pages: exposures and events, six marker tables, infections, gut, neuroendocrine, hair, every intervention with its observed response, and a formal clinical case summary with action items written for the child's clinicians.
2 · The Go-Home Packet — see a real one
This is a real packet, the kind a family receives the evening after their call: 20 pages, built for a parent who is exhausted and a doctor who has eleven minutes. To protect the family, every name, clinic, phone number, date and personal detail has been changed — the child is “Leo.” The structure, the test lists, the reasoning and the level of detail are exactly what they got. The orange circles mark what Plan B did for them. This is the level of detail every family gets — specific to your child, nothing generic.
What to notice
- Every test that applies to this child — not a standard panel. Each one has its insurance code and a plain reason it matters for this child, so a doctor can sign it in minutes.
- We find the people near you: the closest pediatric phlebotomists and children's-hospital labs that are good with frightened kids, and the best-qualified mold inspectors — with names, phone numbers, and exactly what to say when you call.
- One stick. The vial count, the blood volume, why it's safe, and the order to draw so nothing is lost if your child can't sit still.
- Handling notes for the phlebotomist — which tubes go on ice, which are frozen within the hour, which stay out of the light. Labs get this wrong all the time, and it voids the result.
- A finished letter to your doctor, and every route to get the tests signed if your doctor says no.
- The order of operations — what to do this week, what waits for results, and what to stop.
- The small things that turn out to matter. A child who got better on a trip away. A remedy given too often. A fever a few days before every regression. Things that look harmless or unrelated are often the key to a child's story, and the packet acts on them.
- Every Case Review makes Minta smarter. What I learn from each family — and the questions I ask — is fed back into Minta, so the next family's free read is better.
Also in every packet
- A cover email from Rachel that explains every part of the packet.
- Enrollment in Rachel's Monday check-in — she looks at the file every week until the results land.
- The tracker and Minta, so the days between the call and the results are logged, not lost.
What it costs, and why
$400. The read takes me longer than the call. Both are included, and the packet arrives the same evening. If $400 isn't possible right now, write to me — I would rather do the review than not.
Rachel is a parent navigator, not a licensed clinician. Both documents are compilations of records and questions for your child's clinicians; they do not provide diagnosis, treatment, or prescriptions. The first sample is the author's own child, anonymized; the second is based on a real packet with identifying details removed.