"We treated the strep. Why is he still like this?" We counted the infection and mold drivers in every child’s own labs to find out.
Across 38 children and 29,264 lab results:
You treat the strep — and the Mycoplasma is still there. You clear that — and there is mold underneath. Or Bartonella. Or a gut that never recovered.
This is exactly where the system breaks down for families. The infectious disease doctor looks at infection. The GI doctor looks at the gut. The psychiatrist looks at behavior. Every one of them sees their piece — and not one is looking at the whole board.
The answer is not to treat everything at once — that produces overwhelming die-off and you learn nothing. It is to find the biggest driver and knock that one down first, then reassess.
Lower the total load and everything downstream loosens: the OCD, the rages, the food refusal, the sleep.
Want this answered for your own child? A Plan B synthesis reads every lab and note you have — together — and tells you what is driving the picture, what has never been checked, and what to ask for next.
The first one is free, and you keep the list either way. Phone photos of labs are fine.
Plan B for PANS is written by a parent, not a physician. Nothing here is medical advice or a substitute for your child's clinicians — it is meant to make you the best-informed person in the room when you talk to them.