Most families who find Plan B have already done a lot. Bloodwork. A neurologist who said "it's not PANS." A naturopath with a protocol. Maybe IVIG that helped for six weeks and stopped. What they don't have is one person who has read all of it, in order, and can say: here is what's driving this, here is what nobody has treated, and here is what to do first. That's what a Case Review is.
A mother sends me a folder. Fourteen PDFs from six years. Every lab was ordered by a different doctor to answer a different question, and no one ever laid them side by side. The strep titer from 2022 was "a little high" and got a shrug. The Mycoplasma IgG from 2024 was "old infection." The ferritin has been 12 for three years. Nobody has run anti-DNase B, immunoglobulins, or a tick-borne panel that could actually find Bartonella. And the kid is on his third antipsychotic.
I healed my own three children through PANS, and the thing that finally worked was not a new doctor or a new protocol. It was sitting down with everything we had — every lab, every treatment, every "it got worse when" — and reading it in order until the driver showed itself. I was reluctant to test my kids for Bartonella; it felt like one more expensive dead end. The pattern in their labs and symptoms kept pointing there anyway. All three were positive. It was the main driver. They got better.
I read your child's whole record — birth to now — with Minta, Plan B's AI, doing the heavy lifting of lining up every marker over time and cross-checking it against every treatment. Then I do what the AI can't: I bring what I've learned from my own kids and from the families I work with every week, and we talk it through together. You leave with four things:
And Minta stays with you after. She knows your child's whole picture; between visits, ask her why this flare, what this lab means, what to bring to the neurologist. Use her hard.
"It's not PANS." A neurologist saying no to PANS doesn't answer the question of what's driving a severe psychiatric picture in a child who was fine two years ago. It's rarely either/or; the same immune process can drive seizures, OCD, rage and psychosis at once. A Case Review holds all the lenses — PANS, autoimmune encephalitis, tick-borne, mold, immune deficiency — and finds which ones the labs actually support.
IVIG helped, then stopped holding. This is the pattern I watch most closely. IVIG that helps a little and fades usually means the driver was never targeted: an untreated infection, a hidden reservoir, an antibody deficiency it isn't matched to. The question isn't "more IVIG or stop?" It's "why isn't it holding, and what are we not treating?" Sometimes the answer is to keep IVIG for a different reason than you started it.
Everything works for a while. The herbs helped, then didn't. The antibiotic helped, then didn't. Risperidone gave you three good months. When every intervention buys a stretch and then fades, that isn't a run of bad luck; it's a driver that keeps refilling. Your "nothing worked" list is a map. I read it as one.
I'm not a licensed clinician and I don't prescribe, diagnose, or order labs. Plan B doesn't have ordering doctors yet. What I do is organize the whole picture, build the exact list, and coach you to get it ordered and covered through your own providers — which, with the codes and the reasons in hand, works far more often than people expect. Your clinicians make the medical decisions; the Case Review makes sure they're deciding with the whole picture in front of them.
Start with the free synthesis. Upload every lab your child has ever had and Minta writes the first read for free. If it shows you three holes you didn't know about, you may not need me yet. If it shows you a picture you can't sort on your own, that's when a Case Review earns its keep.
If you've been collecting opinions for years and your kid is still not better, the missing piece is usually not another opinion. It's one careful reading of what you already have.
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.