Plan Bfor PANS
Real Plan B syntheses, fictionalized. Each is based on a real child’s case. Every name, place, date, clinician and identifying detail has been changed so no family can be recognized — the clinical story, the reasoning and the plan are exactly what Plan B produced.

Real case examples

The integration no single specialist had done.

These come from real cases, with every identifying detail changed. What happened for these children happens for almost every complex PANS kid: a thick folder of testing, seen piece by piece by different specialists, that nobody had ever read together.

The data to solve these cases largely already existed. The missing step was integration — reading every lab against its own range, across every framework at once, and asking what they say together. That’s the work no human specialist has the time to do across infection, immunity, methylation, the gut, and the nervous system simultaneously. It’s the whole point of a Plan B synthesis.

Sample synthesis · “Nora”

Scanned over and over. Tested for the obvious only now.

A girl worked up structurally again and again — MRI, ultrasounds, scopes — and told she was clear, while she told her mom she was in a storm. More than 80 documents, read together for the first time.

  • Three embedded-tick events in her history, and a mother who had Lyme before pregnancy
  • A tick-borne workup only just drawn after 80+ documents — results pending
  • The coded tests to close it, and where to start

The thread no one had pulled was sitting in her own history.

Read the synthesis

Sample synthesis · “Owen”

Why every treatment made him worse.

A boy who flares on B vitamins and on a single drop of a kill herb. His own labs explain why — and point to the one infection nobody ever rechecked.

  • A backed-up clearance step in his methylation labs
  • All six Coxsackie B strains high, never rechecked
  • A load-before-kill order: exits, tank, then one step at a time

Not a difficult child. A body that couldn’t clear what treatment stirred up.

Read the synthesis

Earlier examples: “Theo” and “Max”. Each case is one child. Nothing in them is a protocol for anyone else, and everything is framed as questions to investigate with a qualified practitioner. Plan B is a navigation and integration service, not a medical provider.

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