Treatment modelling
Simulations
Each patient has a structured comparison of plausible next steps. Projections are illustrative teaching models — they are not prognostic calculators.
Margaret Ellison
How should the next treatment step be sequenced?
HFpEF + CKD 3b + T2DM, with a reversible CNS risk from zopiclone. Compare a safety-first deprescribe, an SGLT2i start, or ACEI intensification.
PreferredStop zopiclone + sleep hygiene
Open simulation on the recordJames Whitaker
Which residual-risk move changes 12-month trajectory most?
Anatomy is treated. Behaviour and metabolic risk are not.
PreferredStructured smoking cessation
Open simulation on the recordPriya Ramanathan
Which pre-conception sequence is safest?
She wants to conceive within six months. Diabetes, thyroid and teratogens must move together.
PreferredPre-conception bundle
Open simulation on the recordHarold Bennett
What is the safest first deprescribing step?
Three drug classes are fall-promoting. Sequence matters.
PreferredStop oxybutynin
Open simulation on the recordElena Voss
How should the current decompensation be treated this week?
Weight up, Na down, creatinine up. Bleed prophylaxis, HE and transplant sit in the background.
PreferredLarge-volume paracentesis + albumin
Open simulation on the recordThomas Adeyemi
After this exacerbation, what should change before winter?
Inhalers are already dual/triple-equivalent. The gaps are rehab, bone and anticoagulant safety.
PreferredRehab + bone protection pathway
Open simulation on the record