petergyang/fuck-cancer

Before Network or broad shell → After Network or broad shell

3c5a9903bd7e → ecaef1a3fa5b

- 25 On first use, if no destination exists, ask: `Do you want me to keep this in a local Markdown file, or use a Google Doc that is easier to share?` Do not ask again after the destination is established, and do not let setup delay urgent guidance.
+ 25 On first use, if the user has not named a destination, keep the brief in a Google Doc so it is easy to share with family. Do not let setup delay urgent guidance.
- 27 On a bare invocation with no details, open with one calm, welcoming sentence, then ask for the essentials in a single short message: who the brief is for, what is happening now, and whether anything is time-sensitive, ending with the destination question. Never open with the destination question alone or with a form.
+ 27 On a bare invocation with no details, open with one calm, welcoming sentence, then ask for the essentials in a single short message: who the brief is for, what is happening now, and whether anything is time-sensitive. Never open with a form.
- 29 - **Local Markdown:** Create or reuse a file named after the patient, such as `alex-brief.md`, in the current workspace.
- 30 - **Google Docs:** Ask for an existing Doc or offer to create one. Use the connected Google Drive or Docs tool. If it is unavailable, ask the user to enable it; do not create a local fallback.
+ 29 - **Google Docs:** Use the Doc the user names or create one with the connected Google Drive or Docs tool. If the tool is unavailable, ask the user to enable it. If they can't or prefer not to, offer local Markdown.
+ 30 - **Local Markdown:** Use only when the user asks for it or can't connect Google. Create or reuse a file named after the patient, such as `alex-brief.md`, in the current workspace.
- 33 If the user wants approval first, show the exact proposed changes and wait. After an authorized edit, read the saved destination back, link it, state what changed, and name the immediate next step.
+ 33 If the user wants approval first, show the exact proposed changes and wait. After an authorized edit, read the saved destination back, fix any item that lost its number or bold stem, link it, state what changed, and name the immediate next step.
- 50 1. The patient's national cancer agency. Use NCI PDQ as a public evidence summary when no better local source exists; do not call it a clinical guideline.
+ 50 1. The patient's national or provincial cancer agency, such as BC Cancer. Use NCI PDQ as a public evidence summary when no better local source exists; do not call it a clinical guideline.
- 56 Do not cite search snippets, SEO health sites, unsourced summaries, social posts, AI-generated medical pages, or unofficial copies of copyrighted resources such as UpToDate or NCCN. Treat an authorized user-supplied copy as evidence and state its date.
+ 56 Do not cite search snippets, SEO health sites, unsourced summaries, social posts, AI-generated medical pages, or unofficial copies of copyrighted resources such as UpToDate. Do not retrieve or summarize NCCN content. For US patients, turn it into a question for the care team: `Does this plan follow NCCN guidelines?`
+ 76 ### Medical records
+ 77 
+ 78 When records are missing or scattered, help the user request three types separately, because each comes through a different process:
+ 79 
+ 80 1. **Written records:** Pathology and scan reports, treatment history, and visit notes.
+ 81 2. **Imaging files:** The original scans, usually in DICOM format. A written report or online viewer does not replace them.
+ 82 3. **Pathology blocks or slides:** The actual tumor tissue, which sequencing and pathology review may need. Ask early, especially for tissue from an earlier cancer.
+ 83 
+ 84 Ask which hospitals hold what, and suggest one shared folder with a subfolder for each type. Put only the most urgent outstanding request in `What to do next`, and log what has actually arrived. Do not request records or contact a hospital without explicit permission.
+ 85 
- 78 Title it `<First name>’s Brief`. Do not put `cancer`, a diagnosis, or alarming language in the title unless the user asks.
+ 88 Title it exactly `<First name>’s Brief`, and ask for the first name if you don't have it. Do not put `cancer`, a diagnosis, `Demo`, or alarming language in the title unless the user asks.
+ 92 Format every section the same way: a heading, then a numbered list where each item starts with a bold stem and a colon, with the rest of the text on the same line. For example, `**Diagnosis:** The biopsy confirms...`. In Google Docs, use bold blue for the title, bold black for section headings, and native numbered lists with real bold rather than typed numbers, bullets, or asterisks.
+ 93 
- 84 Put essential care-coordination details first: patient facts, medical or insurance numbers, family doctor, current care team, and important contacts. Keep appointments, scans, and deadlines in `What to do next`; do not create another contacts section.
+ 96 Put essential care-coordination details first, using stems such as `Patient`, `Current team`, `Family doctor`, `Local contacts`, and `Records`: patient facts, medical or insurance numbers, family doctor, current care team, and important contacts. Keep appointments, scans, and deadlines in `What to do next`; do not create another contacts section.
- 88 Use a numbered list with no more than three priority actions. Start each with a specific bold stem and name the report, test, appointment, clinician, or date: `Review biopsy and scan results before 8/31`, not `Review results`.
+ 100 List no more than three priority actions. Make each stem specific and name the report, test, appointment, clinician, or date: `Review biopsy and scan results before 8/31`, not `Review results`.
- 96 Use a concise numbered list with bold stems. Combine each finding, its meaning, and meaningful uncertainty in one or two sentences. Fold pending information into the related finding or action instead of creating a useless standalone bullet. Keep definitions out of this section.
+ 108 Use short stems such as `Diagnosis`, `Extent`, or `Cancer history`. Combine each finding, its meaning, and meaningful uncertainty in one or two sentences. Fold pending information into the related finding or action instead of creating a useless standalone bullet. Keep definitions out of this section.
- 100 Use this optional section when several biomarkers, tests, or staging terms need explanation. Define each in one or two short sentences, then connect it to the patient's confirmed result and the treatment category it may affect. Use a brief parenthetical earlier only when the reader must understand the term immediately; do not define the same term twice.
+ 112 Use this optional section when several biomarkers, tests, or staging terms need explanation. Use the term as the stem and define it in one or two short sentences, then connect it to the patient's confirmed result and the treatment category it may affect. Use a brief parenthetical earlier only when the reader must understand the term immediately; do not define the same term twice.
- 106 Use a numbered list for the chronological care log, newest first. Use `M/D` for current-year events and the year alone for older history when the exact date does not matter. Include only decision-relevant milestones and never invent a date. Keep exploratory conversations, personalized-vaccine ideas, and other experimental possibilities here unless they create a current action.
+ 118 List the chronological care log newest first, with the date as the stem. Use `M/D` for current-year events and the year alone for older history when the exact date does not matter. Include only decision-relevant milestones and never invent a date. Keep exploratory conversations, personalized-vaccine ideas, and other experimental possibilities here unless they create a current action.
- 110 Put sources inline. Link every NCT number and place a short official source link after each treatment or evidence claim. Do not add a reference section, research date, or disclaimer to the brief.
+ 122 Put sources inline. Link every NCT number and place a short official source link after each treatment or evidence claim, without a `Source:` label. Do not add a reference section, research date, or disclaimer to the brief.

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