Ream

A briefcase the patient controls.

Chronic conditions deserve more than a 12‑minute appointment spent re‑explaining history that's already in your chart. Ream is a one‑page brief you prepare before every visit — patient‑authored, doctor‑ready.

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What you hand your doctor

Sarah Chen

DOB 3/14/1990 · F · Age 36

Prepared June 1, 2026

For: Dr. Anya Reddy, Endocrinology

What I want to talk about

i'm sleeping 9 hours and still tired by 2pm. wondering if my thyroid meds need adjusting again — or if this is something else. the anxiety has felt worse since the dose change in november, and i don't know if those things are connected.

Active problems

Hashimoto's thyroiditis (dx 2019, anti-TPO positive at dx)

Current medications

Levothyroxine 88 mcg PO daily AM (since Nov 2025, prior 75 mcg)
Vitamin D3 2000 IU daily · Ferrous sulfate 325 mg 3×/wk · Selenium 200 mcg daily (started Mar 2026)

Recent labs

5/8/2026 — TSH4.8 mIU/L ↑ (ref 0.4–4.0)

5/8/2026 — Free T41.1 ng/dL (ref 0.8–1.8)

5/8/2026 — Free T32.8 pg/mL (ref 2.3–4.2)

11/5/2025 — TSH2.1 mIU/L

11/5/2025 — Free T41.3 ng/dL

Changes since last visit

Started selenium 200 mcg/day in March. No other med, supplement, or diet changes. No new diagnoses.

Symptom pattern, last 8 weeks (patient log)

Fatigue daily, worst on waking and ~3 PM. Cold intolerance returning. Hair shedding above prior baseline. Cycle regular. No palpitations, tremor, or weight change.

Allergies

Sulfa drugs (severe rash) · Latex (mild)

Patient-prepared summary. Source documents available in vault on request.

How it works

Passport

Conditions, medications, allergies, and emergency contacts. The facts a new doctor needs in 30 seconds.

Vault

Lab results, visit notes, voice memos, photos. Your filing cabinet, not the hospital's.

Brief

A one-pager for your specific appointment. Your concerns, your words, at the top. Generated, not copied.

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Pricing at launch

Individual$8.99/moor$79/yr

Family, up to 5$14.99/moor$129/yr

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