Sample Journey
See how TeckDx works
Below is a fictional patient story and the educational journey analysis TeckDx would generate. It is for illustration only — no diagnosis is being made.
Input — Patient story
Years of unexplained fatigue, migrating joint pain, brain fog, and episodes of feeling faint when standing up. Multiple providers have attributed it to stress.
Symptoms: Chronic fatigue, Migrating joint pain, Brain fog, Lightheaded on standing, Dry eyes and dry mouth, Recurrent low-grade fever.
Specialists already seen: Primary Care, Neurology.
Story Summary
30-44, Female. Main concern: Years of unexplained fatigue, migrating joint pain, brain fog, and episodes of feeling faint when standing up. Multiple providers have attributed it to stress. Symptoms began Approximately 3 years ago, after a viral illness. Currently tracking 6 symptom(s) across 5 system(s). Current journey stage(s): Seeking Answers, Exploring Possible Diagnoses.
Journey Timeline
Approximately 3 years ago, after a viral illness ·
SymptomSymptoms beganYear 1 ·
EventInitial primary care visit — labeled stressYear 2 ·
EventER visit for near-fainting — normal EKGYear 3 ·
EventWeak ANA positive on repeat testing— ·
TestLabs: CBC normal; weakly positive ANA; ferritin low-normal— ·
TestMRI: Brain MRI normal— ·
TestOther: EKG normal; tilt-table not yet performed— ·
SpecialistSaw Primary Care— ·
SpecialistSaw Neurology
Pattern Overview
- • Symptoms span 5 body systems — a topic worth raising with a generalist or integrative specialist.
- • Some symptoms are described as severe — escalation pathways are worth discussing with your healthcare team.
- • Previously dismissed possibilities are preserved as back-burner topics in case the story evolves.
- • A larger set of tracked symptoms can support a wider conversation about cross-specialty perspectives.
Educational Considerations
Topics worth discussing with your healthcare team — not diagnoses.
Common Possibilities
Iron, B12, or thyroid contributors to fatigue
Persistent fatigue is a common area where nutritional and endocrine contributors are worth discussing.
Connected to: Chronic fatigue
Often discussed with: Primary Care
Mental health and stress contributors
Stress, mood, and trauma history can interact with physical symptoms and are worth discussing alongside medical care.
Often discussed with: Psychiatry
Common but Often Missed
Orthostatic and autonomic patterns
Orthostatic symptoms are a topic that often benefits from a dedicated stand or tilt evaluation.
Connected to: Lightheaded on standing
Often discussed with: Cardiology
Cross-Specialty Considerations
Autoimmune patterns worth discussing
Overlap of fatigue, joint, skin, or sicca symptoms is a topic many patients find useful to raise with a rheumatologist.
Connected to: Chronic fatigue, Migrating joint pain, Brain fog, Dry eyes and dry mouth
Often discussed with: Rheumatology
Post-infectious considerations
Lingering multi-system symptoms after an exposure or infection are a topic some patients raise with infectious disease.
Connected to: Recurrent low-grade fever
Often discussed with: Infectious Disease
Less Common Possibilities
Connective tissue considerations
Joint hypermobility alongside skin or vascular findings is a topic some patients explore with genetics.
Connected to: Migrating joint pain
Often discussed with: Genetics
Back Burner Possibilities
Multiple sclerosis
Previously set aside — kept here in case the story evolves or other paths don't fit.
Hypothyroidism
Previously set aside — kept here in case the story evolves or other paths don't fit.
Care Team Gaps
Perspectives that may be missing from your current team — to discuss with your providers, not a recommendation to seek care.
Current care team
Additional perspectives worth discussing
Rheumatology
Why they may be relevant: May provide perspective on Autoimmune patterns worth discussing.
Questions they may help answer:
- Would an ANA, ENA panel, or complement testing be informative here?
- Is a rheumatology consultation worth considering?
Helpful information to bring:
- Joint symptom diary
- Recent ANA/inflammatory labs
- Photos of rashes if any
Genetics
Why they may be relevant: May provide perspective on Connective tissue considerations.
Questions they may help answer:
- Would a Beighton score assessment be appropriate?
- Is a genetics consult for connective tissue evaluation worth discussing?
Helpful information to bring:
- Detailed family history (3 generations)
- Prior genetic testing
Cardiology
Why they may be relevant: May provide perspective on Orthostatic and autonomic patterns.
Questions they may help answer:
- Would a tilt-table or 10-minute active stand test be appropriate?
- Is autonomic testing worth exploring?
Helpful information to bring:
- Heart rate / blood pressure log (standing vs. lying)
- Prior EKGs
- Wearable data if available
Infectious Disease
Why they may be relevant: May provide perspective on Post-infectious considerations.
Questions they may help answer:
- Are post-viral or tick-borne workups worth discussing?
Helpful information to bring:
- Exposure / travel history
- Prior infection workup
Psychiatry
Why they may be relevant: May provide perspective on Mental health and stress contributors.
Questions they may help answer:
- Would a behavioral health consult complement my medical workup?
Helpful information to bring:
- Symptom and mood log
- Medication history
Specialist Roadmap
Prioritized by relevance to your current journey stage and story.
Rheumatology
Why may be relevant: May offer perspective on: Autoimmune patterns worth discussing.
Questions to ask
- Would an ANA, ENA panel, or complement testing be informative here?
- Is a rheumatology consultation worth considering?
Helpful records to bring
- Joint symptom diary
- Recent ANA/inflammatory labs
- Photos of rashes if any
Potential next referrals
- Immunology
- Dermatology
Cardiology
Why may be relevant: May offer perspective on: Orthostatic and autonomic patterns.
Questions to ask
- Would a tilt-table or 10-minute active stand test be appropriate?
- Is autonomic testing worth exploring?
Helpful records to bring
- Heart rate / blood pressure log (standing vs. lying)
- Prior EKGs
- Wearable data if available
Potential next referrals
- Electrophysiology
- Autonomic specialist
Infectious Disease
Why may be relevant: May offer perspective on: Post-infectious considerations.
Questions to ask
- Are post-viral or tick-borne workups worth discussing?
Helpful records to bring
- Exposure / travel history
- Prior infection workup
Potential next referrals
- Rheumatology
- Neurology
Psychiatry
Why may be relevant: May offer perspective on: Mental health and stress contributors.
Questions to ask
- Would a behavioral health consult complement my medical workup?
Helpful records to bring
- Symptom and mood log
- Medication history
Potential next referrals
- Therapy / counseling
Genetics
Why may be relevant: May offer perspective on: Connective tissue considerations.
Questions to ask
- Would a Beighton score assessment be appropriate?
- Is a genetics consult for connective tissue evaluation worth discussing?
Helpful records to bring
- Detailed family history (3 generations)
- Prior genetic testing
Potential next referrals
- Cardiology
- Connective tissue specialist
Primary Care
Why may be relevant: May offer perspective on: Iron, B12, or thyroid contributors to fatigue.
Questions to ask
- Could a full iron panel including ferritin be appropriate?
- Would B12, folate, vitamin D, or thyroid testing add information?
Helpful records to bring
- Symptom timeline
- Medication list
- Prior lab results
Potential next referrals
- Relevant specialist depending on findings
Questions to Ask
Whole-Picture Questions
- When you look at my full story, what pattern stands out?
- Which specialist would you send a family member to with this presentation?
- What's the most important thing we may be missing?
- Are there tests we haven't done that could meaningfully change the picture?
Topic-Specific Questions to Discuss
- Could a full iron panel including ferritin be appropriate?
- Would B12, folate, vitamin D, or thyroid testing add information?
- Would an ANA, ENA panel, or complement testing be informative here?
- Is a rheumatology consultation worth considering?
- Would a Beighton score assessment be appropriate?
- Is a genetics consult for connective tissue evaluation worth discussing?
- Would a tilt-table or 10-minute active stand test be appropriate?
- Is autonomic testing worth exploring?
Organizations & Resources
Dysautonomia International
POTS and autonomic disorders
Lupus Foundation of America
Autoimmune and lupus resources
Sjögren's Foundation
Sjögren's education and research
ClinicalTrials.gov
Search active clinical trials by condition
MedlinePlus (NIH)
Patient-facing health information
Community & Support
Personalized Journey Action Plan
The most important section — what to consider doing next.
Immediate actions (next 30 days)
- Print or save your Journey Report and bring it to your next appointment.
- Write down the three most disruptive symptoms in your own words, with examples.
- Gather prior labs, imaging reports, and specialist letters in one folder (digital or paper).
- Consider discussing a referral or consult with: Rheumatology, Cardiology, Infectious Disease, Psychiatry.
Specialist considerations
- Rheumatology — May offer perspective on: Autoimmune patterns worth discussing.
- Cardiology — May offer perspective on: Orthostatic and autonomic patterns.
- Infectious Disease — May offer perspective on: Post-infectious considerations.
- Psychiatry — May offer perspective on: Mental health and stress contributors.
- Genetics — May offer perspective on: Connective tissue considerations.
- Primary Care — May offer perspective on: Iron, B12, or thyroid contributors to fatigue.
Future considerations
- Track symptom changes over time — patterns often emerge across months, not days.
- Note any new symptoms that don't seem to fit — these are sometimes the most clarifying.
- Revisit these specialist categories later if questions remain: Primary Care.
- Keep these specialist categories on your radar for additional perspective: Genetics.
What to consider doing next
- Bring your three most disruptive symptoms — described in your own words — to your next visit.
- Consider asking your healthcare team about a conversation with: Rheumatology, Cardiology, Infectious Disease, Psychiatry.
- Choose one or two questions from the Questions to Ask section to lead with.
- Identify one organization or community above to explore for education and peer support.