← All chapters·Chapter 07 · free opening
Tools
Five sheets — the lever audit, the addition sheet, the tracking sheet, the measurement decision tree and a week structure that survives a bad week — plus what is deliberately not here and why.
Nothing in this chapter is a physiological claim of its own, so nothing in it carries a grade. The grades that appear on the addition sheet are chapter 2's and chapter 5's, copied line for line with their sources. This chapter is structure: the part that is hard even when the evidence is simple.
What belongs here
Five sheets. Each is built only from numbers that already appear in chapters 2, 4, 5 and 6, with the same source beside them. Where a chapter has no number, the sheet has no field. None of the five asks how anyone feels, what any marker reads, or what has been diagnosed. They ask what was done, and for how long.
- The lever audit. A one-page decision tree that routes to one of the four levers in chapter 2 by asking what has and has not been addressed. It ends at a lever, not at a diagnosis.
- The addition sheet. One table per lever, listing what the trials actually did — dose, duration, population — with the grade and source on each line, and two blank columns for what was started and when.
- The tracking sheet, deliberately minimal. What changed, when, and what else changed at the same time. No daily marker tracking, no symptom score, no composite index, for the reasons in chapter 4 and chapter 3, entry 23.
- The measurement decision tree. Whether a test answers the question being asked. Most branches end at "this test cannot answer that question", and that is the useful output.
- A week structure that survives a bad week. The failure mode is not the plan; it is the plan having no defined behaviour when it breaks.
Each sheet is written to be printed and filled in by hand. Blank cells are blank on purpose.