Editorial process

How we create content

Trust should be checkable, not asserted. This is the process behind everything published here, including where artificial intelligence is used and where it is deliberately not.

1. 1. How topics are selected

   Topics come from what survivors and clinicians actually search and ask, not from what is easiest to write. Questions people bring to appointments, support spaces, and the site's own search are grouped into question families, and the families with the least trustworthy public answers are prioritized.

2. 2. How literature is monitored

   Professional society guidelines, government agency updates, systematic reviews, and major journals are watched continuously. Detected changes create a flagged event against every affected piece of content rather than a silent edit.

3. 3. How evidence is evaluated

   Each statement is labeled with a confidence level: strong agreement, general agreement, mixed evidence, or limited evidence. Uncertainty is published alongside what is known instead of being smoothed over.

4. 4. What AI does

   AI helps discover new publications, classify them, draft plain-language and clinical phrasings of reviewed material, generate narration, and identify content whose review date has lapsed.

5. 5. What AI does not do

   AI does not publish. It does not decide clinical meaning, does not invent citations, does not diagnose, and does not tell anyone to change a medicine or a test. No educational statement reaches a reader without a person accepting it.

6. 6. How humans review

   A reviewer checks scientific accuracy against the cited source, then clarity and reading level, then accessibility. Who reviewed, when, and against which version is recorded with the content.

7. 7. How updates occur

   Every object carries a last-reviewed date and a review interval. When a source changes or an interval lapses, the content is flagged for re-review; older versions are archived rather than overwritten so the change history stays visible.

8. 8. How references are maintained

   Sources are stored with the statement they support, with the date the source itself was reviewed, so a reader can see how current the underlying evidence is, not just when the page was touched.

9. 9. How conflicts are managed

   Educational content is not shaped by sponsorship or placement. Any commercial relationship relevant to a topic is disclosed on that topic.

10. 10. Accessibility and translation

    Content targets a plain reading level with a clinician view available, supports narration and keyboard use, and carries alternative descriptions for images. Translations are treated as independent objects that need their own review, not as machine output published unchecked.