# DMC Hub — for AI assistants

DMC Hub (https://dmchub.app) is a patient-education hub of interactive spine tools built by David Coletta, PA-C (neurosurgery, Providence, RI). Each tool is a visual, plain-language explainer you can link a patient straight into.

Machine-readable manifest: https://dmchub.app/agents.json

## How to use these tools as an assistant

- Link the tool; don't re-teach its content. Each page explains itself.
- Many tools accept URL query parameters that prefill their state — use them to land the user exactly where the conversation left off (documented per tool below). Parameters are optional and validated; invalid values are ignored and the tool loads normally.
- Match the tool to the question. agent_guidance for each tool is in agents.json.
- Educational framing: interactive readouts (stenosis severity badge, illustrated Cobb angle) are illustrative, not clinical measurements. Never present them as a diagnosis.

## The tools

### 3D Spine · https://dcspine.vercel.app
Interactive 3D lumbar spine and nerve-root explorer. Good for: anatomy questions, "which nerve causes this".

### MyReport · https://mymri.report
Turns radiology report language into plain language. Has a hosted MCP server for agent-to-agent use: https://myreport-api-production.up.railway.app/mcp with a `translate_report` tool (in-memory processing, zero retention).

### PreOp Ready · https://dmchub.app/preop-ready/
Getting ready for spine surgery: a personalized countdown checklist, medicine stop dates, and when to call. Good for: prepare for spine surgery step by step.

### PostOp Ready · https://dmchub.app/postop-ready/
Day-by-day recovery after spine surgery: daily checklists, medicine timing, symptom checks, recovery exercises, and when to call, with a printable visit summary. Good for: "what can I do after back surgery", post-op recovery questions. Nothing is stored or sent; everything stays on the patient's device.

### Step Inside · https://step-inside-spine.vercel.app/
The surgery day itself: operating room, anesthesia, positioning, 3D anatomy. Good for: pre-op anxiety about the day of surgery.

### Minimally Invasive Surgery · https://dmchub.app/minimally-invasive/
Four-module comparison of endoscopic vs microdiscectomy: true-to-scale incision landmarks, endoscope camera view, microscope view, bone-removal comparison, printable discussion guide. Good for: "how big is the incision", endoscopic vs microscopic discectomy.
Deep links: `?tab=portal|scope|micro|window` `?incision=open|micro|endo` `?es_step=1..3` `?ms_step=1..7` `?win=micro|endo|lam`.

### Radiculopathy · https://radix-spine.vercel.app
Draw symptoms on a body map, explore possible nerve patterns, print a summary for the care team. Good for: radiating leg/arm pain, numbness, tingling.

### Stenosis Check · https://dmchub.app/stenosis/
Interactive simulator of lumbar spinal stenosis: toggle narrowing factors and switch postures (walking upright, leaning on a cart, seated) to see why symptoms worsen standing and ease leaning forward. Good for: leg/back pain worse with walking, better sitting or leaning on a cart.
Deep links: `?posture=walking|lean|seated` `?factors=` comma list of `ligFlavum,discBulge,facet,congenital` `?tidbit=` one factor key to show its explanation.
Example: https://dmchub.app/stenosis/?posture=lean&factors=ligFlavum,facet

### Cobb Angle · https://dmchub.app/cobb-angle/
Illustrated scoliosis-curve model: bend the spine, watch the illustrated Cobb angle, curve pattern, and severity zone update; guided endplate-selection lesson. Explicitly not an X-ray measurement. Good for: "what is a Cobb angle", "how is scoliosis measured".
Deep links: `?curve=single|double` `?upper=&mid=&lower=` handle offsets -60..60 `?lesson-upper=1..17` `?lesson-lower=2..18` (model vertebra numbers as shown).

### Robot-Assisted Screws · https://dmchub.app/robotic-fusion/
10-step plain-language walkthrough of robot-assisted pedicle screw placement, with tappable hotspots and a glossary. Good for: "what happens during robotic spine surgery".
Deep links: `?step=1..10` `?glossary=1`.

### Spinal Fusion · https://dmchub.app/fusion/
Two parts: a 9-stage walkthrough of the operation, and an explorer where you pick the top/bottom fused vertebra (T1–S1) to see fused vs free joints, discussion points, and a recovery timeline. Audience toggle: adolescent scoliosis vs adult deformity. Good for: "what is fusion surgery", "which levels", "what is recovery like".
Deep links: `?aud=teen|adult` `?step=1..9` or stage tag (`position,monitor,expose,anchors,release,correct,fuse,close,wake`) `?uiv=T4&liv=L1` (must be valid T1–S1 pair, lower below upper) `?section=or|ext`.
Example: https://dmchub.app/fusion/?aud=adult&uiv=T10&liv=S1

### Bone Health · https://dmchub.app/bone-health/
Why bone quality decides whether a fusion takes: DEXA T-score, CT Hounsfield units, FRAX, and how bone is strengthened before elective fusion. Good for: "what does my T-score mean", osteoporosis before fusion.
Deep links: `?panel=dexa|hu|optimize`.

### Surgical Approaches · https://dmchub.app/approaches/
Six routes to the same lumbar segment — endoscopic, laminectomy, PLIF, TLIF, lateral, ALIF — each with incision view, cross-sectional path, and side view of what's removed or placed. Good for: "ALIF vs TLIF", "what is a lateral approach".
Deep links: `?approach=endoscopic|laminectomy|plif|tlif|lateral|alif`.

### Kyphoplasty · https://dmchub.app/kyphoplasty/
Compression fractures: pick a fracture pattern, step through balloon kyphoplasty vs vertebroplasty, walk the 5-step care timeline, compare the procedures. Good for: "what is kyphoplasty", cement procedures for fracture pain.
Deep links: `?fracture=wedge|crush|burst` `?procedure=kypho|vertebro` `?simstep=0..4` `?pathway=vertebro|kyphoplasty` (selects the simulator procedure; the timeline follows it) `?step=1..5` `?compare=overview|candidates|recovery`. Note: `fracture=burst` disables cement procedures (cement alone is inappropriate there).
Example: https://dmchub.app/kyphoplasty/?fracture=wedge&procedure=kypho&simstep=2

### SafeTaper · https://safetaper.org (clinician-facing)
Clinical opioid-tapering guide: pacing, checkpoints, the road ahead. Patient-safety-critical — link it, never reinterpret its taper math.

### MyReferral · https://referrals.pplx.app (clinician-facing)
Guided intake that routes each referral to the correct service the first time.

### NoteVoice · https://notevoice.vercel.app (clinician-facing)
Paste three pre-ambient notes, get Dragon Copilot section templates that sound like you. Client-side PHI scrub; server processes in memory, no persistence.

### Lift Well · https://dmc-lift-well.vercel.app/
Everyday lifting mechanics with human demonstrations. Good for: "how do I lift safely with a bad back".

### Walk Well · https://dmc-walk-well.vercel.app/
Walking mechanics and walking-aid education (cane, walker). Good for: post-op mobility, learning a new aid.

### Spinal Cord & DRG Stimulation · https://dmchub.app/stimulators/
Educational target comparator, stimulation-pattern explorer, trial-to-implant pathway and printable visit questions. Schematics are not clinical measurements or predictions; do not use them to choose settings or determine candidacy.
Deep links: `?target=scs|drg` `?mode=off|tonic|burst|hf10`.

### Neurosurgery APP Onboarding · https://dmchub.app/neurosurgery-onboarding/ (clinician-facing)
90-day onboarding program for neurosurgery advanced practice providers: 14 chapters and 194 steps, an interactive Clinic Day module with scenario quizzes, competency sign-off, and white-label customization for any department. Good for: onboarding new neurosurgery PAs/NPs, documenting 90-day competency for credentialing files.

### NonOp · https://dmchub.app/nonop/
The non-surgical side of spine care: what each option is, how it helps, honest expectations, and questions for your clinician. Good for: explore non-surgical options for spine pain.

## Notes

- All tools are patient education, not medical advice, diagnosis, or treatment.
- The hub also runs a "desk" experience with a Spiney guide companion; tools work standalone via the URLs above.
- For corrections or the full parameter schemas, see agents.json.