Future-vision concept · The Monitor Timeline

Watch a patient’s UTI journey, every step as it happens.

A hospital monitor never tells the story one line at a time. Heart rate, oxygen and blood pressure run together, and the picture emerges from all of them at once. This page does the same for a UTI visit.

Follow Ava, 8, through two visits. Weeks later she comes back, and the visit she just had changes where her next visit starts.

Ava, 8 years old
“It hurts when I pee.”
Arrives at pediatric urgent care with her mom
How Ava is doing
“It hurts when I pee.”
Feverish and miserable — curled up next to Mom. Every pee hurts.
101.8°F
0:00 2:08 · two visits, weeks apart
Probability of UTI
8%
before anything is known
▲ ABOVE TREAT THRESHOLD
In the clinic
visit minute 0
Baseline starts higher this time — 28%, not 8%. Her packet carries a culture-confirmed UTI from Visit 1 (E. coli, susceptible to cephalexin) plus her prior UTI at age 7. Same child, similar tummy ache — different starting point. The score is personal now.
DAY 0
DAY 1
DAY 3
VISIT 2 · DAY 0
DAY 2
P(UTI) updates at every trigger
Time
Visit 1 · ClinicHomeVisit 2 · ClinicHome again
!

Antibiotic decision — checking before prescribing

The decision lane does not jump straight to a drug. It works through five checks, in order:

  • ✓1 · Patient allergies — checked first. No drug allergies on record. Safe to consider first-line options.
  • ✓2 · Local antibiogram — checked. Local E. coli remains highly susceptible to cephalexin; resistance rates do not push to a broader drug.
  • ✓3 · Previous history — prior positive urine culture found: E. coli at age 7, susceptible to cephalexin. Her own history points the same way.
  • ✓4 · Antibiotic prescriptions, last 6 months — reviewed. No recent antibiotic courses — no recent exposure selecting for resistance, no duplication.
  • ✓5 · Pregnancy status — not applicable (age 8). The check is still performed and documented, as it would be for an older patient.
Decision: Cephalexin. No allergy, antibiogram and her own prior culture both support it, no recent antibiotics, pregnancy check documented — narrow, first-line, and matched to what worked for her before.

UTI symptoms — urinalysis collected

Ava’s symptoms triggered a urinalysis right at the start — collected before the visit has even finished unfolding.

Trigger
  • Dysuria — “It hurts when I pee”trigger
  • Fever & urinary symptoms at arrivaltrigger
Collection
  • Clean-catch urine sample — collected & labeledUA sent
Urinalysis collected. It’s running now — while her story, history and exam continue on the other lanes.

Urine culture result — Visit 1

E. coli · 100,000 CFU/mL

The culture has come back — days after the decision, exactly as it does in real care.

  • Organism — E. colipositive
  • Count — 100,000 CFU/mLsignificant
  • Susceptible to cephalexinmatches treatment
Culture confirms the UTI. The antibiotic already underway was the right one — no change needed.

Urine culture result — Visit 2

No growth · culture negative

Visit 2’s safety-net culture has come back — and it agrees with the falling score.

  • Organism — none isolatedno growth
  • Culture — no growthnegative
  • Confirms — this was not a UTIconfirms plan
No growth — no UTI. Watchful waiting was the right call; no antibiotic was needed.

UTIWizard calculator — why the score moved

The urinalysis just landed — the big move. Here is what pushed the score, and which way:

Clinical
  • Fever 101.8° — present↑ pushes up
  • Dysuria — present↑ pushes up
  • Back pain — absent↓ pulls down
Lab
  • Nitrites — positive↑ pushes up
  • Leukocyte esterase — 2+↑ pushes up
  • WBC — 25–50↑ pushes up
Prior history
  • One prior UTI (age 7)↑ pushes up
Score: 38% → 78% — past the 50% treat threshold. The decision checklist comes next.

UTIWizard calculator — why the score moved

Visit 2's urinalysis is back — and this time everything points the other way:

Lab
  • Nitrites — negative↓ pulls down
  • Leukocyte esterase — negative↓ pulls down
Clinical
  • Dysuria — absent↓ pulls down
  • Temperature — 99.1°, near normal↓ pulls down
Score falls to 13% — below the treat threshold. No antibiotic: the system can say no.
Ready Ava has just arrived — the visit, and the score, are starting to move.
Episode packets & how to read the monitor ↓
Step 1

Everything runs at onceHer story, labs, decisions and recovery — side by side, like monitor lines.

Step 2

Each finding moves the lineThe probability on top climbs, eases or jumps the moment something lands.

Step 3

The decision wakes upCross the treat threshold and the checks begin — allergies first, drug last.

Step 4

The visit becomes historyEverything files into one packet — the starting point of her next visit.

The episode packet 0 of 6 captured

Not just “culture positive or negative” — everything this visit learned, filed as one packet. Watch it fill in as the visit runs.

    Packet complete. It files itself as Ava's starting history — so at her next visit — coming up in this animation — all of this is already known before she says a word, and her baseline starts higher because of it.

    How to read it

    Five lines, one child. The tracks run at the same time — history is still being gathered while the urine test is already running.

    • Her story — symptoms push the score up; negatives pull it down — no back pain and urine that isn't foul each dip the line in Visit 1, just as no dysuria and a near-normal temperature do in Visit 2.
    • Labs — the urinalysis is the big move. The culture takes days, and arrives after the decision.
    • Decisions — this line sleeps until the score crosses the treat threshold, then allergies, her history, and the local antibiogram shape the choice.
    • Response & follow-up — quiet early, busiest at the end: she responded, so the antibiotic stays. The culture and sensitivities confirm it.
    Visit 2 packet — thinner, and that is the point

    Episode packet 2 0 of 4 captured

    A no-UTI visit still files a packet — it proves discrimination, protects stewardship, and becomes part of her history. It sits alongside Packet 1.

      Packet 2 complete. Two packets now travel with Ava: one culture-confirmed UTI treated with cephalexin, and one visit where the score fell and no antibiotic was needed. The next baseline will know both.

      A future-vision concept, drawn from an idea of Dr. Sunil Bochare's (it came to him while watching The Broken Circle Breakdown). Ava is a fictional patient and every number in the animation is illustrative — this is a picture of how a visit could feel, not a product claim.