CLINICAL STRATEGY & FORENSIC DILIGENCE

The medical system has blind spots. We are the check and balance.

The standard of care is optimized for volume, not accuracy. We're your independent physician team to provide the rigor today's healthcare lacks.
INQUIRE ABOUT A CASE REVIEW
By referral or application. Limited availability.
TRUSTED BY EXECUTIVES AND FAMILIES AT TOP ORGANIZATIONS

From chaos—  to clarity

The only practice purpose-built to navigate to answers in our sprawling 21st century medical ecosystem. You get results you've never had, because we do what the system default has never done.
THE SYSTEM DEFAULT
CARTE'S N-OF-1 APPROACH

Fragmented, Low Quality Data

Data studied is driven by convenience to access and what is ordered on every other patient.

THE INPUT

High-Leverage, Vetted Data

We ingest all existing fragmented, transactional records and build our own workup pathway from first principles.

Diagnosing Passively

If you don't conform to expectations, the system gives up. It dismisses your symptoms that don't "fit."

THE PROCESS

Diagnosing The Ground Truth

We treat conflicting findings as a critical signal, not noise. The diagnosis and treatments must fit you, not force you to fit it.

Care With a Capped Scope

When appointments end, you are left to reconcile open issues alone.

THE OUTCOME

Care Until Resolution

We manage complexity that comes up and stay with you until the problem is definitively solved.  

Start living your life instead of chasing down medical answers.

We operationalize the complexity of modern medicine — managing the data, the specialists, and the conflicting opinions — so the only thing left for you to do is heal.

DILIGENCE IN ACTION

Surgery canceled.

How forensic review overturned a surgical recommendation to save an organ
STEP 1: THE SYSTEM DEFAULT
"Growth = Remove the organ now."
A polyp growing from 8mm to 10mm was reported on a new scan. Standard guidelines recommended immediate removal to limit cancer risk.
STEP 2: THE CARTE N-OF-1 APPROACH
We audited the raw data.
Instead of blindly accepting the text report, we retrieved the DICOM images from prior years to review the scans for ourselves and identified the right Section Chief of Radiology to re-measure and intepret.
STEP 3: THE GROUND TRUTH
"Zero growth."
Re-measurement confirmed "growth" was a measurement error, not biological change. It also identified multiple benign imaging features. When we incorporated all findings into a unified risk analysis, true cancer risk dropped dramatically. The original recommendation was overturned.
RESULT: RISK AVOIDED. NO SURGERY REQUIRED.

Engagement Models

Forensic Review

End-to-end analysis of a single clinical question or decision.

Starts at

$8,500

One-time Project
We review all records (including re-interpreting raw data where relevant), engage world-leading specialists, and give you a comprehensive report with a clear, tactical plan—what to do next, who to see, and how to proceed. This is best suited for contained situations where one well-defined question needs to be answered with rigor.


One-time engagement, ~30 days.
Start a Review

Optimization Membership

This is how most clients work with us.

$36,000

/year
We apply the same level of rigor as a forensic review, but across your full health picture—continuously.

We identify the highest-leverage opportunities, coordinate the right experts, and guide decisions longitudinally so progress compounds over time.


Ongoing annual membership.
Join waitlist

Medical Directorate

Reserved for periods of significant clinical complexity requiring sustained, high-intensity oversight.

From

$72,000

/year

This is a deeply involved phase of care in which we assume near-continuous responsibility for navigating a rapidly evolving or high-stakes medical situation where the margin for error is small and the pace and depth of decision-making must be materially higher than what the conventional system can support—coordinating multiple specialists, pressure-testing decisions in real time, and managing execution closely.


Defined phase of work
request consult

The Physicians Leading Your Strategy

Ashley Alwood, MD

physician lead, clinical investigation

Dr. Alwood is the primary investigator for Carte’s complex cases. A board-certified emergency physician raised in London, she trained at the University of Washington and University of Chicago, where she served as a Flight Physician—a role requiring extreme precision.

Formerly recruited to lead the emergency systems for Cleveland Clinic Abu Dhabi and The View Hospital (Cedars-Sinai affiliate), she combines operational rigor with forensic detail, solving multi-factor puzzles that other providers have abandoned.

Gina Siddiqui, MD

Founder & Managing Physician

Dr. Siddiqui is the architect of Carte’s unique methodology. After medical school at the University of Pennsylvania and residency at Yale, she served as founding Chief Clinical Officer for an AI care-enablement platform covering 100 million lives.

Recognized for her "n-of-1" diagnostic strategy, she previously designed care programs for NYC Health + Hospitals' most complex patients. She serves as Adjunct Faculty at UVA and George Washington University and sits on the Scientific Advisory Board for the Alliance for Longevity Initiatives.

Not facing a crisis today? Prepare for the future.

The system only answers the questions you ask. Download our guide on the key steps to check prior to moving forward with a proposed treatment plan.

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VIRGINIA | CALIFORNIA | NATIONAL ADVISORY
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