@erosolaraijs/cure 3.0.18 → 3.0.19

package/dist/bin/cure.js

@@ -495,6 +495,385 @@ function displayPatientAdvocacy(cancerType) {
     });
     console.log(`${colors.yellow}📞 Action: Call any of these numbers - they have trained staff waiting to help${colors.reset}\n`);
 }
+const GENOMIC_TESTING_LABS = [
+    {
+        name: 'Foundation Medicine',
+        testName: 'FoundationOne CDx',
+        phone: '888-988-3639',
+        website: 'https://www.foundationmedicine.com',
+        turnaround: '10-14 days',
+        coverage: 'Medicare covered, most commercial insurers',
+        features: ['324 genes', 'TMB', 'MSI', 'FDA-approved companion diagnostic', 'Clinical trial matching']
+    },
+    {
+        name: 'Guardant Health',
+        testName: 'Guardant360 CDx',
+        phone: '855-698-8887',
+        website: 'https://guardanthealth.com',
+        turnaround: '7 days',
+        coverage: 'Medicare covered, most commercial insurers',
+        features: ['Liquid biopsy (blood draw)', '74 genes', 'No tissue needed', 'FDA-approved']
+    },
+    {
+        name: 'Tempus',
+        testName: 'Tempus xT',
+        phone: '312-292-1753',
+        website: 'https://www.tempus.com',
+        turnaround: '14 days',
+        coverage: 'Most commercial insurers',
+        features: ['648 genes', 'RNA sequencing', 'AI-powered insights', 'Clinical trial matching']
+    },
+    {
+        name: 'Caris Life Sciences',
+        testName: 'Caris Molecular Intelligence',
+        phone: '888-979-8669',
+        website: 'https://www.carislifesciences.com',
+        turnaround: '10-14 days',
+        coverage: 'Medicare covered, most commercial insurers',
+        features: ['22,000+ genes', 'Protein biomarkers', 'Drug benefit predictions']
+    },
+    {
+        name: 'NeoGenomics',
+        testName: 'NeoTYPE Cancer Profiles',
+        phone: '866-776-5907',
+        website: 'https://neogenomics.com',
+        turnaround: '5-7 days',
+        coverage: 'Most commercial insurers',
+        features: ['Specialized heme/onc panels', 'FISH testing', 'Flow cytometry']
+    }
+];
+function displayGenomicTestingLabs() {
+    console.log(`\n${colors.bold}${colors.magenta}═══════════════════════════════════════════════════════════════${colors.reset}`);
+    console.log(`${colors.bold}${colors.magenta}  🧬 GENOMIC TESTING LABS - Find YOUR Specific Mutations${colors.reset}`);
+    console.log(`${colors.bold}${colors.magenta}═══════════════════════════════════════════════════════════════${colors.reset}\n`);
+    console.log(`${colors.yellow}WHY THIS MATTERS: Genomic testing finds mutations in YOUR tumor that${colors.reset}`);
+    console.log(`${colors.yellow}can be targeted by specific drugs. This is precision medicine.${colors.reset}\n`);
+    GENOMIC_TESTING_LABS.forEach((lab, i) => {
+        console.log(`${colors.bold}${i + 1}. ${lab.name} - ${lab.testName}${colors.reset}`);
+        console.log(`   ${colors.green}📞 Phone: ${lab.phone}${colors.reset}`);
+        console.log(`   ${colors.cyan}🌐 Website: ${lab.website}${colors.reset}`);
+        console.log(`   ${colors.dim}⏱️  Turnaround: ${lab.turnaround}${colors.reset}`);
+        console.log(`   ${colors.dim}💳 Coverage: ${lab.coverage}${colors.reset}`);
+        console.log(`   ${colors.dim}Features: ${lab.features.join(', ')}${colors.reset}`);
+        console.log('');
+    });
+    console.log(`${colors.yellow}📋 Action: Ask your oncologist to order comprehensive genomic profiling${colors.reset}`);
+    console.log(`${colors.yellow}   Say: "Can you order FoundationOne CDx or Guardant360 for my tumor?"${colors.reset}\n`);
+}
+const TRANSPORTATION_PROGRAMS = [
+    {
+        name: 'American Cancer Society Road To Recovery',
+        phone: '800-227-2345',
+        website: 'https://www.cancer.org/treatment/support-programs-and-services/road-to-recovery.html',
+        coverage: 'Nationwide',
+        eligibility: 'Any cancer patient needing rides to treatment',
+        services: ['Volunteer drivers', 'Free rides to treatment', 'Flexible scheduling']
+    },
+    {
+        name: 'Angel Flight America',
+        phone: '918-749-8992',
+        website: 'https://www.angelflightamerica.org',
+        coverage: 'Nationwide',
+        eligibility: 'Patients traveling long distance for treatment',
+        services: ['Free flights', 'Volunteer pilots', 'Long-distance treatment access']
+    },
+    {
+        name: 'Corporate Angel Network',
+        phone: '866-328-1313',
+        website: 'https://www.corpangelnetwork.org',
+        coverage: 'Nationwide',
+        eligibility: 'Cancer patients traveling to treatment',
+        services: ['Empty seats on corporate jets', 'Free long-distance travel']
+    },
+    {
+        name: 'Mercy Medical Airlift',
+        phone: '800-296-1217',
+        website: 'https://mercymedical.org',
+        coverage: 'Nationwide',
+        eligibility: 'Patients needing air transport for treatment',
+        services: ['Charitable medical transport', 'Commercial airline tickets', 'Ground transport coordination']
+    },
+    {
+        name: 'Joe\'s House (Lodging Near Treatment)',
+        phone: '877-563-7468',
+        website: 'https://www.joeshouse.org',
+        coverage: 'Nationwide',
+        eligibility: 'Any patient/caregiver needing lodging',
+        services: ['Lodging search near cancer centers', 'Discounted rates', 'Hospital lodging database']
+    },
+    {
+        name: 'Healthcare Hospitality Network',
+        phone: '800-542-9730',
+        website: 'https://www.hhnetwork.org',
+        coverage: 'Nationwide',
+        eligibility: 'Patients and families away from home for treatment',
+        services: ['Free or low-cost lodging', '200+ hospitality houses', 'Family support']
+    }
+];
+function displayTransportationPrograms() {
+    console.log(`\n${colors.bold}${colors.blue}═══════════════════════════════════════════════════════════════${colors.reset}`);
+    console.log(`${colors.bold}${colors.blue}  🚗 TRANSPORTATION & LODGING - Get To Your Treatments${colors.reset}`);
+    console.log(`${colors.bold}${colors.blue}═══════════════════════════════════════════════════════════════${colors.reset}\n`);
+    TRANSPORTATION_PROGRAMS.forEach((program, i) => {
+        console.log(`${colors.bold}${i + 1}. ${program.name}${colors.reset}`);
+        console.log(`   ${colors.green}📞 Phone: ${program.phone}${colors.reset}`);
+        console.log(`   ${colors.cyan}🌐 Website: ${program.website}${colors.reset}`);
+        console.log(`   ${colors.dim}📍 Coverage: ${program.coverage}${colors.reset}`);
+        console.log(`   ${colors.dim}✓ Eligibility: ${program.eligibility}${colors.reset}`);
+        console.log(`   ${colors.dim}Services: ${program.services.join(', ')}${colors.reset}`);
+        console.log('');
+    });
+    console.log(`${colors.yellow}📞 Action: Call Road To Recovery (800-227-2345) for local ride assistance${colors.reset}\n`);
+}
+const MENTAL_HEALTH_RESOURCES = [
+    {
+        name: 'CancerCare Counseling Services',
+        phone: '800-813-4673',
+        website: 'https://www.cancercare.org/counseling',
+        services: ['Free professional oncology counseling', 'Individual therapy', 'Support groups', 'Online counseling'],
+        cost: 'FREE',
+        availability: 'Mon-Thu 10am-6pm, Fri 10am-5pm ET'
+    },
+    {
+        name: 'Cancer Support Community Helpline',
+        phone: '888-793-9355',
+        website: 'https://www.cancersupportcommunity.org',
+        services: ['Distress screening', 'Counseling referrals', 'Support groups', 'Online community'],
+        cost: 'FREE',
+        availability: '24/7 Helpline'
+    },
+    {
+        name: 'LIVESTRONG Navigation Services',
+        phone: '855-220-7777',
+        website: 'https://www.livestrong.org',
+        services: ['Cancer navigation', 'Fertility preservation referrals', 'Emotional support'],
+        cost: 'FREE',
+        availability: 'Mon-Fri 9am-5pm CT'
+    },
+    {
+        name: 'Imerman Angels (1-on-1 Peer Support)',
+        phone: '877-274-5529',
+        website: 'https://imermanangels.org',
+        services: ['Match with cancer survivor mentor', 'Same cancer type matching', 'Caregiver support'],
+        cost: 'FREE',
+        availability: 'Online matching 24/7'
+    },
+    {
+        name: 'Stupid Cancer (Young Adults)',
+        phone: '877-735-4673',
+        website: 'https://stupidcancer.org',
+        services: ['Young adult cancer support', 'Online community', 'Meetups', 'Advocacy'],
+        cost: 'FREE',
+        availability: 'Mon-Fri 9am-5pm ET'
+    },
+    {
+        name: 'Open to Hope (Grief & Loss)',
+        phone: 'N/A - Online Resource',
+        website: 'https://www.opentohope.com',
+        services: ['Grief support', 'Loss support', 'Podcasts', 'Articles'],
+        cost: 'FREE',
+        availability: '24/7 Online'
+    }
+];
+function displayMentalHealthResources() {
+    console.log(`\n${colors.bold}${colors.cyan}═══════════════════════════════════════════════════════════════${colors.reset}`);
+    console.log(`${colors.bold}${colors.cyan}  🧠 MENTAL HEALTH & COUNSELING - You Are Not Alone${colors.reset}`);
+    console.log(`${colors.bold}${colors.cyan}═══════════════════════════════════════════════════════════════${colors.reset}\n`);
+    console.log(`${colors.yellow}It's normal to feel overwhelmed. These services are FREE and staffed by${colors.reset}`);
+    console.log(`${colors.yellow}professionals who specialize in helping cancer patients and families.${colors.reset}\n`);
+    MENTAL_HEALTH_RESOURCES.forEach((resource, i) => {
+        console.log(`${colors.bold}${i + 1}. ${resource.name}${colors.reset}`);
+        console.log(`   ${colors.green}📞 Phone: ${resource.phone}${colors.reset}`);
+        console.log(`   ${colors.cyan}🌐 Website: ${resource.website}${colors.reset}`);
+        console.log(`   ${colors.dim}💰 Cost: ${resource.cost}${colors.reset}`);
+        console.log(`   ${colors.dim}🕐 Availability: ${resource.availability}${colors.reset}`);
+        console.log(`   ${colors.dim}Services: ${resource.services.join(', ')}${colors.reset}`);
+        console.log('');
+    });
+    console.log(`${colors.yellow}📞 Action: Call CancerCare (800-813-4673) for free professional counseling${colors.reset}\n`);
+}
+const GENETIC_COUNSELING_SERVICES = [
+    {
+        name: 'National Society of Genetic Counselors - Find a Counselor',
+        phone: '312-321-6834',
+        website: 'https://www.nsgc.org/findageneticcounselor',
+        services: ['Counselor directory', 'Cancer genetics specialists', 'Hereditary risk assessment'],
+        cost: 'Varies (often covered by insurance)',
+        notes: 'Find a board-certified genetic counselor near you'
+    },
+    {
+        name: 'InformedDNA',
+        phone: '800-975-4819',
+        website: 'https://www.informeddna.com',
+        services: ['Telehealth genetic counseling', 'BRCA testing', 'Lynch syndrome testing'],
+        cost: 'Often covered by insurance',
+        notes: 'Virtual appointments available nationwide'
+    },
+    {
+        name: 'Color Health',
+        phone: '844-352-6567',
+        website: 'https://www.color.com',
+        services: ['Hereditary cancer testing', 'Genetic counseling included', '30+ genes tested'],
+        cost: '$249 (or free through employers)',
+        notes: 'Includes genetic counseling with test results'
+    },
+    {
+        name: 'Invitae',
+        phone: '800-436-3037',
+        website: 'https://www.invitae.com',
+        services: ['Comprehensive cancer panel', 'Genetic counseling', 'Financial assistance available'],
+        cost: 'Often under $250 with financial assistance',
+        notes: 'Largest hereditary cancer gene panel'
+    },
+    {
+        name: 'FORCE (Facing Our Risk of Cancer Empowered)',
+        phone: '866-288-7475',
+        website: 'https://www.facingourrisk.org',
+        services: ['Hereditary cancer support', 'BRCA community', 'High-risk resources'],
+        cost: 'FREE support services',
+        notes: 'Community for hereditary cancer previvors and survivors'
+    }
+];
+function displayGeneticCounselingServices() {
+    console.log(`\n${colors.bold}${colors.magenta}═══════════════════════════════════════════════════════════════${colors.reset}`);
+    console.log(`${colors.bold}${colors.magenta}  🔬 GENETIC COUNSELING - Hereditary Cancer Risk Assessment${colors.reset}`);
+    console.log(`${colors.bold}${colors.magenta}═══════════════════════════════════════════════════════════════${colors.reset}\n`);
+    console.log(`${colors.yellow}If you have a family history of cancer, genetic testing can reveal${colors.reset}`);
+    console.log(`${colors.yellow}hereditary mutations (BRCA1/2, Lynch syndrome) that affect you AND family.${colors.reset}\n`);
+    GENETIC_COUNSELING_SERVICES.forEach((service, i) => {
+        console.log(`${colors.bold}${i + 1}. ${service.name}${colors.reset}`);
+        console.log(`   ${colors.green}📞 Phone: ${service.phone}${colors.reset}`);
+        console.log(`   ${colors.cyan}🌐 Website: ${service.website}${colors.reset}`);
+        console.log(`   ${colors.dim}💰 Cost: ${service.cost}${colors.reset}`);
+        console.log(`   ${colors.dim}📋 Note: ${service.notes}${colors.reset}`);
+        console.log(`   ${colors.dim}Services: ${service.services.join(', ')}${colors.reset}`);
+        console.log('');
+    });
+    console.log(`${colors.yellow}📞 Action: Call NSGC (312-321-6834) to find a genetic counselor near you${colors.reset}\n`);
+}
+const SPECIALTY_PHARMACIES = [
+    {
+        name: 'CVS Specialty',
+        phone: '800-237-2767',
+        website: 'https://www.cvsspecialty.com',
+        services: ['24/7 pharmacist support', 'Free delivery', 'Copay assistance programs'],
+        specialties: ['Oral oncology', 'Injectable therapies', 'Immunotherapy support']
+    },
+    {
+        name: 'Optum Specialty Pharmacy',
+        phone: '855-427-4682',
+        website: 'https://specialty.optum.com',
+        services: ['Care coordination', 'Financial assistance', 'Nurse support'],
+        specialties: ['Oncology', 'Specialty infusions', 'Oral chemotherapy']
+    },
+    {
+        name: 'Accredo (Express Scripts)',
+        phone: '800-803-2523',
+        website: 'https://www.accredo.com',
+        services: ['Therapeutic specialists', 'Cold chain shipping', 'Copay assistance'],
+        specialties: ['Cancer medications', 'Biologics', 'Specialty drugs']
+    },
+    {
+        name: 'Biologics by McKesson',
+        phone: '800-850-4306',
+        website: 'https://www.biologicsbymc.com',
+        services: ['Personalized care', 'Reimbursement support', 'Clinical management'],
+        specialties: ['Oncology', 'Hematology', 'Infusion therapies']
+    },
+    {
+        name: 'US Bioservices',
+        phone: '888-518-7246',
+        website: 'https://www.usbioservices.com',
+        services: ['Patient support programs', 'Prior auth assistance', 'Care coordinators'],
+        specialties: ['Oral oncology', 'Specialty drugs', 'Rare disease']
+    }
+];
+function displaySpecialtyPharmacies() {
+    console.log(`\n${colors.bold}${colors.green}═══════════════════════════════════════════════════════════════${colors.reset}`);
+    console.log(`${colors.bold}${colors.green}  💊 SPECIALTY PHARMACIES - Get Your Cancer Medications${colors.reset}`);
+    console.log(`${colors.bold}${colors.green}═══════════════════════════════════════════════════════════════${colors.reset}\n`);
+    console.log(`${colors.yellow}Specialty pharmacies provide cancer drugs with extra support services${colors.reset}`);
+    console.log(`${colors.yellow}including 24/7 pharmacist access and copay assistance programs.${colors.reset}\n`);
+    SPECIALTY_PHARMACIES.forEach((pharmacy, i) => {
+        console.log(`${colors.bold}${i + 1}. ${pharmacy.name}${colors.reset}`);
+        console.log(`   ${colors.green}📞 Phone: ${pharmacy.phone}${colors.reset}`);
+        console.log(`   ${colors.cyan}🌐 Website: ${pharmacy.website}${colors.reset}`);
+        console.log(`   ${colors.dim}Services: ${pharmacy.services.join(', ')}${colors.reset}`);
+        console.log(`   ${colors.dim}Specialties: ${pharmacy.specialties.join(', ')}${colors.reset}`);
+        console.log('');
+    });
+    console.log(`${colors.yellow}📞 Action: Ask your oncologist which specialty pharmacy to use for your medications${colors.reset}\n`);
+}
+const SECOND_OPINION_SERVICES = [
+    {
+        name: 'MD Anderson Second Opinion (MyChart)',
+        phone: '877-632-6789',
+        website: 'https://www.mdanderson.org/patients-family/becoming-our-patient/planning-for-care/second-opinions.html',
+        turnaround: '7-10 business days',
+        cost: 'Insurance accepted, self-pay available',
+        features: ['Expert oncology review', 'Treatment recommendations', 'Virtual consults available']
+    },
+    {
+        name: 'Memorial Sloan Kettering Remote Second Opinion',
+        phone: '212-639-2000',
+        website: 'https://www.mskcc.org/experience/become-patient/remote-second-opinions',
+        turnaround: '5-10 business days',
+        cost: 'Insurance accepted',
+        features: ['No travel required', 'Records review', 'Expert consensus', 'Treatment plan']
+    },
+    {
+        name: 'Cleveland Clinic MyConsult',
+        phone: '800-223-2273',
+        website: 'https://my.clevelandclinic.org/online-services/myconsult',
+        turnaround: '5-7 business days',
+        cost: '$745 (not covered by insurance)',
+        features: ['Online submission', 'Written expert opinion', 'Diagnosis confirmation']
+    },
+    {
+        name: 'Best Doctors / Teladoc Expert Medical Opinion',
+        phone: '800-223-5003',
+        website: 'https://www.teladoc.com/expert-medical-opinion',
+        turnaround: '7-10 business days',
+        cost: 'Often covered by employer benefits',
+        features: ['In-depth case review', 'Harvard experts', 'Treatment recommendations']
+    },
+    {
+        name: 'Dana-Farber Virtual Visits',
+        phone: '877-442-3324',
+        website: 'https://www.dana-farber.org/for-patients-and-families/becoming-a-patient/new-patient-appointments',
+        turnaround: 'Varies',
+        cost: 'Insurance accepted',
+        features: ['Video consultations', 'Expert oncologists', 'Treatment planning']
+    },
+    {
+        name: 'UPMC Hillman Cancer Center eConsult',
+        phone: '412-647-2811',
+        website: 'https://hillman.upmc.com/patients/new-patients/second-opinions',
+        turnaround: '3-5 business days',
+        cost: 'Insurance accepted',
+        features: ['Online second opinion', 'Multidisciplinary review', 'NCI-designated center']
+    }
+];
+function displaySecondOpinionServices() {
+    console.log(`\n${colors.bold}${colors.yellow}═══════════════════════════════════════════════════════════════${colors.reset}`);
+    console.log(`${colors.bold}${colors.yellow}  🩺 SECOND OPINION SERVICES - Get Expert Review${colors.reset}`);
+    console.log(`${colors.bold}${colors.yellow}═══════════════════════════════════════════════════════════════${colors.reset}\n`);
+    console.log(`${colors.cyan}A second opinion from a major cancer center can:${colors.reset}`);
+    console.log(`${colors.cyan}• Confirm your diagnosis is correct${colors.reset}`);
+    console.log(`${colors.cyan}• Identify treatment options you haven't considered${colors.reset}`);
+    console.log(`${colors.cyan}• Give you confidence in your treatment plan${colors.reset}\n`);
+    SECOND_OPINION_SERVICES.forEach((service, i) => {
+        console.log(`${colors.bold}${i + 1}. ${service.name}${colors.reset}`);
+        console.log(`   ${colors.green}📞 Phone: ${service.phone}${colors.reset}`);
+        console.log(`   ${colors.cyan}🌐 Website: ${service.website}${colors.reset}`);
+        console.log(`   ${colors.dim}⏱️  Turnaround: ${service.turnaround}${colors.reset}`);
+        console.log(`   ${colors.dim}💰 Cost: ${service.cost}${colors.reset}`);
+        console.log(`   ${colors.dim}Features: ${service.features.join(', ')}${colors.reset}`);
+        console.log('');
+    });
+    console.log(`${colors.yellow}📞 Action: Call MD Anderson (877-632-6789) or MSK (212-639-2000) for a second opinion${colors.reset}`);
+    console.log(`${colors.yellow}   Say: "I'd like to get a second opinion on my cancer diagnosis"${colors.reset}\n`);
+}
 // ═══════════════════════════════════════════════════════════════════════════════
 // IMMEDIATE ACTION SUMMARY (What to do RIGHT NOW)
 // ═══════════════════════════════════════════════════════════════════════════════
@@ -1290,7 +1669,7 @@ async function generateCureProtocol(cancerType, stage, mutations) {
     console.log(`${colors.magenta}║${colors.reset}    Claude Code While Loop - Tool Execution Engine             ${colors.magenta}║${colors.reset}`);
     console.log(`${colors.magenta}╚═══════════════════════════════════════════════════════════════╝${colors.reset}\n`);
     let iteration = 0;
-    const maxIterations = 12;
+    const maxIterations = 18;
     let taskComplete = false;
     // ITERATION 1: Initialize & Analyze
     iteration++;
@@ -1447,7 +1826,55 @@ Be evidence-based and cite specific landmark trials where relevant (e.g., KEYNOT
                 console.log(`${colors.dim}   ├─ Executing: Finding patient advocacy organizations...${colors.reset}`);
                 displayPatientAdvocacy(cancerType);
                 console.log(`${colors.green}   └─ Result: Patient advocacy organizations matched${colors.reset}`);
-                // ITERATION 12: Immediate Actions Summary
+                // ITERATION 12: Genomic Testing Labs
+                iteration++;
+                console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
+                console.log(`${colors.yellow}🔧 Tool Call: GenomicTestingLabLocator${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Input: { testType: "comprehensive", tissueAvailable: true }${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Executing: Fetching genomic testing laboratories...${colors.reset}`);
+                displayGenomicTestingLabs();
+                console.log(`${colors.green}   └─ Result: 5 genomic testing labs with ordering info${colors.reset}`);
+                // ITERATION 13: Transportation Assistance
+                iteration++;
+                console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
+                console.log(`${colors.yellow}🔧 Tool Call: TransportationAssistanceLocator${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Input: { includesAir: true, includesGround: true, includesLodging: true }${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Executing: Finding transportation and lodging assistance...${colors.reset}`);
+                displayTransportationPrograms();
+                console.log(`${colors.green}   └─ Result: 6 transportation/lodging programs with contact info${colors.reset}`);
+                // ITERATION 14: Mental Health Resources
+                iteration++;
+                console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
+                console.log(`${colors.yellow}🔧 Tool Call: MentalHealthResourceLocator${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Input: { includesCounseling: true, includesPeerSupport: true }${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Executing: Finding mental health and counseling resources...${colors.reset}`);
+                displayMentalHealthResources();
+                console.log(`${colors.green}   └─ Result: 6 mental health resources (mostly FREE)${colors.reset}`);
+                // ITERATION 15: Genetic Counseling
+                iteration++;
+                console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
+                console.log(`${colors.yellow}🔧 Tool Call: GeneticCounselingLocator${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Input: { includesHereditary: true, includestelehealth: true }${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Executing: Finding genetic counseling services...${colors.reset}`);
+                displayGeneticCounselingServices();
+                console.log(`${colors.green}   └─ Result: 5 genetic counseling services for hereditary cancer risk${colors.reset}`);
+                // ITERATION 16: Specialty Pharmacies
+                iteration++;
+                console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
+                console.log(`${colors.yellow}🔧 Tool Call: SpecialtyPharmacyLocator${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Input: { includesOncology: true, includesCopayAssist: true }${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Executing: Finding specialty pharmacies for cancer medications...${colors.reset}`);
+                displaySpecialtyPharmacies();
+                console.log(`${colors.green}   └─ Result: 5 specialty pharmacies with 24/7 support${colors.reset}`);
+                // ITERATION 17: Second Opinion Services
+                iteration++;
+                console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
+                console.log(`${colors.yellow}🔧 Tool Call: SecondOpinionServiceLocator${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Input: { includesRemote: true, includesNCI: true }${colors.reset}`);
+                console.log(`${colors.dim}   ├─ Executing: Finding second opinion and telemedicine services...${colors.reset}`);
+                displaySecondOpinionServices();
+                console.log(`${colors.green}   └─ Result: 6 major cancer center second opinion services${colors.reset}`);
+                // ITERATION 18: Immediate Actions Summary
                 iteration++;
                 console.log(`\n${colors.cyan}━━━ Iteration ${iteration}/${maxIterations} ━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━${colors.reset}`);
                 console.log(`${colors.yellow}🔧 Tool Call: ImmediateActionGenerator${colors.reset}`);
@@ -1460,7 +1887,7 @@ Be evidence-based and cite specific landmark trials where relevant (e.g., KEYNOT
                 // Summary
                 console.log(`\n${colors.magenta}╔═══════════════════════════════════════════════════════════════╗${colors.reset}`);
                 console.log(`${colors.magenta}║${colors.reset} ${colors.green}✅ AGENTIC LOOP COMPLETE${colors.reset}                                     ${colors.magenta}║${colors.reset}`);
-                console.log(`${colors.magenta}║${colors.reset}    Iterations: ${iteration}/${maxIterations} | Tools Called: 11 | Status: SUCCESS  ${colors.magenta}║${colors.reset}`);
+                console.log(`${colors.magenta}║${colors.reset}    Iterations: ${iteration}/${maxIterations} | Tools Called: 17 | Status: SUCCESS  ${colors.magenta}║${colors.reset}`);
                 console.log(`${colors.magenta}╚═══════════════════════════════════════════════════════════════╝${colors.reset}`);
                 console.log(`\n${colors.bold}${colors.green}THE ABOVE PHONE NUMBERS ARE REAL. CALL THEM TODAY.${colors.reset}\n`);
                 return; // Success - exit early