Patient Services
Community Empowerment through Health Information
$100 a month - 6 months

Master the tools and knowledge needed to take control of your health data and research. This progressive series builds expertise in genomic medicine, enabling you to access and interpret comprehensive health information that typically remains within research settings. Essential foundation for maximizing your data ownership rights.


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$300 per hour

Partner with Paola to explore your health data and develop personalized insights beyond standard clinical boundaries. What we accomplish depends on your background knowledge and goals - from building genomic literacy to developing sophisticated care strategies. Patients benefit most when they bring foundational understanding to maximize our collaborative time.

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$600 for full report

Access the complete genomic landscape of your tumor. This comprehensive analysis breaks through traditional limitations to provide research-level insights typically confined to academic institutions, giving you information that exceeds what standard clinical testing offers. Requires existing full exome sequencing data which you own if you've had Signatera or other testing.

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Custom pricing

Leverage your HIPAA rights to access raw health data for sophisticated additional analyses typically reserved for research settings. We help you identify what data you can obtain through testing inside and outside the clinical setting and develop analytical approaches that serve your health goals, unconstrained by traditional limitations.
($100 initial 30 min consult)

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CEtHI Key Principles

Key Principles

Patient-Led Healthcare

Each service supports a model where your priorities drive research and analysis, rather than institutional gatekeeping determining what information you can access.

Beyond Regulatory Thresholds

Access to information that exceeds standard clinical boundaries - not because it lacks value, but because it hasn't navigated slow approval processes.

Data Ownership & Accountability

You own your health data and have the right to comprehensive access and analysis. With ownership comes responsibility and authority over your health decisions.

Enduring Data Value

Your raw data retains value as science evolves. Unlike static reports, data ownership ensures you can apply new analytical methods as they emerge.

Transform from passive patient to empowered health advocate through comprehensive genomic medicine mastery.
This six-month journey builds the expertise needed to reclaim control over your health information and decision-making. Rather than accepting simplified summaries, you'll develop the knowledge to access, interpret, and apply comprehensive health data directly.

Learning Path:
  • Month 1 - Basic Concepts: Understand molecular data types and why traditional gatekeeping limits your access to crucial health information. Learn how genomic data ownership enables truly personalized medicine.
  • Month 2 - IGV Mastery: Gain hands-on control over your raw sequencing data through Integrative Genomics Viewer. Master the same tools researchers use to analyze genomic information.
  • Month 3 - Tumor Heterogeneity: Explore how tumors evolve and vary - insights typically reserved for research settings that can inform your treatment strategy discussions.
  • Month 4 - Mutational Signatures: Decode the molecular patterns that reveal your tumor's origins and vulnerabilities, moving beyond simplified clinical categorizations.
  • Month 5 - Signatera Deep Dive: Master this circulating tumor DNA technology and learn to maximize its potential beyond standard clinical applications.
  • Month 6 - Care Plan Development: Synthesize your genomic expertise into strategies for engaging your medical team as an informed partner.

Community of Patient-Researchers: Connect with other patients who share CEtHI's vision of patient-led healthcare. This community provides ongoing peer support, shared discoveries, and collaborative opportunities that extend beyond traditional patient support groups.

Building Your Research Foundation: This education positions you to engage meaningfully with research-level health information, enabling informed decisions about your care and participation in advancing medical knowledge on your own terms.

Educational Sessions

Collaborate with Paola to unlock insights from your health data and develop strategies that serve your unique health trajectory.
These sessions represent true partnership - you bring your health goals and data ownership, while Paola contributes analytical expertise and research knowledge. Together, we explore possibilities that extend beyond what traditional healthcare typically offers patients.

What We Might Explore Together:
  • Deep interpretation of your tumor profiling results within current research context
  • Strategies for leveraging your genomic insights in care planning
  • Development of personalized monitoring and testing approaches
  • Understanding cutting-edge research applications to your specific case
  • Crafting informed strategies for engaging your medical team
  • Planning additional data acquisition to answer your health questions

Maximizing Our Collaborative Time:
  • Patients with genomic foundational knowledge can dive immediately into sophisticated applications
  • Those new to genomics may need multiple sessions to build understanding while exploring their data
  • Sessions are most productive when you come prepared with specific questions and goals
  • We provide pre-session material review and post-session action summaries

Your Role as Owner: You maintain full decision-making authority over how to use insights gained. Paola provides expertise and facilitates discovery, but you determine how this knowledge serves your health goals and care decisions.
Individual Consults

Reclaim comprehensive access to your tumor's genomic landscape through detailed analysis that goes far beyond traditional clinical testing.
This report transforms your owned sequencing data into insights typically confined to academic research institutions. Rather than accepting simplified clinical summaries, you gain access to the complete picture of your tumor's molecular characteristics and evolutionary patterns.

Comprehensive Genomic Analysis:
  • Complete Mutation Catalog: Every tumor-specific mutation with detailed research-level annotations, not just the handful deemed "clinically actionable"
  • Research Context Integration: Your tumor profile analyzed within cutting-edge research frameworks, including comparison with large research cohorts
  • Advanced Insights: Tumor heterogeneity analysis, mutational signatures, and clonal evolution patterns typically reserved for research settings
  • Actionability Assessment: Information about mutations relevant to current and emerging therapies, beyond standard clinical panels
  • Raw Data Liberation: Complete access to your BAM files with tools to apply future analytical advances as science evolves
  • Dynamic Analysis Platform: Interactive HTML report that grows with your understanding and new research developments

Breaking Through Traditional Barriers: Standard clinical testing provides only a narrow window into your tumor's characteristics, limited by regulatory approvals and institutional risk management. This analysis leverages your data ownership rights to access comprehensive insights that can inform your health decisions.

Data Requirements & Access: You must have undergone full exome
sequencing of tumor and normal tissue (such as through Signatera or similar comprehensive testing) and be able to exercise your HIPAA rights to obtain the raw data from testing companies.

Ongoing Value: Unlike static clinical reports, your raw data retains value indefinitely. As analytical methods advance and new research emerges, you can apply these developments to your data, maintaining cutting-edge insights into your health.

Tumor Mutational Profile

Transform your raw health data into sophisticated analyses that answer your most pressing health questions.
This service embodies CEtHI's core principle: patients should access and control comprehensive health information, not just what institutions choose to share. We help you leverage your HIPAA rights to obtain raw data, then apply cutting-edge analytical methods typically confined to research settings.

Initial Consultation ($100/30 minutes):
  • Map your current health data landscape and HIPAA access rights
  • Identify strategic data acquisition opportunities from healthcare providers
  • Design analytical approaches aligned with your health priorities
  • Develop project scope and investment requirements
  • Explore collaboration opportunities with other patient-researchers

Analytical Possibilities (limited only by your data access):
  • Clonal evolution tracking across treatment timepoints
  • Expression subtype classification for treatment optimization
  • Resistance mechanism identification and counterstrategy development
  • Longitudinal biomarker pattern analysis
  • Comparative genomic analysis with family members
  • Custom research questions you develop

Beyond Traditional Limitations: Traditional healthcare restricts access to sophisticated analyses through regulatory barriers and institutional control. We work directly with your owned data, applying methods at the forefront of research to answer questions that matter to you.

Research Collaboration Opportunities: Participate in patient-led research initiatives, potentially contributing to peer-reviewed publications that advance medical knowledge from the patient perspective. Your analyses can contribute to the growing body of patient-driven research.
Secondary Analyses

CEtHI FAQ

Frequently Asked Questions

What makes CEtHI different from standard clinical testing like Foundation One or Guardant?

CEtHI provides comprehensive, research-level analysis of your tumor's genomic landscape using your existing sequencing data. Unlike FDA-approved tests that focus only on established therapeutic targets, our reports include all tumor-specific mutations, detailed annotations, mutational signatures, tumor heterogeneity analysis, and raw data access that retains value as science evolves.

Do I need to have additional testing done to use CEtHI services?

No additional testing is required. CEtHI works with existing full exome sequencing data from tests like Signatera that you can access through your HIPAA rights. If you haven't had such testing, we can discuss in consultation whether pursuing specific testing would be valuable for your goals.

How do I obtain my raw sequencing data from testing companies?

Under HIPAA, you have the right to access all health data collected for your care. We provide guidance on how to request your raw BAM files from testing companies, including template letters and step-by-step instructions. This process typically takes 2-4 weeks once you submit your request.

Which services should I start with if I'm new to genomic medicine?

We strongly recommend starting with our Educational Sessions to build foundational knowledge, combined with 1-2 Individual Consultations. This preparation enables you to maximize the value of your Tumor Genomic Profile Report and engage meaningfully with the comprehensive data provided.

Will my oncologist be able to use the information from CEtHI reports?

CEtHI provides investigational-level information that exceeds regulatory thresholds for clinical actionability. While this data is scientifically valid and valuable, it may not be readily interpretable by all oncologists due to knowledge base limitations and standard-of-care constraints. Our goal is to empower you with comprehensive understanding to engage in informed discussions with your medical team.

How long does it take to receive my tumor profiling report?

Once we receive your raw sequencing data, analysis typically takes 2-3 weeks. This includes comprehensive mutation annotation, comparative analysis with research databases, and creation of your interactive HTML report. We'll keep you updated throughout the process and schedule your results consultation upon completion.

Can I participate in research or contribute to publications through CEtHI?

Yes! CEtHI supports patient-led research initiatives where you can contribute to advancing medical knowledge from the patient perspective. Depending on your data and interests, opportunities may include co-authoring peer-reviewed publications, participating in collaborative research projects, and contributing to our growing community of patient-researchers.

What if I want additional analyses beyond the standard tumor profiling report?

Our Customized Secondary Data Analyses service addresses specialized research questions tailored to your interests. From clonal evolution tracking to expression subtyping, we develop analytical approaches based on your available data and research goals. The initial consultation helps scope your project and determine feasibility and pricing.

Don't see your question?

We're here to help! Reach out with any questions about CEtHI services, data access, or how our approach might work for your specific situation.

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Patient Empowerment. Patient Dignity. Patient Flourishing.
Community Empowerment through Health Information
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