/* Shared patient-first refinements; approved identity and institutional branding are retained. */
:root{--focus-ring:#235ca6}
a:focus-visible,button:focus-visible,summary:focus-visible,select:focus-visible{outline:3px solid var(--focus-ring);outline-offset:4px}
.header-with-logo #main-nav,.header-with-logo .primary-nav{gap:1.05rem;flex-wrap:nowrap}
.header-with-logo nav a{font-size:.875rem;white-space:nowrap}
.header-with-logo .header-inner{gap:1.25rem}
.header-with-logo .header-personal-logo{width:5.5rem;flex-basis:5.5rem}
.header-with-logo .header-personal-logo img{width:100%;height:auto}
.condition-guide-grid{display:grid;grid-template-columns:repeat(3,minmax(0,1fr));gap:1rem;margin-top:1rem}
.condition-guide{display:flex;flex-direction:column;padding:1.4rem 1.4rem 1.2rem;border:1px solid var(--line);border-top:3px solid #7299ba;text-decoration:none;background:#f7fafc;transition:background .15s,border-color .15s}
.condition-guide:hover{background:#edf4f8;border-color:#235ca6}
.condition-guide h3{font:1.45rem/1.25 var(--serif);margin:0 0 .8rem;color:var(--ink)}
.condition-guide p{font-size:.95rem;line-height:1.65;color:var(--text);margin:0 0 1.1rem}
.condition-guide>span{margin-top:auto;font-size:.88rem;font-weight:500;color:var(--blue)}
.condition-guide:last-child:nth-child(3n+1){grid-column:span 2}
.additional-care{font-size:.96rem;color:var(--text);margin:1.5rem 0 0;max-width:64rem}
.additional-care a{color:var(--blue)}
.first-visit-brief{display:flex;align-items:center;justify-content:space-between;gap:2.5rem;padding:2rem 0;margin:1.8rem 0;border-block:1px solid var(--line)}
.first-visit-brief p{max-width:40rem;color:var(--text)}
.first-visit-brief h3{font:1.7rem/1.3 var(--serif);margin:0 0 .7rem}
.first-visit-brief .button{flex-shrink:0;max-width:20rem;white-space:normal}
.compact-leadership{display:grid;grid-template-columns:1fr 1.2fr;gap:4rem}
.compact-leadership h2{font:2.6rem/1.15 var(--serif);letter-spacing:-.025em;max-width:28rem}
.compact-leadership .leadership-role{font-size:1.2rem;margin-top:0}
.compact-leadership .leadership-role span{font:inherit}
.compact-leadership p{color:var(--text)}
.link-stack{display:flex;flex-direction:column;align-items:flex-start;gap:1rem}
.colleague-brief{display:grid;grid-template-columns:1.3fr 1fr;align-items:center;gap:4rem}
.colleague-brief h2{font-size:2.25rem;margin-bottom:1rem}
.colleague-brief p{color:var(--text);max-width:38rem}
.colleague-brief .link-stack{padding-left:2rem;border-left:1px solid var(--line)}
.robotic-principles p{max-width:42rem}
.subpage-hero{padding-block:2.5rem 3.5rem;border-bottom:1px solid var(--line)}
.subpage-hero .breadcrumb{font-size:.9rem;color:var(--text);margin-bottom:2rem}
.subpage-hero h1{font:clamp(2.75rem,5vw,4.4rem)/1.1 var(--serif);letter-spacing:-.035em;margin:0 0 1.3rem}
.subpage-hero>p:not(.eyebrow):not(.breadcrumb){max-width:52rem;color:var(--text)}
.subpage-lead{font-size:1.25rem;line-height:1.6}
.section-jumps{display:flex;flex-wrap:wrap;gap:.6rem .75rem;margin-top:1.4rem}
.section-jumps a{padding:.55rem .85rem;border:1px solid #b5cbdc;background:white;color:var(--blue);font-size:.9rem;line-height:1.4;text-decoration:none;min-height:2.65rem;display:inline-flex;align-items:center}
.section-jumps a:hover{background:#eaf1f7;border-color:var(--blue)}
.media-grid .lecture-feature{grid-column:1/-1}
.lecture-feature .link-stack{margin-top:.5rem}
.visit-page-grid{display:grid;grid-template-columns:minmax(0,1.8fr) minmax(16rem,1fr);gap:4rem;padding-block:3rem 4rem;align-items:start}
.visit-content{margin-bottom:2.6rem}
.visit-content h2{font:2rem/1.25 var(--serif);margin:0 0 1.2rem}
.visit-content p,.visit-content li{color:var(--text)}
.visit-content li{margin-bottom:.8rem}
.preparation-list{list-style:none;padding:0}
.preparation-list li{padding:1rem 0;margin:0;border-top:1px solid var(--line)}
.visit-office{padding:1.75rem;background:var(--mist);border-top:3px solid #7399b9}
.visit-office h2{font:1.9rem/1.2 var(--serif);margin-bottom:.8rem}
.visit-office p,.visit-office address{font-style:normal;color:var(--text)}
.visit-office a{overflow-wrap:anywhere}
.office-note{font-size:.9rem;border-top:1px solid var(--line);padding-top:1.2rem;margin-top:1.5rem}
.guide-hero .simplified-hero{grid-template-columns:1fr}
.guide-hero .guide-lead{max-width:51rem}
.editorial-date{font-size:.875rem;color:var(--text);margin:1rem 0 0}
.guide-start{background:#edf4f8;border:1px solid #d2e1ec;border-top:3px solid #789fbd;padding:1.65rem 1.8rem;margin-bottom:2.75rem}
.guide-start h2{font:1.7rem/1.3 var(--serif);margin:0 0 1rem}
.guide-start ul{margin:0;padding-left:1.2rem;color:var(--text)}
.guide-start li{margin-bottom:.6rem}
.guide-start .section-jumps{margin-top:1.1rem}
.guide-next{border-top:1px solid var(--line);padding-top:2rem;margin-top:2.5rem}
.guide-next h2{font:1.7rem/1.3 var(--serif);margin-bottom:.6rem}
.recovery-planning{background:var(--mist);padding:1.25rem 1.5rem;margin:1.5rem 0}
.recovery-planning h3{margin-top:0}
.recovery-planning li{margin:.5rem 0;color:var(--text)}
.callout-note{font-size:.95rem;border-left:3px solid #799eba;padding-left:1rem}
.recovery-reference{font-size:.875rem;margin-top:1.5rem}
.topic-tabs .shell{flex-wrap:wrap;gap:.25rem 1.6rem}
.topic-tabs a{min-height:2.75rem}
.author-roles,.source-note,.source-review,.toc a,.footer-note{font-size:.875rem}
.toc a{padding-block:.55rem}
.directory-visit{border-top:1px solid var(--line);padding-top:2rem;margin-top:2.5rem}
.directory-visit h2{font:1.8rem/1.3 var(--serif)}
.education-directory{margin-top:2.5rem}
@media(min-width:68.01rem) and (max-width:78rem){.header-with-logo .header-inner{flex-wrap:wrap;justify-content:center;gap:.5rem;padding-block:.8rem}.header-with-logo .header-identity{margin:0 auto}.header-with-logo nav{justify-content:center;width:100%}}
@media(max-width:68rem){
 .header-with-logo .header-inner{flex-wrap:wrap;justify-content:space-between;gap:0;padding-block:.65rem}
 .header-with-logo .header-identity{margin:0;flex:0 1 auto}
 .header-with-logo .menu-toggle,.js .header-with-logo .menu-toggle{display:inline-flex;align-items:center;gap:.6rem;min-height:2.75rem}
 .header-with-logo #main-nav,.header-with-logo .primary-nav{display:none;width:100%;flex-direction:column;align-items:stretch;gap:0;padding:1rem 0 .25rem;position:static;background:transparent;border:0}
 .header-with-logo #main-nav.is-open,.header-with-logo .primary-nav.is-open{display:flex}
 .header-with-logo #main-nav a,.header-with-logo .primary-nav a{font-size:1rem;min-height:2.75rem;padding:.6rem .4rem;margin:0;border-bottom:1px solid var(--line)}
 .header-with-logo nav .nav-contact{border:1px solid #809bb1;margin-top:.5rem!important;padding-inline:.85rem!important}
 .condition-guide-grid{grid-template-columns:repeat(2,minmax(0,1fr))}
 .condition-guide:last-child:nth-child(3n+1){grid-column:auto}
 .first-visit-brief{align-items:flex-start;flex-direction:column;gap:1rem}
 .compact-leadership{gap:2.5rem}
 .visit-page-grid{gap:2.5rem}
}
@media(max-width:48rem){
 .compact-leadership,.colleague-brief,.visit-page-grid{grid-template-columns:1fr;gap:2rem}
 .compact-leadership h2{font-size:2.15rem}
 .colleague-brief .link-stack{padding-left:0;border-left:0;border-top:1px solid var(--line);padding-top:1.5rem}
 .subpage-hero{padding-block:1.5rem 2.5rem}
 .guide-start{padding:1.3rem 1.2rem;margin-bottom:2rem}
 .guide-start h2{font-size:1.5rem}
 .subpage-lead{font-size:1.1rem}
 .topic-tabs .shell{gap:0 1rem;justify-content:flex-start}
 .topic-tabs a{font-size:.84rem}
 .visit-office{padding:1.4rem}
}
@media(max-width:34rem){
 .condition-guide-grid{grid-template-columns:1fr}
 .condition-guide{padding:1.2rem}
 .header-with-logo .header-personal-logo{width:4.35rem;flex-basis:4.35rem}
 .header-with-logo .wordmark{font-size:1.25rem}
 .header-with-logo .header-identity{gap:.6rem}
 .section-jumps{gap:.5rem}
 .section-jumps a{font-size:.875rem}
}
@media(prefers-reduced-motion:reduce){.condition-guide{transition:none}}
@media print{.section-jumps,.guide-next{display:none}.guide-start{break-inside:avoid}.visit-page-grid,.compact-leadership{display:block}.visit-office{margin-top:2rem}.site-header{display:none!important}}
/* Scoped navigation avoids the legacy homepage mobile rule hiding section links. */
.js nav.section-jumps{display:flex;flex-direction:row;align-items:stretch;width:auto;padding-bottom:0}
@media(max-width:24rem){.header-with-logo .wordmark{font-size:1.1rem}.header-with-logo .header-personal-logo{width:3.7rem;flex-basis:3.7rem}.header-with-logo .header-identity{gap:.4rem}.header-with-logo .menu-toggle{padding-inline:.2rem;font-size:.85rem}}

.sr-only{position:absolute;width:1px;height:1px;padding:0;margin:-1px;overflow:hidden;clip:rect(0,0,0,0);white-space:nowrap;border:0}

/* September 2026: compact guide controls and consistent references. */
.guide-topics{width:100%}
.guide-topics>.topic-links{display:flex;flex-wrap:wrap;gap:.25rem 1.6rem}
.guide-topics>summary{display:none}
.guide-contents>summary{font-size:.875rem;font-weight:600;letter-spacing:.06em;text-transform:uppercase;color:var(--text);margin-bottom:.8rem;list-style:none;cursor:default}
.guide-contents>summary::-webkit-details-marker{display:none}
.guide-consult{margin:1.2rem 0 0;padding-top:1rem;border-top:1px solid #c5d8e5;font-size:.9rem;line-height:1.7;color:var(--ink)}
.guide-consult a{color:var(--blue)}
.related-guides{padding-bottom:1.8rem;margin-bottom:1.8rem;border-bottom:1px solid var(--line)}
.related-guides .section-jumps{margin-top:.6rem}
.citation{font-size:.75rem;font-weight:600;vertical-align:super;line-height:0;margin-left:.2rem;color:var(--blue);text-decoration:none}
.source-details li[id]{scroll-margin-top:9rem}
.source-details li[id]:target{background:#eaf1f7;outline:2px solid #9bb8cd;outline-offset:4px}
.evidence-details{border:1px solid var(--line);background:#fafcfd;margin:1.4rem 0}
.evidence-details>summary{padding:1rem 1.15rem;color:var(--ink);cursor:pointer;font-size:.95rem}
.evidence-details>div{padding:0 1.2rem .25rem}
.source-details p,.source-details li,.source-figure figcaption,.education-video-note{font-size:.875rem}
.home-sources{padding-block:1.2rem 2rem}
.home-sources summary{font-size:.9rem;cursor:pointer}
.home-sources ol{font-size:.875rem;line-height:1.6;padding-left:1.4rem}
.guide-category+.guide-category{margin-top:2.75rem}
.guide-category>h2{font:1.8rem/1.3 var(--serif);margin-bottom:1rem}
.guide-category .condition-guide:last-child{grid-column:auto}
.journey-steps{list-style:none;padding:0;display:grid;grid-template-columns:repeat(2,minmax(0,1fr));gap:.9rem;counter-reset:journey}
.journey-steps li{border:1px solid var(--line);border-top:3px solid #789fbd;padding:1rem 1.1rem;counter-increment:journey;background:#f7fafc;margin:0}
.journey-steps strong{display:block;font-weight:600;color:var(--ink);margin-bottom:.35rem}
.journey-steps strong:before{content:counter(journey) '. ';color:var(--blue)}
.journey-steps span{display:block;font-size:.95rem;line-height:1.6}
.guide-start,.guide-section,.visit-content,.condition-guide{overflow-wrap:break-word}
.table-wrap:focus-visible{outline:3px solid var(--focus-ring);outline-offset:4px}
@media(min-width:56.01rem){.guide-topics>.topic-links{display:flex!important}.guide-contents>ol{display:block!important}}
@media(max-width:56rem){
 .guide-topics>summary,.guide-contents>summary{display:flex;justify-content:space-between;gap:1rem;align-items:center;min-height:2.75rem;padding:.55rem 0;font-size:.95rem;letter-spacing:0;text-transform:none;font-weight:500;margin:0;cursor:pointer;list-style:none;color:var(--blue)}
 .guide-topics>summary:after,.guide-contents>summary:after{content:'+';font-size:1.2rem}
 .guide-topics[open]>summary:after,.guide-contents[open]>summary:after{content:'−'}
 .guide-topics>summary::-webkit-details-marker{display:none}
 .guide-topics .topic-links{gap:0 1.2rem;padding-bottom:.8rem}
 .guide-contents ol{display:block;padding-bottom:.65rem}
 .guide-contents a{padding:.5rem 0;font-size:.95rem;text-decoration:none;min-height:2.75rem}
 .toc .print-control{display:inline-block;font-size:.875rem;min-height:2.75rem;margin:.25rem 0 0}
 .toc{padding-bottom:.65rem}
 .guide-layout{gap:1.1rem}
 .guide-hero .byline-row{margin-top:1.25rem;padding-top:1rem}
 .topic-tabs a{font-size:.875rem}
}
@media(max-width:34rem){.journey-steps{grid-template-columns:1fr}}
@media print{
 .guide-consult,.related-guides,.home-sources summary{display:none!important}
 .source-details,.evidence-details{background:white}
 .source-details>div,.evidence-details>div{display:block!important}
 .source-details summary,.evidence-details summary{padding-left:0}
 .source-details li,.source-details p{font-size:10pt}
 .source-details a[href^="https://"]::after{content:' (' attr(href) ')';font-size:9pt;overflow-wrap:anywhere}
 .journey-steps{display:block}.journey-steps li{break-inside:avoid;margin-bottom:.5rem}
}

/* Modest educational illustrations: original image proportions retained. */
.supplemental-figure{width:min(100%,17rem);margin:1.3rem auto}
.thymus-explanation{display:grid;grid-template-columns:minmax(0,1fr) 15rem;gap:1.6rem;align-items:start}
.thymus-explanation .supplemental-figure{width:100%;margin:.1rem 0 1rem}
.supplemental-figure img{height:auto;max-height:none;object-fit:contain}
@media(max-width:64rem){.thymus-explanation{grid-template-columns:1fr;gap:.2rem}.thymus-explanation .supplemental-figure{max-width:17rem;justify-self:center;margin:.7rem auto 1.2rem}}
@media print{.thymus-explanation{display:block}.thymus-explanation .supplemental-figure,.supplemental-figure{max-width:15rem;margin:1rem auto;break-inside:avoid}}

/* Team photograph supports the existing approach-to-care introduction. */
.approach-team-photo{width:min(100%,30rem);margin:1.6rem 0 0}
.approach-team-photo .team-photo-window{position:relative;overflow:hidden;aspect-ratio:2048/1250;border-radius:.3rem;background:#dce7e9}
.approach-team-photo img{position:absolute;width:100%;max-width:none;height:auto;left:0;top:-5.04%}
@media print{.approach-team-photo{break-inside:avoid}}

/* Align the statement and signature with the full heading-and-photo column. */
.patient-experience .approach-statement{align-self:center;width:100%;max-width:33rem}
.patient-experience .approach-logo{margin:.9rem auto 0}

/* A quiet, consistent office contact action, without changing page layouts. */
.header-with-logo nav .nav-call{color:var(--blue);font-weight:600}
.mobile-office-call{display:none}
@media(max-width:68rem){
 body{padding-bottom:calc(3.4rem + env(safe-area-inset-bottom,0px))}
 html{scroll-padding-bottom:5rem}
 .mobile-office-call{position:fixed;bottom:0;left:0;right:0;z-index:20;display:flex;align-items:center;justify-content:center;gap:1rem;min-height:3.1rem;padding:.65rem 1rem calc(.65rem + env(safe-area-inset-bottom,0px));background:#142b3f;color:#fff;border-top:1px solid #587287;text-decoration:none;font:500 .9375rem/1.4 var(--sans)}
 .mobile-office-call span:last-child{font-variant-numeric:tabular-nums;white-space:nowrap}
}
@media(max-width:22rem){.mobile-office-call{gap:.65rem;font-size:.875rem}}
@media print{.mobile-office-call{display:none!important}body{padding-bottom:0}}