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Clinical Intelligence for Foot & Ankle Surgery

The evidence engine
built for foot & ankle surgery.
Every citation real.

First Ray Labs builds AI-powered tools for foot and ankle surgeons who demand more than general AI can deliver. Every citation real. Every output defensible.

Join the Founding Program →
Citation Fidelity Analysis · 1,261 Citations Verified · BAA Available
100%
PMID authenticity across 1,261 citations verified
Citation Fidelity Audit · 1,261 Citations · 2026
0
Fabricated references across all verified citations
Zero hallucinated citations
Continuum
0%
Fabrication rate
vs.
General LLMs
18–55%
Published studies1
1 Walters WH, Wilder EI. Fabrication and errors in bibliographic citations generated by ChatGPT. Sci Rep. 2023;13:14045. PMID 37679503
100%
Real PMIDs
Zero fabricated
5
Documentation
personas
Zero PHI
HIPAA-safe
by design
3
Generations
Bucks County
1971
Hershey Seminar board review course founded
1974
Podiatric Service Reporting Manual published
1981
Dr. William Lynde opens Newtown Foot & Ankle Specialists
1992
William L. Goldfarb Foundation established
2011
Dr. Michael Lynde joins Newtown Foot & Ankle Specialists
2026
First Ray Labs — Continuum & Sorted

In 1974, a podiatric physician in Bucks County wrote a manual that helped put podiatric medicine into the payment system. The tools were simple. The obligation was not.

Dr. William Goldfarb spent decades building a practice and a discipline. The Hershey Seminar. The Study Guide, now in its 13th edition. A foundation still active in continuing education for podiatric physicians across the country. His work was not about technology. It was about precision, evidence, and the belief that surgeons who document well protect their patients and their practice.

The tools change. The obligation doesn’t.

— The founding principle of First Ray Labs

The same commitment that drove a 1974 manual to modernize podiatric billing now drives the design of every feature in Continuum and Sorted. Evidence that is verifiable. Documentation that is defensible. Clinical intelligence that treats the surgeon’s judgment as the irreplaceable constant — and everything else as tools in service of it.

Dr. Goldfarb was Michael Lynde’s grandfather.

Three generations. One county. The same belief that evidence-grounded practice is not optional — it is the obligation — now drives First Ray Labs.

EVIDENCE PLATFORM

Continuum

v7.4 · continuum.firstraylabs.ai

Ask any clinical question. Continuum queries PubMed directly, grades the evidence, and synthesizes the literature into a structured answer — with real PMID citations you can verify. No fabrication. No hallucination. Every citation traceable.

OPEN CONTINUUM →
Continuum evidence search

Search the evidence. Save what matters.
Every saved study feeds your Sorted Defensive notes automatically.

Clinical Documentation

Sorted

v3.3.3 · sorted.firstraylabs.ai

Dictate once. Get five documentation outputs, each calibrated to a different clinical scenario — from high-volume Quick notes to litigation-ready Defensive documentation with embedded literature citations.

  • Quick — minimum viable note for routine encounters
  • Structured — complete standard documentation with attribution
  • Narrative — clinical reasoning in prose for complex cases
  • Defensive — full PMID-anchored legal-record documentation
  • Complex — cross-domain for multi-system patients
  • Voice dictation via Deepgram Nova-3 Medical · 80+ podiatric key terms
OPEN SORTED →
Sorted clinical documentation

Dictate once. Five outputs.
Every Defensive note anchored with real PMID citations.

The Evidence Library Flywheel

Find it in Continuum. Defend it in Sorted.

Evidence you find in Continuum feeds your Library. Your Library powers Sorted’s Defensive documentation. The cycle deepens with every encounter — and every chart becomes more defensible than the last.

01 Prepare to See Patient
02 Evaluate Patient
03 Document Encounter
04 Prove the Care
EVIDENCE LIBRARY Flywheel CONTINUUM Search & Synthesize SORTED Document & Defend PREPARE PROVE EVALUATE DOCUMENT
Step 01 Search a clinical question in Continuum — PubMed returns real, graded evidence.
Step 02 Save the evidence to your Library — organized by anatomy and evidence level.
Step 03 Open Sorted — your Defensive persona pulls verified PMIDs from the Library automatically.
Step 04 Documentation is evidence-anchored from the start. Every note defensible on day one.
Voices From Practice

What they said after the first week.

Sorted · Clinical Documentation
“

Documenting complex surgical encounters was the bottleneck in my day — not the surgery, the charting. Sorted changed that. It captures the diagnostic reasoning that generic tools flatten into generic language. The result is notes that are more thorough, more accurate, and done before I leave the building.

MK
Dr. Margaret Kerins, DPM
Associate, Newtown Foot & Ankle Specialists
Why it matters
0%
Citation fabrication rate
across 1,261 verified references
5
Documentation personas
calibrated for foot & ankle surgery

Generic scribes produce generic notes. Sorted is built for the subspecialty — every persona, every term, every citation.

Sorted · Prior Authorization
“

The denial merry-go-round for MRI prior authorizations has finally stopped. The clinical detail in Sorted notes gives payers exactly what they need on the first submission. Hours of appeals calls — gone.

H
Heather Vinglas
Practice Manager · Newtown Foot & Ankle Specialists
Continuum · Board Preparation
“

I actually love this thing. Definitely going to use it to help me go over material for boards this summer.

L
Lance
Podiatric Surgery Resident · Early Access User
Continuum · Evidence Research
“

I used it versus Open Evidence to prep for my conference talks for the next two weeks. It’s amazing.

A
Alexis
Podiatric Surgery Resident · Early Access User
Built by Surgeons

Clinical leadership, not a boardroom.

First Ray Labs is led by practicing surgeons — not observers. Every feature has been used in a real clinical encounter.

Dr. Michael Lynde
Michael Lynde
DPM, FACFAS
Founder & CEO

Board-certified podiatric surgeon and Chief of Podiatric Surgery at St. Mary Medical Center. Built the First Ray Labs platform on a retrieval-first, HIPAA-safe architecture — PubMed-integrated, zero PHI stored, designed from the ground up for clinical defensibility. Practices at Newtown Foot & Ankle Specialists, a three-generation family practice in Bucks County.

Dr. Justin Flemming
Justin Flemming
DPM, FACFAS
Clinical Research Chair

Fellowship-trained foot and ankle surgeon. Clinical Assistant Professor at Rutgers Robert Wood Johnson Medical School. 30+ authored works. Leads the First Ray Labs clinical validation study portfolio and brings institutional credibility across the orthopedic surgery community.

Founding Surgeon Program

Join the first thirty.

Continuum and Sorted, together. Locked pricing. Direct line to the team building it. Your clinical feedback shapes what gets built next.

30 founding spots · $79/month locked for life · Cancel anytime

No payment collected now · You’ll hear back within 24 hours · BAA available upon request

✓

Application received. You’ll hear from Michael directly within 24 hours.
In the meantime, explore Continuum or try Sorted.