:root{
    --navy: #16233F;
    --navy-deep: #0E1830;
    --steel: #6E7580;
    --steel-light: #A6ACB4;
    --paper: #F6F6F4;
    --paper-warm: #F1F0EC;
    --line: #DBDCD6;
    --blue: #2F6690;
    --blue-soft: #E9F0F4;
    --white: #FFFFFF;
    --ink: #1B2230;
  }

  *{ box-sizing: border-box; margin:0; padding:0; }
  html{ scroll-behavior: smooth; }
  body{
    font-family: 'Public Sans', sans-serif;
    color: var(--ink);
    background: var(--paper);
    -webkit-font-smoothing: antialiased;
    overflow-x: hidden;
  }
  img{ max-width:100%; display:block; }
  a{ color:inherit; text-decoration:none; }
  ul{ list-style:none; }
  .wrap{ max-width: 1200px; margin: 0 auto; padding: 0 32px; }

  h1,h2,h3,h4{ font-family:'Fraunces', serif; font-weight:500; line-height:1.1; color: var(--navy); }
  .eyebrow{
    font-family:'Public Sans', sans-serif;
    font-size: 12.5px;
    font-weight: 700;
    letter-spacing: 0.16em;
    text-transform: uppercase;
    color: var(--blue);
    display:flex;
    align-items:center;
    gap:10px;
  }
  .eyebrow::before{
    content:"";
    width: 22px; height:1px; background: var(--blue);
    display:inline-block;
  }

  /* ---------- Top utility bar ---------- */
  .topbar{
    background: var(--navy-deep);
    color: var(--steel-light);
    font-size: 13px;
  }
  .topbar .wrap{
    display:flex; justify-content:space-between; align-items:center;
    padding-top:8px; padding-bottom:8px;
  }
  .topbar a{ color: var(--white); }
  .topbar-left{ display:flex; gap:24px; align-items:center; }
  .topbar-left span{ color: var(--steel-light); }
  .hmh-chip{
    display:flex; align-items:center; gap:8px;
    font-size:12.5px; letter-spacing:.02em;
  }
  .hmh-dot{
    width:16px; height:16px; border-radius:50%;
    background: conic-gradient(from 45deg, #2F6690, #6FA8CE, #2F6690);
    flex-shrink:0;
  }

  /* ---------- Header ---------- */
  header.main{
    background: var(--white);
    border-bottom: 1px solid var(--line);
    position: sticky; top:0; z-index: 50;
  }
  .nav-row{
    display:flex; align-items:center; justify-content:space-between;
    padding: 16px 0;
  }
  .brand{ display:flex; align-items:center; gap:12px; }
  .brand-mark{
    width:46px; height:46px; border-radius:50%;
    border:1.5px solid var(--navy);
    display:flex; align-items:center; justify-content:center;
    position:relative;
    flex-shrink:0;
  }
  .brand-mark span{ font-family:'Fraunces', serif; font-size:20px; color:var(--navy); font-weight:600; }
  .brand-text{ line-height:1.25; }
  .brand-text .name{ font-family:'Fraunces', serif; font-size:19px; color:var(--navy); font-weight:500; }
  .brand-text .sub{ font-size:10.5px; letter-spacing:.14em; color:var(--steel); text-transform:uppercase; }

  nav.primary{ display:flex; align-items:center; gap:36px; }
  nav.primary > ul{ display:flex; gap:32px; }
  nav.primary > ul > li{ position:relative; }
  nav.primary > ul > li > a{
    font-size:14px; font-weight:600; color: var(--navy);
    padding: 10px 2px; display:inline-block;
    border-bottom: 2px solid transparent;
    transition: border-color .15s ease;
  }
  nav.primary > ul > li:hover > a{ border-color: var(--blue); }
  nav.primary > ul > li:hover .dropdown{ opacity:1; visibility:visible; transform: translateY(0); }
  .dropdown{
    position:absolute; top: 100%; left:-16px;
    background: var(--white);
    border:1px solid var(--line);
    box-shadow: 0 12px 28px rgba(20,30,50,.08);
    min-width: 220px;
    padding: 10px;
    opacity:0; visibility:hidden; transform: translateY(6px);
    transition: all .18s ease;
  }
  .dropdown a{
    display:block; padding:9px 12px; font-size:13.5px; font-weight:500; color: var(--ink);
    border-radius:3px;
  }
  .dropdown a:hover{ background: var(--blue-soft); color: var(--blue); }

  .cta-btn{
    background: var(--navy); color:var(--white);
    padding: 12px 22px; font-size:13.5px; font-weight:700;
    letter-spacing:.03em;
    border: 1px solid var(--navy);
    white-space:nowrap;
  }
  .cta-btn:hover{ background: var(--navy-deep); }
  .cta-btn.ghost{
    background: transparent; color: var(--navy); border:1px solid var(--navy);
  }
  .header-actions{ display:flex; align-items:center; gap:14px; }
  .header-phone{ font-size:13.5px; font-weight:700; color:var(--navy); }

  /* ---------- Hero ---------- */
  .hero{
    position:relative;
    background: var(--navy);
    color: var(--white);
    overflow:hidden;
  }
  .hero .wrap{
    position:relative; z-index:2;
    padding-top: 96px; padding-bottom: 120px;
    display:grid; grid-template-columns: 1.1fr .9fr; gap: 60px; align-items:center;
  }
  .hero-arc{
    position:absolute; top:-120px; right:-180px; width:900px; height:900px;
    z-index:1; opacity:.9;
  }
  .hero .eyebrow{ color: #8FB6CE; }
  .hero .eyebrow::before{ background:#8FB6CE; }
  .hero h1{
    color: var(--white);
    font-size: 50px;
    margin-top:18px;
    max-width: 640px;
    letter-spacing:-.01em;
  }
  .hero h1 em{ font-style: italic; color:#8FB6CE; font-weight:500; }
  .hero p.lead{
    margin-top: 22px; font-size:17px; line-height:1.7; color:#C6CDD8; max-width:520px;
  }
  .hero-ctas{ display:flex; gap:14px; margin-top:34px; }
  .hero .cta-btn.ghost{ color: var(--white); border-color: rgba(255,255,255,.5); }
  .hero .cta-btn.ghost:hover{ border-color: var(--white); }
  .hero .cta-btn:not(.ghost){ background: var(--white); color: var(--navy); border-color: var(--white); }
  .hero .cta-btn:not(.ghost):hover{ background:#E8ECF1; }

  .hero-cred{
    margin-top: 46px; display:flex; gap:36px; padding-top:28px; border-top:1px solid rgba(255,255,255,.15);
    max-width: 520px;
  }
  .hero-cred div .num{ font-family:'Fraunces', serif; font-size:26px; color:var(--white); }
  .hero-cred div .label{ font-size:12px; color:#98A3B4; margin-top:2px; letter-spacing:.02em; }

  .hero-portrait{
    position:relative; z-index:2;
    aspect-ratio: 4/5;
    border:1px solid rgba(255,255,255,.14);
    overflow:hidden;
    background: linear-gradient(155deg, #24365A, #16233F);
  }
  .hero-portrait img{ width:100%; height:100%; object-fit:cover; display:block; }

  /* ---------- Intro / About teaser ---------- */
  .intro{ background: var(--white); padding: 100px 0; border-bottom:1px solid var(--line); }
  .intro .wrap{ display:grid; grid-template-columns: .8fr 1.2fr; gap:70px; align-items:start; }
  .intro-portrait{
    aspect-ratio: 3/4;
    border:1px solid var(--line);
    overflow:hidden;
    background: var(--paper-warm);
  }
  .intro-portrait img{ width:100%; height:100%; object-fit:cover; display:block; }
  .intro h2{ font-size:34px; margin-bottom:20px; max-width:520px; }
  .intro p{ font-size:16px; line-height:1.85; color:#454C5A; max-width:560px; margin-bottom:16px; }
  .badge-row{ display:flex; flex-wrap:wrap; gap:10px; margin-top:26px; }
  .badge{
    font-size:12px; font-weight:700; letter-spacing:.03em;
    border:1px solid var(--line); padding:8px 14px; color:var(--navy);
    display:flex; align-items:center; gap:8px;
  }
  .badge::before{ content:""; width:6px; height:6px; border-radius:50%; background: var(--blue); }

  /* ---------- Sideline coverage strip ---------- */
  .coverage{ background: var(--paper-warm); padding: 64px 0; border-bottom:1px solid var(--line); }
  .coverage .section-head{ margin-bottom:32px; }
  .coverage-grid{ display:grid; grid-template-columns: repeat(3, 1fr); gap: 20px; }
  .coverage-card{ background: var(--white); border:1px solid var(--line); overflow:hidden; }
  .coverage-card .photo{ aspect-ratio: 16/10; overflow:hidden; }
  .coverage-card .photo img{ width:100%; height:100%; object-fit:cover; display:block; }
  .coverage-card .cap{ padding: 16px 20px; display:flex; justify-content:space-between; align-items:center; gap:12px; }
  .coverage-card .cap .team{ font-size:14px; font-weight:700; color: var(--navy); }
  .coverage-card .cap .league{ font-size:11px; font-weight:700; letter-spacing:.08em; text-transform:uppercase; color: var(--steel); }

  /* ---------- Specialties ---------- */
  .specialties{ padding: 100px 0; background: var(--paper); }
  .section-head{ display:flex; justify-content:space-between; align-items:flex-end; margin-bottom:48px; gap:40px; }
  .section-head h2{ font-size:34px; margin-top:14px; }
  .section-head p{ color:#5A6272; font-size:15.5px; max-width:360px; line-height:1.6; }

  .spec-grid{ display:grid; grid-template-columns: repeat(2, 1fr); gap:1px; background: var(--line); border:1px solid var(--line); }
  .spec-card{
    background: var(--white); padding: 36px 38px 32px;
    display:flex; flex-direction:column;
    transition: background .18s ease;
  }
  .spec-card:hover{ background: var(--blue-soft); }
  .spec-card .icon{ width:50px; height:50px; }
  .spec-card h3{ font-size:22px; margin-top:22px; }
  .spec-card p{ font-size:13.5px; color:#5A6272; line-height:1.6; margin-top:8px; }
  .cond-list{ display:flex; flex-wrap:wrap; gap:9px; margin-top:22px; }
  .cond-list li{ line-height:1.3; }
  .cond-list a{
    font-size:12.5px; font-weight:600; color: var(--navy);
    background: var(--paper-warm); border:1px solid var(--line);
    padding: 7px 13px; line-height:1.3; display:inline-block;
    text-decoration:none; transition: background .15s ease, border-color .15s ease, color .15s ease;
  }
  .spec-card:hover .cond-list a{ background: var(--white); }
  .cond-list a:hover{ background: var(--navy) !important; border-color: var(--navy); color: var(--white); }
  .spec-card .go{
    margin-top:24px; padding-top:20px; border-top:1px dashed var(--line);
    font-size:12.5px; font-weight:700; color: var(--blue);
    display:flex; align-items:center; gap:6px; letter-spacing:.02em;
  }

  /* ---------- Care journey (signature element) ---------- */
  .journey{ background: var(--navy); padding: 110px 0 90px; position:relative; overflow:hidden; color:var(--white); }
  .journey .eyebrow{ color:#8FB6CE; } .journey .eyebrow::before{ background:#8FB6CE; }
  .journey .section-head h2{ color: var(--white); }
  .journey .section-head p{ color:#AEB7C4; }
  .journey-track{ position:relative; margin-top: 70px; }
  .journey-line{ position:absolute; top:26px; left:0; width:100%; height:2px; }
  .journey-nodes{ display:grid; grid-template-columns: repeat(5, 1fr); position:relative; z-index:2; }
  .journey-node{ text-align:left; padding-right: 26px; }
  .journey-dot{
    width:52px; height:52px; border-radius:50%; background: var(--navy);
    border:2px solid #8FB6CE; display:flex; align-items:center; justify-content:center;
    font-family:'Fraunces', serif; font-size:18px; color:#8FB6CE; margin-bottom:22px;
  }
  .journey-node h4{ color: var(--white); font-size:17px; margin-bottom:8px; }
  .journey-node p{ color:#9CA6B6; font-size:13px; line-height:1.6; }

  /* ---------- Patient resources ---------- */
  .resources{ padding: 100px 0; background: var(--white); }
  .res-grid{ display:grid; grid-template-columns: repeat(2, 1fr); gap: 26px; margin-top:48px; max-width:760px; margin-left:auto; margin-right:auto; }
  .res-card{
    border:1px solid var(--line); padding: 34px 28px; background: var(--paper);
    display:flex; flex-direction:column; height:100%;
  }
  .res-card .tag{
    font-size:11px; font-weight:700; letter-spacing:.1em; text-transform:uppercase;
    color: var(--steel); margin-bottom:16px;
  }
  .res-card h3{ font-size:21px; margin-bottom:12px; }
  .res-card p{ font-size:14px; color:#5A6272; line-height:1.65; flex-grow:1; }
  .res-card .status{
    margin-top:22px; font-size:12.5px; font-weight:600; color:var(--blue);
    padding-top:16px; border-top:1px dashed var(--line);
  }

  /* ---------- Why us strip ---------- */
  .strip{ background: var(--paper-warm); padding: 70px 0; border-top:1px solid var(--line); border-bottom:1px solid var(--line); }
  .strip .wrap{ display:grid; grid-template-columns: repeat(4,1fr); gap:40px; }
  .strip-item h4{ font-size:16px; margin-bottom:8px; }
  .strip-item p{ font-size:13.5px; color:#5A6272; line-height:1.6; }
  .strip-item .n{ font-family:'Fraunces', serif; font-style:italic; color:var(--blue); font-size:15px; margin-bottom:10px; display:block; }

  /* ---------- Location / contact ---------- */
  .location{ padding: 100px 0; background: var(--white); }
  .loc-grid{ display:grid; grid-template-columns: 1fr 1fr; gap: 60px; margin-top: 46px; }
  .loc-map{
    background: var(--paper-warm); border:1px solid var(--line);
    min-height: 360px; display:flex; align-items:center; justify-content:center;
    color: var(--steel-light); font-size:13px; text-align:center; padding: 30px;
  }
  .loc-details h3{ font-size:22px; margin-bottom:18px; }
  .loc-line{ display:flex; gap:14px; padding: 16px 0; border-bottom:1px solid var(--line); }
  .loc-line .k{ font-size:11.5px; font-weight:700; letter-spacing:.08em; text-transform:uppercase; color:var(--steel); width:110px; flex-shrink:0; padding-top:2px;}
  .loc-line .v{ font-size:15px; color: var(--ink); line-height:1.6; }
  .loc-line .v a{ color: var(--blue); font-weight:600; }

  /* ---------- Footer ---------- */
  footer{ background: var(--navy-deep); color:#8B93A3; padding: 64px 0 28px; }
  .foot-grid{ display:grid; grid-template-columns: 1.4fr 1fr 1fr 1fr; gap:48px; padding-bottom:44px; border-bottom:1px solid rgba(255,255,255,.09); }
  .foot-brand .brand-text .name{ color:var(--white); }
  .foot-brand p{ font-size:13.5px; line-height:1.7; margin-top:16px; max-width:280px; color:#8B93A3; }
  footer h5{ font-size:12px; letter-spacing:.08em; text-transform:uppercase; color:#C6CDD8; margin-bottom:18px; }
  footer ul li{ margin-bottom:11px; }
  footer ul li a{ font-size:13.5px; color:#9AA3B2; }
  footer ul li a:hover{ color: var(--white); }
  .foot-bottom{ display:flex; justify-content:space-between; align-items:center; padding-top:26px; font-size:12.5px; color:#6B7386; flex-wrap:wrap; gap:12px;}

  /* ---------- Utility / small ---------- */
  .visually-hidden{ position:absolute; width:1px; height:1px; overflow:hidden; clip:rect(0 0 0 0); }
  a:focus-visible, button:focus-visible{ outline: 2px solid var(--blue); outline-offset:2px; }

  @media (max-width: 980px){
    nav.primary{ display:none; }
    .hero .wrap{ grid-template-columns: 1fr; padding-top:60px; padding-bottom:70px; }
    .hero-portrait{ display:none; }
    .intro .wrap{ grid-template-columns:1fr; }
    .spec-grid{ grid-template-columns: 1fr; }
    .coverage-grid{ grid-template-columns: 1fr; }
    .journey-nodes{ grid-template-columns: repeat(2,1fr); row-gap:36px; }
    .journey-line{ display:none; }
    .res-grid{ grid-template-columns: 1fr; }
    .strip .wrap{ grid-template-columns: repeat(2,1fr); row-gap:30px; }
    .loc-grid{ grid-template-columns:1fr; }
    .foot-grid{ grid-template-columns: 1fr 1fr; row-gap:36px; }
    .hero h1{ font-size:36px; }
  }
  @media (prefers-reduced-motion: reduce){
    html{ scroll-behavior:auto; }
    *{ transition:none !important; }
  }

/* ---------- Patient Resources hub page ---------- */
.page-hero{ background: var(--navy); color: var(--white); padding: 64px 0 56px; }
.page-hero h1{ color: var(--white); font-size: 38px; margin-top:14px; }
.page-hero p{ color:#C6CDD8; font-size:16px; max-width:560px; margin-top:14px; line-height:1.7; }
.page-hero .eyebrow{ color:#8FB6CE; } .page-hero .eyebrow::before{ background:#8FB6CE; }

.jump-nav{ background: var(--paper-warm); border-bottom:1px solid var(--line); position:sticky; top:0; z-index:40; }
.jump-nav .wrap{ display:flex; gap:28px; padding:16px 32px; flex-wrap:wrap; }
.jump-nav a{ font-size:13px; font-weight:700; color: var(--navy); letter-spacing:.02em; }
.jump-nav a:hover{ color: var(--blue); }

.resource-section{ padding: 80px 0; border-bottom:1px solid var(--line); }
.resource-section:nth-of-type(even){ background: var(--paper); }
.resource-section .section-head{ margin-bottom:40px; }

.doc-grid{ display:grid; grid-template-columns: repeat(2, 1fr); gap:16px; }
.doc-card{
  border:1px solid var(--line); background: var(--white);
  padding: 20px 22px; display:flex; align-items:center; justify-content:space-between; gap:16px;
  text-decoration:none; color:inherit; transition: border-color .15s ease, background .15s ease;
}
a.doc-card:hover{ border-color: var(--blue); background: var(--blue-soft); }
.doc-card .name{ font-size:14.5px; font-weight:600; color: var(--ink); }
.doc-card .name .sub{ display:block; font-size:12px; font-weight:500; color: var(--steel); margin-top:3px; }
.doc-card .dl{ font-size:12.5px; font-weight:700; color: var(--blue); white-space:nowrap; flex-shrink:0; }
.doc-card.pending{ opacity:.7; }
.doc-card.pending .dl{ color: var(--steel); }

.protocol-group{ margin-bottom: 40px; }
.protocol-group:last-child{ margin-bottom:0; }
.protocol-group h3{ font-size:18px; margin-bottom:16px; display:flex; align-items:center; gap:10px; }
.protocol-group h3 .icon-sm{ width:28px; height:28px; }

.callout{
  background: var(--blue-soft); border:1px solid #CBDCE5; padding:22px 26px;
  display:flex; justify-content:space-between; align-items:center; gap:20px; flex-wrap:wrap;
  margin-top:12px;
}
.callout p{ font-size:14px; color: var(--navy); max-width:480px; line-height:1.6; }

@media (max-width: 700px){
  .doc-grid{ grid-template-columns: 1fr; }
  .page-hero h1{ font-size:30px; }
}

/* ---------- Long-form article page (e.g. Preparing for Surgery) ---------- */
.article{ padding: 70px 0 100px; background: var(--white); }
.article .wrap{ max-width: 780px; }
.article .lead-in{ font-size:16.5px; line-height:1.85; color:#454C5A; margin-bottom:36px; padding-bottom:32px; border-bottom:1px solid var(--line); }
.article h2{ font-size:26px; margin-top:52px; margin-bottom:18px; }
.article h2:first-of-type{ margin-top:0; }
.article h3{ font-size:17.5px; color:var(--navy); margin-top:26px; margin-bottom:10px; font-family:'Public Sans',sans-serif; font-weight:700; letter-spacing:.01em; }
.article p{ font-size:15.5px; line-height:1.85; color:#454C5A; margin-bottom:14px; }
.article ul{ margin:0 0 18px 22px; padding:0; }
.article li{ font-size:15.5px; line-height:1.8; color:#454C5A; margin-bottom:9px; }
.article li strong{ color:var(--ink); }
.article .note{
  background: var(--blue-soft); border:1px solid #CBDCE5; padding:20px 24px;
  font-size:14.5px; color:var(--navy); margin:24px 0; line-height:1.75; border-radius:0;
}
.article .note strong{ display:block; margin-bottom:4px; font-size:12px; text-transform:uppercase; letter-spacing:.06em; color:var(--blue); }
.article .callout{ margin-top:36px; }

/* ---------- Condition pages ---------- */
.back-link{ display:inline-flex; align-items:center; gap:6px; font-size:13px; font-weight:700; color:#8FB6CE; margin-bottom:18px; }
.back-link:hover{ color:var(--white); }
.condition-meta{ display:flex; gap:10px; margin-top:18px; flex-wrap:wrap; }
.condition-meta span{ font-size:11.5px; font-weight:700; letter-spacing:.06em; text-transform:uppercase; color:#8FB6CE; border:1px solid rgba(255,255,255,.3); padding:6px 12px; }
.article .disclaimer{
  margin-top:56px; padding-top:28px; border-top:1px solid var(--line);
  font-size:13px; color:var(--steel); line-height:1.7;
}
.related-conditions{ background: var(--paper-warm); padding:56px 0; border-top:1px solid var(--line); }
.related-conditions h3{ font-size:20px; margin-bottom:22px; }
.related-grid{ display:flex; flex-wrap:wrap; gap:10px; }
.related-grid a{
  font-size:13px; font-weight:600; color:var(--navy); background:var(--white);
  border:1px solid var(--line); padding:9px 16px; text-decoration:none;
}
.related-grid a:hover{ border-color:var(--blue); color:var(--blue); }