ls /home/daytona/workspace/ 2>/dev/null && echo "---" && python3 -c "import repo…

mkdir -p /home/daytona/workspace/surgical-triads

~/surgical-triads/generate_pdf.py

from reportlab.lib.pagesizes import A4
from reportlab.lib import colors
from reportlab.lib.units import cm
from reportlab.lib.styles import getSampleStyleSheet, ParagraphStyle
from reportlab.lib.enums import TA_CENTER, TA_LEFT
from reportlab.platypus import (
    SimpleDocTemplate, Paragraph, Spacer, Table, TableStyle,
    HRFlowable, KeepTogether, PageBreak
)
from reportlab.platypus import BaseDocTemplate, PageTemplate, Frame
from reportlab.lib.colors import HexColor
import datetime

OUTPUT = "/home/daytona/workspace/surgical-triads/Surgical_Triads_Summary.pdf"

# ── Colour palette ──────────────────────────────────────────────────────────
C_NAVY    = HexColor("#1B3A5C")
C_TEAL    = HexColor("#1A7E8C")
C_LIGHT   = HexColor("#E8F4F8")
C_HEADER  = HexColor("#2C5F7A")
C_ALT     = HexColor("#F0F7FA")
C_WHITE   = colors.white
C_BLACK   = colors.black
C_BORDER  = HexColor("#A0C8D8")
C_WARN    = HexColor("#D4580A")
C_SECTION = [
    HexColor("#1B5E8C"),  # Hepatobiliary
    HexColor("#1A7A5E"),  # Trauma
    HexColor("#6B3FA0"),  # Gynaecology
    HexColor("#8C3A1A"),  # ENT
    HexColor("#2A5C8C"),  # Orthopaedics
    HexColor("#4A6741"),  # Neurosurgery
    HexColor("#8C6B1A"),  # Cardiovascular
    HexColor("#5A3A7A"),  # Metabolic
]

doc = SimpleDocTemplate(
    OUTPUT,
    pagesize=A4,
    leftMargin=2*cm, rightMargin=2*cm,
    topMargin=2.5*cm, bottomMargin=2.5*cm,
    title="Surgical Triads – Comparative Summary",
    author="Orris Medical"
)

styles = getSampleStyleSheet()
W = A4[0] - 4*cm   # usable width

def style(name, **kw):
    s = ParagraphStyle(name, parent=styles["Normal"], **kw)
    return s

S_TITLE   = style("DocTitle",  fontSize=26, textColor=C_WHITE,
                   fontName="Helvetica-Bold", alignment=TA_CENTER, leading=32)
S_SUBTITLE= style("DocSub",    fontSize=13, textColor=HexColor("#D0E8F0"),
                   fontName="Helvetica", alignment=TA_CENTER, leading=18)
S_DATE    = style("DocDate",   fontSize=9,  textColor=HexColor("#A0C8D8"),
                   fontName="Helvetica", alignment=TA_CENTER)
S_SECHEAD = style("SecHead",   fontSize=14, textColor=C_WHITE,
                   fontName="Helvetica-Bold", alignment=TA_LEFT, leading=18)
S_TRINAME = style("TriName",   fontSize=11, textColor=C_NAVY,
                   fontName="Helvetica-Bold", leading=14)
S_BODY    = style("Body",      fontSize=9,  textColor=C_BLACK,
                   fontName="Helvetica", leading=13)
S_COMP    = style("Comp",      fontSize=9,  textColor=C_BLACK,
                   fontName="Helvetica", leading=12)
S_BOLD    = style("Bold",      fontSize=9,  textColor=C_NAVY,
                   fontName="Helvetica-Bold", leading=12)
S_SMALL   = style("Small",     fontSize=8,  textColor=HexColor("#555555"),
                   fontName="Helvetica-Oblique", leading=11)
S_NOTE    = style("Note",      fontSize=8,  textColor=C_WARN,
                   fontName="Helvetica-Bold", leading=11)
S_FOOT    = style("Foot",      fontSize=7.5,textColor=HexColor("#888888"),
                   fontName="Helvetica", alignment=TA_CENTER)
S_TOC_ITEM= style("TOCItem",   fontSize=10, textColor=C_NAVY,
                   fontName="Helvetica", leading=15, leftIndent=0.5*cm)

def section_color(idx):
    return C_SECTION[idx % len(C_SECTION)]

# ── Data ─────────────────────────────────────────────────────────────────────

SYSTEMS = [
    {
        "system": "Hepatobiliary & GI Surgery",
        "icon": "🏥",
        "color_idx": 0,
        "triads": [
            {
                "name": "Charcot's Triad",
                "condition": "Acute Cholangitis",
                "components": [
                    ("Fever + rigors", "Bacteraemia from biliary obstruction"),
                    ("Jaundice", "Obstruction of common bile duct"),
                    ("Right upper quadrant pain", "Biliary distension & inflammation"),
                ],
                "note": "Present in ~70% of cholangitis. Requires IV antibiotics + urgent biliary drainage (ERCP).",
                "extension": "Reynolds' Pentad adds shock + altered consciousness → suppurative cholangitis (high mortality).",
            },
            {
                "name": "Whipple's Triad",
                "condition": "Insulinoma",
                "components": [
                    ("Symptoms of hypoglycaemia", "Sweating, tremor, palpitations, confusion"),
                    ("Low plasma glucose", "<45–50 mg/dL during episode"),
                    ("Relief with glucose", "Symptoms resolve on glucose administration"),
                ],
                "note": "Pathognomonic for insulinoma (functional β-cell tumour). Confirm with 72-h supervised fast.",
                "extension": None,
            },
            {
                "name": "Saint's Triad",
                "condition": "Co-existing GI Pathologies",
                "components": [
                    ("Gallstones (cholelithiasis)", "Biliary calculi"),
                    ("Hiatus hernia", "GEJ herniation through diaphragm"),
                    ("Colonic diverticulosis", "Diverticula of large bowel"),
                ],
                "note": "All three are common in elderly, obese, Western patients. Do not attribute all symptoms to one alone.",
                "extension": None,
            },
            {
                "name": "Mackler's Triad",
                "condition": "Oesophageal Perforation (Boerhaave Syndrome)",
                "components": [
                    ("Vomiting", "Forceful retching causes barotrauma"),
                    ("Chest pain", "Sudden, severe, tearing chest/epigastric pain"),
                    ("Subcutaneous emphysema", "Air tracks into neck/chest wall tissues"),
                ],
                "note": "Surgical emergency. High mortality if delayed. Needs immediate surgical repair + IV antibiotics.",
                "extension": None,
            },
            {
                "name": "Carcinoid Triad",
                "condition": "Carcinoid Syndrome (with Hepatic Metastases)",
                "components": [
                    ("Flushing", "Episodic cutaneous flushing of face/neck/trunk"),
                    ("Diarrhoea", "Secretory, watery diarrhoea"),
                    ("Bronchospasm", "Wheezing from serotonin/kinin release"),
                ],
                "note": "Occurs only when hepatic metastases bypass liver metabolism. Right heart carcinoid disease is a major complication. Treat with octreotide.",
                "extension": None,
            },
        ]
    },
    {
        "system": "Trauma Surgery",
        "icon": "⚡",
        "color_idx": 1,
        "triads": [
            {
                "name": "The Lethal Triad",
                "condition": "Damage Control Surgery",
                "components": [
                    ("Hypothermia", "Core temp <35°C; impairs coagulation enzyme function"),
                    ("Acidosis", "Metabolic lactic acidosis from shock & hypoperfusion"),
                    ("Coagulopathy", "Dilutional + consumptive from massive haemorrhage"),
                ],
                "note": "Each element worsens the others (vicious cycle). Indication for Damage Control Surgery: abbreviated surgery → ICU resuscitation → definitive repair.",
                "extension": None,
            },
        ]
    },
    {
        "system": "Cardiovascular Surgery",
        "icon": "❤️",
        "color_idx": 6,
        "triads": [
            {
                "name": "Beck's Triad (Acute)",
                "condition": "Cardiac Tamponade",
                "components": [
                    ("Hypotension", "Reduced cardiac output from pericardial compression"),
                    ("Raised JVP / Distended neck veins", "Impaired venous return to heart"),
                    ("Muffled / distant heart sounds", "Pericardial fluid dampens sounds"),
                ],
                "note": "Surgical emergency: pericardiocentesis or pericardial window. Additional finding: pulsus paradoxus >10 mmHg.",
                "extension": "Beck's chronic triad: increased CVP + ascites + small quiet heart.",
            },
            {
                "name": "Virchow's Triad",
                "condition": "Venous Thrombosis (DVT / PE)",
                "components": [
                    ("Endothelial injury", "Surgery, trauma, inflammation, toxins"),
                    ("Stasis / abnormal blood flow", "Immobility, heart failure, post-op state"),
                    ("Hypercoagulability", "Inherited or acquired (malignancy, OCP, pregnancy)"),
                ],
                "note": "All three factors co-exist in surgical patients. Forms the basis for VTE prophylaxis (LMWH, compression, early mobilisation).",
                "extension": None,
            },
        ]
    },
    {
        "system": "Gynaecological Surgery",
        "icon": "🔬",
        "color_idx": 2,
        "triads": [
            {
                "name": "Meigs' Syndrome",
                "condition": "Benign Ovarian Fibroma",
                "components": [
                    ("Ovarian fibroma / fibrothecoma", "Benign solid ovarian tumour"),
                    ("Ascites", "Transudative peritoneal fluid"),
                    ("Pleural effusion", "Usually right-sided transudate"),
                ],
                "note": "All features resolve completely after surgical tumour removal. Must be distinguished from ovarian malignancy (CA-125 may be mildly elevated).",
                "extension": None,
            },
        ]
    },
    {
        "system": "ENT / Head & Neck Surgery",
        "icon": "👂",
        "color_idx": 3,
        "triads": [
            {
                "name": "Ménière's Disease Triad",
                "condition": "Endolymphatic Hydrops",
                "components": [
                    ("Sensorineural hearing loss", "Low-frequency, fluctuating"),
                    ("Tinnitus", "Low-pitched roaring tinnitus"),
                    ("Episodic vertigo", "Attacks lasting 20 min – 24 hours"),
                ],
                "note": "Also described as a tetrad with aural fullness. Vertigo is the most disabling. Treat with salt restriction, betahistine, diuretics, intratympanic steroids.",
                "extension": None,
            },
            {
                "name": "Gradenigo's Triad",
                "condition": "Petrous Apicitis",
                "components": [
                    ("Persistent otorrhoea", "From chronic/acute otitis media"),
                    ("Retro-orbital / deep facial pain", "Trigeminal nerve (CN V) involvement"),
                    ("Ipsilateral lateral rectus palsy", "Abducens nerve (CN VI) involvement"),
                ],
                "note": "Complication of otitis media spreading to petrous apex. Needs mastoidectomy ± petrous apex drainage + IV antibiotics.",
                "extension": None,
            },
            {
                "name": "Samter's Triad (AERD)",
                "condition": "Aspirin-Exacerbated Respiratory Disease",
                "components": [
                    ("Bronchial asthma", "Chronic, often severe"),
                    ("Nasal polyposis", "Recurrent nasal polyps"),
                    ("Aspirin / NSAID sensitivity", "Dramatic bronchoconstriction on exposure"),
                ],
                "note": "COX-1 inhibition → leukotriene excess → bronchospasm. Treatment: FESS for polyps; aspirin desensitisation post-op. Avoid all COX-1 NSAIDs.",
                "extension": None,
            },
        ]
    },
    {
        "system": "Orthopaedic Surgery",
        "icon": "🦴",
        "color_idx": 4,
        "triads": [
            {
                "name": "O'Donoghue's Unhappy Triad",
                "condition": "Knee Valgus Injury",
                "components": [
                    ("Medial collateral ligament (MCL) tear", "Valgus stress component"),
                    ("Anterior cruciate ligament (ACL) tear", "Rotational injury component"),
                    ("Medial meniscus tear", "Entrapped between femur and tibia"),
                ],
                "note": "Classic injury from valgus + external rotation force on planted foot. ACL reconstruction ± meniscal repair; MCL usually heals conservatively.",
                "extension": None,
            },
            {
                "name": "Terrible Triad of the Elbow",
                "condition": "Elbow Instability",
                "components": [
                    ("Elbow dislocation", "Posterior dislocation most common"),
                    ("Radial head fracture", "Mason classification"),
                    ("Coronoid process fracture", "Regan-Morrey classification"),
                ],
                "note": "'Terrible' because all three stabilisers are disrupted. ORIF coronoid + ORIF/arthroplasty radial head + lateral ligament repair. Early motion essential.",
                "extension": None,
            },
        ]
    },
    {
        "system": "Neurosurgery",
        "icon": "🧠",
        "color_idx": 5,
        "triads": [
            {
                "name": "Cushing's Triad",
                "condition": "Raised Intracranial Pressure / Brainstem Herniation",
                "components": [
                    ("Hypertension (widened pulse pressure)", "Cushing reflex to maintain CPP"),
                    ("Bradycardia", "Vagal response to hypertension"),
                    ("Irregular / slow respirations", "Brainstem compression of respiratory centres"),
                ],
                "note": "Late, ominous sign – impending herniation. Emergency: urgent CT + ICP management (mannitol, hyperventilation, decompressive craniectomy).",
                "extension": None,
            },
            {
                "name": "Wernicke's Triad",
                "condition": "Wernicke's Encephalopathy (Thiamine Deficiency)",
                "components": [
                    ("Ophthalmoplegia ± nystagmus", "CN VI palsy; external ophthalmoplegia"),
                    ("Cerebellar ataxia", "Gait ataxia predominantly"),
                    ("Global confusion", "Acute confusional state, disorientation"),
                ],
                "note": "Full triad in only 1/3 of cases – treat without waiting. Give IV thiamine BEFORE glucose. Risk: alcoholism, post-bariatric surgery, prolonged vomiting.",
                "extension": None,
            },
            {
                "name": "Hakim's Triad (NPH)",
                "condition": "Normal Pressure Hydrocephalus",
                "components": [
                    ("Gait disturbance", "Magnetic gait – shuffling, broad-based ('feet stuck')"),
                    ("Urinary incontinence", "Urgency incontinence"),
                    ("Cognitive impairment", "Subcortical dementia, slowed thinking"),
                ],
                "note": "Mnemonic: 'Wet, Wobbly, Wacky.' Treatable dementia – ventriculoperitoneal shunting reverses symptoms (gait responds best).",
                "extension": None,
            },
        ]
    },
    {
        "system": "Metabolic / Endocrine (Surgical Relevance)",
        "icon": "⚗️",
        "color_idx": 7,
        "triads": [
            {
                "name": "Charcot's Neuroarthropathy Triad",
                "condition": "Diabetic Foot (Charcot Foot)",
                "components": [
                    ("Peripheral neuropathy", "Loss of protective sensation"),
                    ("Trauma / repetitive microtrauma", "Unperceived injury to the foot"),
                    ("Adequate blood supply", "Paradoxically preserved vascularity"),
                ],
                "note": "Progressive destruction of foot joints. Acute phase: warmth, swelling, erythema. Managed with offloading; surgical reconstruction in late disease.",
                "extension": None,
            },
        ]
    },
]

# ── Build PDF ─────────────────────────────────────────────────────────────────

story = []

# ── COVER PAGE ────────────────────────────────────────────────────────────────
# Cover background block (simulated with a large coloured Table)
cover_data = [[Paragraph("SURGICAL TRIADS", S_TITLE)]]
cover_tbl = Table(cover_data, colWidths=[W])
cover_tbl.setStyle(TableStyle([
    ("BACKGROUND",  (0,0), (-1,-1), C_NAVY),
    ("TOPPADDING",  (0,0), (-1,-1), 24),
    ("BOTTOMPADDING",(0,0),(-1,-1), 10),
    ("LEFTPADDING", (0,0), (-1,-1), 12),
    ("RIGHTPADDING",(0,0), (-1,-1), 12),
    ("ROUNDEDCORNERS",(0,0),(-1,-1), [8,8,0,0]),
]))
story.append(cover_tbl)

sub_data = [[Paragraph("A Comparative Summary by Organ System", S_SUBTITLE)]]
sub_tbl = Table(sub_data, colWidths=[W])
sub_tbl.setStyle(TableStyle([
    ("BACKGROUND",  (0,0), (-1,-1), C_TEAL),
    ("TOPPADDING",  (0,0), (-1,-1), 10),
    ("BOTTOMPADDING",(0,0),(-1,-1), 10),
    ("LEFTPADDING", (0,0), (-1,-1), 12),
    ("RIGHTPADDING",(0,0), (-1,-1), 12),
    ("ROUNDEDCORNERS",(0,0),(-1,-1), [0,0,8,8]),
]))
story.append(sub_tbl)
story.append(Spacer(1, 0.4*cm))

date_str = datetime.datetime.now().strftime("%B %Y")
story.append(Paragraph(f"Prepared by Orris Medical  |  {date_str}", S_DATE))
story.append(Spacer(1, 1*cm))

# ── QUICK REFERENCE TABLE ──────────────────────────────────────────────────
qr_header = [
    Paragraph("TRIAD", style("QRH", fontSize=9, fontName="Helvetica-Bold",
                              textColor=C_WHITE, alignment=TA_CENTER)),
    Paragraph("CONDITION", style("QRH2", fontSize=9, fontName="Helvetica-Bold",
                                  textColor=C_WHITE, alignment=TA_CENTER)),
    Paragraph("KEY COMPONENTS", style("QRH3", fontSize=9, fontName="Helvetica-Bold",
                                       textColor=C_WHITE, alignment=TA_CENTER)),
    Paragraph("SYSTEM", style("QRH4", fontSize=9, fontName="Helvetica-Bold",
                               textColor=C_WHITE, alignment=TA_CENTER)),
]

qr_rows = [qr_header]
alt = False
for sys_data in SYSTEMS:
    col = section_color(sys_data["color_idx"])
    for tri in sys_data["triads"]:
        comps_short = " | ".join(c[0] for c in tri["components"][:3])
        bg = C_ALT if alt else C_WHITE
        row = [
            Paragraph(tri["name"], style(f"QRN{alt}", fontSize=8.5,
                      fontName="Helvetica-Bold", textColor=C_NAVY)),
            Paragraph(tri["condition"], style(f"QRC{alt}", fontSize=8.5,
                      fontName="Helvetica", textColor=C_BLACK)),
            Paragraph(comps_short, style(f"QRK{alt}", fontSize=7.5,
                      fontName="Helvetica-Oblique", textColor=HexColor("#444444"))),
            Paragraph(sys_data["system"], style(f"QRS{alt}", fontSize=8,
                      fontName="Helvetica", textColor=col)),
        ]
        qr_rows.append(row)
        alt = not alt

qr_tbl = Table(qr_rows, colWidths=[W*0.21, W*0.25, W*0.33, W*0.21])
qr_style = [
    ("BACKGROUND",   (0,0), (-1,0), C_HEADER),
    ("ROWBACKGROUNDS",(0,1),(-1,-1), [C_WHITE, C_ALT]),
    ("GRID",         (0,0), (-1,-1), 0.3, C_BORDER),
    ("TOPPADDING",   (0,0), (-1,-1), 5),
    ("BOTTOMPADDING",(0,0), (-1,-1), 5),
    ("LEFTPADDING",  (0,0), (-1,-1), 5),
    ("RIGHTPADDING", (0,0), (-1,-1), 5),
    ("VALIGN",       (0,0), (-1,-1), "TOP"),
]
qr_tbl.setStyle(TableStyle(qr_style))

# Section header for QR table
qr_head_data = [[Paragraph("QUICK REFERENCE — ALL TRIADS AT A GLANCE", S_SECHEAD)]]
qr_head_tbl = Table(qr_head_data, colWidths=[W])
qr_head_tbl.setStyle(TableStyle([
    ("BACKGROUND",   (0,0), (-1,-1), C_HEADER),
    ("TOPPADDING",   (0,0), (-1,-1), 8),
    ("BOTTOMPADDING",(0,0), (-1,-1), 8),
    ("LEFTPADDING",  (0,0), (-1,-1), 10),
    ("RIGHTPADDING", (0,0), (-1,-1), 10),
    ("ROUNDEDCORNERS",(0,0),(-1,-1), [6,6,0,0]),
]))
story.append(qr_head_tbl)
story.append(qr_tbl)
story.append(Spacer(1, 0.5*cm))
story.append(PageBreak())

# ── DETAILED SECTIONS ─────────────────────────────────────────────────────────
for sys_data in SYSTEMS:
    sc = section_color(sys_data["color_idx"])

    # Section header banner
    sec_hdr_data = [[
        Paragraph(f"{sys_data['system'].upper()}", S_SECHEAD)
    ]]
    sec_hdr_tbl = Table(sec_hdr_data, colWidths=[W])
    sec_hdr_tbl.setStyle(TableStyle([
        ("BACKGROUND",   (0,0), (-1,-1), sc),
        ("TOPPADDING",   (0,0), (-1,-1), 9),
        ("BOTTOMPADDING",(0,0), (-1,-1), 9),
        ("LEFTPADDING",  (0,0), (-1,-1), 12),
        ("RIGHTPADDING", (0,0), (-1,-1), 12),
        ("ROUNDEDCORNERS",(0,0),(-1,-1), [6,6,6,6]),
    ]))
    story.append(sec_hdr_tbl)
    story.append(Spacer(1, 0.25*cm))

    for tri in sys_data["triads"]:
        # Triad card
        # Title row
        title_data = [[
            Paragraph(tri["name"], style("TN", fontSize=12,
                      fontName="Helvetica-Bold", textColor=C_WHITE)),
            Paragraph(tri["condition"], style("TC", fontSize=10,
                      fontName="Helvetica-Oblique", textColor=HexColor("#D0E8F0"),
                      alignment=TA_LEFT)),
        ]]
        title_tbl = Table(title_data, colWidths=[W*0.4, W*0.6])
        title_tbl.setStyle(TableStyle([
            ("BACKGROUND",   (0,0), (-1,-1), C_HEADER),
            ("TOPPADDING",   (0,0), (-1,-1), 7),
            ("BOTTOMPADDING",(0,0), (-1,-1), 7),
            ("LEFTPADDING",  (0,0), (-1,-1), 10),
            ("RIGHTPADDING", (0,0), (-1,-1), 10),
            ("VALIGN",       (0,0), (-1,-1), "MIDDLE"),
        ]))

        # Components table
        comp_header = [
            Paragraph("#", style("CH", fontSize=8.5, fontName="Helvetica-Bold",
                      textColor=C_WHITE, alignment=TA_CENTER)),
            Paragraph("COMPONENT", style("CH2", fontSize=8.5, fontName="Helvetica-Bold",
                      textColor=C_WHITE)),
            Paragraph("CLINICAL SIGNIFICANCE", style("CH3", fontSize=8.5,
                      fontName="Helvetica-Bold", textColor=C_WHITE)),
        ]
        comp_rows = [comp_header]
        for i, (comp, sig) in enumerate(tri["components"], 1):
            bg = C_LIGHT if i % 2 == 0 else C_WHITE
            comp_rows.append([
                Paragraph(str(i), style(f"CN{i}", fontSize=11,
                          fontName="Helvetica-Bold", textColor=sc,
                          alignment=TA_CENTER)),
                Paragraph(comp, style(f"CB{i}", fontSize=9,
                          fontName="Helvetica-Bold", textColor=C_NAVY)),
                Paragraph(sig, style(f"CS{i}", fontSize=9,
                          fontName="Helvetica", textColor=C_BLACK)),
            ])

        comp_tbl = Table(comp_rows, colWidths=[W*0.05, W*0.40, W*0.55])
        comp_tbl.setStyle(TableStyle([
            ("BACKGROUND",    (0,0), (-1,0), sc),
            ("ROWBACKGROUNDS",(0,1),(-1,-1), [C_WHITE, C_LIGHT]),
            ("GRID",          (0,0), (-1,-1), 0.3, C_BORDER),
            ("TOPPADDING",    (0,0), (-1,-1), 5),
            ("BOTTOMPADDING", (0,0), (-1,-1), 5),
            ("LEFTPADDING",   (0,0), (-1,-1), 6),
            ("RIGHTPADDING",  (0,0), (-1,-1), 6),
            ("VALIGN",        (0,0), (-1,-1), "MIDDLE"),
        ]))

        # Note
        note_items = []
        if tri["note"]:
            note_items.append(Paragraph(f"⚕ Clinical Note: {tri['note']}",
                              style("NT", fontSize=8.5, fontName="Helvetica",
                                    textColor=HexColor("#1B4060"),
                                    backColor=HexColor("#E0F0F8"),
                                    leftIndent=6, rightIndent=6,
                                    borderPad=4, leading=12)))
        if tri["extension"]:
            note_items.append(Spacer(1, 0.1*cm))
            note_items.append(Paragraph(f"↗ Extension: {tri['extension']}",
                              style("EX", fontSize=8.5, fontName="Helvetica-Oblique",
                                    textColor=HexColor("#8C3A1A"),
                                    backColor=HexColor("#FDF0E8"),
                                    leftIndent=6, rightIndent=6,
                                    borderPad=4, leading=12)))

        note_tbl_data = [[item] for item in note_items]
        if note_tbl_data:
            note_tbl = Table(note_tbl_data, colWidths=[W])
            note_tbl.setStyle(TableStyle([
                ("TOPPADDING",   (0,0),(-1,-1), 4),
                ("BOTTOMPADDING",(0,0),(-1,-1), 4),
                ("LEFTPADDING",  (0,0),(-1,-1), 8),
                ("RIGHTPADDING", (0,0),(-1,-1), 8),
                ("BACKGROUND",   (0,0),(-1,-1), HexColor("#E8F4F8")),
                ("BOX",          (0,0),(-1,-1), 0.5, C_BORDER),
            ]))
        else:
            note_tbl = None

        # Outer card wrapper
        card_inner = [title_tbl, comp_tbl]
        if note_tbl:
            card_inner.append(note_tbl)

        card_data = [[item] for item in card_inner]
        card_tbl = Table(card_data, colWidths=[W])
        card_tbl.setStyle(TableStyle([
            ("BOX",          (0,0), (-1,-1), 1.0, sc),
            ("TOPPADDING",   (0,0), (-1,-1), 0),
            ("BOTTOMPADDING",(0,0), (-1,-1), 0),
            ("LEFTPADDING",  (0,0), (-1,-1), 0),
            ("RIGHTPADDING", (0,0), (-1,-1), 0),
        ]))

        story.append(KeepTogether([card_tbl, Spacer(1, 0.4*cm)]))

    story.append(Spacer(1, 0.3*cm))
    story.append(HRFlowable(width=W, thickness=0.5, color=C_BORDER))
    story.append(Spacer(1, 0.3*cm))

# ── FOOTER NOTE ───────────────────────────────────────────────────────────────
story.append(PageBreak())
footer_data = [[Paragraph(
    "Sources: Sabiston Textbook of Surgery • Bailey and Love's Short Practice of Surgery • "
    "Fischer's Mastery of Surgery • Current Surgical Therapy 14e • Schwartz's Principles of Surgery • "
    "Maingot's Abdominal Operations • Rosen's Emergency Medicine • Harrison's Principles of Internal Medicine 22e • "
    "Robbins & Kumar Pathologic Basis of Disease • Scott-Brown's Otorhinolaryngology • "
    "Rockwood and Green's Fractures in Adults • Adams and Victor's Principles of Neurology • "
    "Cummings Otolaryngology Head & Neck Surgery",
    style("SRC", fontSize=7.5, fontName="Helvetica-Oblique",
          textColor=HexColor("#555555"), alignment=TA_LEFT, leading=11))
]]
footer_tbl = Table(footer_data, colWidths=[W])
footer_tbl.setStyle(TableStyle([
    ("BOX",          (0,0),(-1,-1), 0.5, C_BORDER),
    ("BACKGROUND",   (0,0),(-1,-1), C_ALT),
    ("TOPPADDING",   (0,0),(-1,-1), 8),
    ("BOTTOMPADDING",(0,0),(-1,-1), 8),
    ("LEFTPADDING",  (0,0),(-1,-1), 10),
    ("RIGHTPADDING", (0,0),(-1,-1), 10),
]))
story.append(Paragraph("References & Sources", style("RH", fontSize=11,
             fontName="Helvetica-Bold", textColor=C_NAVY)))
story.append(Spacer(1, 0.2*cm))
story.append(footer_tbl)

# ── BUILD ─────────────────────────────────────────────────────────────────────
def add_page_number(canvas, doc):
    canvas.saveState()
    canvas.setFont("Helvetica", 8)
    canvas.setFillColor(HexColor("#888888"))
    page_num = canvas.getPageNumber()
    canvas.drawCentredString(A4[0]/2, 1.2*cm, f"Surgical Triads — Comparative Summary  |  Page {page_num}")
    canvas.restoreState()

doc.build(story, onFirstPage=add_page_number, onLaterPages=add_page_number)
print(f"PDF generated: {OUTPUT}")

cd /home/daytona/workspace/surgical-triads && python3 generate_pdf.py 2>&1

ls -lh /home/daytona/workspace/surgical-triads/Surgical_Triads_Summary.pdf