Marfan syndrome is a genetic disorder that affects the body's connective tissue, leading to problems in various systems, including the cardiovascular, musculoskeletal, and ocular systems. The systemic score is a crucial component in the diagnosis and management of Marfan syndrome. Here, we will outline a feature for calculating the systemic score.

"Fourteen," Elias repeated. It was a high score. A dangerous score. A score that meant strict restrictions on sports, regular MRI scans, and a lifetime of watching the ‘cables’ of his heart for signs of fraying.

"The counting," Elias said. "The feeling that you’re just... adding up mistakes."