No site, no history, no runway.
There was no existing domain authority to inherit and no legacy content to optimise. Architecture, content, entities and technical foundation all had to be created — and had to be right the first time.
For a medical site, ranking is not a matter of placing keywords on a page. Search engines have to resolve what the site is about, who is providing the clinical information, whether that information can be trusted, and whether it answers the intent behind the query.