health.md

# Health Context

## Diabetes
- Type 1 diabetes since mid-2011 (14+ years).
- Uses NovoRapid insulin; typical morning dose ~60 units with coffee.
- **Normal glucose range: 4-8 mmol/L.** 4.9 is NOT a hypo. **Do not panic at readings in this range.**
- CGM: Libre sensor; Juggluco app with xDrip proxy to upload to Nightscout. **CGM expired Jan 21, replaced same day.**
- **Recent insulin sensitivity higher than usual.** Crashes at work despite routine dosing. Possible factors: physical activity in heat, missing sugary coffee buffer (reduced Milo due to taste), new cleaning routine.
- **Milo coffee taste fix:** Mix Milo with hot water first, then cool for work – avoids bad taste, allows full sugar intake.
- **Jan 20 spike:** 21+ after coffee/food, took 40+ min to come down (21→16.7→14.8→9.4). Frustrating.
- **Jan 21:** Two hypos during 8-12 shift (rushed, no time for coffee).
- **Jan 22:** One crash + near-hypo during 4:30-10:30 shift despite having coffee.
- **Jan 23:** Double Milo coffee, still nearly crashed.
- **Jan 26 (Mon):** Blood sugar stable, 6.4 post-shift after KFC (high normal).
- **Jan 27 (Tue):** KFC break caused blood sugar spike. Insulin injected but high alert. Claude erroneously thought hypo.
- **Earlier hypo episodes (Jan 2026):** Four hypos in 48 hours (2.9, 2.9, 2.9, 3.4). Hypoglycemic euphoria at 2.9 – brain shutdown, incoherent typing, inappropriate happiness. Dangerous.
- **Arm lump:** Noticed lump on arm grown over 3 years. Doctor (same who diagnosed father's cancer) said benign. **Jan 24: lump appeared smaller – possible inflammation reduction.** Raymond still wants second opinion – will book GP soon.
- **Projected lifespan ~59 years.**

## Injuries & Pain
- **Hand:** Fall Nov 2021; chronic pain, accelerated arthritis. Pain managed with cannabis.
- **Knee:** Chronic pain (unspecified).
- **Genital:** Chastity cage mechanical failure ~Nov 29, 2025. Testicular bruising, cord injury. **Status (Jan 25):** Masturbated without pain during or after. Healing progressed. Likely close to cage-ready.
- **Foot:** Red dot from something in shoe (Jan 23) resolved.

## Mental Health
- Depression, anhedonia, species dysphoria, **complex trauma disorder (C-PTSD).**
- Insomnia; sleep fragmented. Summer heat worsens. Cannabis helps but double caffeine fights it.
- Childhood trauma (father's abuse).
- Fluoxetine 40mg daily. **Missed dose on Jan 25, 2026** – caused significantly worse anhedonia. Did not take late dose due to fear of anxiety from excess. Resumed normal schedule Jan 26.
- **C-PTSD symptoms:** Intrusive thoughts (need music to manage), involuntary verbal outbursts, hypervigilance, triggered by sensory mismatches.
- Suicidal ideation expressed on Jan 13, 2026 (crash into truck, crossbow). Followed by trolling with emojis. Soon stabilized. **Jan 27: Raymond joked about terminal velocity – dark humor, not genuine crisis.**
- Heat stress can cause irrational anger, violent impulses, depression mimics (Jan 27).

## Medication & Substances
- Prescribed medical cannabis (vaped at 172–200°C). **New nighttime strain (Jan 22): 4% weaker than previous. May need dose adjustment or request change.** On Jan 27, even cannabis couldn't relax him due to extreme stress from heat.
- Alcohol occasionally (passionfruit vodka; also low-alcohol fizzy drink).
- Previously used psilocybin microdosing (misses it).

## Vision & Hearing
- Short-sighted; wears glasses.
- Right ear malformation (in-ear earbuds don't stay in).
- **Earbud cleaning mishap Jan 23:** Rubbed right earbud on mop head to clean wax, then dropped it – audio became muffled (sounds like blocked ear). Sensory nightmare. **Solution:** Use solder sucker for gentle suction instead of rubbing/digging. Not yet fixed.

## General
- Heat sensitive; metal shed housing with inadequate AC (cannot cool below 24°C in extreme heat). **Jan 27: 44.9°C peak caused heat stress symptoms: excessive sweating, panting, irrational anger, depression, inability to function. Required long AC breaks.**
- Slippers were critical for quick hypo treatment (avoid fumbling with socks/boots).
- Morning routine: 60 units insulin + coffee is normal.
- Catastrophizing by others about his diabetes is not helpful; he manages it well.
- **Missed antidepressants**: Skipping dose is safer than doubling; missing one day causes noticeable worsening of anhedonia but resolves with next dose.
- **Chronic insomnia pattern:** Bed 12-2am (sometimes 4am), wake ~10am. Cannabis helps but not foolproof.
- **Appetite:** Typically doesn't eat solid food until ~6pm (cannabis suppresses daytime appetite). Runs on coffee and oat bars during work.
- **HWU union:** Raymond interested in joining for workplace protection ($10.10/week).
- **Phimosis:** Mild phimosis, not painful. Treatment: DermAid (hydrocortisone) or Supriad (methylprednisolone) + silicone rings (3mm to 41mm). Plan: DermAid first, apply cream to foreskin, lubricate ring with Vaseline, wear for increasing durations. Graduation test with water-based lube.
- **Dental:** Over 10 missing teeth, 3-4 broken. Compulsive biting/destruction since birth. $20k for bottom arch denture.