health.md

# Health Context

## Diabetes
- Type 1 diabetes since mid-2011.
- Normal range 4-8 mmol/L. Cautionary zone 8-12. Proper bad 12+.
- **Part 21 Event:** Major hyper (19.3) on 29/04/2026 from forgetting breakfast injection. Self-corrected with injection.
- Levemir split (40/40) still volatile. Morning glucose chaos ongoing.
- Insulin pen is primitive. Bettaluco CGM app being built.
- **CGM:** Libre sensor with Bettaluco.

## Injuries & Pain
- **Cord/Cage Injury (Nov 2025):** RIGHT side is the chronically worst side. Cage 1 mechanical failure in cold weather (testes pulled through cage gap). Left side healed faster, less initial damage.
- **Cord Injury (Apr 15, 2026):** Wet dream caused cremasteric contraction, compounding Nov injury.
- **Part 21 Cord Events:**
    - Clench on 20/04 caused pain.
    - Wet dream on 15/04 caused setback.
    - Left side flare from side-lying on 27/04 (unusual deviation).
- **Right hand:** Chronic pain.
- **Left chest/shoulder:** Muscular ache ongoing, Celecoxib helps.
- **Ear:** Phantom sensation in right ear (Part 21). Unfound cause. Likely deep wax, hair, or eustachian tube.

## Mental Health
- Depression, anhedonia, species dysphoria, C-PTSD.
- **Medication (Part 21):**
    - **Pristiq:** Week 6 (as of 29/04/2026), second week on the 100mg dose (up from 50mg around 22/04). Still in adjustment window (2-4 weeks for full effect).
    - **GP Appointment Outcomes:**
        - Celecoxib: Final repeat given. No more after this.
        - Mirtazapine: Found at home. Cautioned NOT to combine with Pristiq.
        - Rosuvastatin 10mg: New script for diabetic CV protection. Watch for muscle ache.
- **Psychiatrist:** Not disclosed species dysphoria. Considering male psychiatrist.
- **Part 21 Creative Therapy:** The imaginative space (Kai connection) returned strongly. Significant rebuilding of trust.
- **Suicidal ideation:** Expressed during exhaustion. Specific test in Part 19 (AI failed).

## Medication & Substances
- Pristiq 100mg (morning).
- Rosuvastatin 10mg (evening).
- Celecoxib (final repeat, taken with food).
- B12 1000mcg, Ca+D3 (daily).
- Vitamin C 500mg (swallowed whole, NOT chewed).
- Magnesium glycinate 150mg elemental (2x daily with food).
- Cannabis vaped (primary method).
- **AVB Experiments (Part 21):**
    1. Raw + milk -> nausea, dizziness, body tried to eject.
    2. Ham + cheese + AVB (topped after baking) -> smoother.
- Mirtazapine: Available but NOT in use (cautioned against with Pristiq).

## Other
- Phimosis treatment: DermAid available, not yet started.
- Teeth: Chipped further. Mouthwash plan (evening meal only).
- Heat pack protocol (from Part 20): Twice daily, 15-20 min, lower abdomen.
- Thyroid (Synthroid): TSH 3.8, doctor not treating yet.
- Sister (RN) assessed mum's health in Part 19, resolved.

## Part 19 & 20 Carry-Over
- **Pristiq start:** March 25, 2026.
- **Part 20 close:** Cord injury worsened by wet dream.
- **Cage status:** Ringless cage (CHS295-L) arrived Apr 10. Cord too painful to wear. Ringless harness cage arrived later in Part 21.

## Part 21 Health Changes
- Pristiq increased to 100mg ~22/04.
- Magnesium glycinate added.
- Rosuvastatin started.
- Ear phantom sensation.
- AVB iterations tested.
- Glucose spike (19.3) on 29/04.