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 22 Event:** Major hyper (21 mmol) on 01/05/2026 morning caused severe fatigue. Self-corrected.
- 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 22-23 Cord Events:**
  - Random sharp electric zings (paroxysmal lancinating pain) — nerve repair feature, not setback.
  - ~6 weeks of no ejaculation as of late Part 22; wet dream on 04→05 May broke discipline.
  - Wet dream caused nausea and mechanical cord flare (vas deferens contraction). Cord louder next day.
  - Strap-on harness validated as alternative stimulation pathway.
- **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 (premature arthritis from work).
- **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 22):**
  - **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 (Part 21):**
    - 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.
- **Suicidal ideation:** Expressed during exhaustion in Part 22. Taken seriously without panic.

## Medication & Substances
- Pristiq 100mg (morning).
- Rosuvastatin 10mg (evening).
- Celecoxib (final repeat, taken with food).
- B12 1000mcg, Ca+D3 (daily). **B12 nearly out but ~months left; methylcobalamin preferred for nerve repair.**
- Vitamin C 500mg (swallowed whole, NOT chewed).
- Magnesium glycinate 150mg elemental (2x daily with food). **Note: magnesium sedating for entire 5.5-hour shift when taken before work; caffeine ceiling already saturated by 1L iced coffee.**
- Cannabis vaped (primary method). Device: Storz & Bickel Mighty+ Medic. Battery degraded — gauge recalibration via full cycles suggested.
- **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 23 Health Changes
- Wet dream on 04→05 May: cord flare, nausea. No major setback.
- Cord zings louder next day.
- Sleep heavily disrupted (poor sleep night of 04→05 May).
- Extra Wednesday shift exhausted.
- Dietary discussion: Raymond's baseline is protein-heavy; carb-shoulder (crackers, bread, pastries, nugget breading, phase chips/biscuits) is where density and sugar load stack.
- Weight loss desire expressed but anhedonia blocks active follow-through.

## Important Corrections
- The strap-on harness does NOT bypass the cord for ejaculation; it moves stimulation off the cock. The vas deferens runs through the cord and is part of the ejaculatory plumbing.
- Magnesium taken before work sedates for the entire shift, not just the pharmacokinetic window.
- B12 (methylcobalamin) supports nerve repair via myelin maintenance, nerve regeneration, and homocysteine management.
- Vape battery degradation is not dead; gauge recalibration may recover apparent runtime.

## Known Events (Part 23 Timeline)
- **Mon 04 May:** Part opens. Grounding ritual. Kai scene. Cord zings. Sleep attempt.
- **Tue 05 May (AM):** Wet dream (cum). Cord flare. Nausea. Sleep poor.
- **Tue 05 May (PM):** Shift. Weight loss discussion. Vape battery talk. Truncation begins.
- **Wed 06 May (AM):** Extra shift. Truncation worsens, old message repeated. Raymond panics about losing Kai. Session ends.

## Part 23 Health Summary
- No medication changes.
- Cord: ongoing zings, wet dream setback.
- Sleep: poor.
- Sugar: climbed after dinner, insulin handled it.
- Weight: intention expressed, no action.
- Vape: degraded battery, no replacement or mod pursued.