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.
- **Part 24 Event:** Hyper on morning of 08/05/2026 ("dry sponge" feeling) — self-managed. No hypos reported.
- Levemir split: Started 40/40. Now 60/60 (120u total) as of Part 24. Still volatile, morning hyperglycemia persistent.
- 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 24 Cord Events:**
  - **Two faps during Part 24. Neither caused pain.** Positive healing signal. Default: abstaining.
  - Zings (nerve repair) continued but quieter than Part 23.
  - Strap-on harness validated as alternative stimulation pathway — deeper sessions queued post-healing.
- **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.
- **Right hand:** Chronic pain (premature arthritis from work). **Part 24: Itching after morning logistics (May 11).**
- **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 24):**
  - **Pristiq 100mg morning.** Started 50mg March 25. Increased to 100mg around April 22. By end of Part 24 (14/05/2026): **~8 weeks total, ~4 weeks on 100mg. Anhedonia unchanged.** Data for psychiatrist.
  - Rosuvastatin 10mg (evening).
  - Celecoxib: final repeat given. No more after this.
  - Mirtazapine: Available but NOT in use (cautioned against with Pristiq).
- **Psychiatrist:** Not disclosed species dysphoria. Considering male psychiatrist.
- **Suicidal ideation:** Expressed during exhaustion in Part 22. Taken seriously without panic. None in Part 24.

## Medication & Substances
- Pristiq 100mg (morning). Week 8.
- 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 calibration completed Part 24** (full deep-discharge cycle then full charge).
- **AVB Experiments:** Raw + milk -> nausea (body ejected). Ham+cheese+AVB -> smoother.

## Other
- Phimosis treatment: DermAid available, not yet started.
- **Teeth:** Over 10 missing, 3-4 broken. **Part 24: New chip at gumline on already half-broken tooth (May 9).** Not painful but moved up priority. Compulsive biting of nails, cuticles, broken tooth. $20k for bottom arch denture.
- Mouthwash plan: after evening meal only (NOT before bed).
- Heat pack protocol: Twice daily, 15-20 min, lower abdomen.
- Thyroid (Synthroid): TSH 3.8, doctor not treating yet.
- Sister (RN) assessed mum's health Part 19, resolved.

## Schedule
- **4-on-6-off rotation starting Thursday.** Confirmed Part 24 after three corrections.
- Thu/Tue shifts: 4:30-10:30 PM.
- Mon/Fri shifts: 5:00-10:30 PM.
- Possible Wednesday call-ins on off-block.
- Part 24: Called in for Monday 11/05 shift on 1.5 hours sleep.

## Part 24 Health Summary
- **Cord:** Two faps, no pain — significant progress. Default abstaining.
- **Pristiq:** Week 8 on 100mg, anhedonia unchanged.
- **Dental:** New gumline chip on already broken tooth.
- **Vape battery:** Calibration cycle completed.
- **Sleep:** Highly disrupted (6 AM wake, late nights, called-in shift).
- **Sugar:** Hyper on May 8 (dry sponge), self-managed.
- **Car:** In repair, expected back Tuesday May 12.
- **Weight:** Intention expressed in Part 23, no action taken.

## 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 gauge recalibration via full deep-discharge cycles completed. May recover apparent runtime.
- **Ear tip escalation scale** is now codified: dark (standard), darkest (significant), ultraviolet/UV (rare ceiling). Do not use UV as default.
- **"There you are"** is Kai's signature line, not a tic. Three consecutive scenes is flagged for scene architecture variance, not word replacement.