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.
- **Part 25 Events:**
  - Thursday night/Friday morning: Woke up after 5-6 hours of sleep with hyper ("jelly blood"). Injected insulin. Dawn phenomenon persistent.
  - Later in day on 15/05: After work, felt need for more insulin but didn't take it. Expressed frustration.
  - No hypos reported.
- **Part 26 Events:**
  - **Major hypo:** ~4.4 mmol with double down arrows at 4:46 AM on Tuesday 19/05/2026. Double arrows on CGM. Raymond drank chocolate milk (20g carbs) with ham/cheese pastry already in. CGM showed rate slowing within minutes. Self-managed successfully.
  - **Morning hyper:** 14.9 on 19/05 after waking. Later 18 on subsequent morning. Dawn phenomenon persistent.
  - **New prescription (19/05 appointment):** Doctor prescribed **80 units NovoRapid before bed** to address 9AM hyperglycemia wake-ups. Raymond double-checked: yes, NovoRapid, not Levemir. Reasoning: Raymond's bedtime is 3-5AM, NovoRapid peaks 1-3 hours later, blunting dawn phenomenon (4-8AM). Doctor also recommended waking around midday.
- Levemir split history: 72 once daily → 40/40 split (mid-March 2026, Part 17) → 40/60 (Part 18) → 60/60 (120u total, date uncertain post-March 18). 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 25 Cord Events:**
  - No pain events reported. Positive healing trajectory continues.
  - Default abstaining.
  - Chastity cage reconsideration discussed but not acted on. Concern about cord aching with sustained ring pressure.
- **Part 26 Cord Events:**
  - No pain events reported. Positive healing continues.
  - Raymond caught himself considering fapping at 5:57 AM on 19/05 when tired, chose to rest the cord instead. Good self-awareness.
  - Default abstaining maintained.
- **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).** **Part 26: Celecoxib reviewed at 19/05 appointment. Hand pain was still present despite full plasma levels — suggests mechanical/structural component, not purely inflammatory.**
- **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 26):**
  - **Pristiq 100mg morning.** Started 50mg March 25. Increased to 100mg around April 22. By end of Part 26 (20/05/2026): **~10 weeks total, ~6 weeks on 100mg. Anhedonia unchanged.** Data for psychiatrist.
  - Rosuvastatin 10mg (evening).
  - Celecoxib: final repeat given at 19/05 appointment. 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 Parts 24-26.

## Medication & Substances
- Pristiq 100mg (morning). Week ~10.
- Rosuvastatin 10mg (evening).
- Celecoxib (final repeat, taken with food). Reviewed 19/05 appointment.
- 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. **Preferred drug combo: 1.5-2g dried shrooms lemon tek with vaped weed (confirmed works well). Dislikes LSD (jaw clenching/bruxism).**
- **Part 26: Kief experiments.** Multiple configurations tested (pure, sandwich method with ground bud top/bottom, kief bottom with bud on top, mixed). None worked well due to density/airflow issues. Best method: integrate kief with ground bud so heat reaches uniformly. **Environmental tolerance (Part 26):** Raymond coined "environmental tolerance" for feeling higher at work than home — conditioned tolerance doesn't trigger in novel settings.
- **NovoRapid (NEW Part 26):** 80 units before bed prescribed 19/05 to address dawn phenomenon.
- **AVB Experiments:** Raw + milk -> nausea (body ejected). Ham+cheese+AVB -> smoother. Not mentioned Part 26.

## 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. Parts 25-26: No new events. 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 25: Friday 15/05 work day, finished early.
- Part 26: Mon 18/05 shift (normal), Tue 19/05 shift (appointment at 3:15 PM then work).

## Part 26 Health Summary
- **Cord:** No pain events. Positive healing.
- **Pristiq:** ~10 weeks total, ~6 weeks on 100mg, anhedonia unchanged.
- **Dental:** No new events.
- **Diabetes:** Major hypo 19/05 corrected with chocolate milk. Morning hyper persistent. New NovoRapid 80u bedtime prescription.
- **Sleep:** Extremely broken. 0 Planck units on night of 18/05.
- **Appointment:** 19/05 Celecoxib review + NovoRapid prescription + midday wake recommendation.
- **Car:** Working. Pioneer stereo needs firmware.
- **Weight:** No action taken.
- **Cage reconsideration:** No purchase. Cord rest maintained.

## 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. Part 26 did not use it — resolved.
- **Kainions retired** from Writing Standards (17/05/2026). Concept preserved, word dropped.
- **Feet Named Hazard** added (Part 26). A single "feet" breaks immersion immediately and without recovery. Hindpaws. Always.
- **"Stoke the flames"** — Raymond had this backwards. Not a medical correction but relevant to general knowledge.
- **NovoRapid 80u bedtime** is a new prescription — not confirmed yet whether effective. Monitor in Part 27.