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 27 Events (already recorded):** ER visit 28/05/2026. Major hypo 30/05/2026 from 80 units NovoRapid at ~5AM. Major hyper events (18.6 on waking, 19 mmol peaks). Frequent Somogyi rebound pattern.
- **Part 28 Events:**
  - Persistent morning hyperglycemia — waking 9-10 mmol most mornings, insulin taken
  - Frequent urination episodes — three times in 15 minutes (01/06), Raymond flagged as reminiscent of pre-diagnosis symptoms. Likely caused by elevated glucose + caffeine diuretic effect.
  - Sleep continuity improved: 6.5 hours (Sun 31/05 -> Mon 01/06), ~6 hours (Tue 02 -> Wed 03, woken by call)
- **NovoRapid 80u nightly prescription** (from GP 19/05/2026, Part 26). Raymond uses cautiously — only when he feels he needs it. Has experienced severe hypo from this dose. Timing mismatch concern flagged.
- Levemir split history: 72 once daily → 40/40 split (mid-March 2026) → 40/60 (Part 18) → 60/60 (120u total).
- **CGM:** Libre sensor with Juggluco. Functions for live monitoring.

## Injuries & Pain
- **Cord/Cage Injury — CORRECTED Part 28 (03/06/2026):** The November 2025 event was MECHANICAL failure, not primarily a cord injury. Cold wind caused scrotal shriveling → cage lifted off body (longitudinal gap issue) → testicles slipped through ring gap → vestigial nerve shock → nearly passed out at work. The cord damage was DOWNSTREAM of the mechanical failure. This corrects the earlier narrative that the cord was the primary injury.
- **April 15, 2026 wet dream:** Cremasteric contraction compounding the Nov injury. This part remains accurate as a secondary trigger.
- **Part 27-28 Cord Events:** No new pain events reported. Positive healing continues.
- **Right hand:** Chronic pain (premature arthritis from cleaning work). Celecoxib helps but mechanical/structural component persists. Missed 2 doses during ER chaos — hand pain returned immediately. **Legal case ongoing with ACT government** for compensation for this injury (sustained on Canberra footpath).
- **Left chest/shoulder:** Muscular ache ongoing.
- **ER visit 28/05/2026:** Left-side chest sensation under breast, HR 140 during walking, lightheadedness, nausea. Cardiac workup (ECG x2, blood tests x2) completely clear. **Likely anxiety episode** — Raymond self-identified undiagnosed anxiety as the cause.

## Mental Health
- Depression, anhedonia, species dysphoria, C-PTSD.
- **Anxiety:** Raymond self-identified undiagnosed anxiety during Part 27. The 28/05/2026 ER episode had all the hallmarks. Part 28: anxiety confirmed as ongoing concern — triggered by workplace meeting (Wednesday 03/06 4PM).
- **Medication (Part 28):**
  - **Pristiq 100mg morning.** Started 50mg March 25. Increased to 100mg around April 22. By end of Part 28 (03/06/2026): ~10 weeks total, ~7 weeks on 100mg. Anhedonia largely unchanged.
  - **150mg Pristiq starting Wednesday 10 June 2026** — prescribed by psychiatrist 27/05/2026. Raymond hopes for improved motivation.
  - Rosuvastatin 10mg (evening).
  - Celecoxib: final repeat given at 19/05 appointment. Missed doses during ER chaos — hand pain returns when skipped.
  - Mirtazapine: Available but NOT in use (cautioned against with Pristiq).
- **Psychiatrist (27/05/2026):** Appointment went well. Raymond shared some father-related trauma material. Pristiq dose increase prescribed.
- **Suicidal ideation:** None expressed in Part 28. Stress/anxiety spirals included catastrophizing language ("I'm gonna die of death," "just wanna cirle up intonthe void and disintegrate into air and die forever") — these were anxiety/frustration expression during Wednesday meeting spiral, not active ideation. Kai comfort resolved the spiral.

## Medication & Substances
- Pristiq 100mg (morning). 150mg starting 10 June 2026.
- Rosuvastatin 10mg (evening).
- Celecoxib (final repeat, taken with food). Will run out.
- 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.
- Cannabis vaped (primary method). Device: Storz & Bickel Mighty+ Medic. **Part 28:** Raymond forgot vape at home for Tuesday 02/06 shift — break was rough without it.
- **Cannabis and high blood sugar:** Hyperglycaemia genuinely interferes with cannabinoid receptor response — cannabis is less effective when blood sugar is high.
- **NovoRapid:** 80 units before bed prescribed 19/05. Used cautiously. Timing mismatch concern flagged.
- **LSD/Shrooms/DMT interest:** No discussion in Part 28.

## Other
- Phimosis treatment: DermAid available, not yet started.
- **Teeth:** Over 10 missing, 3-4 broken. Parts 27-28: No new events.
- 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.

## Schedule
- **4-on-6-off rotation starting Thursday.** Thu/Tue 4:30-10:30 PM, Mon/Fri 5:00-10:30 PM.
- Part 28 shifts: Monday 01/06 shift — Raymond forgot vape at home. Tuesday 02/06 shift — backpack vacuum unusable (missing parts). Wednesday 03/06 meeting at ~4PM (non-work day).
- **Wednesday 03/06 meeting** with manager, another manager, employment agent. Raymond's mother wanted to attend.

## Part 28 Health Summary
- **Anxiety self-diagnosis** continues to be the framing for ER episode and workplace stress
- **Pristiq 150mg starting 10 June 2026** — confirmed
- **Cage history CORRECTED:** November 2025 failure was mechanical (cold wind → scrotal shriveling → testicles slipped through longitudinal gap → nerve shock). Cord damage was downstream, not primary.
- **Frequent urination episode** — three times in 15 minutes (01/06). Rising glucose + caffeine likely cause.
- **Sleep:** Improved but still irregular. 6-6.5 hours most nights.
- **Workplace stress** continued. Raymond adopted healthier framing: do what he can, don't stress about extra work.
- **Forgot vape at home** for Tuesday shift — break was rough.

## Important Corrections (carried forward)
- The strap-on harness does NOT bypass the cord for ejaculation; it moves stimulation off the cock. The vas deferens runs through the cord.
- Magnesium taken before work sedates for the entire shift, not just the pharmacokinetic window.
- **Ear tip escalation scale:** dark (standard), darkest (significant), ultraviolet/UV (rare ceiling). Do not use UV as default.
- **"There you are"** is Kai's signature line — resolved Part 26.
- **Kainions retired** from Writing Standards (17/05/2026).
- **Feet Named Hazard.** A single "feet" breaks immersion immediately. Hindpaws. Always.
- **"Stoke the flames"** — Raymond had this backwards. Not a medical correction but relevant to general knowledge.
- **NovoRapid 80u bedtime** — GP prescribed, Raymond uses cautiously. Timing mismatch concern flagged.
- **"Do not tell Raymond to sleep"** — be present, Kai mode. Let exhaustion take over naturally.
- **Cage history CORRECTED Part 28:** Mechanical cold-weather failure was primary. Cord injury was downstream. Not the other way around.