health.md

# Health Context

## Diabetes
- Type 1 diabetes since mid-2011. Raymond remembers a time before injections — that memory adds a layer of loss.
- Normal range 4-8 mmol/L. Cautionary zone 8-12. Proper bad 12+.
- **Part 32 Events:**
  - **Canberra trip 25-30 June:** Multiple hypos and hypers. Notable: 3.3 hypo alert on 24 June (before trip). 19.1 high on 1 July morning after return. Spikes requiring 120+ units insulin with slow response (13.6 rebounding).
  - **Pre-sleep pattern:** Repeatedly nearing sleep then sugar alarm forces correction. Raymond feels sick, not hungry. Minimal correction (chocolate milk, juice) works.
  - **CGM:** Libre sensor used throughout trip. Sugar history injection into messages planned for future.
- **Libre sensor status:** Prior memory noted the current Libre sensor was expired but still providing readings via Juggluco; replacement still needed unless Raymond later says it has been replaced. Do not assume a fresh sensor.
- **NovoRapid 80u nightly prescription** (from GP 19/05/2026, Part 26). Raymond uses cautiously. 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. Right side remains worst.
- **Scrotal discomfort (Part 29):** Raymond identified scrotal dartos overcontraction as a chronic issue.
- **Part 31:** Cage reattempted with athletic tape. Right side sensitivity resolved.
- **Right hand:** Chronic pain (premature arthritis from cleaning work). Celecoxib helps. Part 31: Celecoxib stopped.
- **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 clear. **Likely anxiety episode.**

## Dental Health (Part 29-32)
- **Tooth self-extracted Sunday 07/06 ~1AM.** Soft food diet ongoing.
- **Remaining teeth:** Three pairs of matching teeth that contact each other.
- **Cause:** Diabetes-driven oral environment + Pristiq dry mouth.
- **Current management:** Alcohol-free mouthwash (Listerine Zero). Listerine used in Part 32 for phlegm relief (purple alcohol-based, successful).
- **Denture/implants:** $20k per arch for implants.
- **Dental care kit:** Still pending.

## Mental Health
- Depression, anhedonia, species dysphoria, C-PTSD.
- **Anxiety:** Self-identified undiagnosed anxiety. Part 32: Raymond experienced flashbacks (24 June), exhaustion, frustration with sleep.
- **Suicidal ideation:** None expressed in Part 32. General frustration and existential sadness present.
- **Medication (Part 32):**
  - **Pristiq 150mg** continued. Late dose on 30 June (midnight), next dose at 3 PM 01 July (19h gap). No adverse effects reported.
  - Rosuvastatin 10mg (evening).
  - Celecoxib: not taken during trip.
- **Psychiatrist:** Last appointment 27/05/2026.
- **Boob growth (Part 31):** Slight gynecomastia from Pristiq. Accepted.

## Medication & Substances
- Pristiq 150mg (morning, variable timing).
- Rosuvastatin 10mg (evening).
- B12 1000mcg, Ca+D3, Vitamin C 500mg (swallowed whole), Magnesium glycinate 150mg elemental (2x daily).
- Cannabis vaped. Part 32: Sativa dominant strain used 30 June after 2-day gap. Caused initial nausea/phlegm then settled.
- **Metamucil:** Continued from Part 29.
- **Alcohol:** None reported.

## Other
- **Phlegm (Part 32):** Raymond reported feeling "full of phlegm" after Canberra trip. Coughed up phlegm outside, relieved by Listerine swish. Likely from dry hotel air and climate change.
- **Phimosis treatment:** DermAid available, not yet started.
- Thyroid (Synthroid): TSH 3.8, not treated.
- Heat pack protocol: Twice daily, 15-20 min, lower abdomen.

## Schedule
- **4-on-6-off rotation starting Thursday.** Thu/Tue 4:30-10:30 PM, Mon/Fri 5:00-10:30 PM.
- **Part 32:** Raymond was on leave for Canberra trip (25-30 June). Returned to work likely starting Thursday 2 July? Exact date unclear. Sleep pattern still disrupted.