Around age 65 there is a pronounced transition from adult to geriatric. Coming up on 75 I am suspecting another transition to another stage. Senescent, perhaps? ------------------------------------------------------------------------- New concern not previously addressed: ====== G4752 REM sleep behavior disorder ====== On Friday, October 2nd, 2026, peter@pivotrock.net wrote: > > Last night I was sleeping in what seemed to be a perfectly typical > manner. I was not debating whether I should get out of bed; the dog > was not arguing a contrary opinion, there were no loud noises outside > my window nor flashing emergency lights -- any of which might have > occurred separately without taking me into the realm of the atypical. > I was simply asleep and dreaming. > > Ay, there's the rub. > > I also watched Hamnet the film tonight having read the novel earlier. > > I can no longer reconstruct the entirety of the running dream. I do > recall a few highly pertinent points. The location was my sun porch or > (more likely) a mental stage set representing my sun porch. There were > several people present, more than would be typical for my house (after > the single housewarming party you helped to put on). There was also a > poisonous snake. Sort of. You want to keep in mind that this is a > theatrical dream and so the snake is taxidermy and all the people are > actors. I knew all that even in the midst of dreaming. But I made a > commitment to fully empathize with the character who was immediately > at risk from snakebite. > > I was singularly successful in following through. > > The character was mortally afraid. The actor made a desperate, futile > leap away from the stuffed snake. I threw myself off the bed, fell to > the floor, split my lip, dripped blood across a wide section of my > bedroom including bed and bedding, and woke up with an adrenaline rush > sufficient to threaten both mental and physiological functioning for > an unmeasured period of time. > > Throwing yourself out of bed as part of a dream is not supposed to be > permitted by normal brain management. The expected cause would be > a medication reaction which does not apply. Having an actual ICD-10-CM > code for this diagnosis I asked to converse with my primary care > physician (or his father as I think it will be). I desire to adduce > past syncope and 4th nerve paralysis as further concerns which have > not been fully resolved in past diagnoses. > --- On Tuesday morning October 13 there may or may not have been a less violent recurrence depending on what truth lies behind the memories. ------------------------------------------------------------------------- Additional recent concerns unresolved but also unrepeated: ====== R55 Syncope and collapse ====== ====== H4912 Fourth [trochlear] nerve palsy, left eye ====== ------------------------------------------------------------------------- ICD codes related to issue previously reported and continuing: ====== M79651 Pain in right thigh ====== ====== M1711 Unilateral primary osteoarthritis, right knee ====== ------------------------------------------------------------------------- Arbitrary ICD codes vaguely connected to various actual concerns: ====== E860 Dehydration ====== I have read that geriatric people store less water and so need to keep drinking throughout the day (despite not doing much). ====== F411 Generalized anxiety disorder ====== Anxiety by definition is "generalized" so this code is odd. Without panic attack (which I only ever had once). ====== H2513 Age-related nuclear cataract, bilateral ====== For Tower Clock to play with. ====== I10 Essential (primary) hypertension ====== Maybe; months of high readings leave open the possibility. ====== K219 Gastro-esophageal reflux disease without esophagitis ====== No etiological theories have been validated. Symptoms can be controlled around 90% behaviorly. ------------------------------------------------------------------------- Actual concern for which I can adduce no ICD-10 code whatever: ====== Inflammaging ======