Q4 2025 Healthcare Plan

10:13 AM Wednesday. Well, I started the morning with my opening to-do list, root coffee, and prayer routine from 5-6 AM, then I had telehealth therapy (both my therapist and I like to get to work early), and then I finished scanning the last of my paper medical records (cf. Processing My Old Medical Records Will Take a While). After preparing some tofu miso soup with fresh ginger, button mushrooms, snow pea pods and wakame, I proceeded to walk for an hour and think some more about my Q4 2025 Healthcare Plan. Here's a reflection on where things stand today and where I hope to be at the end of this December in each of my seven healthcare project areas.

Healthcare Appointments: After a couple of years of Friday morning therapy appointments, I switched up to Wednesday mornings this quarter so that my Fridays aren't quite so compressed. It's also nice to start off Wednesday, my Quadrant II healthcare patient productivity theme day, with a good therapy session. In addition to weekly teletherapy, I am on track to meet with my psychiatric nurse practitioner every six weeks. I don't have any other healthcare appointments in my schedule for Q4 (except the ones that I negotiate with myself). Actually, hold on a minute. I don't want to forget my flu shot. As a vegan, I am going with Flublok because it is safe, effective, made without eggs, and available at my local CVS. Based on the latest CDC recommendations, it looks like I don't need to get another COVID booster this time around. 

Medical Records: As I noted at the outset of this entry, I just finished processing all of my old medical records, which is something I have been wanting to get done for a couple of years now. It was a big emotional accomplishment. Now I guess the next thing I need to work on is a Psychiatric Advance Directive (PAD), although I am praying it is something I won't ever need. Maybe I should talk about whether or not I really need one with my therapist and my prescriber. It might make more sense to work on something else in this area. Let's see what Google Gemini says. 

https://share.google/aimode/rBKoZrBKEPbuM9YgY

Wow, that was informative, and helpful. I guess what I will do is focus on the Phase I recommendations in Q4 2025, the Phase II recommendations in Q1 2026, and the Phase III recommendations as needed thereafter.

The Phase I recommendations will require some growth in my emotional intelligence. 

Medication Management: My main goal here is to complete a 90-day trial of creatine powder (5 mg a day), calcium (315-630 mg a day) and Vitamin B-12 (1000 mcg a day), while keeping all of my other medications and supplements constant. I also want to get a printout of all my current medications together for my wallet, phone and fridge (cf. Medical Wallet Reference Cards | Drexel Medicine). 

Personal Hygiene: I know that microplastics are a problem for the environment and our health, but I am just not sure I am ready to start using a cotton washcloth and bucket of warm water instead of disposable McKesson Washcloth Wipes for cleaning up on the days I don't take a shower. That cotton washcloth ritual might be too advanced for me right now. Either way, good daily cleanup is on my schedule this quarter, along with continued good dental care and monthly visits to the barber.  

Physical Exercise: For my aerobic base, I plan to continue with my daily hour of walking through November. My biggest challenge until December is likely to be using the exercise bike on rain days. Then, once we get into meteorological winter from December to February, my biggest challenge will be dressing properly and keeping mentally hardy enough to walk through the cold. It will take some energy and some planning, but Q4 2025 is probably a good time to add some jogging intervals into my walking on a couple of days a week, just to bring my heartrate a little bit higher into the aerobic training zone. Rucking one or two days a week will also help with that. I am not doing very well with bedtime yoga or qigong for flexibility, and I am still struggling with 15 minutes of strength training two times a week. I know that I am physically capable of it because I was able to sustain almost an hour of strength training three times a week during a mood peak back in parts of June and July of 2024. I am not looking to do that again, but if I can consistently hit 15-30 minutes of strength training 2x a week by the end of November, in addition to keeping my improved aerobic baseline in place, then maybe I can focus on 10-15 minutes of bedtime yoga starting in December or January.        

Plant-Based Nutrition: I've laid out the basics in Fall 2025 Exercise and Nutrition Plan and Fall 2025 Nutrition Upgrade: Part 02. All I need to do now is hold steady on my new course. But it will take some time. I think I need to adjust my calendar this quarter and dedicate Thursday afternoons to reflection and blogging about the upgrades to my nutrition system. I will start tomorrow and see how it goes. 

Sleep Hygiene: My main goal this quarter is to develop my Four Sleep Hygiene Rules and Daily Prayer Q4 2025 Goal in close coordination. Actually, this could be a good time to start a simple sleep log, together with mood tracking. Difficulties sleeping affect my mood, and vice versa. But I don't want to set myself up with too many projects. Failure following through on projects can quickly leave me feeling overwhelmed and depressed.

Alright, that's my Q4 2025 Healthcare Plan. Let's see what happens and what we learn along the way.

Soundtrack: Solar Plexus Chakra Activation Music | 528Hz | Inner Strength & Confidence.

End 5:57 PM.