Health Trends Report

S.R. · Last 30 days · Prepared 4 August 2026 · 27 check-ins

Check-ins

last 30 days

Episodes

events logged

Active medications

currently prescribed

Appointments

in the period

In brief27 check-ins were recorded over the period. Improving: Tremor severity (−1.2), Mobility (+0.8). Worsening: Sleep quality (−0.9). 2 episodes were logged.

1 · Subjective — self-reported symptoms

Daily 1-10 ratings from check-ins: how things felt to the person, in their own words and scores.

Measure	Average	Recordings	Trend within period
Tremor severity	5.8 / 10	27	▼ Falling (−1.2) - improving
Stiffness / rigidity	6.1 / 10	27	– Stable
Mobility	5.4 / 10	27	▲ Rising (+0.8) - improving
Sleep quality	4.6 / 10	26	▼ Falling (−0.9) - worsening
Mood	6.3 / 10	25	– Stable
Body aches	4.2 / 10	18	– Stable

Tremor severity

1 = barely noticeable · 10 = constant, disruptive (lower is better). Dots: check-ins; dark line: 7-day average; dashed vertical lines: medication changes (purple/red) and appointments (green). Dots above the dates mark tagged days: ● Poor sleep · ● Exercise. In the real report the data line draws in your accent colour.

(One chart per tracked symptom appears here - tremor, stiffness, mobility, sleep, mood, body aches…)

Notes from check-ins

26 Jul 2026, 9:12 am: Slow start to the morning, took until second dose to loosen up.

31 Jul 2026, 8:40 pm: Good day - walked to the shops and back without stopping.

2 · Objective — measurements & professional assessments

Scores and findings from clinicians, plus measured readings (blood sugar, blood pressure, weight, labs).

Date	Seen	Objective assessment
25 Jul 2026	Dr Chen - neurologist (PD specialist)	UPDRS motor score 32 (was 38 in March). Gait improved, mild rigidity left arm persists. BP 128/82 seated.
16 Jul 2026	GP - Dr Patel	BP 134/86. Weight 71.2 kg. Reviewed bloods - HbA1c stable.

(Charts for blood pressure, blood sugar, weight and heart rate appear here when recorded.)

Lab results

Date	Total chol.	LDL	HDL	Trig.	HbA1c	Vitamin B12 (pmol/L)	Notes
12 Jul 2026	4.9	2.8	1.3	1.6	5.8	310	Fasting, Dorevitch
14 Mar 2026	5.3	3.2	1.2	1.9	5.9	285	-

3 · Interventions & episodes — what was done, what happened

Everything logged against time, so unusual events can be read next to what was done around them.

Date	Event	Details
8 Jul 2026	Episode	Freezing episode getting out of the car (severity 6/10)
11 Jul 2026	Medication stopped	Madopar 100/25mg, 3x daily
11 Jul 2026	Medication started	Madopar 100/25mg, 4x daily
16 Jul 2026	Appointment	GP - Dr Patel
19 Jul 2026	Treatment / therapy	Physiotherapy - LSVT BIG session - worked on gait, felt looser afterwards
25 Jul 2026	Appointment	Dr Chen - neurologist (PD specialist)
29 Jul 2026	Episode	Wearing-off before the 2pm dose (severity 4/10)

Medication register

Medication	Dosage	Frequency	Started	Stopped	Notes
Madopar	100/25mg	4x daily	11 Jul 2026	Current	Increased by Dr Chen
Metformin	500mg	2x daily	3 Feb 2024	Current	-
Madopar	100/25mg	3x daily	10 Nov 2025	11 Jul 2026	Dose change

Medication adherence (from check-ins)

Medication	Recorded	Taken	Missed	Adherence
Madopar	27	25	2	93%
Metformin	27	21	6	78%

Episode detail

8 Jul 2026, 11:20 am — Freezing episode getting out of the car (severity 6/10, 15 mins)
Symptoms: left leg froze mid-step, anxiety, sweating
Possible triggers: missed the 8am dose, poor sleep the night before
Taken: sat down, breathing exercises → helped a little

29 Jul 2026, 1:45 pm — Wearing-off before the 2pm dose (severity 4/10, 30 mins)
Possible triggers: long morning walk in the heat
Taken: 2pm dose slightly early → helped a lot

4 · Influencing factors — tagged days

Tags mark things that may influence the numbers (alcohol, poor sleep, travel…). Differences are simple averages of tagged vs untagged days; dots above the dates on each chart mark tagged days: ● Poor sleep · ● Exercise.

Tag	Check-ins	Difference vs untagged days
Exercise	9	Mobility +1.1 (better) · Mood +0.8 (better) · Tremor severity −0.6 (better)
Poor sleep	7	Tremor severity +1.4 (worse) · Mood −1.0 (worse) · Stiffness +0.7 (worse)
Alcohol	2	Used 2x - differences show from 3 uses

5 · Assessment — what this period suggests

Generated automatically from the data above - simple averages, not a medical assessment. For interpretation with the treating team.

Improving within the period: Tremor severity (−1.2), Mobility (+0.8).
Worsening within the period: Sleep quality (−0.9).
2 episodes this period vs 4 in the previous 30 days - less frequent.
Where adherence was recorded, 85% of doses were taken (46 of 54).
On days after poor sleep, tremor severity averages 1.4 points higher.
Days tagged “Exercise” averaged Mobility +1.1 (better) compared with other days.

6 · Plan — current management & next steps

Changes to management from appointments

25 Jul 2026 · Dr Chen - neurologist (PD specialist): Continue Madopar 4x daily. Referral to speech therapy. Review bloods in 6 weeks. Discuss sleep hygiene; consider sleep study if no improvement.

Booked appointments

3 Sep 2026: Dr Chen - neurologist (PD specialist)

Suggested discussion points (generated automatically from the data - not medical advice)

Sleep quality has worsened over the period - worth raising with the treating team.
Metformin was taken on 78% of recorded days - worth discussing barriers or a reminder routine.
Days tagged “Poor sleep” score worse (Tremor severity +1.4) - worth discussing whether this factor can be reduced.

Self-reported data. Symptom scores are subjective 1-10 ratings. This report is a record for discussion with treating clinicians, not a medical document.