diff --git a/.ralph/ralph-history.json b/.ralph/ralph-history.json
index 8329857..57e6dbe 100644
--- a/.ralph/ralph-history.json
+++ b/.ralph/ralph-history.json
@@ -145,9 +145,32 @@
       "exitCode": 0,
       "completionDetected": false,
       "errors": []
+    },
+    {
+      "iteration": 10,
+      "startedAt": "2026-02-11T02:50:32.603Z",
+      "endedAt": "2026-02-11T03:07:52.238Z",
+      "durationMs": 1036685,
+      "toolsUsed": {},
+      "filesModified": [
+        "Ralph/IMPLEMENTATION_PLAN.md",
+        "Ralph/progress.txt",
+        "src/components/ClinicalSidebar.tsx",
+        "src/components/MobileBottomNav.tsx",
+        "src/components/PMRInterface.tsx",
+        "src/components/PatientBanner.tsx",
+        "src/components/views/DocumentsView.tsx",
+        "src/components/views/InvestigationsView.tsx",
+        "src/components/views/MedicationsView.tsx",
+        "src/components/views/ProblemsView.tsx",
+        "src/hooks/useBreakpoint.ts"
+      ],
+      "exitCode": 0,
+      "completionDetected": false,
+      "errors": []
     }
   ],
-  "totalDurationMs": 5119563,
+  "totalDurationMs": 6156248,
   "struggleIndicators": {
     "repeatedErrors": {},
     "noProgressIterations": 0,
diff --git a/.ralph/ralph-loop.state.json b/.ralph/ralph-loop.state.json
index e23875f..ee31509 100644
--- a/.ralph/ralph-loop.state.json
+++ b/.ralph/ralph-loop.state.json
@@ -1,6 +1,6 @@
 {
   "active": true,
-  "iteration": 9,
+  "iteration": 10,
   "minIterations": 1,
   "maxIterations": 0,
   "completionPromise": "COMPLETE",