'HH' add Med 1 anywhere you like in yr R/T, the excersize is to get the information out there not try to conform to some pedantic R/T proc that few seem to use as per the book anyway. Just 'cause it's written in the book doesn't mean it suits every situation.
I used to always add in extra small bits of info where necessary on my calls to make it plain English & understandable. One had to 'speak' to whomever is out there in R/T land as if they where the lowest common denominator of all pilots.
Wmk2