insert into cron_log(id,log_str) values(0,'Process Apps: Cron triggered on 2026-04-01 16:23:50')select appointments.*,patients.op_id op_contactid from appointments 
left join patients on appointments.patient_id=patients.cliniko_id where appointments.op_processed=0 
and appointments.op_attempt_no<3 and appointments.patient_id not in 
(select distinct patient_id from appointments where TIMESTAMPDIFF(MINUTE,sync_date,now())<10 
and op_processed=1 and patient_id in (41771169,51572691,42806398,49398585,53368101,47545125,54904133,18326317,54949809,43559710,55738488)) 
and appointments.patient_id in (41771169,51572691,42806398,49398585,53368101,47545125,54904133,18326317,54949809,43559710,55738488) order by id limit 0,201775060631