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Coaching

00items in inbox awaiting clarify
20active projects have no defined next action
00calendar items expired without completion

Body State Last night

Recovery is patient with you.

Readiness

—

Oura

HRV

—

Oura, ms

Sleep

—

99% efficiency

Recovery sits at half-tide, quiet and methodical, with sleep efficiency lending the body a clean foundation.

Slow Read 7 min

Plast Reconstr Surg · April 2026

The radiated breast pocket: rethinking timing in the era of pre-pectoral.

A multi-center cohort suggests early DTI conversion may outperform delayed exchange in irradiated patients, with capsular contracture rates closer to non-irradiated controls when matrix coverage is complete.

Calendar overviewnext 14 days · trips + due tasks

10-27 Thermal Bra: file the Oct 19 meeting transcript and decisions in Innovation Meetings & Calls and text Dr. Spiegel the links to the order confirmation and hand-off folder before leaving innovation task
10-30 Decide on 3DBB MCRA NCE agreement (AGMT00018703) extension vs expiry innovation task
10-30 PIP — Confirm pilot budget, funding owner, and donor strategy innovation task
11-06 PIP — Confirm participant recognition and protected-time pathway innovation task
11-06 PIP — Define EnMed, Rice, ARC, and OTT roles innovation task

Three Today Tap to mark complete in Notion

What today is actually for.

No Win the Day tasks set yet. Pick one task and tag it Win the Day.

The Plate Watch Cross-cutting drift

What's gone quiet.

Personal

Get Citizenship for Kids in Canada and Poland

Initiated. Dual citizenship paperwork stalled, no consulate appointments recently pursued.

360 days
Personal

🌸 Morning Wellness Routine

Initiated. Routine undefined, no anchor habit or time block established.

107 days
Personal

Schedule time with each child

Initiated. Individual time with each child remains unscheduled, quiet and overdue.

107 days
Personal

Make Time for Digital free time with Kids

Initiated. Digital free time with kids remains unscheduled, drifting without a set rhythm.

107 days
Personal

Run 3 Miles

Initiated. No run logged in 107 days, momentum quietly waiting to return.

107 days

The Family Thread Surfacing today

Dorian —
Alena —

All Front Priority 13 across Personal, Work, Ventures

Everything flagged Front.

PERS

Organize Social Activities

Initiated

Suggested next action

List people you want to see in the next month

Naming specific people transforms vague intention into a concrete social map.
PERS
Develop Optima TE LLC

Initiated · due 2023-07-15
- Complete venture sign up in Gov.com Not started
Suggested next action

Research LLC formation requirements and costs for your state

Understanding baseline steps and expenses clarifies whether Optima TE is feasible now.
PERS

Make Time for Digital free time with Kids

Ongoing

Suggested next action

Schedule a weekly device-free hour with your family

Establishing a recurring time creates the structure needed to make this intention real.
PERS

Run 3 Miles

Ongoing · 🚀Extreme

Suggested next action

Determine target 3-mile route on map or neighborhood

Choosing a specific path removes friction from the first run.
PERS

Schedule time with each child

In progress · ☕️Simmer

Suggested next action

Block calendar time for each child's one-on-one

Seeing open slots makes scheduling real rather than aspirational.
PERS

Get Citizenship for Kids in Canada and Poland

In progress · 💎Medium · due 2024-07-01

Suggested next action

Research citizenship requirements and timelines for Canada a

Understanding the specific eligibility criteria first prevents wasted effort later.
PERS

Optima Start-Up

Not Started · due 2024-07-26

Suggested next action

Define the core problem this startup will solve

Clarity on the actual problem precedes all productive work.
WORK

Tissue Expander 2.0 (OTT202126-10063-070PV1)

In progress · due 2024-01-05

Suggested next action

Schedule clinical feasibility review with surgical team

Clarifying device performance requirements with end users before full development investment.
WORK

Innovation -3D BioBreast (OTT202205)

In progress

Suggested next action

Schedule stakeholder review meeting with clinical team

Clarifying expectations and timelines prevents downstream misalignment.
WORK

Innovation - 3D Matrix Mesh Printing (OTT202141)

In progress

Suggested next action

Schedule prototype material compatibility testing

Determining which biomaterials work with current printing parameters resolves the fundamental technical constraint.
WORK
Innovation - Fat Grafting Device with DesignPlex (OTT201938-10063-061PV1)

In progress
- Send Rachel the inventor response framework (effluent separation and recirculation) for the OTT201938 RCE response Now · 2026-10-07
- Follow up with Sandhya: articles and links from the 9.30 chat (Oxford 2025 peristaltic harvesting paper, Apex Medical patent) and Apex commercial-status research Next · 2026-10-10
- Confirm B2TRI (fat grafting) start date and timeline with Micah McKinney Now · 2026-10-10
- Identify literature supporting effluent factors (SVF, growth factors, lipoaspirate fluid) improving fat graft take Next · 2026-10-16
- Review Rachel's draft amended independent kit claim and RCE response (effluent-focused) before filing Next · 2026-10-16
- Prepare computer-generated rendering of the effluent separation and recirculation module (if Rachel needs it for the response) Next · 2026-10-20
WORK
Innovation - Thermoforming 3D BioMesh

In progress
- Review Prior Art - Thermoforming 3D-Printed Bioresorbable PLCL Poly(L-lactide-co-ε-caprolactone) Mesh In progress · 2026-06-12
VEN

MTF Arc (BellaDerm)

Active

Suggested next action

Review current BellaDerm formulation against MTF transition

Understanding the product's fit with actual user needs will clarify the arc.

Status hygiene4 mismatched

Put Get Citizenship for Kids in Canada and Poland on hold

Front priority with 360 days of drift signals either a decision today or a demotion.
Put Organize Social Activities on hold

Front but still Initiated after 107 days, the Front slot is not earning its place.
Put Develop Optima TE LLC on hold

Front but still Initiated, this belongs in the Ventures lane, not Personal Front.
Put Run 3 Miles on hold

Extreme energy on a recovery-48 day cannot be Front today, demote or pause.

Todayfront priority + energy matched

Open Schedule time with each child

Simmer energy fits recovery 48, and Dorian and Alena are surfacing on the family radar.

Open

Coachingstalled active work

Open Make Time for Digital free time with Kids

A quiet companion to the Schedule-time move, no separate action needed.

Personal Projects Tap to mark complete in Notion

The home and self portfolio.

In progress · Front priority

2 active

Schedule time with each child

Family ☕️Simmer Open in Notion

Get Citizenship for Kids in Canada and Poland

💎Medium Open in Notion

Ongoing · Front priority

2 ongoing

Make Time for Digital free time with Kids

Open in Notion

Run 3 Miles

Fitness 🚀Extreme Open in Notion

Initiated

2 starting

Organize Social Activities

Relationships Open in Notion

Develop Optima TE LLC

Open in Notion

Status hygiene4 mismatched

Put Tissue Expander 2.0 on hold

P1 Active with zero open tasks and 24 days of drift, either seed a task or downgrade.
Put Innovation 3D BioBreast on hold

P1 Active with no open tasks, the Oct 16 PCL vs PLGA material decision is overdue and unlinked.
Put Innovation 3D Matrix Mesh Printing on hold

P1 Active with no open tasks and NDA still pending, nothing is moving.
Promote Innovation Thermal Bra to P1

Twelve open tasks and today's deadline, the missing priority flag is the only reason it is not already top of the list.

Todayfront priority + energy matched

Open Thermal Bra file the Oct 19 meeting transcript and text Dr. Spiegel

Due today, closure work that fits recovery 48, and it clears the handoff before anything else can start.

Open
Open Send Rachel the inventor response framework for OTT201938 RCE response

Due Oct 7 and three weeks overdue, the Nov 1 RCE filing depends on it.

Open
Open OTT202205 BioBreast decide material election PCL vs PLGA

Due Oct 16 and blocking the counsel call, a decision task not a creation task, fits recovery 48.

Open

Coachingstalled active work

Four P1 Innovation projects sit at zero open tasks, this is a structural pipeline gap not a scheduling miss

Seeding one next-task per P1 would make the Monday review actually usable.
Open Decide on 3DBB MCRA NCE agreement extension vs expiry

Due Oct 30, pair it with the BioBreast material decision in one sitting.

Active Work Tasks 30 in motion

The clinical and academic plate.

In progress · Due 2026-03-31

Manuscript Submission: Subpec vs Prepec TE Meta-Analysis

In progress · Due 2026-06-12

Review Prior Art - Thermoforming 3D-Printed Bioresorbable PLCL Poly(L-lactide-co-ε-caprolactone) Mesh

Now · Due 2026-10-05

Prep for Oct 5 10 AM call with Rachel Near: OTT202126 EP rejection (meaning of tabs and suture openings)

Now · Due 2026-10-05

Fill out the cabinet business plan template with Homer (initiatives, progress, 6-month commitments, asks, categorical budget, risks, dependencies, trade-offs, connection points) for the October 5 meeting

Now · Due 2026-10-07

Send Rachel the inventor response framework (effluent separation and recirculation) for the OTT201938 RCE response

Now · Due 2026-10-09

PIP — Hold sponsor decision meeting with Dr. Schaal

Next · Due 2026-10-09

Share with Aldona the details of the ASPS dinner (October 16, 6:30pm, The Palm) and coordinate any additional marketing/education opportunities around the event.https://tasks.zoom.us?meetingId=v3AS0w0

Next · Due 2026-10-10

Follow up with Sandhya: articles and links from the 9.30 chat (Oxford 2025 peristaltic harvesting paper, Apex Medical patent) and Apex commercial-status research

Now · Due 2026-10-10

Confirm B2TRI (fat grafting) start date and timeline with Micah McKinney

Now · Due 2026-10-16

OTT202205 BioBreast: decide material election (PCL vs PLGA), then tell Lee you're ready for counsel call

Next · Due 2026-10-16

Identify literature supporting effluent factors (SVF, growth factors, lipoaspirate fluid) improving fat graft take

Next · Due 2026-10-16

Review Rachel's draft amended independent kit claim and RCE response (effluent-focused) before filing

Now · Due 2026-10-16

PIP — Approve minimum viable pilot model and launch date

Next · Due 2026-10-16

Physician Innovation Program (PIP) – Selection Criteria, ROI, and Matrix

Next · Due 2026-10-20

Prepare computer-generated rendering of the effluent separation and recirculation module (if Rachel needs it for the response)

Now · Due 2026-10-21

Thermal Bra: fix insert v3 before order (CC1/CC2 to GND, teardrops on lattice vias, decide skin-facing side and coverlay openings)

Now · Due 2026-10-21

Thermal Bra: fix hub schematic text (bus B on D8/D9, charge flags on D0/D1), confirm XIAO antenna keep-out and J1 straddle mount

Now · Due 2026-10-22

Thermal Bra: get JLCPCB quotes and confirm whether they will place the XIAO nRF52840; write fab notes for the flex

Now · Due 2026-10-23

Thermal Bra: PLACE THE BOARD ORDER (5 inserts, 3 hubs) plus loose parts: 10 MAX30205, 3 XIAO, 4 cells, 2 chargers, calibration thermometer

Next · Due 2026-10-23

PIP — Prepare leadership decision deck and stakeholder review

Next · Due 2026-10-24

Thermal Bra: save the Oct 19 Monte Carlo sensor-count and cup-coverage analyses (assumptions and code) to Sub-project 5

Now · Due 2026-10-24

Thermal Bra: 3D-print two sets of TPU cover and PLA pod to the current board outlines and bring them to Dr. Spiegel

Now · Due 2026-10-24

Thermal Bra: export the fabrication package and hand-off folder (Gerbers, BOM, CPL, .epro, board DXF/STEP) to the project record before the trip

Next · Due 2026-10-25

Fat grafting machine (OTT201938): inventor action items before RCE filing (Nov 1)

Next · Due 2026-10-26

Thermal Bra: add the Claude pathway assessment to each of the five sub-project pages

Next · Due 2026-10-26

Thermal Bra: write the bench acceptance checklist and calibration procedure so testing can start the day boards arrive

Now · Due 2026-10-26

Thermal Bra: write and bench-test bring-up firmware on a bare XIAO (I2C scan both buses, read 13 MAX30205 one-shot, CSV over USB serial, watchdog on)

Next · Due 2026-10-26

Thermal Bra: draft the one-page detection rule specification (baseline window, delta, slope, spread, ambient correction, non-contact, sensor fault, alert tiers) for Yousef and Dr. Spiegel to set thresholds

Next · Due 2026-10-27

Thermal Bra: file the Oct 19 meeting transcript and decisions in Innovation Meetings & Calls and text Dr. Spiegel the links to the order confirmation and hand-off folder before leaving

Later · Due 2026-10-30

Decide on 3DBB MCRA NCE agreement (AGMT00018703) extension vs expiry

Innovation Pipeline · P1 active 2 moving · 3 stalled

P1

Innovation - Fat Grafting Device with DesignPlex (OTT201938-10063-061PV1)

6 open tasks, next: Send Rachel the inventor response framework (effluent separation and recirculation) for the OTT201938 RCE response (due 2026-10-07). NDA: NDA Completed.

24d
P1

Innovation - Thermoforming 3D BioMesh

1 open task, next: Review Prior Art - Thermoforming 3D-Printed Bioresorbable PLCL Poly(L-lactide-co-ε-caprolactone) Mesh (due 2026-06-12).

13d
P1

Tissue Expander 2.0 (OTT202126-10063-070PV1)

No open tasks. Pipeline stalled - either define a next task or downgrade priority.

24d
P1

Innovation -3D BioBreast (OTT202205)

No open tasks. Pipeline stalled - either define a next task or downgrade priority.

0d
P1

Innovation - 3D Matrix Mesh Printing (OTT202141)

No open tasks. Pipeline stalled - either define a next task or downgrade priority.

0d

+6 P2/P3/unranked Innovation projects, see Notion to triage

Status hygiene4 mismatched

Put Somovac Drain System on hold

Consultant status with 1053 days of drift, reclassify out of the Active lane.
Put Tension less Skin Closure System on hold

Consultant status with 1053 days of drift, reference-only engagements do not belong in Active.
Put Deep Blue T Line Mesh on hold

Consultant status with 1053 days of drift, same reclassification.
Put MTF Arc BellaDerm on hold

P1 Active with zero open tasks and 8 days drift, the only P1 in the venture lane and it is empty.

Coachingstalled active work

Promote OptiME Health to P1

It is the sole venture with an open task and 24 days of drift, the MVP work deserves the only P1 slot.
Eight ventures sit Active with zero open tasks, the Ventures workspace is a holding pen not a working set

Pick two to promote and let the rest fall to P3.

Optima portfolio filtered to P1 active projects with open tasks. Stalled and lower-priority engagements surface in the dispatch above for triage.

0moving

P1 Stalled · no open tasks 1 flagged

P1

MTF Arc (BellaDerm)

No open tasks. Either define a next action or downgrade priority. Status: Active.

8d

+10 P2/P3/Consultant Ventures, see Notion or use the dispatch above to triage

Body Composition Withings, last 30 days

Weight

— lbs

Body Fat

— %

Muscle Mass

— kg

Sleep avg

— hr

7-day avg

Recovery, 30 days

48%

2026-09-27+37 pts trendToday

HRV, 30 days

—ms

2026-09-27Today

Sleep, this weekHours per night

Fri

Sat

Sun

Mon

Tue

Wed

Thu

Sleep data not yet syncing.

Tonal, this week3 of 4 sessions

Volume

12.4k

lbs total

Strength

score

Reps

412

total

June ProtocolBody recomp + biotoxin

26 days until kick-off.

Baseline labs and protocol scaffolding due before June 1. Mycotoxin panel ordered. Initial macros and training split to be set over Memorial Day weekend.

32 areas across 7 frameworks. Each one is a hub for related projects, goals, routines, books, and notes. Tap a hub to see what's moving inside it.

7frameworks

Career & FinancesCareer

4 hubs

Finances

2 projects 1150d ago

Long quiet on finances, two projects and a goal awaiting attention.

Ideas

1150d ago

Ventures Misc

3 projects 647d ago

Long quiet since late in the previous year, though three projects remain nominally active.

Work

6 projects 814d ago

A long quiet settles over six projects and nine goals, now two years past their last attention.

Health & LifestyleBody

8 hubs

Beauty

7 projects 1028d ago

Beauty projects have drifted far from active attention, nearly three years now.

Fitness

7 projects 1028d ago

Long quiet, though the framework still holds seven projects and six goals in place.

Food + Diet

6 projects 1028d ago

Six projects sit in long quiet, nearly three years without a glance.

Health + Wellness

6 projects 1024d ago

A long quiet over nearly three years, six projects waiting.

Mindfulness

6 projects 1025d ago

Six projects suspended in a long quiet, nearly three years unvisited.

Shopping + Style

3 projects 1028d ago

Long quiet stretch, though three projects remain technically active.

Travel

1 project 1028d ago

Travel sits long quiet, a single project waiting in stillness for nearly three years.

Yoga

2 projects 1213d ago

Yoga has slipped far off the radar, though two projects still await attention.

Physical SpaceHome

7 hubs

Car

1149d ago

Cottage

1028d ago

France Dream Home

1 project 1028d ago

Long quiet in this corner, yet one goal still waits attention.

House + Home

25 projects 1028d ago

Twenty-five projects gather dust while four goals wait beyond the horizon.

Punta Mita

1028d ago

Telluride

6 projects 15d ago

Telluride holds six active threads with modest attention, recently paused for two weeks.

Vacation Homes

1 project 1028d ago

Long quiet period, though the single project and two goals still hold their ground.

Personal DevelopmentMind

5 hubs

Learning

11 projects 1028d ago

A learning hub left undisturbed for nearly three years, projects suspended in amber.

Notion

4 projects 1031d ago

Four projects gather dust across nearly three years of stillness here.

Organization

1150d ago

Personal Growth

5 projects 1150d ago

Personal growth sits long quiet, five projects and ten goals holding their breath.

Productivity

13 projects 1149d ago

Long quiet here, with thirteen projects and four goals awaiting fresh attention.

RelationshipsSocial

2 hubs

Family

11 projects 1028d ago

Long quiet in this corner, though the goals remain listed and waiting.

Relationships

1058d ago

Hobbies & LeisureMind

3 hubs

Fun + Leisure

1 project 1150d ago

Long quiet here, with one project and goal waiting patiently since the better part of three years ago.

Hobbies

2 projects 1150d ago

Hobbies rest in the background, waiting for attention after more than three years.

Leisure

1150d ago

Societal RolesSocial

1 hub

Social

1 project 1150d ago

Social roles framework sits quietly in the background, waiting for renewed attention.