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00items in inbox awaiting clarify
20active projects have no defined next action
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Body State Last night

Recovery is patient with you.

Readiness

—

Oura

HRV

—

Oura, ms

Sleep

—

88% efficiency

Recovery sits at 71 percent, quiet and deliberate, with the heart holding a steady, unhurried rhythm beneath it all.

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

10-30 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
11-13 PIP — Confirm program manager, faculty, mentors, and project support innovation task
11-13 PIP — Build application, nomination, and selection workflow 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

Citizenship paperwork drifts, with no appointments scheduled or documents recently pursued.

362 days
Personal

🌸 Morning Wellness Routine

Initiated. Morning Wellness Routine drifting 109 days, no re-engagement or milestone recorded.

109 days
Personal

Schedule time with each child

Initiated. Individual time with each child remains unscheduled, the rhythm still missing.

109 days
Personal

Make Time for Digital free time with Kids

Initiated. Digital free time with kids drifts, awaiting a first scheduled block.

109 days
Personal

Run 3 Miles

Initiated. No scheduled run logged, momentum adrift across 109 quiet days.

109 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 362-day drift signals it is not actually active; park it or work it today.
Put Organize Social Activities on hold

Front priority but still Initiated after 109 days, not a real working project.
Put Develop Optima TE LLC on hold

Front priority but Initiated and 109 days drifted; belongs in Ventures scope, not Personal Front.
Put Run 3 Miles on hold

Front Extreme-energy Ongoing project with 109-day drift and now=false; not currently a routine.

Todayfront priority + energy matched

Open Schedule time with each child

Simmer energy fits a demanding Friday clinical schedule, and the drift makes any small concrete action meaningful.

Open

Promote from backactive set is thin

Promote Organize Home Office and Compute to Front (Back, High)

Recovery 71 supports High energy, project is already In progress, and it would meaningfully clear personal infrastructure.

Coachingstalled active work

The Personal Front shelf is functionally empty, two Ongoing items and two Initiated placeholders, worth a 15-minute reset this weekend.

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 26-day drift; pipeline is stalled, demote or park.
Put Innovation -3D BioBreast on hold

P1 with no open tasks; the MCRA extension decision due today is tracked as a loose task, not under this project.
Put Innovation - 3D Matrix Mesh Printing on hold

P1 Active with zero tasks and pending NDA; no live workstream.
Put Innovation - Thermoforming 3D BioMesh on hold

P1 with one task four months overdue; not a real active thread.

Todayfront priority + energy matched

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

Overdue since Oct 7, blocks the Nov 1 RCE filing, recovery supports the drafting load.

Open
Open Thermal Bra: PLACE THE BOARD ORDER

Overdue Oct 23, every downstream bench task waits on this one procurement action.

Open
Open Decide on 3DBB MCRA NCE agreement extension vs expiry

Due today, binary decision, low cognitive cost.

Open

Coachingstalled active work

Set Innovation - Thermal Bra to P1

Twelve open tasks and the entire sub-project cascade depend on it; the missing priority flag is distorting the dashboard.
PIP has six tasks and no parent project; it is functionally a seventh P1 without a home, worth creating a container.

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.

26d
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).

15d
P1

Tissue Expander 2.0 (OTT202126-10063-070PV1)

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

26d
P1

Innovation -3D BioBreast (OTT202205)

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

2d
P1

Innovation - 3D Matrix Mesh Printing (OTT202141)

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

2d

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

Status hygiene4 mismatched

Put Somovac Drain System on hold

Consultant status with 1055-day drift; reference-only, not a venture.
Put Tension less Skin Closure System on hold

Consultant status, nearly three years drifted, not active work.
Put Deep Blue T Line Mesh on hold

Consultant status, 1055-day drift; archive from the active view.
Put MTF Arc (BellaDerm) on hold

P1 Active with zero open tasks; either generate a next action or demote.

Promote from backactive set is thin

Promote OptiME Health from unranked to P1

Only venture with an open task and real MVP momentum; the priority field does not reflect that.

Coachingstalled active work

Ventures is a classification problem today, not a work problem; one 20-minute pass would reset the entire tab.

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.

10d

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

Body Composition Withings, last 30 days

Weight

145 lbs

stable

Body Fat

16 %

stable

Muscle Mass

52.8 kg

stable

Sleep avg

— hr

7-day avg

Recovery, 30 days

83%

2026-09-30+61 pts trendToday

HRV, 30 days

—ms

2026-09-30Today

Sleep, this weekHours per night

Mon

Tue

Wed

Thu

Fri

Sat

Sun

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 1153d ago

Long quiet here, with two projects waiting and a goal left unvisited.

Ideas

1153d ago

Ventures Misc

3 projects 650d ago

Long quiet on ventures, though the framework still holds three active projects and goals.

Work

6 projects 816d ago

Work sits long quiet, projects and goals waiting beyond two years of silence.

Health & LifestyleBody

8 hubs

Beauty

7 projects 1030d ago

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

Fitness

7 projects 1030d ago

Long quiet on fitness, nearly three years since last engagement.

Food + Diet

6 projects 1030d ago

Six projects adrift nearly three years, gathering dust without direction.

Health + Wellness

6 projects 1027d ago

Health and wellness projects have drifted far from active attention, nearly three years now.

Mindfulness

6 projects 1027d ago

A long quiet settles over mindfulness, projects untouched since early 2022.

Shopping + Style

3 projects 1030d ago

Long quiet, though the framework remains intact with three projects waiting.

Travel

1 project 1030d ago

Travel sits long quiet with one project waiting, untouched since nearly three years past.

Yoga

2 projects 1216d ago

Long quiet here, with two projects waiting and a single goal still noted.

Physical SpaceHome

7 hubs

Car

1151d ago

Cottage

1030d ago

France Dream Home

1 project 1030d ago

A dream deferred, untouched for nearly three years now.

House + Home

25 projects 1030d ago

A long quiet has settled over this corner, with projects and goals unchanged for nearly three years.

Punta Mita

1030d ago

Telluride

6 projects 17d ago

Six projects and two goals rest in a patient pause, last stirred seventeen days ago.

Vacation Homes

1 project 1030d ago

Off the radar for nearly three years, yet goals remain open.

Personal DevelopmentMind

5 hubs

Learning

11 projects 1030d ago

Long quiet, though eleven projects remain in waiting.

Notion

4 projects 1033d ago

Four projects and a goal sit in long quiet, untouched since early 2022.

Organization

1153d ago

Personal Growth

5 projects 1153d ago

Long quiet here, with five projects and ten goals waiting beneath the surface.

Productivity

13 projects 1151d ago

Long quiet in this corner, projects and goals suspended across more than three years.

RelationshipsSocial

2 hubs

Family

11 projects 1030d ago

Long quiet on family relationships, though the projects and goals remain listed.

Relationships

1060d ago

Hobbies & LeisureMind

3 hubs

Fun + Leisure

1 project 1153d ago

Long quiet here, with one project and goal remaining from an earlier season.

Hobbies

2 projects 1153d ago

Long quiet, though two projects and goals remain listed here.

Leisure

1153d ago

Societal RolesSocial

1 hub

Social

1 project 1153d ago

Societal roles framework sits long quiet, untouched since early pandemic times.