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Body State Last night

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Oura, ms

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Without numbers to read, the body remains its own quiet witness, holding whatever the day brings.

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

In 2610 Canadian Thanksgiving Telluride through 2026-10-12.

10-09 PIP — Hold sponsor decision meeting with Dr. Schaal innovation task
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 innovation task
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 innovation task
10-10 Confirm B2TRI (fat grafting) start date and timeline with Micah McKinney innovation task
10-16 OTT202205 BioBreast: decide material election (PCL vs PLGA), then tell Lee you're ready for counsel call innovation task
10-16 Identify literature supporting effluent factors (SVF, growth factors, lipoaspirate fluid) improving fat graft take innovation task
10-16 Review Rachel's draft amended independent kit claim and RCE response (effluent-focused) before filing innovation task
10-16 PIP — Approve minimum viable pilot model and launch date innovation task
10-16 Follow up on the slides for the next specimen (8.2 months timeline), expected in mid-October.https://tasks.zoom.us?meetingId=KJsTpBBJT%2BScweob%2F2PvDQ%3D%3D&stepId=edcb8f85-a187-11f1-ba34-36540b8c3bc innovation task
10-16 Physician Innovation Program (PIP) – Selection Criteria, ROI, and Matrix 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

In progress.

341 days
Personal

🌸 Morning Wellness Routine

Ongoing.

88 days
Personal

Schedule time with each child

In progress.

88 days
Personal

Make Time for Digital free time with Kids

Ongoing.

88 days
Personal

Run 3 Miles

Ongoing.

88 days

The Family Thread Surfacing today

Dorian —
Alena —

All Front Priority 12 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

No open next action defined.
WORK

Innovation - 3D Matrix Mesh Printing (OTT202141)

In progress

No open next action defined.
WORK
Innovation - Fat Grafting Device with DesignPlex (OTT201938-10063-061PV1)

In progress
WORK

Innovation -3D BioBreast (OTT202205)

In progress

No open next action defined.
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

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

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)

Next · Due 2026-10-23

PIP — Prepare leadership decision deck and stakeholder review

Next · Due 2026-10-25

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

Later · Due 2026-10-30

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

Next · Due 2026-10-30

PIP — Confirm pilot budget, funding owner, and donor strategy

Later · Due 2026-11-06

PIP — Confirm participant recognition and protected-time pathway

Next · Due 2026-11-06

PIP — Define EnMed, Rice, ARC, and OTT roles

Later · Due 2026-11-13

PIP — Confirm program manager, faculty, mentors, and project support

Later · Due 2026-11-13

PIP — Build application, nomination, and selection workflow

Later · Due 2026-11-20

PIP — Draft recruitment and department-chair communications

Later · Due 2026-11-20

PIP — Reserve 2027 program dates and evaluate Rice ION venue

OTT202126 Optima option: confirm with Oliver whether Optima TE moves to the negotiated license

Later

Continuation filing plan: module-only claims with sliding ring, and controller / system-wide pressure monitoring (P1-P4) claims

Later

Conduct fat viability studies under B2TRI (post-processing cell staining; effluent composition)

Later

Define sliding-ring filter-clearing mechanism and effluent module designs (B2TRI scope; continuation support)

Biodesign Symposium 2026: Brian Parrish (Salus/MAPS) interest, decide fit and reply

Innovation Pipeline · P1 active 2 moving · 3 stalled

P1

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

9 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.

5d
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).

6d
P1

Tissue Expander 2.0 (OTT202126-10063-070PV1)

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

5d
P1

Innovation - 3D Matrix Mesh Printing (OTT202141)

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

3d
P1

Innovation -3D BioBreast (OTT202205)

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

6d

+1 P2/P3/unranked Innovation projects, see Notion to triage

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

0moving

+13 P2/P3/Consultant Ventures, see Notion or use the dispatch above to triage

Body Composition Withings, last 30 days

Weight

143 lbs

−1.4 in 30d

Body Fat

17 %

+0.7 in 30d

Muscle Mass

51.6 kg

−1.0 in 30d

Sleep avg

— hr

7-day avg

Recovery, 30 days

73%

2026-09-08-16 pts trendToday

HRV, 30 days

—ms

2026-09-08Today

Sleep, this weekHours per night

Sun

Mon

Tue

Wed

Thu

Fri

Sat

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

2 projects 1131d ago

1131d ago

3 projects 628d ago

6 projects 795d ago