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Coaching

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

—

Whoop

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

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

Initiated. Dual citizenship paperwork stalled, no appointments or documents recently advanced.

365 days
Personal

🌸 Morning Wellness Routine

Initiated. Routine unanchored, with no trigger, habit stack, or time block set.

114 days
Personal

Schedule time with each child

Initiated. Individual time with each child remains unscheduled, momentum quietly lost.

114 days
Personal

Make Time for Digital free time with Kids

Initiated. No dedicated time carved out, digital-free sessions remain unscheduled.

114 days
Personal

Run 3 Miles

Initiated. No scheduled runs logged, momentum fading after 114 quiet days.

114 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 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 -3D BioBreast (OTT202205)

In progress

Suggested next action

Schedule stakeholder review meeting with clinical team

Clarifying expectations and timelines prevents downstream misalignment.
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 367 days of drift means the status is fiction, park it until a real window opens.
Put Run 3 Miles on hold

Extreme-energy Front item drifting 114 days with no biometric support today, demote or pause.
Put Organize Social Activities on hold

Front priority still at Initiated after 114 days, it is not actually active.
Put Develop Optima TE LLC on hold

Front+Initiated for 114 days, and the venture work lives in the Ventures workspace now.

Todayfront priority + energy matched

Open Schedule time with each child

Simmer energy, 114 days drifted, a ten-minute calendar action closes the gap without taxing the day.

Open
Open Make Time for Digital free time with Kids

Ongoing Front item, low-cost evening touch that pairs naturally with the above.

Open

Coachingstalled active work

The Front lane on Personal is carrying four items that have not moved in months, trim it to what you will actually touch this quarter.

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 (OTT202126-10063-070PV1) on Hold

P1 Active with zero tasks and 31 days drift, either seed a next action or park it.
Set Innovation - Thermal Bra priority to 1

Twelve open tasks and the parent of five sub-projects, it is the most active thread you have and deserves P1.
Put Innovation - Thermoforming 3D BioMesh on Hold

Single task due June 12 that never closed, 20 days drift, either work the prior-art review or pause.
Put Innovation - 3D Matrix Mesh Printing (OTT202141) on Hold

P1 Active, NDA Pending, zero tasks, no forward motion visible.

Todayfront priority + energy matched

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

Blocking the board order, two weeks overdue, focused desk work suits a neutral-energy Wednesday.

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

Nearly a month overdue and the RCE filing window is closing, this unblocks counsel.

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

Downstream of the insert fix; placing the order today keeps the bench-test timeline alive.

Open

Coachingstalled active work

Add a next task to Innovation - 3D BioBreast (OTT202205) about the PCL vs PLGA material election

P1 with NDA Completed and no open task, the material decision from the Oct 16 queue never got re-anchored.
Four of the five P1 Innovation projects show zero open tasks, the pipeline is priority-labeled but task-starved, worth a weekly seeding ritual.

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.

31d
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).

20d
P1

Tissue Expander 2.0 (OTT202126-10063-070PV1)

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

31d
P1

Innovation - 3D Matrix Mesh Printing (OTT202141)

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

1d
P1

Innovation -3D BioBreast (OTT202205)

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

7d

+7 P2/P3/unranked Innovation projects, see Notion to triage

Status hygiene4 mismatched

Put Somovac Drain System on Hold

Consultant status with 1060 days drift, reclassify out of the active view.
Put Tension less Skin Closure System on Hold

Consultant, 1060 days drift, same reason.
Put Deep Blue T Line Mesh on Hold

Consultant, 1060 days drift, archive it from the working list.
Add a next task to MTF Arc (BellaDerm)

Only P1 Active venture and it has no open task, needs a concrete next step or a priority downgrade.

Todayfront priority + energy matched

Open Continue developing and fine-tuning the OptiMe Health MVP ahead of pilot

The sole venture task with momentum, low-ceremony progress work that fits a neutral day between Innovation sprints.

Open

Coachingstalled active work

The Ventures workspace is eight Active projects with one open task between them, it is a portfolio view masquerading as a worklist, consider a quarterly priority pass.

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.

15d

+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

72%

2026-10-05+67 pts trendToday

HRV, 30 days

—ms

2026-10-05Today

Sleep, this weekHours per night

Sat

Sun

Mon

Tue

Wed

Thu

Fri

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 1158d ago

Long quiet, with two projects and one goal waiting beneath the surface.

Ideas

1158d ago

Ventures Misc

3 projects 654d ago

Long quiet here, with three projects and three goals waiting in suspension.

Work

6 projects 821d ago

Work and finances drift somewhere beyond two years of neglect.

Health & LifestyleBody

8 hubs

Beauty

7 projects 1035d ago

Seven projects and two goals rest in long quiet, untouched for nearly three years now.

Fitness

7 projects 1035d ago

Fitness has drifted long quiet, untouched since early 2022.

Food + Diet

6 projects 1035d ago

Six projects languishing in nearly three years of silence, awaiting direction or release.

Health + Wellness

6 projects 1032d ago

Six projects and five goals sit long quiet, nearly three years without attention.

Mindfulness

6 projects 1032d ago

A long quiet stretch, six projects awaiting attention or direction.

Shopping + Style

3 projects 1035d ago

Long quiet, with three projects waiting for direction among the dust.

Travel

1 project 1035d ago

Travel has been off the radar for nearly three years now.

Yoga

2 projects 1221d ago

A long quiet stretch, though two projects remain nominally active.

Physical SpaceHome

7 hubs

Car

1156d ago

Cottage

1035d ago

France Dream Home

1 project 1035d ago

A dream home vision left to rest nearly three years ago.

House + Home

25 projects 1035d ago

Long quiet, with projects and goals waiting beneath nearly three years of stillness.

Punta Mita

1035d ago

Telluride

6 projects 22d ago

Six projects and two goals await attention after three weeks of silence.

Vacation Homes

1 project 1035d ago

Vacation homes sit long quiet, nearly three years since last attention.

Personal DevelopmentMind

5 hubs

Learning

11 projects 1035d ago

Long quiet here, nearly three years since the last visit.

Notion

4 projects 1038d ago

Long quiet, with four projects and one goal waiting in the distance.

Organization

1158d ago

Personal Growth

5 projects 1158d ago

Personal growth projects have drifted beyond the horizon for more than three years.

Productivity

13 projects 1156d ago

Off the radar for over three years, yet thirteen projects remain on the books.

RelationshipsSocial

2 hubs

Family

11 projects 1035d ago

Family relationships rest in long quiet, untouched through nearly three years.

Relationships

1065d ago

Hobbies & LeisureMind

3 hubs

Fun + Leisure

1 project 1158d ago

A quiet corner, untouched for more than three years now.

Hobbies

2 projects 1158d ago

Hobbies rest in a long quiet, untouched for three years now.

Leisure

1158d ago

Societal RolesSocial

1 hub

Social

1 project 1158d ago

A single project and two goals rest in long quiet, untouched for over three years.