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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

—

62% efficiency

Recovery sits at a quiet 61 percent, the body neither pushing nor retreating, simply holding its ground.

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

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. Citizenship paperwork pending, with no recent follow-up on either country.

361 days
Personal

🌸 Morning Wellness Routine

Initiated. Morning Wellness Routine drifting 108 days, with no re-engagement scheduled.

108 days
Personal

Schedule time with each child

Initiated. Individual time with each child remains unscheduled, 108 days drifting.

108 days
Personal

Make Time for Digital free time with Kids

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

108 days
Personal

Run 3 Miles

Initiated. No run logged in 108 days, momentum quietly waiting to return.

108 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 361 days of drift signals the status is wrong, not the ambition.
Put Run 3 Miles on hold

Extreme-energy Front item with 108 days drift and Now=false; demote or pause.
Put Organize Social Activities on hold

Front priority still Initiated after 108 days; it has not started.
Put Develop Optima TE LLC on hold

Front personal project duplicates Ventures workstream; redundant here.

Todayfront priority + energy matched

Open Schedule time with each child

Simmer energy fits recovery 61 on a clinical day; a single text or calendar block counts.

Open
Open Make Time for Digital free time with Kids

Low-friction evening anchor that costs no cognitive load after clinic.

Open

Coachingstalled active work

Every Front personal project shows 108 days of drift, which usually means the Front list is aspirational, not operational

Consider a quarterly Front reset.

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 25 days drift; either seed a task or park it.
Open Innovation -3D BioBreast (OTT202205)

P1 with no tasks but a decision due Oct 30 on MCRA NCE extension; add the task or demote.
Put Innovation - 3D Matrix Mesh Printing on hold

P1 Active with zero tasks and NDA still Pending; nothing is moving.
Set Innovation - Thermal Bra priority to 1

Twelve open tasks, zero drift, this is the actual P1 workstream and should be labeled as such.

Todayfront priority + energy matched

Open Thermal Bra: PLACE THE BOARD ORDER (5 inserts, 3 hubs) plus loose parts

Five days past due, blocks every downstream firmware and bench task; recovery 61 is enough for a procurement push.

Open
Open Thermal Bra: write and bench-test bring-up firmware on a bare XIAO

Due today, deep-focus coding fits mid-recovery morning before clinic noise.

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

Three weeks past due and the RCE filing deadline is Nov 1; the fat grafting P1 unlocks on this.

Open

Coachingstalled active work

Demote Innovation - Thermoforming 3D BioMesh to P2

Single prior-art task four months past due; this is reconnaissance, not a P1.
Four Innovation P1 projects carry zero open tasks; the pipeline is labeled richer than it is operating

Rebuild the P1 list from task density, not aspiration.

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.

25d
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).

14d
P1

Tissue Expander 2.0 (OTT202126-10063-070PV1)

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

25d
P1

Innovation -3D BioBreast (OTT202205)

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

1d
P1

Innovation - 3D Matrix Mesh Printing (OTT202141)

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

1d

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

Status hygiene4 mismatched

Put Somovac Drain System on hold

Consultant status, 1054 days drift; reference-only, not an Active venture.
Put Tension less Skin Closure System on hold

Consultant engagement with 1054 days drift; move out of Active roster.
Put Deep Blue T Line Mesh on hold

Same pattern: Consultant, three-year drift, not a working venture.
Open MTF Arc (BellaDerm)

Only P1 Ventures project and it has zero open tasks; add a next action or demote.

Todayfront priority + energy matched

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

The only Ventures task with momentum; a short MVP review slot fits mid-recovery.

Open

Coachingstalled active work

Eight Ventures projects are Active but seven have zero tasks; the entities exist, the work does not

Either seed one task per venture this week or consolidate the roster.

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

145 lbs

stable

Body Fat

16 %

stable

Muscle Mass

52.8 kg

stable

Sleep avg

— hr

7-day avg

Recovery, 30 days

46%

2026-09-28+55 pts trendToday

HRV, 30 days

—ms

2026-09-28Today

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 1151d ago

Long quiet here, with two active projects waiting in suspension.

Ideas

1151d ago

Ventures Misc

3 projects 648d ago

Long quiet, with projects and goals waiting beyond the horizon.

Work

6 projects 815d ago

Work area drifts quietly, untouched through more than two years of silence.

Health & LifestyleBody

8 hubs

Beauty

7 projects 1028d ago

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

Fitness

7 projects 1029d ago

Fitness sits long quiet, nearly three years without a recorded glance.

Food + Diet

6 projects 1029d ago

Six projects sit in a long quiet, nearly three years unmarked by attention.

Health + Wellness

6 projects 1025d ago

Long quiet here, though six projects and five goals still hold their shape.

Mindfulness

6 projects 1026d ago

Six projects remain, untouched for nearly three years, waiting in stillness.

Shopping + Style

3 projects 1028d ago

Long quiet stretch, though three projects remain technically active.

Travel

1 project 1029d ago

Travel projects have drifted far beyond the horizon, nearly three years now.

Yoga

2 projects 1214d ago

Yoga has slipped from view, though two projects still carry potential.

Physical SpaceHome

7 hubs

Car

1150d ago

Cottage

1029d ago

France Dream Home

1 project 1029d ago

A dream home idea that has drifted long out of focus.

House + Home

25 projects 1028d ago

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

Punta Mita

1029d ago

Telluride

6 projects 16d ago

Telluride holds six active projects and two goals, though none have stirred in over 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 1032d ago

Four projects waiting in the long quiet, nearly three years now.

Organization

1151d ago

Personal Growth

5 projects 1151d ago

Personal growth has been off the radar for more than three years now.

Productivity

13 projects 1150d ago

Thirteen projects in waiting, their momentum long since stalled.

RelationshipsSocial

2 hubs

Family

11 projects 1029d ago

Family projects and goals have drifted long beyond the horizon of attention.

Relationships

1059d ago

Hobbies & LeisureMind

3 hubs

Fun + Leisure

1 project 1151d ago

Fun and leisure has drifted into the background, untouched for over three years now.

Hobbies

2 projects 1151d ago

Long quiet here, though the projects and goals remain waiting.

Leisure

1151d ago

Societal RolesSocial

1 hub

Social

1 project 1151d ago

Long quiet on societal roles, one project still standing.