Other than the fact of the surgery I’d welcome the chance to do a really in depth reflection. I try to do a more detailed review of stuff on the solstices and equinoxes and this is a set of things I consider, maybe they’ll spark some ideas for you. This is from an old post of mine on the GTD forums.
"I effectively use my solstice and equinox review periods as the place to reflect, review, recharge, and re-commit. I start these longer reviews by first focusing on what I have accomplished. I look at my high levels and work down.
Reflect
First off is just sitting and thinking, letting the mind wander with a pen an paper nearby. This reflection and self inspection can be painful at times, I sometimes write in my journal during this or just make notes. It’s like the big collection when you start GTD but more focused on the past 3 months. I am not making any judgements at this time just simply being and remembering.
Review
Then I review my higher level statements. I have written down my Personal Statement of Purpose and now I also each year have a word that I focus on for the year. I review what few written goals I have but I’ve always fallen down a bit in the middle levels. During the review I ask myself whether I am happy with the direction I am heading, whether I am happy with the overall purpose and whether I think I need to make any changes. I modify my purpose if needed. Since I discovered GTD I now also review what are my AOFs and are they still the appropriate ones for me at this time. Reviewing is where things get sticky. If I have been falling down on my commitments to myself this is when it becomes painfully obvious. Review is where I tend to add lots of new projects, do major GTD system reorganization to support new emphasis or new AOFs. This is also where I really look at every single on-hold or pending project and hold it up against the newly clarified AOF levels and decide if I really still need to do this one. In a typical equinox review I will delete 20-30 on hold projects and add about the same number of new ones.
Recharge
This section is almost like going back to the beginning. I try to just sit and think about the new structure and focus and see if it feels right. I make sure to spend some time during this period doing something that makes me happy, read a just for fun book that has been on my list, or go visit a neighbor, or fix a special dinner that I rarely make.
Re-commit
This is when I get down to the nitty gritty. I go back and review all my projects again and then do a more normal what can I realistically be working on at this time review of what to keep active or not. I re-read the statement of purpose and any goals I have set.
This longer review spreads out over several weeks. I try to have it finished by the solstice or equinox but don’t always get it done by then. Usually I do one part of the review in each week before the date."
Now I’m reading the 12 Week Year and incorporating a lot of the questions in that bok into my quarterly reviews.
Hope that helps