Books and papers on what the body has left to spend.
The work
Capacity Worth Keeping
Retirement, Kindness, and the Last Day · Nonfiction · Twenty-three chapters · Complete manuscript, publication pending
What happens to a body when nothing is asked of it. Written for the years after the work stops, when the demands that kept a person capable quietly stop arriving and nothing announces their absence.
The argument underneath all of it: comfort is a design goal that, met completely, removes the demand the body was built to answer. A clinical book about what we are choosing when we choose ease.
The Saphenous Choice — a surgeon’s decision, told as fiction Complete
Perfect Day — one day, measured two ways In progress
The Handback — what help reveals when it is taken away In progress
The research
O’Leary RT. The Preservation of Functional Reserve: A Control Systems Framework for Human Aging. Life. 2026;16(9):1457.
doi:10.3390/life16091457
O’Leary RT. Is Immune Homeostatic Competence a Distinct Capacity? A Falsifiable Test for a Sixth Determinant of Functional Reserve. Zenodo, 2026. Preprint.
doi:10.5281/zenodo.22728017
O’Leary RT. New Horizons in Reserve Variability: Point, Slope, and the Third Axis of Serial Functional Measurement. Preprints.org, 2026. Preprint.
doi:10.20944/preprints202609.0581.v1
O’Leary RT. The Governing Minimum: Multi-Domain Rate Asymmetry Under Challenge as Functional Reserve. Preprints.org, 2026. Preprint.
doi:10.20944/preprints202609.0084.v2
O’Leary RT. Unrecorded Load Exceeds the Reference Change Value: Condition of Measurement in GDF15 Research. Preprints.org, 2026. Preprint.
doi:10.20944/preprints202608.0304.v1
O’Leary RT. The Gain–Loss Ratio: Defining a Missing Quantity in Human Capacity Dynamics. SportRxiv, 2026. Preprint.
doi:10.51224/SportRxiv.1029
Further papers on functional reserve and its measurement are under review at peer-reviewed journals.
Robert T. O’Leary, DO, is a physiatrist double board-certified in physical medicine and rehabilitation and in pain medicine. He trained at the National Rehabilitation Hospital in Washington, DC, and in research and biomechanics at the NIH Clinical Center. He is a clinical associate professor at the Orlando College of Osteopathic Medicine and has practiced for more than thirty-two years. He lives in Florida.