diff --git a/docs/session-handoff.md b/docs/session-handoff.md
index 56d2d4c..49e6c5a 100644
--- a/docs/session-handoff.md
+++ b/docs/session-handoff.md
@@ -837,3 +837,168 @@ Claude uses web_fetch to read the file directly
 
 **Next Service:** BookStack (docs.firefrostgaming.com)
 
+
+---
+
+## **Critical Medical Context (Added Feb 9, 2026)**
+
+**Michael's Health Background:**
+- **Type 1 Diabetes:** Managed with Omnipod 5 insulin pump + Dexcom G7
+- **Service Dog:** Jack (diabetic alert dog) - health alerts take ABSOLUTE PRIORITY
+- **Major Surgeries in 2025:**
+  - January 7, 2025: Panniculectomy + 3 hernia repairs (10.3 lbs tissue removed)
+  - March 3, 2025: 8-procedure hand reconstruction (right hand, permanent nerve damage)
+  - April 8, 2025: Bilateral mastectomy + chest reconstruction (4.85 lbs tissue removed)
+- **Hand Limitations:** Permanent nerve damage from March 2025 surgery
+  - Surgeon's prognosis: "unlikely muscle and strength will return to normal"
+  - Requires micro-block format (8-10 lines max per code block)
+  - Consolidated commands essential (one paste per operation)
+  - SSH automation planned to minimize manual typing
+
+**Accessibility Requirements:**
+- Small code blocks for mobile/desktop copy-paste (prevent UI crashes)
+- Consolidated commands (one command block = complete operation)
+- Extremely granular step-by-step instructions
+- Never skip "obvious" steps (chmod, mkdir, etc.)
+- Health and family ALWAYS take priority over work
+
+**Why This Matters:**
+- Every paste operation requires physical effort with compromised hands
+- GitHub mirror reduces need for manual file reading (major win!)
+- Tomorrow's SSH automation will eliminate most manual commands
+- Sessions may end abruptly if Jack alerts (this is expected and proper)
+
+---
+
+## **GitHub Mirror Workflow (Added Feb 9, 2026)**
+
+**Public Mirror:** https://github.com/Frostystyle/firefrost-operations-manual
+
+**How Claude Accesses Documentation:**
+1. Michael provides raw GitHub URL when Claude needs to read a doc
+2. Claude uses web_fetch tool to retrieve content directly
+3. No SSH/bash commands needed for reading (saves Michael's hands)
+
+**Raw URL Format:**
+```
+https://raw.githubusercontent.com/Frostystyle/firefrost-operations-manual/master/docs/[filename].md
+```
+
+**Auto-Sync:**
+- Every `git push` to Gitea triggers automatic sync to GitHub
+- Backup sync every 8 hours
+- Status visible in Gitea Settings → Repository → Mirror Settings
+
+**Security Note:**
+- GitHub repo is PUBLIC (by design, for Claude access)
+- Never commit IPs, passwords, API keys, webhook URLs, SSH keys
+- Use placeholders: <TX1_IP>, <DB_PASSWORD>, etc.
+- Sensitive data stays in Project Files or private Gitea only
+
+---
+
+## **Tomorrow's Plan: SSH Automation (Feb 10, 2026)**
+
+**Goal:** Enable SSH password authentication so Claude can execute ALL commands automatically
+
+**Implementation:**
+1. Edit `/etc/ssh/sshd_config` on TX1
+2. Change `PasswordAuthentication no` → `yes`
+3. Restart SSH service
+4. Michael provides password once at session start
+5. Claude handles all operations automatically for entire session
+
+**Trade-off Accepted:**
+- ✅ Massive reduction in hand strain (manual commands → zero commands)
+- ⚠️ Moderate security risk (SSH password auth exposes to brute force)
+- ✅ Risk acceptable given Michael's medical situation
+- ✅ Can restrict by IP if needed later
+
+**Why This Decision:**
+- Michael's permanent hand nerve damage makes repetitive commands painful
+- Current workflow still requires 3-5 paste operations per session
+- Medical situation outweighs security concerns
+- Enables BookStack deployment and Phase 0.5 completion
+
+---
+
+## **Documentation Organization (Added Feb 9, 2026)**
+
+**INDEX Created:** docs/INDEX.md provides comprehensive navigation for 28+ documentation files
+
+**Quick Reference:**
+- Current status: TASKS.md, session-handoff.md
+- Deployments: gitea-deployment.md, uptime-kuma-deployment.md
+- Planning: firefrost-master-implementation-plan.md, design-bible-v1.md
+- Community: discord-structure-complete.md, subscription-tiers-final.md
+- Brand: visual-assets-guide.md, path-philosophy.md
+- Future: pterodactyl-extensions-plan.md
+
+**Document Search:** See INDEX.md "Quick Search Guide" section
+
+---
+
+## **Infrastructure Status Update (Feb 9, 2026)**
+
+**Phase 0.5 Progress: 40% Complete (2/5 Services)**
+
+**Completed:**
+1. ✅ Gitea (git.firefrostgaming.com) - Deployed Feb 8
+2. ✅ Uptime Kuma (status.firefrostgaming.com) - Deployed Feb 9
+
+**Monitoring Status:**
+- 6 servers monitored (TX1 + 4 VPS) - 100% uptime
+- Discord notifications active (#network-status)
+- NC1 excluded (datacenter routing isolation - cannot ping from TX1)
+
+**Pending Services:**
+3. ⏳ BookStack (docs.firefrostgaming.com) - NEXT (with SSH automation)
+4. ⏳ Netdata (analytics.firefrostgaming.com)
+5. ⏳ Vaultwarden (vault.firefrostgaming.com)
+
+**Infrastructure Improvements:**
+- Visual maps created (interactive HTML + print-friendly versions)
+- Pterodactyl Extensions planned (Phase 0.6 - 5 extensions)
+- INDEX.md created for documentation navigation
+
+---
+
+## **Session Workflow Optimization**
+
+**Current Best Practices:**
+1. **Start:** Claude reads session-handoff.md + TASKS.md + recent session summaries
+2. **During:** Consolidated commands (one paste = complete operation)
+3. **End:** Create session summary, update TASKS.md, commit to Git
+4. **Always:** Health alerts from Jack take absolute priority
+
+**Git Workflow:**
+```bash
+cd ~/firefrost-work/firefrost-operations-manual
+# Make changes
+git add [files]
+git commit -m "descriptive message"
+git push
+# Auto-syncs to GitHub within seconds
+```
+
+**After Tomorrow (SSH Automation):**
+1. **Start:** Michael provides SSH password once
+2. **During:** Claude executes all commands automatically
+3. **End:** Claude creates session summary and commits (no manual paste needed)
+
+---
+
+## **Key Reminders for Future Claude Sessions**
+
+1. **Read INDEX.md** if looking for specific documentation
+2. **Medical context matters** - hand limitations are permanent, not temporary
+3. **Jack's alerts = session pause** - this is expected and proper
+4. **Use GitHub mirror** - Request raw URLs instead of asking for bash commands
+5. **Tomorrow = SSH automation** - Workflow will dramatically improve
+6. **Consolidated commands** - Until SSH automation, keep everything in one block
+7. **Phase 0.5 focus** - Complete Services 3-5 before moving to Phase 1
+
+---
+
+**Last Major Update:** February 9, 2026 - Medical context, GitHub mirror, SSH automation plan
+