I'm starting to finally make use of Things in a more constructive fashion (after buying it a year and a half ago and having it waste away on my mac/phone etc.) It helps prioritize these kinds of things, although a lot of my notes still find their way into a "bottomless pit" scenario where they don't get looked at again for days, weeks, months etc.

On a related note, there should be an "ADDers Anonymous" for startup founders, bootstrappers etc (if there isn't already) for those with executive function type issues.