Ever sneezed and leaked a little? Felt an urgent need to use the bathroom the moment your key touches your front door? You're not alone—and contrary to what many believe, these symptoms aren't just normal parts of aging or motherhood that you have to accept.

In this conversation with Dr. Bijal Toprani, physical therapist specializing in pelvic floor health, we unpack the hidden world of pelvic floor function and dysfunction that affects up to one-third of women. Dr. Toprani demystifies what exactly the pelvic floor is (those muscles extending from pubic bone to tailbone), the common issues that arise (from various types of urinary incontinence to pelvic pain), and why waiting an average of six years to seek help is unnecessarily prolonging your discomfort.

We challenge widespread misconceptions, including the belief that Kegels are the universal solution (they can actually worsen certain conditions!) and explore the fascinating connection between stress, trauma, and pelvic tension. Most importantly, Dr. Toprani emphasizes that these conditions are highly treatable, with many patients seeing a 50% reduction in symptoms within just three months of consistent therapy.

For Health Select of Texas and Consumer-Directed Health Select participants, there's now a convenient virtual option through Hinge Health that eliminates the typical three-month wait to see a specialist. Whether you're experiencing issues during pregnancy, postpartum, perimenopause, or any stage of life, this episode delivers practical insights that can transform your relationship with your pelvic floor and overall quality of life.

Take the first step toward addressing what's been normalized but shouldn't be. Your pelvic floor deserves attention, and relief is more accessible than you might think. Listen, learn, and reclaim control of this crucial but often overlooked aspect of your wellbeing.

Learn more about Hing Health's Pelvic Floor program and see if you may be eligible through the HealthSelect website.

Susan Combs shares how her upbringing on a remote West Texas ranch shaped her leadership philosophy and approach to public service, highlighting resilience and optimism as essential qualities for navigating challenges.

• Growing up in Brewster County taught self-reliance and community support through experiences with limited water, unreliable electricity, and geographical isolation
• As Agriculture Commissioner, transferred school nutrition programs from education to agriculture, prioritizing healthier food options for students
• Developed "early bird" habits from ranch life, viewing punctuality as a sign of respect and efficiency
• Advocates breaking large tasks into "sprints" to maintain energy and focus
• Recommends four principles for government service: know your purpose, find daily joy, focus externally on those you serve, and maintain calm
• Practices "no negative cha-cha" philosophy to avoid unproductive negativity
• Dedicates retirement to ranch sustainability, water conservation projects, and staying informed about current events
• Defines good life as choosing happiness, connecting positively with others, and having beneficial impact on others

In this episode of the Buena Vida Podcast, we’re joined by Dr. Tabbetha Lopez—a registered dietitian, licensed dietician, who holds a Ph.D. in Kinesiology and is a former collegiate athlete—for an inspiring and practical conversation about nutrition, movement, and well-being. Dr. Lopez shares her personal journey and professional insights into how we can shift from a restrictive mindset around food to one that’s rooted in balance, joy, and sustainability.

Together, we explore:

• How to ditch diet culture and embrace a more balanced mindset around food
• Practical, science-backed strategies to eat more fruits and vegetables
• The psychology of emotional eating and how to navigate it
• Why food is more than fuel—and how to cultivate a positive relationship with it
• What it really means to live a “good life” when it comes to health

Whether you’re just starting your wellness journey or looking to reset your relationship with food, this episode is full of empowering takeaways and real-life strategies.

Resources Discussed:

• Buena Vida Well-being Program (Join Five to Thrive Nutrition Challenge here!)
• Nutrition Programs: Wondr and Real Appeal
• HealthSelect of Texas Health Plan Resources (Search Nutrition in the document)
• Join "Motivation Monday" sessions each week to talk about health and well-being and to move a little to start your week!

Your environment plays a crucial role in shaping your health and well-being. In this episode of the Buena Vida Podcast, Lacy interviews with Trent Matthias, Director of the National Fitness Campaign, to explore how thoughtfully designed public spaces can inspire healthier lifestyles.

With nearly 40 years of history, the National Fitness Campaign is transforming communities by creating free outdoor fitness courts, making movement accessible to all. Trent shares insights on how urban design influences physical activity, the challenges of funding and advocacy, and the power of community-driven wellness initiatives.

We’ll also dive into success stories from cities embracing the campaign and practical steps you can take to bring fitness courts and wellness spaces to your own neighborhood.

Join us for an inspiring conversation on how public spaces can support well-being, and learn how you can be part of the movement. Don’t forget to check the show notes for resources, subscribe, and join Buena Vida—our wellness program where we connect, learn, and support each other! Plus, I’m offering weekly giveaways in our community groups—this is a great way to stay engaged and motivated!

Resources Discussed:

National Fitness Campaign Website- find a Fitness Court, explore the exercise library, learn about grant opportunities or become an ambassador!

UT Houston School of Public Health's Tu Salud Si Cuenta Program (Your Health Matters) in the Rio Grande Valley

Buena Vida - Join us in living "the Good Life" through our new wellness program for HealthSelect & Consumer Directed HealthSelect plan participants!

This episode explores the vital connections between heart health, community, and overall well-being with cardiologist Dr. Jane Morgan. Emphasizing the role of friendships and preventive care in longevity, Dr. Morgan provides insights on managing heart health through lifestyle changes and addressing issues like high blood pressure.

• Exploring the link between friendships and longevity
• Understanding systolic and diastolic blood pressure
• Importance of tracking blood pressure for everyone
• Combating loneliness to improve heart health
• The significance of preventive care in managing chronic conditions
• The impact of community connections on mental and physical well-being
• Encouraging small, sustainable health changes for longevity
• Dr. Morgan’s vision for women’s heart health and continued research

Resources Discussed:

• Hello Heart for HealthSelect of Texas

Follow Dr. Jayne:

• Dr. Jayne's LinkedIn
• Dr. Jayne's Instagram

This episode dives into the transformative power of tiny changes, elaborating on the Tiny Habits method developed by Dr. BJ Fogg and his new creative project, Habit Songs for Kids. Listeners gain insight into how simple behavior modifications, music, and emotional understanding can foster lasting change and kindness in children and adults alike in a deep dive discussion with BJ Fogg, Ph.D. and Stephanie Weldy, M.Ed.

About our guests:

BJ Fogg, PhD, founded the Behavior Design Lab at Stanford University. In addition to his research, Fogg teaches industry innovators how human behavior really works. He created the Tiny Habits Academy to help people around the world. He lives in Northern California and Maui.

Stephanie Weldy, M.Ed., is an expert at the intersection of Behavior Design and employee well-being. She works with BJ Fogg, PhD, to teach industry innovators how to use Behavior Design in the products and services they are building to help people be healthier and happier.

Resources:
Listen to the songs: Songs -- Good Habits for Kids

Watch the videos: https://www.youtube.com/habitsongsforkids

Links to musical:

Act 1: https://vimeo.com/bjfogg/act1

Act 2 https://vimeo.com/bjfogg/act2

Act 3 https://vimeo.com/bjfogg/act3

Our podcast is evolving from ERS Walk Talk to the Buena Vida Podcast, reflecting our commitment to support well-being as we enter 2025. Expect inspiring episodes, expert interviews, and practical tips dedicated to helping you live a "good life."

Today's episode covers the following topics:

• Announcement of the podcast name change to Buena Vida
• Meaning behind the new name and its connection to well-being
• Continuation of quality content and commitment to the listeners
• Upcoming topics and notable guests for 2025
• Introduction of the new Money Talks podcast focusing on financial wellness

Learn more about the Buena Vida Program and subscribe to the new ERS Money MattERS newsletter to receive updates on the Money Talks podcast!

Explore the transformative world of mental health management with our guest Dale Cook, CEO and co-founder of Learn to Live. Dale shares his personal journey with cognitive behavioral therapy, which inspired him to create a platform that makes mental health support accessible to everyone, everywhere. Discover how Learn to Live is tackling the stigma associated with mental health and offering digital programs that bridge the gap for those who might not seek traditional therapy. From breaking geographical barriers to fostering a proactive approach to well-being, Dale's insights offer a fresh perspective on the future of mental health care.

Learn to Live’s growth story is one of innovation and impact. Dale reveals the strategic steps taken to develop this digital platform, initially targeting consumers directly to engage with millions who are underserved by conventional therapy. By creating engaging digital content and programs for depression, anxiety, and more, Learn to Live has reached millions of Americans, with an expansion on the horizon. Dale discusses the challenges and triumphs of building a mission-driven organization, highlighting how collaboration between clinicians and business experts has been key in transforming lives and expanding their reach.

The conversation doesn't stop there—Dale outlines how Learn to Live measures success and plans for future expansions. From simplifying access with memorable codes to launching new programs targeting trauma, OCD, and ADHD, the platform is committed to enhancing user experience and outcomes. By fostering innovation and a culture of well-being within organizations, Dale emphasizes the importance of mental health as part of a holistic approach to health. As we look toward 2025, Dale encourages listeners to prioritize their well-being and support platforms that democratize access to mental health resources.

Learn more about Learn to Live and how to join through the HealthSelect of Texas website.

Enroll today through the Learn to Live portal. If prompted for a code, use TEXAS