Health and Aging Archives

My First Virtual or Telehealth Doctor Visit

January 13, 2021 by Keith Lauby 1 Comment

robotic man looking into a mirror simulating a virtual or Telehealth doctor visit

Estimated reading time: 3 minutes

We all read the same headlines. COVID-19 infections are reaching record highs throughout the country. And, while the vaccine is starting to roll out earlier than expected, most Americans will experience the impact of COVID-19 at least for several more months. Winter is a particularly difficult time since it’s historically our cold and flu season.

That’s why I decided to change my last doctor visit, just before Thanksgiving, to a virtual one.

Telehealth is not new (believe it or not, medical professionals wrote about using the telephone in 1879 – just 3 years after Bell invented it), but it is gaining significantly in popularity. A July 2019 survey reported that only 9.6% of U.S. adults have used telehealth options. By May 2020, that number had grown to 42%.

The biggest obstacle to telehealth appears to be lack of knowledge about virtual medical visits. I was fortunate that my family doctor advertised on his website that he offers virtual visits. I just called to convert my in-person office visit to telehealth. Here are a few things you should probably know:

Telehealth is more than just a telephone conversation. The doctor will probably want to see you as well as talk with you. Think of it more like a Zoom meeting. Because of video, there may be limitations on the type of technology your doctor can accommodate so ask about your specific phone or computer when you make the appointment.

Just like at an office visit, your doctor will want to know a few things about your current health up front. I was asked to provide my temperature, blood pressure, weight, and blood oxygen level. Fortunately, I own a blood pressure monitor and a finger pulse oximeter. And different offices may request different things so find out up front what information you need to provide.

Not every insurance company accepts telehealth visits, so make sure your insurance will cover it. The major insurance companies all offer some form of coverage, but options can vary depending on specific plans. State laws also cover telehealth differently.

My doctor’s assistant called me fifteen minutes before my appointment to make sure I was able to log-in. You will need a high-speed internet connection and video access via a smart phone, tablet, or computer. Don’t worry, if you can stream movies you have enough technology to get through a telehealth visit.

The actual doctor part was pretty much the same as an in-office visit, except that it was through video. We talked about my bloodwork, discussed my general health since my last appointment, and he answered a few of my questions. I didn’t really have anything that I needed him to look at or listen to, so my experience may differ from yours.

A recent survey shows that 48% of adults say that they or someone in their household either postponed or passed up medical appointments since COVID-19. Telehealth visits may offer an effective solution. We all just have to get comfortable with it. Once we do that, it could be a great solution that extends far beyond the pandemic.

Estimated reading time: 3 minutes

Caregivers Get Help from Amazon Alexa Care Hub

December 9, 2020 by Keith Lauby Leave a Comment

According to AARP, 3 out of 4 adults age 50 or older want to stay in their homes as they age. Yet less than 50% anticipate that they will be able to remain in their current residence. We’ve written before about how smart home technology can help loved ones age in place. Now Amazon is introducing a new feature that help aging friends and family members live out their lives at home.

The Care Hub is a free Alexa feature that gives family members or caregivers the ability to “check in” on someone via a connected device. The Care Hub feature provides a high-level summary of a loved one’s recent interactions with Alexa or other connected smart home devices. Before you start thinking that this is a bit too “Big Brother”, please note that the feed is just a generalized view, lacking specific details to maintain privacy.

In addition to showing general activity around the house, caregivers can set up alerts to receive notifications, access other features like Alexa Calling or Drop in, and enable emergency contact calling when a loved one says “Alexa, call for help.”

To give you an example, Care Hub can show the time of a first interaction with an Alexa device each day. Types of actions will be displayed such as requesting music (not the specific songs) or asking for the weather. If a person has multiple devices, Care Hub will identify which Alexa was activated. An alert can include notification if a loved one hasn’t used their Alexa device for a certain number of hours. As you can see, the goal isn’t for a caregiver to see the full extent of activity – just that there is activity (or not).

Many caregivers and older persons can immediately see the usefulness of this kind of service. Individuals can age in place. Caregivers can have peace of mind. In addition, it can be particularly helpful now that the COVID-19 pandemic is reducing personal interactions.

There are a few limitations. Only one caregiver can access the Care Hub feed and you can only support one person. At this time, the Care Hub service is only available in the United States. Lastly, Alexa calling does not support calls to emergency services numbers like “911”.

There is no cost to use Care Hub and all that is required for set-up is an Echo or Alexa-enabled device and a WiFi connection. Security and privacy are top of mind. This new feature is double-opt in, meaning that both the caregiver and the loved one need to first establish a connection between their Alexa accounts through an invitation process. Again, this isn’t designed to be something sneaky. In addition, the Drop In feature can be disabled if a higher level of privacy is preferred. And family members can delete activity information in the Care Hub feed at any time.

Caregivers are facing considerable challenges during this unprecedented time. Aging loved ones are sympathetic to caregiver restrictions but they also want to age in place. The Alexa Care Hub may be the compromise needed to give everyone in the family a little extra peace of mind.

6 Tips For a Successful Video Interview

December 2, 2020 by Sharlyn Lauby Leave a Comment

artwork showing blank cutout of a person in business clothing to imply a video interview

I wrote an article recently that featured a few tips for a successful phone interview. In it, I mentioned video and realized it might be a good idea to share some tips for a successful video interview. Like phone interviews, video is becoming increasingly popular given the pandemic. And I don’t see it going away anytime in the near future because employers are finding it to be very cost effective.

Like phone interviews, it’s absolutely essential to plan before a video interview. Here are a few things to consider:

Confirm your technology. Generally, phone interviews are shorter and well, they’re on your phone. A video interview could be longer so you might not want to use technology that you’re going to have to hold the entire time. Make sure whatever tech you’re using is charged and ready to go. Test whatever software you’re using for the call in advance and make sure you know what to do if the technology doesn’t work during the interview. The recruiter should give you this information in advance. If they don’t, you should ask.

Plan your background. I recently conducted a poll over on HR Bartender about video backgrounds. They do matter and people pay attention to them. As you’re testing out your technology (see number one above), look at the video background. Make sure that anything you see in the background you want a recruiter to see. As an HR pro, I’m going to tell you that candidates do not take enough time in this area and the number of NSFW items in video backgrounds…yowza!

Think about your wardrobe. I’m not mentioning clothing because you need to dress hip or flashy. You be you. But video cameras can distort your clothing. For example, if I went to an in-person interview, I could wear a striped blouse, and no one would pause. It’s totally fine. A striped shirt on video can be distracting. You want the recruiter to be focused on your experience and strengths, not the pattern on your clothing. So, look at what you plan to wear on video to make sure it’s camera-friendly. And I shouldn’t have to say this, but just in case…wear pants.

Have a pen and paper handy. You might want to take notes during the interview. A question might pop into your head during the conversation. Or you might think of something you want to share. Trying to remember this information will be reflected in your facial expression. Just jot a note – maybe a couple of words to prompt your memory – and stay focused on the conversation.

Prepare your questions. Given what’s going on right now, it’s possible that you might have a phone interview and then a video interview. You will want to have some questions prepared for each. In fact, you might start with, “Last time we spoke, we talked about XYZ, I’d like to hear more.” It’s always good to ask what next steps will be in the interview process. Oh, and don’t be surprised if you’re asked multiple times about your salary requirements. Especially, if the position you’re applying for pays less than what you’ve been paid in the past.

Check your security settings after the call. Many times, you will have to “allow or permit” your technology device to use the video and microphone to conduct the interview. It’s totally up to you, but you might want to turn those permissions off once the interview is over. The downside is that you have to remember to turn them on every time. The upside is you don’t have to worry about security risks.

While the format for interviews is evolving, the purpose of the interview hasn’t changed. It’s for the organization to learn about your skills and experience. It’s also for you to learn about the company. Don’t lose sight of that. This is an opportunity to demonstrate your ability to be flexible and resilient, two qualities that employers everywhere are looking for.

Image captured by Sharlyn Lauby off the coast of Nassau, Bahamas

Entrepreneurship and Retirement: Your Next Adventure

October 21, 2020 by Sharlyn Lauby Leave a Comment

adventure in entrepreneurship is waiting, build yours

I’ve mentioned before how Keith and I schedule time every year to talk about our life. We discuss our business, personal stuff, and finances. One of the reasons that we started doing this is because we own a company, ITM Group. We thought it was important to talk about what our retirement would look like as entrepreneurs.

Freelancing, contracting, consulting or entrepreneurship…whatever you want to call it, is far more popular today than it was almost 20 years ago when we started our company. Many individuals have side hustles in addition to regular full-time or part-time jobs. Which is why it’s so important to think about retirement (and unretirement) in the context of both regular work and freelance work. Because the transition could be different.

That’s not to say that the transition would be bad or difficult. Frankly, having a side gig while transitioning to retirement could be fantastic. It could offer a huge about of flexibility while at the same time provide some financial security.

In the book, “Your Next Adventure: Planning for Life After the Sale of Your Business”, the authors take the time to talk about five elements to consider when you have a business and you’re planning entrepreneurship in retirement. And as a side note: if you’re saying to yourself “I’m not really a business owner. I just do some speaking on the side. Make a few bucks each year.” Let me tell you – you’re a business. And you need to think about how you will manage that freelancing work during your unretirement journey. Here are the five elements to consider:

Your social circles. When you own your own business or you have a side gig, you spend time networking and building relationships. At the point you start transitioning away from work, your social circles are going to change. Maybe not completely, but they will change. Are you ready to transition those friendships and build new ones?

Your family. Making the decision to work less, sell the business, or transition to doing different work is one that is best discussed with family and close friends. Especially if you have family members or really close friends who help out in the business. Keeping them out of the loop could create some unfortunate surprises.

Your purpose. As a consultant, I spend a lot of time working. And I’m okay with that. But I’ve always been a person who likes a full plate. I honestly have no clue how I would spend my time if I was a full-time retiree. And it scares me a little. At some point, I will need to figure out how to provide purpose without owning a business.

Your wellbeing. A contributing factor to entrepreneurship is being physically and emotionally well. There are often long hours and sometimes sleepless nights. The last thing that anyone wants is for our failing health to drive our retirement plans. Finding time to take care of ourselves is important.

Your finances. Last and certainly not least, we have to think about our financial position. When you work on your own, there’s no pension plan. You have to finance your own retirement. Individuals will want to start planning for how their finances will be changing as the nature of their work changes.

I think these five elements are great topics to keep in mind as you’re planning your transition toward retirement. Even if you don’t own a business or have a side hustle. But of course, we’re talking about entrepreneurship today.

Even though the book didn’t mention it, that was one of the big takeaways for me. The things we need to consider for our transition to retirement are very similar regardless of our employment status.

Image captured by Sharlyn Lauby while exploring the streets of Chicago, IL

Why Voting Matters – #Election2020

September 23, 2020 by Sharlyn Lauby 1 Comment

I’d like to think that everyone knows there’s an election coming up in the United States. And like all elections, the outcomes are important. Some might argue that this year is even more important. I’m not going to get into that today except to say that even if you vote regularly, I hope you will take the time to finish reading today’s post.

I was a political science major in college, so I like reading and staying up on politics and the news. Which I will admit can be a bit challenging at times. A few months ago, Keith bought me a book titled “OMG WTF Does the Constitution Actually Say?” by Ben Sheehan. Whether or not you’ve read the Constitution, this is an educational and fun read. It contains both the actual text as well as a casual interpretation. I hadn’t read the Constitution in a long time and it was a good refresher.

Shortly after finishing Sheehan’s book, I heard about another book…this one about voting. Kim Wehle is a professor of law and legal expert. She wrote the book “What You Need to Know About Voting and Why”. Needless to say, I had to get a copy.

While I’ve been voting for a long time, I really enjoyed this book for a few reasons. It’s a book that talks about both the mechanics and complexities of voting. The book delves into whether or not we have a “right” to vote, how to qualify to vote, and how voting impacts government. I’ve never questioned my ability to vote ever nor have I ever had anyone question my ability to cast a vote. (Yes, my white privilege is showing.) That’s not the case for everyone and this book does a good job of explaining how voter suppression has happened over time and still exists today. It also talks about money in elections and if you ever wanted to know the difference between individual contributions, political action committees (aka PACs), and Super PACs…this book will clarify it for you.

The book was also helpful in sharing how older Americans who need assistance can have a caregiver help them vote and how individuals with disabilities can make sure they’re able to vote with accommodations. Finally, the book offers suggestions about what to do if for whatever reason you’re turned away from a voting precinct (and it could be because of what you’re wearing – and, yes, they can do so legally).

Voting is important. Our votes elect individuals who create laws that impact our personal and professional lives. I’m not just talking about major pieces of legislation like the Americans with Disabilities Act (ADA) or the Family and Medical Leave Act (FMLA). Right now, an elected school board official is deciding whether or not our kids or grandkids should go back to school in person or online. That’s pretty darn important.

I’m not trying to give you the hard sell on buying this book. I did think it’s really good and it will have a permanent spot on my bookshelf (next to Sheehan’s book about the Constitution). That being said, there is one quote from the book that I want to share.

“As far back as 1886, the Supreme Court has repeatedly declared that the right to vote is ‘fundamental’ because it is ‘preservative of all rights.’ Without the right to vote, individuals can’t hold government officials accountable for breaking other laws.”

Wehle suggests thinking about our ability to vote as an accountability tool. Without it, government officials could feel – and act – as if they’re above the law.

A recent AARP study showed that Americans 50 years of age and older would be the world’s third-largest economy if they were counted as their own country. You can imagine the economic impact of this demographic and the power they have in the voting booth. I’m not here to tell you how to vote. But I do hope you will take the time to learn the voting laws in your state, get educated on the issues, and make a plan to go vote. What happens on November 3, 2020 will have a long-term impact on us as individuals as well as our plans for retirement.

Image captured by Sharlyn Lauby while exploring the streets of Gainesville, FL

Estate Planning: 3 Important Takeaways

September 16, 2020 by Keith Lauby 2 Comments

let's have a conversation about estate planning nothing is accomplished alone

In our last “What We’re UP To” from a few weeks ago, we mentioned that we’re updating our wills and health care directives. We didn’t expect anything out of the ordinary but surprisingly, there are a lot of moving parts in most estates than you might realize. So, we wanted to share some of our findings with you. To get us started with a conversation about estate planning, let’s start with a definition. Investopedia defines an estate as:

Everything comprising the net worth of an individual, including all land and real estate, possessions, financial securities, cash, and other assets that the individual owns or has a controlling interest in.

According to that definition, we all have an estate to some degree. That’s what an estate is, but there are basically three important documents that help spell out how you want your wishes carried out when you are no longer capable of doing so:

A will
Durable power of attorney for financial matters
Health care power of attorney

As I mentioned, we’re in the process of updating these documents right now. Even though we’ve been through this process before, we’re realizing that things can change over time and wanted to share our takeaways.

Takeaway No. 1 – Your Estate Plan Should Not Be “Set It and Forget It”

Years ago, we did like most people and, with the help of an attorney, created a simple will that was signed and perfectly legal. Then, we immediately placed it in a safe deposit box for 15 – 20 years. The thing is, life has a habit of changing over time and you will want your will to keep up. I would still recommend a safe and secure place to store your official will. But, keep an electronic copy and schedule a regular review every 6 – 12 months and make changes as needed.

I mentioned that we created our original wills through an attorney, and we are doing that again now. Which leads us to takeaway number two.

Takeaway No. 2 – Doing Everything Yourself to Save Attorney Costs May Not Work Very Well

Yes, you can do that, and it may be just fine. Or, it may not. I’m not an attorney or a certified estate planner so the best advice I can give is this – know if and when to engage an attorney. That might depend on how involved your estate is or how complicated local and state laws are for your estate plan. Just don’t make assumptions that could result in costly headaches for your loved ones.

Speaking of assumptions, the worst assumption you can make brings us to the last takeaway.

Takeaway No. 3 – No, Everyone Does Not Have to Carry Out Your Final Wishes

We found out pretty quickly that you should have a Plan A, Plan B, and at least a Plan C when it comes to estate planning. It turns out that different states have different laws regarding things like taxes and executors. And if your will doesn’t follow the laws for your state, chances are the estate will be disposed by probate court. That could mean additional costly headaches for heirs and family.

Hopefully this article doesn’t seem full of doom and gloom. On the contrary, think of this as caring for those you love when you are no longer able to do so. Yes, it takes planning and dealing with a few decisions that could be a little uncomfortable. That helps avoid pitfalls and provide some peace of mind for everyone.

Make a FINAL File for Your Loved Ones

July 22, 2020 by Sharlyn Lauby Leave a Comment

Quote box saying organization shall set you free including planning your final wishes

I know it’s a terrible time to be writing this post. Or maybe, depending on how you look at it, it’s the perfect time.

I ran across an article in TIME titled, “Why You Need to Make a ‘When I Die’ File – Before It’s Too Late”. It’s a good read that you should check out. It reminded me of the article I wrote recently on “Loved Ones Must Know Your Health Care Wishes” and how important it is to plan a little for the future.

Talking about illness and death isn’t fun. None of us want to do it. I remember every time we visited my father-in-law, he would at some point have the “When I die…” conversation. On one hand, you dread it. That’s not why you came to visit. It’s to enjoy his company. But when his health did start failing, we were prepared. And it allowed us to focus on making his final days comfortable versus worrying about papers, insurance, etc.

The gist of the TIME article was to put all of those things that someone might want or need in a file. It could be a paper file or an electronic one. That’s up to you. But think about what you might want to share with someone. I kinda like calling it a FINAL file versus “When I Die” folder. You can figure out what you want to call it. Here are a few things to consider:

Family traditions. One of the things that struck me in the TIME article was that a mother included her famous family recipes in her FINAL file. I could totally see that being important to her children. How many traditions are passed along from generation to generation? And how many of those famous meals are simply in someone’s head?

Estate and household paperwork. Make sure your will, power of attorney, and health care directives are someplace where people can access them. Also make sure that whoever will be handling your affairs knows where your bills are because they have to take care of paying your final utilities bills, credit cards, etc.

Directions on how to access your digital life. In today’s very technology driven world, chances are we have cell phones and computers. They’re probably locked with passcodes and should be changed regularly. I know that I don’t want to let a bunch of people know every time I change a password. But it could make sense for me to keep all of my passwords in a password management program with instructions how to access it in my FINAL file.

Final letters to loved ones. Depending on your situation, you might want to draft final letters to relatives and have them in your FINAL file. Maybe to a spouse, child or grandchild. Possibly to someone who you haven’t spoken with in a long time. Entirely your decision, but nonetheless, a decision you should think about.

The goal here isn’t to do all of this at once. Which is exactly why you want to start this project earlier than you might think. But maybe take an hour each month to start thinking about it and putting it together. This could be a good project for us to remember all of the estate planning we need to do. And it will ultimately be helpful for our family and friends at some point in the future.

Quote from Chef Alton Brown captured by Sharlyn Lauby