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My First Virtual or Telehealth Doctor Visit

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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:

  1. 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.
  1. 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.
  1. 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

Using the Seinfeld Strategy to Create and Maintain Habits

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pillow with hash marks showing daily accomplishments to create habits

It’s hard to believe that the TV show Seinfeld has been out of production for over twenty years. I say “out of production” because Seinfeld reruns seem to live on forever. Don’t get me wrong, I enjoyed Seinfeld. And I’ll never be able to look at a Junior Mint without laughing again.  

I knew that Jerry Seinfeld was one of the producers and writers of the show, in addition to being a stand-up comedian. What I didn’t know was that many people use his writing technique as a method for developing habits. I’ve been seeing lots of references to the “Seinfeld Strategy” lately, so I decided to do some research.

Basically, Seinfeld says that the secret to his productivity success is consistency. As a writer, he felt the way to achieve success was to write something every day. It didn’t always have to be his best work and that was okay. It also doesn’t mean you can simply phone it in. But the goal was to give it your all every day.

Once he completed his writing for the day, Seinfeld would mark the day with a big red “X” on his office calendar. As time progressed, those big red X’s formed a chain. And he liked it. The big chain of red X’s motivated him to write more. And writing more made him better.

So, the Seinfeld Strategy to creating and maintaining good habits is to never break the chain.

I was reminded of the Seinfeld Strategy recently because someone posted an image on Facebook with the names of months of the year and inside each month’s name were numbers representing each day. The idea being that, if you’re trying to create and maintain a habit every day you do something – like let’s say exercise – then you color in the day. If you exercise every day in the month, then the month’s name will eventually be colored in. If you do that every day for a year, you’ll have a very colorful memento of your progress and accomplishments.

monthly planner to color in when creating habits

As we start the year, we might have some new habits we’re trying to form. Or old habits that we need to get back on track. Using the Seinfeld Strategy could be a fun and effective way to monitor our progress. You can put your “tracker” on the refrigerator as a reminder. Or if it’s something private, you can tuck it away in a journal or planner.

You could also use the “tracker” with other family members. Maybe the habit you’d like to work on is a group activity.

Creating and maintaining habits is hard. Finding fun ways to track our progress can make it enjoyable. The result is we’ve developed a new habit, which is what we wanted to do all along.

What We Are UP To: Happy Holidays Edition

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festive lights on palm trees for the holidays

Watching | Wonder Woman

> We decided to take a break watching holiday movies to rewatch the first Wonder Woman and then see Wonder Woman 1984. Keith and I do miss seeing movies on the big screen, but until things are safer, movies at home will have to do. I’m not going to give away any spoilers, but if you enjoyed the first one then I think you’ll like WW84.  

Reading | The Hustle          

> I’ve become a big fan of curated newsletters. My latest find is The Hustle. I like it for a couple of reasons. First, it curates the latest business news and I believe it’s important to stay on top of what’s happening in the business world. But the second reason is because it gives me some perspective on what other people feel is “news”. It’s easy to fall into an echo chamber and miss out on what others find noteworthy. Check it out.

Remembering | Quiet

> One of the things we love about our neighborhood is how quiet it is…well, at least until recently. This is a fairly new subdivision, and the builder has started construction on a couple new homes near us. Nothing like being awaken at 5a to the sound of cement trucks. ha.ha. The sad news is we’ll be living with some noise for the next few months. The good news is when it’s done…it’s done.

Working On | Rain Barrel

> The county we live in is very eco-friendly and they are encouraging residents to use rain barrels. So, we got one. We’ve never had a rain barrel before. This will be a new adventure for us. Hopefully we will see some positive results, not only for us individually but the county.

Feeling | Patient

> As much as I would like to wake up after the holidays and have the pandemic be gone, that’s not going to happen. There’s a lot that needs to take place. COVID-19 is only one of the issues we’re facing. It’s really tough and challenging but I know that patience is what’s needed. Oh, and don’t misinterpret patience for “not doing anything”. Being patient and working hard will help us achieve our goals.

Planning | Fewer errands and trips

> We’re all reading the same headlines. COVID-19 cases are spiking around the nation. We’re encouraged by the vaccine news but until more definite plans are in place, we’ve decided to curtail our errands and trips outside the house. The good news is that many businesses are being very accommodating to remote customers, especially during the holiday season.

Loving | Soup Season

> The cooler temperatures have arrived in North Florida and that means soup season. Last year, I discovered some soup mixes on the King Arthur Baking site. Easy to make and very tasty! We also made one of our favorite meals using leftover Thanksgiving turkey. It’s a pressure cooker chicken turkey, lentil, and bacon stew.

Geeking | YouTube TV

> We got a little frustrated with our cable provider and decided to see what other options are available. This isn’t the first time we’ve discussed “cutting the cord” but it is the first time we found something that actually suits our television watching needs. YouTube TV offers the channels we enjoy watching at a reasonable monthly fee. You can record programs. And you can cancel at any time.

What’s UP with you? This holiday season, Keith and I are thankful for our health and each other. We appreciate you taking the time to read and comment on Unretirement Project.

Happy 2021!

Caregivers Get Help from Amazon Alexa Care Hub

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wall art Lovin Life for caregivers

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.

Entrepreneurship and Retirement: Your Next Adventure

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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:

  1. 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? 
  1. 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.
  1. 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. 
  1. 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. 
  1. 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

Can Remote Work Be a Way to Phase Into Retirement?

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computer desk image showing an image of a sign with caution rockstar at remote work

Right now, older workers are trying to make some decisions about their future careers and asking a number of important questions. Can I continue to work onsite? Maybe it’s time to retire? Or should I think about transitioning to an encore career? These are all very valid. There’s one other question to consider: Is it possible that remote work might help me achieve my retirement goals?

I recently listened to The Retirement Wisdom podcast, “Can Working Remotely Beat Ageism?”. The guest for this episode was Kerry Hannon, author of the book “Great Pajama Jobs: Your Complete Guide to Working from Home”. I will admit that the title of the podcast gave me a bit of discomfort. As a human resources professional, I hate the fact that ageism exists. But the realist in me understands that it does. And sadly, that it’s not going away overnight.

In the podcast, Hannon says that one of the biggest benefits to working from home is beating ageism. For organizations and individuals. Organizations can have older professionals work remotely and not worry about whether that person fits in with the younger members of the team. Older workers can benefit from being evaluated on their performance results and not how they look or act. 

Again, let me say that I hate, hate, hate ageism. And I particularly hate that Hannon’s remarks have some truth in them. But instead of thinking about remote work as a way to beat ageism, is there a way to think of remote work as part of a phased retirement strategy? Organizations benefit because they are able to keep skilled workers longer. Older workers can benefit by being able to still contribute while (possibly) downsizing to their forever home, commute less so they can fulfill caregiving responsibilities, and continue to save for their financial future.   

But working remotely doesn’t mean easier work. If you’re intrigued by the idea of using remote work as part of your phased retirement strategy, here are a few things to consider:

Do you want to be an employee or a freelancer? One of the first things you have to decide is how you want to pursue remote work. If you’re working for an organization that allows working from home, then great – you could be set. And if you don’t or you’re currently looking for a new job, do you want to make remote work one of your job must-haves? 

Do you have enough workspace? I mentioned earlier that part of your retirement strategy might be moving to a smaller home. If you’re planning to work from home, do you have the space to do it? In our last home, Keith worked in the dining room. With our new house, he has his own space and that’s important. 

Can you setup your workspace with equipment and technology? Once you have a designated workspace, you’ll need to think about what it takes to be productive. When we work in an office, we take for granted that we will have a desk, chair, and computer equipment. With high-speed internet. Getting the remote work office setup you want could involve spending some of your own money. 

Are your skills current? I believe working from home involves some different skills. A couple that immediately come to mind are technology and time management. You’ll want to take an inventory of your skills and decide if there are any you want to update or add. And you’ll want to find ways to gain those skills while working from home. If you’re accustomed to taking a class at your worksite, now you might read a book or take an online program. 

Are you mentally and emotionally ready? I’ve worked from home for over a decade. Socializing is different. You don’t have people to collaborate with all the time. There are distractions and temptations all the time. Some of them are fun (like cute panda videos) and then there’s doomscrolling. You have to figure out how to not snack all day and when you’re going to exercise. All of this contributes to the work from home experience.

Regardless of what’s going on with the pandemic, remote work has been increasing in popularity for quite some time. Is it possible to take advantage of a growing trend and make it a part of your retirement strategy? Possibly, but it takes planning so you’re ready when the opportunity presents itself. 

What We Are UP To – Productivity Edition

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wall art do you have what it takes for productivity

One of the biggest challenges I faced when I initially started working from home was productivity. When you’re in the comfort of your own home, it’s easy to get distracted and before you know it, you’re looking at an article about a guy who edited Disney characters into his photos. Over time, I’ve learned that integrating some fun distractions into my workday allows me to enjoy my time and still be productive. This month we managed to do just that: get a few important things done while enjoying ourselves. 

Watching | Ant-Man & Ant-Man and the Wasp

> Sometimes the key to productivity is allowing yourself a little downtime. We found ourselves faced with that earlier this month and decided to rewatch these Marvel movies. And we’re glad we did. We had forgotten how good Paul Rudd and Evangeline Lilly are together. 

Reading | The Flip Side

> While I have my own political opinions, it’s important to me to understand what others might be thinking. The Flip Side is a FREE daily email that presents both the left and right viewpoints to the top news stories. What I like about this site is that it doesn’t tell you one side is right or wrong. It curates both views and presents them side by side for you to decide. They also explain their curation methodology so you can determine if it meets your standard. 

Remembering | Estate Planning

> We haven’t forgotten about this project. Keith recently wrote an article about our estate planning takeaways so far as we update our wills and health care directives. Let me add a 4th takeaway to his list: it takes time. When it comes to budgeting your resources, keep in mind that even updating an existing will does take time. 

Working On | Cleaning up digital photos

> One of the things I love about my iPhone is that I can take a picture whenever I want. The downside to this is that I quickly accumulate a lot of pictures! So, I came up with a plan to organize them. My productivity trick is to schedule an hour a day for a few days and before I knew it…photos organized, and project completed. 

Feeling | Ready for some cooler weather

> I’m probably not alone in thinking it would be nice for some cooler temperatures right now. While I love sunshine and warmer weather, there’s a point where I’m just, “…on to autumn, please”. I know this year will be tough, given that we’re still trying to practice social distancing but I’m looking forward to wearing sweaters and soup season.  

Planning | Flu Shots

> We always get a flu shot. I realize it doesn’t protect us 100% but in my book that’s better than 0%. And I find that if I do catch something, it doesn’t seem to stay with me very long. I’m planning to have a very productive fourth quarter and staying healthy is a necessary part of that plan. 

Loving | Jot

> When I work from home (which is all the time these days), I like to enjoy a small cold brew in the afternoons. Helps with my afternoon productivity! I’ve been trying all sorts of cold brew concentrates and recently found Jot Coffee. It comes with a tablespoon for you to measure the perfect amount. Then just add water. BTW – you can turn it into a pumpkin spice cold brew with just a little bit of Coffee Mate pumpkin spice creamer. 

Geeking | Peloton Update

> I mentioned last month that we got a Peloton and I thought that I would provide a quick update. We’re both really liking it. We were unsure about the whole notion of “biking in the house” thing but there are hundreds of classes to choose from. We can always find something to fit the mood we’re in. And the most important part? We are regularly getting exercise, which helps with our productivity!

What’s UP with you?

Image captured by Sharlyn Lauby while exploring the streets of Anaheim, CA