Paul Hawken
Month: June 2022
Take action

TAKE ACTION
AUGUST 2022
Stay flexible with everyday stretching
Stretching is an important part of good health, no matter what your age or activity level. As you get older, your joints become less flexible. And this can put a crimp in daily activities, making it harder to walk, raise your arms overhead or even turn your head while backing up the car. It can also affect your balance, which can cause life-altering falls.
As with all types of exercise, you need to engage in stretching regularly to reap lasting benefits. If you only stretch occasionally, the effects are short lived. One study found that the greatest increase in hamstring length occurred right after the stretch and began to diminish within 15 seconds, though there was a noticeable effect for up to 24 hours.
A daily regimen will deliver the greatest gains. But typically, you can expect lasting improvement in flexibility if you stretch at least two or three times a week.
Looking for more? Find other articles below

Try these simple stretches
Check out these videos of stretches you can add to your exercise or stretching routine. Some options will be easier for you, so you can increase or decrease the challenge. To increase it, try substituting a harder option. To make the stretch easier, add a pillow or rolled towel or use a stretch strap. The stretches include:
- Floor hip flexor
- Floor hamstring with strap
- Full body stretch
- Double knee torso rotation
- Cat, cow
- Child’s pose
- Downward dog
- Standing calf
Source: Harvard Health Publishing. Everyday stretching.
To learn more about how to maintain your physical well-being through daily stretching and exercise, see the resources below.
Explore more

EXPLORE MORE
AUGUST 2022
Do your physical therapy at home
If you’re experiencing joint and muscle pain, virtual physical therapy (PT) may be a welcome and comfortable alternative to a traditional office visit. No struggling to get in and out of the car. No commute. No waiting rooms. You do your PT in the comfort of your own home.
Looking for more? Find other articles below

Omada for Joint & Muscle Health offers a pain and injury prevention program, as well as a recovery program. Both are virtual physical therapy programs which are described in this short video.
Start with a video consultation
You’ll start with a face-to-face video chat with a licensed physical therapist, who will work with you from diagnosis through treatment. They’ll carefully assess your condition by guiding you through a series of movements and performing a full musculoskeletal evaluation.* Next, they’ll recommend your best care option – whether you choose Omada’s virtual physical therapy or prefer to see a local, in-person physical therapist.
Move on to your recovery
The Omada recovery program is an enhanced version of what you might experience with in-person physical therapy. It combines symptom relief, therapeutic exercise, patient education and an always-available dedicated physical therapist. They’ll partner with you to provide:
- A personalized recovery plan designed to treat the source of your pain, not just the symptoms
- App-guided exercises with 3D animations and voice narration to ensure proper pacing and form
- Guidance every step of the way with support, adjustments, education and more
Plus, Omada will mail you an exercise kit complete with elastic bands, door anchor and a phone stand.
Avoid future injury
Starting in a new department, a new activity or just looking for a tune-up? It’s easy for your body to get out of balance. That’s why Omada also offers an injury prevention program that’s an option for those who don’t even have current joint or muscle pain. The program can be tailored to your needs, helping you focus on your flexibility and strength so you can guard against future pain and injury.
*This evaluation will not satisfy the requirement for spine surgery pre-authorization. This type of surgery generally requires the following: In-person physical therapy for at least 6 weeks within the last 12 months. Your plan offers access to an expert second opinion by 2nd.MD. If you would like to call them the contact number is 833-579-2509.
Source: Omada for Joint & Muscle Health
To learn more about the Omada Joint & Muscle Health program, see the resource information included below.
Learn more

LEARN MORE
AUGUST 2022
Is surgery your best choice?
If you’re faced with the decision of whether or not to have surgery, think about the pros and cons. It may seem overwhelming, but with your doctor’s help, you can lay out the risks and benefits. If you’re still not sure whether surgery is the right answer, contact 2nd.MD for an expert second opinion from a medical specialist. 2nd.MD is offered at no cost to employees and their dependents enrolled in a Costco medical plan.
Looking for more? Find other articles below

Consider these 7 tips before making a decision
1. Learn what to expect.
Ask your surgeon to be specific about how an operation will help you. For instance, will it:
- Ease your pain or get rid of it?
- Improve how your body works?
- Keep your condition from getting worse?
Decide how important it is to get relief. Look at the impact your condition has on you now. Then ask yourself: Does it bother you or limit your lifestyle? Think about how likely it is that the operation will work. Ask your surgeon about the success rate and the percentage chance it will take your pain away. Ask how long the results will last and if you’ll need more procedures later. And compare that with what will happen if you don’t have the operation.
2. Review other treatment options.
Sometimes there are ways to handle a problem without surgery. Your doctor can explain your choices. For instance, lifestyle changes may improve certain conditions. Ask your doctor if that’s possible for you and whether you should consider it before you decide to have surgery.
You may be able to do what’s called “watchful waiting.” That means you hold off on surgery while your doctor keeps an eye on your health to see if it gets better, worse or stays the same.
But that may not always be the best option. Be sure to get your doctor’s opinion.
3. Check the risks.
Ask your surgeon about possible complications and how likely they are. No surgery is 100% risk free. Find out about the most common complications, as well as the worst thing that can happen. Then ask about the likelihood of each. That can help you make up your mind about surgery.
4. Review your surgeon’s background.
Some simple questions can reveal a lot about their skills:
- What’s your experience with this surgery?
- Who else will be operating on me?
- Are you board certified?
- How many times have you done this operation?
- What’s your success rate?
The quality of the hospital or medical facility also matters. Check its ratings and inspection history. Find out who will be on your team of caregivers and about their training and experience.
And remember, if you’re enrolled in Aetna’s medical plan, you can use the Aetna Smart Compare™ tool to find a provider who has earned the “Quality & Effective Care” designation.
5. Check your recovery period.
Ask your surgeon what to expect after the operation. Find out if you’ll need to stay in the hospital and how long it will take before you feel like yourself again. See if you need any supplies at home while you recover.
Look at how your recovery will affect your daily life. You might not be able to work at first, or you may need to wait for a bit until you’re allowed to lift your young child or drive to pick them up from day care or school.
6. Learn what costs are covered.
If you’re concerned about the costs associated with surgery, talk to your insurance company. They’ll be able to tell you which costs are covered and which aren’t covered. And, they will confirm whether or not you need pre-authorization for a procedure. Knowing what lies ahead financially can be very reassuring.
7. Get a second opinion.
2nd.MD is a team of health care professionals that can ensure you’re on the right path with your care. If you or a family member has an existing diagnosis or treatment plan, you can get a second opinion from a board-certified specialist. The 2nd.MD team will coordinate directly with your doctor’s office to obtain your medical records, scans and test results, so you don’t have to.
2nd.MD provides peace of mind:

The doctor was absolutely perfect, explained everything exactly how my surgeon explained the surgery… [she] reassured me that this is completely normal and she has performed this surgery many times and the outcome is the best for my case.
Source: WebMD. 7 tips to help decide if surgery is right for you.
Learn more about 2nd.MD from the resource information listed below.
Take action

TAKE ACTION
AUGUST 2022
Is stress keeping you awake at night?
Stress affects our emotional, physical and behavioral health. The right amount of stress can be a positive force that helps us do our best and stay alert and energetic. But too much can make us tense and anxious — and that can cause sleep problems.
Looking for more? Find other articles below

What are the signs of stress?
Sleep problems are a sign of stress. Other common signs include depression, tension, anxiety, work mistakes and poor concentration. You may also experience physical symptoms like headaches, upset stomach, fatigue, appetite loss, and chest, neck or back pain. If your stress goes on unchecked, your health and sense of well-being can suffer — especially if you’re not getting enough rest.
Learn to manage stress
Take a good look at your physical condition and your daily activities so you can identify your stressors. Do you have pain? Do you feel overwhelmed with life’s demands? Once you identify your stressors, you can take steps to reduce them. Consider these tips for reducing stress and getting a better night’s sleep:

Seek social support.
Spending time with family and friends is an important buffer against stress. It can be helpful to share your problems with people who care for you.

Practice thought management.
You can learn to change thought patterns that produce stress. Thoughts to watch out for include those concerning how things should be and those that focus on negative generalizations. For example, “I’m a failure because I can’t afford to go on a long vacation this year.” Your Costco benefits, such as AbleTo, offer virtual therapy that can help you learn to change negative thought patterns into healthier ones.

Exercise.
Physical activity can help you blow off steam, which reduces stress. In addition, flexible, loose muscles are less likely to become tight and painful in response to stress. That’s because when you exercise, your body releases chemicals called endorphins that can reduce your perception of pain. Endorphins also trigger a positive feeling in the body. But it’s best to exercise at least two hours before bedtime so your body temperature returns to normal. If you have a medical condition or are over age 50, it’s best to check with your doctor before beginning an exercise regimen.

Learn to relax.
Practice yoga, meditation or deep breathing, which can all help you relax. Try taking a warm bath and turning off electronics to help you wind down before you go to bed.

Eat a healthy diet.
Junk food and refined sugars low in nutritional value and high in calories can leave you feeling out of energy and sluggish. A healthy diet, low in sugar, caffeine and alcohol can enhance your well-being and reduce stress. So think about grabbing a salad for lunch, rather than a slice of pizza.

Get enough sleep.
A good night’s sleep enables you to tackle the day’s stress more easily. When you’re tired, you’re less patient and more easily agitated, which can increase stress. Most adults need seven to nine hours of sleep each night. Practicing good sleep methods along with lowering your stress can help improve your quality of sleep.

Delegate responsibility.
Often, having too many responsibilities can lead to stress. Free up time and decrease stress by delegating responsibilities to others — whether that means having your kids do their own laundry, or asking for help when you need it.
These tips and suggestions can help many people sleep soundly through the night. However, if you have frequent sleep problems, talk to your doctor. They can check you for possible medical problems, such as an overactive thyroid or sleep disorders, or a psychiatric condition, such as an anxiety disorder, and recommend treatment.
You can also turn to Resources For Living® (RFL®)*. You’ll find self-care resources for sleep disorders, including tools for related health issues like anxiety, depression, stress, addiction, chronic pain, and overall well-being.
*Resources For Living is available to all employees and members of their household, including children up to age 26 living away from home.
Source: WebMD. Tips to reduce stress and sleep better.
If you’d like to improve your sleep by learning ways to manage your stress better, the following resources can help.
Learn the basics

LEARN THE BASICS
AUGUST 2022
It’s OK to see a therapist
Wondering if therapy is right for you? You may be struggling with a major life transition, a difficult family issue or a serious behavioral health challenge. Whatever the case, therapy offers tools and insights to help you make positive changes. In fact, about 75% of people who undergo therapy show some benefit from it. 1
To learn more about what happens in therapy and how it might benefit you, watch the helpful videos linked below.
Looking for more? Find other articles below

What is mental health?
Show transcript
Misconceptions around getting help
Show transcript
Caring for your mental health
Show transcript
The road to feeling better
Show transcript
1American Psychiatric Association Understanding psychotherapy and how it works.
Source: AbleTo. Mental health myths vs reality.
If you or a dependent has been thinking about therapy, the following resources can help. They’re confidential and available to you at no extra cost.