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!