by kelsey | Feb 6, 2019 | Etc.
Spring STRIVE 2 Survive, our 12 week wellness program, is set to start March 12th! Check out the details below and contact us today to reserve your spot! Email: strive2survive@brownclinic or Kelsey’s direct number: 884-4226.
STRIVE 2 Survive:
Over 20 years ago Dr. Dan Reiffenberger wrote a grant for the American College of Sports Medicine about the development of a fitness program entitled STRIVE to Survive. The STRIVE represents “Securing Time for Regular Involvement in a Variety of Exercise”. Since that time, it has become our Brown Clinic Wellness Program, with modifications and improvements along the way. It is a 12 week program incorporating exercise and nutrition, with the goal of continuing these types of habits for a lifetime. Our dietitian Kelsey Raml has helped incorporate the nutrition component and Dr. Clark Likness, Dr. Jon McAreavey, and Deidra Van Gilder, PharmD are also involved creating a multi-disciplinary approach to health and wellness.
We the 12 week program periodically throughout the year. During the 12 weeks, we meet every other Tuesday at the Park and Rec Fieldhouse from 5:30-6:30pm. During the weeks we don’t meet, each participant gets a take home lesson focused on our two main components: diet and exercise. The meetings are held in a group atmosphere, but we can also work with you individually in the clinic if desired.
12 Weeks to a Better You!
Brown’s Diet and Exercise Wellness Program.
Who:
– The Strive2Survive Wellness Program is open to everyone, young and old.
– Conducted by Dr. Dan Reiffenberger, Board Certified in both Family Medicine and Sports Medicine and Registered Dietitian Kelsey Raml.
What:
– Lose Weight- Gain Strength – Maintain Fitness- Improve Diet.
– Evaluations: lab work- lipid and glucose, body composition testing-weight, height, BMI, body fat mass and percent, muscle mass…all pre and post the 12 week program.
– Free T-shirt
– 6 class lectures and 6 take home lessons.
Where:
– Park & Rec Fieldhouse
When:
March 12: “Healthy Eating Made Easy” Kelsey Raml, MS, RD, LN
March 26: “Exercise for the Health of It” Dr. Dan Reiffenberger & Dr. Eric Woolley
April 9: “Your Equation to Success” Dr. Jon McAreavey
April 23: “A Walk thru the Wellness Wheel” Dr. Clark Likness
May 7: “Medications…to do or not to do” Deidra VanGilder, PharmD
May 21: “Making Health a Way of Life” STRIVE Team
Cost:
– $130
Call, e-mail or use the contact form for more information.
Kelsey Raml, MS, RD, LN
605-884-4226
strive2survive@brownclinic.org
by kelsey | Jan 22, 2019 | Etc.
Likness Family Pictured Above. New Years Eve 2018.
2018 was a big year for the Brown Clinic…we had three excellent providers follow suit with Dr.Ed Gerrish and retired (Dr.Ed retired in 2017). Dr.Kim Wilde and Dr.Catherine Gerrish retired at the end of June and Dr.Clark Likness at the end of December. A fun fact is that all four providers went to USD Med School together so they certainly had put their time in and were ready for the next phase of their lives! As most of you know, Dr.Likness is my father and has been a part of our STRIVE 2 Survive team since inception of the 12 week program. Thankfully he has agreed to continue that role into retirement, joining us for his talk of the program each session. We are glad he will still be able to be a part of the program as his talk is truly a key piece of the wellness puzzle we strive to put together to achieve optimal wellness!
On Thursday, January 24th, we will be celebrating Dr.Likness at the Event Center from 5-7pm. Please join us for a time of fellowship, story telling, and of course gratitude for his years of service to this community!
Brown Clinic has been in my blood since day one! My parents moved to Watertown in the early 1980s after my dad finished up his residency at USD’s School of Medicine-Family Medicine Residency program in Sioux Falls. My dad is from Webster and my mom is from Madison, so Watertown was the perfect fit for them…in between both towns and parents! They moved here with my two brothers and I came along in 1984. We have many great memories of my dad’s career–fun trips for medical meetings (of course we thought they were fun…they were probably more work for dad than anything!), wheelchair races at the Main Clinic every Sunday afternoon when dad was here working on his paper charts, rounds at the hospital or nursing home with him, and the list can go on and on. We couldn’t (still can’t) go on a vacation or really anywhere for that matter without someone knowing him and always wanting to visit, he was always ready to lend a helping hand (still is!), and really instilled in us kids the value of hard work and the importance of caring and compassion for others. Most supper table talks were consumed about medicine and science and the real obvious way he made an impact into us kids is that all three of us choose to go into medicine–my two older brothers as physicians and myself as a dietitian. Medicine and helping others be well is our passion and blood.
Left to Right: Kelsey (Dietitian at Brown Clinic), Micah (ENT in Yankton), Dad aka Dr.Likness, Lincoln, (Sports and Spine Physician at Hudson Physicians, WI).
My dad didn’t always have a lot of time for us kids or our activities…but we always knew why….he was helping someone else who needed it more than us at that time….and we were ok with that. We are excited for this next chapter of his life-retirement, as he gets to put himself and his family first and truly be able to take the time to enjoy life’s greatest blessings and make the most of all activities and happenings in life. He’s three weeks in and already enjoying not spending his evenings charting and enjoying less stress in his life. He’s a man that likes to be busy, so I am sure he’ll relax and enjoy but eventually get back to some of his neglected hobbies and enjoy getting to the grandkid’s activities and other happenings in our community.
He made an impact in our community–touching the young and old (I’m pretty sure he delivered over half the kids in my class and I graduated with 325–that’s a lot of babies in a year!). If he made an impact in you or a loved one’s life, please join us Thursday. We would love to see you and hear your story! We are grateful for our great community and a great place to work all of these 37++ years for my dad and most of all, I am grateful for the last 9+ years that I got to work with him! He is a great teacher and educator and I am sure that won’t stop in retirement!
See you Thursday at the Event Center from 5-7pm!
-Kelsey
by kelsey | Nov 21, 2018 | Etc.
Happy Thanksgiving! We wish you a fantastic day spent with family and friends. We all know eating is a big part of the day (and if you want tips to help you get through that part of the day, be sure to go back and read my post last week!) but I encourage you to think beyond that part and explore the main concept of the holiday–what are you thankful for? We have much to be thankful for, we just need to take the time to sit back and think about it. Reflect on your blessings and cherish your time with family and friends!
Please note Brown Clinic is closed Thursday-Friday and we will back open Saturday morning for acute care.
Enjoy the holiday!
Kelsey
by kelsey | Oct 30, 2018 | Etc., Wellness/Health
Our Pharmacist Deidra VanGilder talked at our recent STRIVE 2 Survive lecture. She always does a great job addressing the hot topic of vitamins and minerals. Thus I thought we’d share some of her information on the blog for those of you interested in this topic! If you have any individual questions, please email us at strive2survive@brownclinic.org.
There are many different kinds of multivitamins and it’s hard to know which one is best for you. We always prefer you to get the vitamins and minerals from real food over supplements, so striving for a well balanced diet that is rich in fruits and vegetables, whole grains, low fat dairy, and lean proteins is the first step. If you are cutting calories to lose weight, you have a health condition that needs additional vitamins or minerals, or you just want to stay healthy and aid in disease prevention, a MVI may be for you. There are two types of vitamins: fat soluble and water soluble. Fat soluble vitamins include vitamins A, D, E, and K and can be stored in our bodies. Water soluble vitamins such as the B vitamins and vitamin C cannot be stored in the body, which means we can only store so much and when excess is consumed, they are excreted out. This concept is very important to understand as often times, you may be wasting your money on a supplement if you are already getting adequate amounts through your diet.
Below is Deidra’s take on the various kinds of supplements:
- Basic: contains essential vitamins from vitamin A to Zinc
- Women’s- more Calcium and Vitamin D to help support breast and bone health
- Men’s- more Lycopene for prostate health
- Silver (50+)- Supports eye health, bone health, and B vitamins for energy…Deidra recommends the Centrum Silver as an excellent one for this population.
- Prenatal- More folic acid, iron, and DHA (omega-3) to help support child growth
- Performance/Energy/Metabolism- Contain some herbals thought to help increase energy as well as extra B vitamins…be sure to ask your health care team about these before taking them as they may interact with your meds or contain extra caffeine.
- Cholesterol/Cardio- Contain phytosterols to help lower cholesterol
** Vitamins vary in the levels of vitamins/minerals they contain
** Look at the amount of calcium and vitamin D in each vitamin
** Some multivitamins don’t contain iron
** Grocery store generic vitamins are ok to buy
As you can see there are many different types of vitamins. Overall, we recommend just a basic multivitamin such as One a Day or Centrum Silver to help fill the gaps that your diet is not fulfilling (a multivitamin should NEVER replace real food included in a well balanced diet!). If you have a specific health need such as a woman being pregnant or you are over the age of 50, then you can take that specific vitamin to fit your needs. The supplement industry is not regulated by the FDA like prescription drugs are…thus it is essential to consult your health care provider before taking supplements to ensure it is appropriate for you.
-Kelsey
by kelsey | Oct 17, 2018 | Etc., Food
Pumpkin is one of, if not, the most common fall flavors that everyone enjoys. Several types of desserts have pumpkin added to them to increase taste or appearance. Here are a few healthy pumpkin recipes to enjoy this fall season without feeling guilty about eating bad:
Healthy Pumpkin Pie
- 1 can pumpkin puree
- 1 can full-fat coconut milk
- ¼ cup rolled oats
- 2 tbsp ground flax
- 1/3 cup coconut sugar or brown sugar
- pinch of stevia or 2 tbsp of brown sugar
- 2 tsp cinnamon
- 1 tsp pumpkin pie spice
- ½ tsp salt
- 1 tbsp pure vanilla extract
Directions:
Healthy Pumpkin Pie Recipe: Preheat oven to 400F. Blend all ingredients together until smooth, then pour into a prepared pie crust (such as the recipe below) in a 10-inch round pan. Bake 27 minutes (it will still be underdone after this time, which is okay!), let it cool, then refrigerate at least 5 hours uncovered for the pie to thicken and “set.”
Honey Whole Wheat Pumpkin Bread
- 1/3 cup melted coconut oil
- ½ cup honey
- 2 eggs
- 1 cup pumpkin puree
- 1 tsp. vanilla extract
- ½ tsp salt
- ½ tsp cinnamon
- ½ tsp. ginger
- ¼ tsp. nutmeg
- ¼ teaspoon allspice
- 1 ¾ cups whole wheat pastry flour
- 1/3 to ½ cup rinsed millet (optional
- 1 tsp. baking soda
- ¼ cup hot water
Directions:
- Preheat oven to 325 degrees Fahrenheit (165 degrees Celsius) and grease a 9×5 inch loaf pan.
- In a large bowl, beat oil and honey together. Add eggs, and beat well.
- Stir in pumpkin purée and vanilla, then the salt, cinnamon, ginger, nutmeg and allspice. Stir in flour, just until combined. If you’re adding millet, stir that in as well.
- Add baking soda to hot water, stir to mix, and then mix briefly into batter until it is evenly distributed. Spread batter into the greased loaf pan.
- Sprinkle with cinnamon, and swirl with the tip of a table knife for a pretty marbled effect. Sprinkle a big pinch of turbinado sugar on top for a light, sweet crunch.
- Bake for 55 to 65 minutes. Be sure to check that the bread is done baking by inserting a toothpick in the top. It should come out clean. If the top of the bread jiggles when you pull it out of the oven, it’s NOT done! Let the bread cool in the loaf pan for 5 minutes, then transfer it to a wire rack to cool for 30 minutes before slicing.
Whole Wheat Pumpkin Cookies
- 2 ½ cups whole wheat pastry flour
- 1 tsp. baking powder
- 1 tsp. baking soda
- 2 tsp. cinnamon
- ¾ tsp. nutmeg
- ¾ tsp. ground cloves
- ½ tsp. salt
- ½ cup butter, softened
- 1 ½ sugar
- 1 cup canned pumpkin puree
- 1 egg
- 1 tsp. vanilla extract
- powdered sugar (optional)
Directions:
- Preheat oven to 350 degrees Fahrenheit (175 degrees C). In a medium bowl, whisk together your dry ingredients (flour, baking powder, baking soda, cinnamon, nutmeg, ground cloves, and salt).
- In another medium bowl, cream together butter and sugar. Add pumpkin, egg, and 1 teaspoon vanilla; beat until creamy. Mix in dry ingredients and stir just until combined. Use a cookie dough scoop or two spoons to drop one tablespoon of dough onto a parchment paper-covered cookie sheet. Flatten each cookie slightly.
- Bake for 15 to 20 minutes. Sprinkle the baked cookies with a light dusting of powdered sugar and transfer the cookies to a rack to cool.
-Kelsey
by kelsey | Oct 16, 2018 | Etc.
Reposting to remind you all that Running’s Ladies Night is THURSDAY!!! Come visit our clinic booth and our Radiologist, Dr.Gwen Schaunaman!! We will have some great handouts and goodies to give out!! Runnings is offering a special that you buy a pink bucket (proceeds go to fight breast cancer) and 15% off anything you can fit in the bucket. It’s a great event!! Come visit us!
Be sure to mark your calendars for Running’s Ladies Night Event October 18th from 5-8pm! It is an awesome event supporting and promoting the fight against breast cancer!! Our radiologist Dr.Gwen Schaunaman will be at our clinic booth to answer any questions about our 3D mammography and diagnostic testing we do here at the clinic. Be sure to stop by and say hello to us!
October is Breast Cancer Awareness Month. Many of us know of someone who has been affected by breast cancer as it is the most common cancer in women and more than 230,000 women are diagnosed with breast cancer every year in the United States as stated by the American Cancer Society.
It is important to recognize some symptoms of breast cancer. The most common symptom is the presence of a painless lump in the breast area. Less common symptoms include swelling, tenderness, skin irritation, redness, or nipple abnormalities which may include ulceration or discharge.
Factors that increase the risk of developing breast cancer include the onset of menstruation before age 12, menopause after the age of 55, not breastfeeding for at least one year, not having children, or having children after 30 years of age, and having a high body mass index.
Increased body weight in postmenopausal women who are not taking hormones increases the risk for developing breast cancer. The more fat cells you have, the higher your levels of estrogen in the postmenopausal period, when your ovaries are no longer producing estrogen. Moreover, overweight women have higher insulin levels, and insulin may promote breast tumors.
Nutrition Tips for Cancer Prevention:
Fruits, vegetables, and whole grains are great sources of antioxidants and phytochemicals. Antioxidants and phytochemicals play a role in cancer prevention. Carotenoids is a type of antioxidant that is found in red and yellow produce. Some examples of foods that contain carotenoids are carrots, pumpkin, winter squash, tomatoes, citrus fruits, and red sweet peppers. All dark green vegetables contain nutrients that protect against cancer. Good sources of dark green vegetables include spinach, asparagus, bell peppers, broccoli, brussels sprouts and kale. An additional benefit to eating a well balanced diet that includes a variety of fruits, vegetables, and whole grains is that it promotes a healthy weight. Maintaining a healthy weight will help you to decrease your risk of developing cancer. A helpful tip to remember is that the more colorful the fruit or vegetable, the more nutrients it contains; so pack your plate with colorful choices!
-Kelsey
