A Running Doc’s Life: Keep Calm and Carry On!

I was reading a book earlier this week which brought up the poster of “Keep Calm and Carry on”. There are a lot of popular things you can buy these days with the caption of “Keep Calm…”. It was originally created in 1939 on a motivational poster produced by the British government in preparation for World War II. The poster was intended to raise the morale of the British public, which was threatened by widely predicted mass air attacks on major cities. Over 2 million of these posters were printed, but never made it to the public. Then in the year 2000, one of them was discovered at Barter Books. Since then it has taken off by a number of private companies, and has many other modern meanings attached to it. It really does speak reality. Everything in life is busy, hectic, and we don’t always know how we are going to handle all of this. Then we need to keep working on our own health, and trying to exercise, and eat healthy as well. You get to the point where you don’t know how you are going to handle all of this. So, for starters, it really is best if you Keep Calm, and then put your head down, and carry on. Our run club group is getting ready to take off for one of our Sunday runs. We are ready to “Carry on”. Challenges always pop up during our days. It can include our schedules, and not having enough time to get everything done. It can include the weather, which can delay many things, and plans for what we may have wanted to do.

Here I am with Sarah, my twin daughters, Molly and Megan, and their “brother from another mother”, Noah Hauck. We are lined up at Disney in January to do the half marathon, the first one for the 3 kids. It was cold. Low 30’s, and we had to stand outside for well over 2 hours waiting to start. We were freezing. We are huddled together to try and stay warm, and at the same time, try to keep a smile on our face. In essence, we had to “keep calm and carry on”.

My son Nick this week finally broke 2 minutes for the 800 meter race on the track. For years he has been trying, but could not break that 2 min barrier. We talked several days before then, and basically told him to just relax, and do the best he can. Whatever will be will be. The more uptight he would get about it, the worse his times would be. He finally did it Wednesday night. He ran a 1:58:71! How did he do it? Deep down, he finally relaxed, and believed in himself. He kept calm, and carried on!


Training partners can help keep you going. They can help keep you calm. They can provide encouragement. It is a 2 way street though. You have to provide encouragement and presence as well.

Yoga can also help you keep calm. Here some of our run club members practice yoga at the time of the run! Way to go Jill, Paula, and Amanda! You also have to have fun. If you don’t make your goals fun, then they just become another stress, another deadline, or another commitment that you can’t keep, which just then adds more stress to your life. We are trying to ease the stress in our life, not create more! Bottom Line:

Words from the past that definitely still have meaning and motivation today. The original intent is not the same, but we can all learn from it. We can all remember to follow in our everyday endeavors. It is an important component of trying to Strive to Survive. Keep moving everybody, and “keep calm and carry on”!

Dr. Dan

Consecutive Exercise Day #: 3854

A Running Doc’s Life: We Are All Athletes!

We may all be at different levels, but the bottom line is that we are all athletes! We were made to move, and some of us may do it faster than others, or longer than others, but if you get out and move, and push yourself more than you would need to do, or are required to do just to do your activities of daily living, than you are an athlete. We don’t have to be professional. We just have to move. Besides Family Medicine, I am also involved in Sports Medicine, and came across a definition here recently that I think sums this up the best.

For all of us who stay active, there are bound to be times when we get hurt, or develop pain. The majority of these are still temporary. The problems were are helping to push back, or avoid altogether (high blood pressure, diabetes, obesity) can last a lifetime. We all need to get out of our “comfort zone”. We all can achieve benefit from this. For my part, there is always things to learn about Sports Medicine. I was just at a 2 day conference in SF to learn more about this.

There are always new treatment plans, ideas, research, and literature to review. They had new updates on concussion protocols, surgery updates, therapy updates, challenges of getting people to get out and move, as well as challenges that we as health care providers face when dealing with people who get injured, and how to get them back to what they want to do. It is always a challenge, but one thing that helps me in my plans of how to take care of someone, is being a runner myself, I understand the mindset involved with this, and how much somebody wants to get back to their same level of activity. Very few of us our professional athletes, but we should all be recreational athletes. We all need to move. “Use it or lose it!” The best part of all of this is there is so much variety of different activities out there to do that we can ALL find something to get involved with.


Here are a bunch of our run club members out in my garage, the Reiflex Center, doing weight/resistance activities. It is so much more enjoyable doing this as a group. We all need to do something. That hidden athlete is in all of us, just waiting to come out. Specific weight goals, times challenges in walks or runs are not the ultimate goal. These goals may help though to keep us motivated to keep working on things, and to stay active and healthy. But, the ultimate goal is to live life to the fullest, to be able to spend time with our family and friends, and to continue to have good times, and make lasting memories. That is what it is about. Keep pushing that inner athlete in you. It is there! Some days may be harder to find than others, but the rewards that can come about are more important that any time or medal that you may get. It is impossible for each of us to know everything, and to do everything. Making an effort is a start, and something is better than nothing. Keep learning! Keep trying! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 3847

Congratulations Kelsey! Young Dietitian of the Year!

We have just received news that our dietitian, Kelsey Raml, has just been selected as the winner of the South Dakota Academy of Nutrition and Dietetics (SDAND) Young Dietitian of the Year for 2018! Great job Kelsey! She will formally be presented this award at the annual SDAND/SDAHO conference in September. She was nominated by a previous student that she had here at Brown Clinic. In her students words: “Kelsey is a tremendous role model in the South Dakota dietetics community. Not only does she work as an outpatient dietitian at Brown Clinic, but she also dedicates time to teaching for SDSU and consulting at Assisted Living facilities. I first met Kelsey as my Quantity Foods Instructor and then was honored to do most of my practicum hours with her. She is always willing to work with students to help achieve their practicum and internship hours. I remember coming home from the first day of my practicum and being excited for my future as a dietitian. Kelsey’s passion for dietetics is contagious. Fast forward a few years, Kelsey and I continue to stay in touch. She is always willing to answer any of my questions as a new dietitian and we often converse about emerging research. We have also been able to use each other for referrals with clients who have moved across the state. When thinking about who to nominate for this award, I cannot think of anyone more deserving of this than Kelsey!” Neither can we! Great job Kelsey, and congratulations!

You manage to juggle all of your responsibilities at work and at home. Your husband Adam, and 2 year old son Corbin, keep you incredibly busy at home, and we always have projects for you to work on at the clinic. You are a great asset to our team at Brown Clinic. You not only continue to work on teaching our patients healthier ways to eat, but also help with our diabetes teaching, our Strive to Survive program, and blog, and our Medicaid Home Health program, which you have helped create the template for the rest of the state to follow. We at Brown Clinic are incredibly proud of you, and proud to have you on our staff, and team.

You are always involved with helping to promote Brown Clinic and what we do overall in primary care. Teaching dietetics is fundamental to the overall care of our patients, and can also be one of the most difficult and challenging obstacles to get patients involved in. We appreciate your continued efforts on all of this, and understand how difficult this can be.

I want to especially Thank You for all of the work and effort you help out with in our Strive to Survive program. The two of us make this program go. We both spend a lot of time teaching, and I think complement each other very well. You do the nutrition teaching, and I work on the promotion of exercise/activity. I personally have learned a lot from you over these past 5+ years with our teaching of this program. I always thought I could outrun a bad diet. Not anymore! I have listened to you talk to our patients signed up for this program more times than I can count, and I learn something new every time. It just goes to show that you can’t just hear something once and think you are going to get it. Nutrition is such a huge part of our health, and often times is one of the things that we neglect the most. It takes continued effort working on this, and you help to remind us all to keep working on this as well. I appreciate your efforts with all of this. I like to think we make a good team with our Strive to Survive program, and want to take this opportunity to congratulate you on being bestowed upon this great honor. You are truly deserving of this award, and I am proud to have you working at Brown Clinic. I appreciate all you do! The rest of our team of doctors and staff appreciate all you do. And most importantly…our patients truly appreciate you! Thank you for being a part of Brown Clinic! Congratulations on winning this most deserving award! The South Dakota Academy of Nutrition and Dietetics definitely got this one right!

Keep moving everybody…and when you get tired, go see Kelsey and learn how to do better with your diet/nutrition plan!

Dr. Dan

Consecutive Exercise Day #: 3844

A Running Doc’s Life: Trying to Stay Motivated in this Weather!

This extended Winter is getting really tough to handle. We rarely ever get Spring anymore. Patients come into the clinic as well, and they are not happy. Everybody is crabby! We have all had enough of this weather. The only good point to make about it is we all have to contend with it. It is not just some of us, but all of us, have to contend with it. So, you can either make the best of it, and continue to whine and complain. Bottom line: we still have to put up with the extended Winter.

Here was our run group this AM. The paths were not cleared yet, as it was still even snowing yet. The roads were not all plowed, so we ran down 3rd avenue to at least get somewhat of a relatively clear path to be able to run. It was icy, and still had a lot of snow. It was a tough run…tough on the feet today. There was lots of complaining…probably even mainly from me! I was ready to be done when our group made our first stop back at the zoo. Sarah did not want to do anymore at home, such as finish on the treadmill, or the elliptical. She wanted to keep going, and be done. We were trying to finish 10 miles today as we are getting ready for the Fargo Half Marathon, now 5 weeks away. So Tom continued on as well, and Paula, and Jill. It was like a domino effect. By ourselves, we would have probably all quit. Together, we kept going. As Tom said this morning, “One plus one, plus one, plus one, etc, and we keep going”. It is easier to keep going with friends. You need other people to help push you through those tough times, those tough weather days, and even though days when you just don’t feel like running, or working out at all…period! We can all keep complaining, or we can act like Patricia did in this picture. You can be happy, ready to take on the day…or just be glad the run is done. Either way, you are in control of your mood, and attitude. Accept the things we cannot change, and keep working on the things we do have control over. When all was said and done, we were able to finish the run. We were able to finish because we had help from our friends. Which, as you can see by the next pictures, the weather makes it a little tough to get fired up about running, or working out, outside.

So, don’t be a whiner! A complainer! Be a doer! Be in charge of your health, your activities, your situation. You can either do the best you can under the current situation, or let ii take control of you, and then be even more angry, upset, crabby! Spring has to be coming. It is testing all of us, and our patience. Remember why we need to keep working out, and working on our health. We want to be around. We want to spend time with friends, and family. We want to live. So, put our head down, your mouth shut, and keep your feet moving forward, regardless of what type of exercise you want to do. Help others get there too. That does not mean we can sometimes express our true opinion of what we think of the weather. I did! But now that I am done, I am thankful these other people helped push me on. The next time it may be me pushing them on. We can all help each other, and be there for each other, and live life to the fullest. Bring it on! Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 3840

Think Positive!

 

 

 

 

 

 

 

 

 

Are you tired of winter yet? Spring is here, but it sure doesn’t feel like it….and we are facing another blizzard this weekend! C’mon weather man….enough already!  I think one thing we all have in common right now is that we’re tired of snow, cold, and less than ideal weather conditions. We have had winter for about 6 months now and I think all of us can agree, we are ready for spring and summer to get here! When you’re feeling the blues, it can really get you down in the dumps which can result in overeating, less activity, and depression. Below are a few tips to help perk you up and help you stay positive about life!

Tips for Overcoming the Winter Blues

  • Get active! Activity produces natural endorphins that boost mood. Try getting at least 30 minutes of activity in a day…if you can do more, the better.
  • Eat Right: healthy eating will make you feel healthier inside and out. Aim to get at least 5 fruits and veggies a day, include whole grains, lean meats, and healthy fats. Vitamin D has been proven to aid in SAD so be sure to get your 3 servings of low fat milk or dairy products. If you aren’t a milk drinker you may consider taking a daily multivitamin with calcium and vitamin D or a vitamin D supplement. Please ask your dietitian, pharmacist, or doctor for the correct dosage.
  • Spice up your life: Sometimes getting a new shirt, going to the movies, reading a new and exciting book, or getting new tunes on your ipod will help spice up your life and add some more excitement to your life.
  • Get out!  Plan a family/friend trip to Sioux Falls, bum around downtown Watertown, or plain just get out of the house! It’s easy to dwell in our sorrows by becoming a hermit and staying inside. We need to get out and get some socialization!
  • Think Positive! Dwelling on the negatives can sure take a person down. Instead think about the positives in your life. Tell yourself one positive thing about yourself and your selfworth daily. Focus on the blessings in your life!
  • If you feel you are suffering from the blues very seriously then I encourage you to contact your physician for further assistance as we can help you with this!

Spring and warmer temperatures will be coming….hopefully sooner than later! Stay positive, eat right, exercise, and get out…those winter blues will be gone before you know it!

-Kelsey

A Running Doc’s Life: Setting the Example for Your Kids

When it comes to kids, the best way to teach them is by example. You can tell them, try to explain to them, or better yet, try to reason with them (Ha!), but the best way to teach them is to show them. Show them by example. They will watch you, and it will just naturally rub off on them. If you are active, and choose good things in regards to your diet, then they will too. They will be like sponges, soaking it all up. Take advantage of those moments, and teach wisely. Sarah and I have always been active, so it was natural for them to start taking an interest in being active themselves. Here I am the morning after one of Grandmas Marathons, with my cheerleading girls giving me support. Of course, they were there for me during the race, and afterwards as well.

They were there for me cheering me on, so of course, as they grew up, and were active in sports, we were there for them as well. That is what families do. They support each other, cheer for each, care for each…they are there for each other! That is why it is important to take care of yourself. This way, you can spend more time with them, teach them…just be with them. We started early with the kids on activities.

We got a Burley to take behind our bikes, and to go walking with when the twins were born. This way we could get out and do things, and they got to come along. We all got to spend time together. We had this Burley for years, until they were all finally old enough to walk on their own, or ride bikes on their own. We got them involved with lots of activities: running, swimming, riding bikes, bowling. Anything to keep us moving. Here we are doing all these activities.

We were a force to be reckoned with as they were growing up. It was not hard to see them doing their activities. The T-shirts they would have for their activities covered their backs from one shoulder to the other!

You can make it work. You can spend time with each other. You can be active together. You can be a family together. Start when your kids are young, and continue as they grow older, and then, I hope, will do other events/activities as we grow older too. The running together already started this past January in Disney with my twins running their first half marathon with us. Those are memories I will cherish forever. By watching them take an interest in their own health as they grew up meant a lot to us. They learned by watching us. You should all do the same. Lead by example. The health benefits are too numerous to count. But, the most important part of all of this is that you get to make lifetime memories that you, and your kids, get to make for a lifetime. Keep moving everybody!

Dr. Dan

Consecutive Exercise Day #: 3833