by Dan | Dec 24, 2017 | Exercise, Family, Goals, Heart Health, Holidays, Motivation, Weather, Wellness/Health

It was a great run this AM…not because of the temperature. It was cold outside, with a wind-chill below zero. It was great because of who I was running with. We had our weekly Watertown Area Run Club, and Sarah and I were running with our friends! Our running family. None of our group runs are really about running, but it is about spending time with people you care about, and who also happen to like running. Going out this AM by myself was probably not going to happen otherwise. As soon as I saw the temperature, a 1000 different excuses started going through my head to come up with something else to do for exercise other than running outside. But, my running family was going to be there…so you get up, put more warm stuff on, and get out the door.

It was our second annual Christmas run…and we were all decked out in our Christmas gear. Even Santa Claus was there in full garb! That also made it fun. We were quite the force going down the road. The only problem was we started at 6 AM, so there were not many cars, or people, out yet at that time. Several cars honked, and even rolled down the window to say Merry Christmas! That also kept us motivated to be out there.

We all posed in our Christmas garb in front of Makepeace jewelers. All smiling, laughing, then running…just spending time together. I had to go on a longer run yet today, and was not too eager to run on my own another 5 miles in this cold, and would have easily just headed to the car and left. Amanda decided she was going to run 10 miles too, and she was dressed as Mrs. Claus. We probably looked liked quite the sight running down highway 81. We kept each other going! Thanks Amanda! It made the cold tolerable! Now we both can enjoy the rest of the Christmas holiday!
Here are the rest of many of our run club members who could not be here this AM…but we were thinking about them this AM.



Merry Christmas to all my running friends…my running family, as well as to the rest of my family! Merry Christmas to all of you as well…take care of yourself. Get out and keep moving…be around longer to spend more time with your family as well. Strive to survive! All of this activity is part of this running Doc’s life…make it a part of your life as well! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3742
by kelsey | Dec 20, 2017 | Cooking Tips, Diet, Family, Food, Holidays, Weight Management, Wellness/Health

Since this will be my last post for this week, I want to wish all of you a very Merry Christmas! I am thankful for a wonderful job and the opportunity to get to work with you! I am looking forward to a fun-filled next few days with family and my cute little elf pictured above! My family, just like many of you, always has a spread of food at gatherings and every time we ask ourselves why do we over-prepare every time! I think it’s bred into us that we can never run out of food and it’s better to have more than not enough. I am human and will enjoy a few cookies, caramels, and sweets, however I will be practicing what I preach for the most part.
Here are some basic tips to help you get through the holiday eating without gaining a bunch of weight!
*Get your exercise in–schedule a time in the day to get your activity done. You will feel better afterwards and not guilty for indulging in a treat here and there.
*Bring a healthy dish to share. There will be plenty of un-healthy items to enjoy that it’s nice to have the option of healthy food…especially when the mindless eating happens.
*Speaking of that mindless eating…that is another thing to practice: pay attention to how hungry and how full you are. This can help you decide when and how much to eat, rather than just grazing and not realizing how much I am taking in.
*And most of all, stop and smell the roses (for lack of a better phrase)! Christmas is a time to reflect on the real meaning and fully enjoy why we celebrate it. Take time to visit and engage with your loved ones. The food will always be there and there are no rules that say you have to clean your plate…instead use the extra food for leftovers and spread the enjoyment of the food into a few days rather than eating it in one sitting.
I wish you all a very blessed Christmas!
-Kelsey
by Dan | Nov 26, 2017 | Exercise, Family, Food, Holidays, Motivation, Weather, Wellness/Health

Thanksgiving! A time to spend with family, eat good food, watch football on TV…and exercise! “If you want to eat, you gotta move your feet”. The annual Turkey Day DASH took place on Thursday, a 5k run, and 2 mile walk. 360 people participated in this event. It is a great way to start out the holiday, and get your activity in, and then eat and enjoy the rest of the day as you want.

We had absolutely perfect weather for this as well. Ended up being at race time in the low 40’s, and then got into the mid 50’s by the middle of the afternoon. Great time to go for a walk to work off some of that noon meal as well. Nick came home from college, and brought my mom up with him, so we got to spend some great family time together as well. Sarah’s family made it up for the day as well. Great food, and great company.

The Turkey day DASH is becoming a family tradition for us now as well. You are out exercising with hundreds of other people, and then work up an appetite to eat, and not feel as guilty later because you already worked out. Thanksgiving is one of those times when we all indulge a little, and that is ok…but still good to keep within reason. And, there is no excuse to not exercise that day as well. There is always some time, you just have to figure out when is that time.

Here was my plate when we sat down. Turkey with stuffing, gravy, corn, a bun, and my moms famous noodle salad with grapes! Delicious!

It was a good time spending with family. We all had more than enough to eat. We then watched the Vikings win in football, and then the weather was so nice out, we went out for a walk, and just spent time outside and enjoyed the warm weather. We have had days where the temperature has been -25 degrees, so this was great!
They were taking pictures of everybody coming across the finish line at the race. After we crossed, I reached my hand out to Sarah to high five her…we came across together…and she was not looking at me right then. So I turned towards her more, and then she saw me and high fived back, but the angle of the camera looks like I am smacking her in the face! Truly, it is just the angle of the camera!


But it was a great way to start the day. Many of the run club members…friends…were there as well. This, too, is becoming a tradition as well.

There is always time to take care of yourself, stay in shape, and spend time with friends. You have to figure out how you are going to do this, and how you are going to make time for it. Is this always easy to do? No! It takes some effort to figure out when this will get worked into your day. You have to plan…you have to learn to make accommodations…you have to make an effort. When all is said and done, you will be happy you did it. Learn to make adjustments. Invest in you. Are you not worth it? The days go by fast. Don’t waste the time we do have. Take advantage of it, and enjoy life to its fullest. Strive to survive! Spend the holidays with family, and make them special. Those same people will not always be in your life. Make life count! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3714
by Dan | Nov 12, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health

This first picture is our Halloween costume at a 5k race one of our years of residency…we went as doctors! How original!
But medical school was done, and it was time for our Family Medicine Residency! A time when we were finally referred to as a doctor! Sarah and I had just finished medical school, and it was off to residency for 3 years of training in Family Medicine. Intense does not really describe it. A new rotation every month, ranging from pediatrics, to OB, to internal medicine, to surgery, and back and forth. Every month was like starting a new job again. The hours at times seemed endless, but boy did we learn a lot. It was a good thing for us that we did not have kids yet…the time restraint would have really made this tough to accomplish. Running was our escape from all of it. It was a time to help maintain our sanity. It was time for us! Our residency also put on a recruiting effort in the Summer of every year where we would bike over different areas of the state over a 3 day weekend, and tour different areas of South Dakota. It gave us the opportunity to see little towns in SD, and see what medicine was like there, and for those people in those towns to see us. Watertown was one of those stops on one of those years. It helped solidify for us the fact that we wanted to come here. So activity promotion was a big promotion for our training in Family Medicine as well back then. We were not going to just tell other people they needed to exercise…we were going to do it as well. Well, two of our faculty doctors, Dr. Brechetsbaur, “Dr. B”, and our residency director, Dr. Kemp, and myself decided that we were going to train for our first marathon, Grandma’s marathon, in June of 1994…my last month of residency. Now, looking back, I would not recommend that to anybody else. Our time was so busy then as well, that to try and train for a marathon made it very difficult. Needless to say, out of all of the marathons I have done, I was the least prepared for this one. That, and the fact that I had no clue what it took to do a marathon. The longest I had run to get ready was a 17 miler, and that was once. By mile 19 of the marathon, I seriously thought that I was not going to finish this race, and I had 7.2 miles left to go! Dr. Kemp and I managed to run together to the finish though, and then I spent the next week trying to learn how to walk again. I had youth on my side yet at that point, and that is I think the only reason I even finished it. Here we are leaning against a boat by the finish line after.

I really am leaning up against this boat just to help keep me upright. This next picture is Dr. Kemp and myself running by at about mile 7…we are right in the middle of the picture, wearing red shirts advertising our residency.

Shortly after that, the shirts had to go. It was already up to 90 degrees that day, and we were not prepared for that heat. One half of me got sunburned pretty good that day, so that did not help matters either. This next picture says it all!

This one is of me waiting for Sarah to find me after the finish line. I managed to sit up right then, but prior to that was curled up in a ball under a tree to get some shade, trying to figure out what all just happened! We finished though! It definitely taught me this race is not one to take lightly. You have to prepare for it. My preparation now is much different these days…but, I also at least have more time available to do it compared to those days of residency.
We had our fun times too! Our residency each year would have a Halloween party, and our third year, Sarah and I dressed up as a “polyester couple” from the 50’s. I bought this suit at the salvation army, and Sarah is wearing one of her mom’s polyester maternity outfits she wore when she was pregnant with Sarah. Of course, we had to make Sarah look pregnant then (because she was not yet!)


So, this was the Halloween of 1993, and then a few months later, she was pregnant…with our twin daughters! We graduated from residency at the end of June 1994, and moved to Watertown, and she delivered our twin daughters Sept 22 of 1994. I can always remember their birthdate, because we had “2 on 22”! And here I thought residency was busy! But this will be the beginning of some of the next stories going forward. I did have to add one picture of Sarah actually pregnant, at least during residency, and this was taken in May of 1994.

Our life had changed a lot prior to that, but little did we know how much it was going to change after another 4 months! Staying active then was always a part of our lives, and remains so to this date. Always active, and leading by example for our kids as well. Again, more on that to come. Just remember, if it is important to you, you will find a way to make time to be active, and enjoy life along the way. If not, you will just make another excuse. Be in charge, and strive to survive!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3700 ( I made up the 3 days I missed over the years not counting leap year…before I started writing on the blog!)
by kelsey | Oct 25, 2017 | Exercise, Family, Weight Management, Wellness/Health

Did you know that it is recommended children get at least 60 minutes of activity a day? Meeting this activity recommendation will not only promote a healthy weight, but also ward off diseases like diabetes, heart disease, and cancer. This 60 minutes does not have to be all at once though…it can be spread throughout their day. You may consider the following tips to help you and your child be more active:
- Join a sports team or try a new physical activity.
- Take a walk or turn up the tunes and do some dancing indoors after your supper meal.
- Instead of catching a movie or watching TV, pick an activity that requires movement such as laser tag, bowling or miniature golf.
- Give children toys that encourage physical activity like balls, kites, hula hoops, Frisbee and jump ropes.
- Limit TV time and keep the TV out of your child’s bedroom.
- Plant a garden. Kids love to water plants, and they’ll get excited weeks later when they see their flowers bloom or vegetables grow.
- Practice what you preach! Kids will be more apt to engage in activity and stay interested when their parent or family is doing it!
Creating a positive environment with encouragement and reinforcement will help your child live a long and healthy lifestyle. These tips are just a glimpse of what we cover in Strive Kids wellness program. If you’d like to learn more about our program, be sure to contact us!
-Kelsey Raml, MS, RD, LN
by Dan | Oct 15, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health

Ah, those days of medical school. It brings back a lot of memories, good and bad. The amount of time spent with studying was overwhelming, and I often look back and wonder how I did this. I know for a fact if it had not been for running, I don’t think I would have made it. It was a great escape, and again, time for a break. Time to spend working out some frustrations, and giving my mind a chance to think about something other than medicine. The best part of medical school is finding Sarah, as we were classmates, but did not start going out until our second year. We were both dating someone else the first year, and neither one of them could handle all of the time we had to spend studying, so they both ended before the Summer of our second year. I knew Sarah ran too, but did not know much else about her. She definitely got my attention the first year though. I always conveniently planned my running routes that second year that I would end up running past the house she was living in. I think it is safe to say I got her attention! By our 3rd week of our second year of medical school, we started hanging out together, studying, and would meet to go for a run. It did not take long before we were “officially” dating. It was great going through those last 3 years of medical school with Sarah. We had each other for support, to study together, bounce things off each other with questions. It made it so much more enjoyable. All of the pressure we had going through school, and the drive to keep pushing, would get to you after awhile. Having Sarah there, and running together, made things much easier.

This is a picture of our medical school class, the graduating class of the University of South Dakota Medical School class of 1991. We went through hell together, pushed each other, tried to support each other. We may have all had different reasons for going to medical school, and different plans for what we wanted to specialize in, but every single one of us had to go through the same 4 years of medical school. We would have our fun times as well.

This is Sarah and I dressed up as two of our professors our second year of medical school for a Halloween party. It was a hit! You had to find ways to blow off steam, or there was no way you were going to make it through. Running was our common link together, and our way of blowing off steam. I believe it was the difference of being able to make it through!

We got married Oct 6, 1990, a few months into our 4th year. We managed to get a week off for a honeymoon. We went to Estes Park, and spent the week hiking in the Rocky Mountains. Many great adventures on this trip. Being in shape from running definitely helped with all of the hiking, and being able to see things we would not have be able to otherwise. The deer were so tame where we stayed they would come right up to you and eat from your hand!

The views we were able to see by hiking was incredible! Much of this we would not have seen otherwise. Of course, that was not the best view out in the mountains though…the best view was Sarah!

This was the first time we actually got to spend together, and no studying. The first time in 3 years! Estes Park definitely made an impression on us, because we went back on our 10th and 20th anniversary as well. Incredible every time!
Remember, there will be times that overwhelm all of us, no matter what it is that we do. You have to remember to take care of yourself, to strive to survive in this busy, fast paced life. If you want to achieve something bad enough, you will find a way to do it. Then you can look back on it and say, “WoW! I did it!”.

This was me after finishing our second year. We were getting ready to take our first Board test. It was not that the material was that difficult, especially when you had an interest in it. But it was the volume of the material! I still look back and ask myself how we did that…how I did that! Like I said above, if you want to achieve something bad enough, you will figure out a way to do it. I made it because of running, and especially because of Sarah. Thanks!
You can accomplish what you want too! Just keep at it! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3669