by Dan | Jul 16, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health
![IMG_8563[1] cropped](https://s2sbrownclinic.com/wp-content/uploads/2017/07/16-6038-post/IMG_85631-cropped.jpg)
High School for the first few years was tough for me. As I mentioned in my last post, as a twin, and being small, it was a little tougher for us to get adjusted. Our sophomore year was really tough. There were a group of kids who liked to single us out, and they had the same lunch period as we did. We would get harassed all the time, they would throw food at us, and it did not matter what we otherwise tried to do, it did not change, until one day just before Thanksgiving. This particular day they were throwing food again, and I got hit in the head with an apple. I had taken enough! I had a banana, and stood up, and went over to the kid who threw the apple, and smashed into his hair, and then I threw the first punch. We managed to get several more hits in each before it was broken up, and long story short, we both got expelled for three days. But you know what…it all ended after that. No more harassment, no more food throwing…it ended! I like to think they realized I was not going to take it anymore, or maybe that first punch actually hurt…who knows. I did not care, it was done.
I was still trying to do some running on my own at that time, but still felt intimidated. I did not think I would be good enough. I think deep down I just did not have the confidence in myself to believe it. My Junior year went by, and nothing really changed. Then the Summer before my senior year, I did more running. I ran quite a few different 5k and 10k races, including the Diet Pepsi 10k race that changed my outlook. I finished right behind 5 other Washington High School Cross Country runners, and all of us were within 10 seconds of each other. I felt like I could actually compete. I decided after that I was going to go out for Cross Country no matter what, or regret my whole life not participating in sports in High School. I had a very good coach, Coach Dick Brook. He helped me believe in me! I owe a lot of this to him. He was bringing out the best in me, and it took me awhile to realize this. I remember him like it was yesterday. Whoever says coaches/teachers don’t make a difference doesn’t know what they are talking about. He had many motivating speeches and talks, and this definitely made an impression on me. I had a great senior year in Cross Country and Track…memories to last forever as well.

That running experience gave me lots of time to think, plan, socialize, make even more friends, and build confidence in me…confidence to believe in myself, and to stand up for myself. Later in Track that Senior year, this same kid who I had gotten in a fight with my Sophomore year, wanted to go out for track. I beat him so bad in the first race that he ended up quitting after that. I did not want him to quit…after all, I would have liked to have beat him many more times in races (ha!), but it was not meant to be!

When you are surrounded by crowds during a race, and pushing yourself to keep going, and to dig deeper than you ever thought you could, you feel like you can take on the world. I am running right behind the front runner in this picture. This was a JV race I was in, and following this race, I got moved onto the Varsity team. In Cross Country, when it came to deciding who was going to go to the State Meet, only the top 7 runners count for team scoring. You were allowed to take 2 alternates in case somebody got sick or hurt. I was the first alternate…this after only going out for the first time my Senior year. The year only got better as I learned so much about running, training, getting in shape, what it took to be involved, and many life lessons.

Coach Brook would always give us a pep talk before we lined up for each race. In this picture, I am right in the middle, at the front. Those speeches got you going, and made you believe in yourself. He always talked about “intestinal fortitude”–When the going gets tough, do you settle for something less than your best effort? Or can you endure some pain and discomfort and stay ahead of your nearest opponent? Just like life! Life always has big challenges. Are you going to keep pushing yourself, and just settle for ok? This coach had a huge influence on me…an influence I will never forget. Coach Brook had a speech framed on his wall of his office, and it was written by a Coach Ray Graham. Now, I don’t remember who Coach Graham was, but I remember my coach. This speech was the following:
“Cross Country is a sport which requires no specific physical endowments. Anyone can excel who has the desire to run, and the will power to keep running past the point when it seems the price is too much to pay for the rewards received. This athlete works hard, while realizing they will receive little praise, as Cross Country is not a glory sport. Their rewards are the few seconds they shave from their last effort, the spirit of competition, and the sense of accomplishment from hard work and a job well done. In learning to endure physical work beyond the point of discomfort of pain, the Cross Country athlete gains psychological advantage. They are better able to handle their mental processes in all aspects of their life. These are the lessons of a sport that will last a runner a lifetime!”
Perfect! Any runner knows this! To all my friends on our Watertown Area Run Club…you get what running does for you! You get what it takes to accomplish your goals, the work you have to put in to do it. The life lessons learned by this are countless! The influence coaches and teachers have on us growing up can either make us or break us. Coach Brook…I will remember you forever! Thank you! I have been running ever since, with no foreseeable end in sight! The “intestinal fortitude” lives on. The confidence and determination running taught allowed me to accomplish what I have done so far in my life! I firmly believe running helped me not only become a doctor, but become the kind of doctor I am!
Keep moving everybody…whether running, biking, walking…whatever…just keep moving!
Dr. Dan
Consecutive Exercise Day #: 3578
by Dan | Jul 9, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health

Growing up as a twin had its ups and downs. You always had somebody to do something with, but at the same time it was a little harder to try and figure out who we were as individuals. We were otherwise always together, and when you are identical, have red hair and freckles, and are some of the smallest kids in your class, you tend to get picked on more. We relied on each for support on this. You could always count on each other when the going got tough, but that does not mean you did not have your own moments when we fought as well. We had some drag out, rolling on the ground fights as well. The name calling would start, and my brother-in-law always helps reminds us of what we would say to each other:

I remember this line! Maybe we were not the brightest color in the box at that particular moment, but I also remember a line out of the movie “Cheaper by the Dozen”. In that movie, the 12 kids of the family would have their arguments, and then would always be there for each other. As one of the siblings stated: “There are times I want to kill you, and other times I would kill for you!” No truer than with my twin brother.
I remember when I first started running, it was in middle school, and my oldest brother Ray went down to the park closest to our house and ran laps. For whatever reason, I joined him one day. I found out it really helped when it came to getting ready for the 600 meter run in gym class. You get tired of being picked on, or singled out, that you want to do anything to help improve things. Well, prior to that, I was toward the back of the pack. When I started doing some running, and we came to the end of our gym class, and got timed on a 600 meter for a grade, I got second place in my gym class, but losing to one of the kids who had been running track all of the time. I got asked to join track following that, but I was not really interested then. Besides, I had to figure out how I would get home after practices, and transportation was not the easiest thing then for us. I did do a lot of bike riding, and we rode bikes to school most days, which was between 2-3 miles. (I could say it was uphill, both ways, a line I always heard from my Dad, but I won’t!) We had lots of practice riding bikes back then…we did it every day as a kid!

I had done some other running after that, but very limited. I did not really get interested to the extent I am now until later in high school. That will be a story for next time. But needless to say, it gave me a taste of how things could improve, and how you could get noticed by running. My twin brother has done a marathon before too, but he is not has into it as I am. We both developed more of our interests, and this has evolved in different ways as we have gotten older. We get busy with our own families, and I live in Watertown, and he lives in Parker SD. We don’t get to see each other that much, but one thing still holds true: I would do anything for him, and vice versa. He is still my best friend!

Nothing will change this! We still have a sense about each other that is hard to describe about any other sibling. One day our sister took us out shopping, and one of us went to the Western Mall in SF, and the other to the Empire Mall. Neither of us had any idea what we were going to get, but we ended up each buying one thing, a book. Turns out it was the same book for each of us! One got it as a paper back, one as a hard cover, but the same book! Even that surprised us!

We went through school together, life together, and each had different experiences, but yet similar. That twin bond will always be there. We both still run, but his marathon days may be finished. It now is just more a stress reliever for him. Someday that competitiveness in me may finish, but I still really enjoy it. We both teach people, help people in times of need, and support them when needed. I am a family physician, and he is a Lutheran minister, and was a elementary teacher prior to that. He was Mr. R, now is Pastor Don, and I am Doctor Dan. Similar, but different. We found our own callings, but still managed to take care of our own health in the process. To my brother Don:

It has been a great life! Here is to many more years! Let me know if you got another marathon in you!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3571
by Dan | Jun 25, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health

Going on almost 27 years now when Sarah and I said: “I do!”. It has been a great adventure. Ups and downs, good times, not so good times…but mostly, great times! We believed in each other then, and we do even more now. We have 3 kids, all now out of the house. One still in college, but the other 2 just graduated in May. We have been active ever since we started dating, and we still work out together, exercise together, and support and cheer each other on. It has taken continuous work and effort. It does not just happen. We push each other to keep going. That is what life is about. Finding that person, or people, who can support you, and you return the favor. I have written now for the last several months on what it takes for you…for me…to become better. Confidence, courage, vision, teamwork, remembering our past, how to improve the future, and taking time to relax. I also discussed about never stop learning, becoming a difference maker, and going after your dreams. It is a continuous process, and one where we will make mistakes along the way. We just have to figure out how to pick ourselves back up, stay motivated, and continue to put one foot in front of the other. The process never ends! We need to work on becoming better for our entire lifetime. For Sarah and I, it has continued from that day when we said “I do”. We have not quit. We keep pushing forward. And…we are having fun along the way, and enjoying adventures I would have never dreamed of.

We participate in a lot of races together, and we sponsor a lot of races/events to help make sure there are plenty of activities for other people to enjoy too. It is also a way to help other people stay motivated, and to get out and stay active, and help them take control of their own health. As Family Physicians, that is also our job description. Our primary focus is on the family…how to take care of them, how to help them in tough times, sick times, and to help keep them motivated as well. If we are not, how can we expect anyone else to be? This is all part of becoming better, and we learn along the way. Life always has a curve ball to throw, and we either swing and miss, and learn from it, or hit it head on! You don’t know how things would be unless you try.

We have gone through many things together over the years, and hopefully there are many more adventures, many more races, many more activities to spend together. I am going to help Sarah finish her first marathon coming up in October. And, we are running for charity, helping to raise money for research in regards to Friedreich’s Ataxia, and there are several people in Watertown alone afflicted with this genetic disease. We are working together…helping each other, and others. We have many finish lines yet to cross together!

We start together, and we finish things together. That helps me become a better me! I am always learning though. It takes continuous effort, just like taking care of your own health, you have to take care of your mental health. Be supportive…be there for others! There may be some occasional posts that I make have again if the right subject comes up again on “Becoming a Better You”. For now, I am going to begin something new. Something new as I/we continue to Strive to Survive. I am titling this next segment of posts as “A Running Doc’s Life”. In it I will explore different aspects of myself, and different times of my life, including current issues, about my life as a doctor…a running doctor…and what I do to help promote exercise and health, and hopefully lead by example. I will help explain things that I have gone through, good things, and struggles, including injuries, and what you can do for them, and can do instead while you may be injured. I write this blog in an attempt to help motivate and inspire others, but, I find it helps inspire and motivate me as well. We all need that. We all need to be reminded of that, and how to do it. We all need to keep working on it as well, “in good times, and in bad times, in sickness and in health, for all the days of my/our life”. Sound familiar? We took a vow all those years ago, to each other, for each other, and will help you too! So stay tuned…if it inspires or helps motivate somebody, then it is all worthwhile! If it is helpful to you, let me know, and feel free to pass it on to someone else…maybe it can help them too! If you become better, everybody around you wins!
Keep moving everybody!
Dr. Dan — “The Running Doc”
Consecutive Exercise Day #: 3557
by Dan | Jun 18, 2017 | Exercise, Family, Goals, Motivation, Wellness/Health

As we come upon another Father’s Day, it is once again time to reflect back on the accomplishments that have been made, what went right, what went wrong, and how or what can I do to improve things. Sarah and I over the years have always been active, and we have tried to teach our kids to be active as well. It is that important! There are so many other adventures and activities that you can do together, that will make lifetime memories. This first picture Sarah had made T-shirts for one of Grandma’s marathon’s that I was in, and these guys were my walking cheerleaders. I would come down the road to hear them cheering me on, and to see what they were wearing! Boy, talk about getting fired up. It is one of my favorites pictures, and times, to look back on. There are many times to look back at, with the trips we have made, activities we have done. That is what makes pictures so nice. It helps you to remember details that you may have otherwise forgotten.

This was one year, on Father’s Day, taking a picture with me wearing my shirt that says “Awesome Dad”! Hard to realize they were that little once. There were many times we got to spend out at the Lake as well.

Here we are showing off the fish we caught. Just a little excitement from everybody here! They also came with us to many races/marathons, and were my ongoing cheerleaders. It was great having them come along. Now they are starting to participate in these races with us! Here my twins are with me the following morning after one of Grandma’s Marathon races.

The perfect way to feel ready to go again! With what we do for our jobs, it made it hard many times to figure out how we could spend more time with them. When you look back, there are always things you wish you could change, and how you would spend your time. But, at the time, we did the best we could, and tried to make many lifetime memories. We had a lot of fun when they were growing up. I learned many things from my Dad. I probably got to spend more time with him after he retired, as his job entailed working evenings. We never wanted for anything, except being able to spend more time with him. Later on, we just had to spend more quality time together!

Of course, this may be Father’s Day, but none of these things would have happened without help from Sarah. We were truly a team. We remain a team yet. Yesterday Sarah and I participated in the “Race for Chase”, a 10 mile team race where one of you has to ride, and one has to run. You start together, and have to finish together, and you can trade off as often as you want. We won our age group for coed teams…the age group I refer to as “Team Old”! We had fun, and hopefully there will be many more running, biking, and exercising adventures to do together, not only with the two of us, but later with the kids, and then grandkids.


My three kids are growing up, and moving on with their own lives. Hopefully, we have instilled in them how to become better at taking care of themselves, staying active, and being involved as a family. We all can work at becoming better. Me included…I always have to continue to work on being a better Dad. I got one shot at it, and the job description keeps changing, so hopefully I can continue to adapt and change on the fly. But, one thing is for sure. I will never forget my walking billboard at the marathons. The front of the shirts you saw at the beginning. But, when they would turn around as I ran by, and it was the back of the shirts that I will never forget!

This is what it is all about! This is why I want to be around longer. This is why I need to continue to work on becoming a better Dad…always. You do the same, whether as a Dad, or Mom, or friend, or whatever! Work on becoming a better you!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3550
by kelsey | May 31, 2017 | Diet, Etc., Goals, Weight Management, Wellness/Health

Fad diets are short-term quick fixes that promise great results, but actually set up most dieters for failure in weight-loss. If you find a product or routine that sounds too good to be true, it probably is.
One of the most popular diets to take over social media lately is THRIVE by Le-Vel. This is an 8 week program that promises a completely different person at the end. It utilizes a few products as well as goal setting for weight loss. Marketers claim that individuals will “Live, look and feel ultra premium like never before” through the use of Derma Fusion Technology (skin patches), shake mixes and lifestyle capsules. Their products are said to be naturopathic, synergistic, and gender specific. However, science has not found any reason for grouping together the vitamins and minerals in any of the products.
The idea of setting an 8-week goal for weight loss is a good one, but you can accomplish the same results with a balanced diet paired with exercise at a much lesser cost.
Another popular diet to hit the market recently is The Optimal Weight 5&1 Plan by Take Shape For Life. This plan is based around the routine of consuming 6 small meals everyday instead of three large meals. Five of these meals consumed are purchased from the company and they are meal replacements. The sixth meal is a lean and green meal.
One of the biggest fallbacks of this diet is the cost of the meal replacements purchased; the 30-day bundle available is just under $430, which calculates out to be about $15 every day. The 5&1 diet plan utilizes a very structured routine that promotes quick weight loss, but fails to teach clients the basics of a healthy, well-balanced diet. When this is the outcome, dieters usually see the weight that they lost come back on as soon as they step away from the diet.
What healthy weight loss SHOULD look like:
- Fill half of your plate with veggies
- Eat whole wheat/whole grain breads, pastas, etc. instead of white.
- Get 30-60 minutes of exercise most days of the week.
- Limit consumption of sugar-sweetened beverages (Pop, juice, sports drinks, etc.) and alcohol.
- Water does wonders for our bodies!
- 13 cups for men (3 liters); 9 cups for women (2.2 liters)
- Eat smaller portions
- Don’t skip meals…especially breakfast!
- A healthy weight loss is 1-2 pounds each week
- This may seem slow, but a steady weight loss such as this is much more likely to be kept off in the long run.
- Track your intake
- We often don’t realize the quality and quantity of the food we feed our bodies until we have it drawn out in front of us.
- Be mindful when you eat
-Written by Kala Nurnberg, SDSU Dietetic Student
NOTE: Usually we get desperate and succumb to the promises the fad diets make us and we sign up. However down the road we realize that it’s too expensive, can’t stick with, we want normal food again, etc etc. If you are wanting to work on weight loss or nutrition and lifestyle improvement, please come visit me in the clinic! We can work out an individual plan that you can do and stick with long term…and it will be much cheaper and more enjoyable than these fad diets! Call or email me!
Kelsey Raml, MS, RD, LN
Direct Dial: 884-4226
Email: strive2survive@brownclinic.org
by kelsey | May 25, 2017 | Etc., Exercise, Goals, Motivation, Wellness/Health

The Watertown Intermediate School recently added Girls on the Run to their list of school activities. Girls on the Run inspires girls to be joyful, healthy and confident using a fun, experience-based curriculum, which creatively integrates running. This program is a nation-wide non-profit organization dedicated to creating a world where every girl knows and activates her limitless potential and is free to boldly pursue her dreams.
The program in Watertown specifically involved a group of 19 5th grade girls ages 10-11 led by a group of 6 women from the community. Meeting twice a week for 10 weeks, the girls were given great opportunities to build relationships with their coaches and peers.
Each week focused on one of the following themes: empowerment, Responsibility, Intentionality, Diversity, Connectedness, Joy, Optimism, Gratitude, Nurturing, Healthy, Open-hearted, and Compassion. The themes are then used to create a warm-up, lesson, activity, and motivation for that session. All of these themes fall under one main goal of the program: self-confidence.
The girls would spend a large portion of the sessions learning to run a 5K by running laps around the school. For each lap they ran throughout the 10 weeks, they were given a bead. At the send off session, the girls were given a bag with all of the beads they had earned and string to make jewelry that represented their accomplishments. In addition to jewelry making, the girls were each given an award unique to them in celebration of their individuality.
At the end of the 10 week program, the Watertown coaches held a local 5K for the girls to show off their progress. Families, teachers, and peers came to the event to cheer on the girls. In addition to the local 5K, the girls were invited to attend the state-wide Girls on the Run 5K in Sioux Falls. However, the state-wide 5K was cancelled due to poor weather conditions.
Girls on the Run-Watertown plans to continue this program in the coming school year, however, they are unsure of age groups and session dates at this time. To learn more about this program you can contact Michelle Achterberg at michelle.achterberg@k12.sd.us. This is an awesome program to encourage wellness and fitness along with self confidence and individuality! Thank you Michelle, Jill Makepeace, Paula Nurnberg, Erika Zink, Jennifer McElroy, Dr.Sarah Reiffenberger, and many others for getting this program up and running and inspiring these young women! You rock!!



-Written by Kala Nurberg, SDSU Dietetics Student
-Kelsey Raml, MS, RD, LN