by Dan | Oct 28, 2018 | Exercise, Family, Goals, Heart Health, Holidays, Motivation, Wellness/Health
The annual Halloween Hustle put on by the Prairie Lakes Hospital Wellness Center took place on Saturday morning. Costumes are encouraged for this event, so it is a great way to truly go out and just have fun while getting some exercise. You could run or walk, and the distance was at most a 5K, 3.1 miles. We had several characters out there: Batman for me; Super Girl for Sarah; Buzz Lightyear for Jason; and the McElroy clan was Sleeping Beauty and 3 good fairies!
We had great weather, and the sun was shining. It was a great time to get out and either run, or walk. Who says you can’t have fun, and still exercise? The kids loved it, but so did the adults! They gave prizes away for the top male and female finishes in each category, but the main point of this one was to see you could be the most creative with their costumes…and still be able to run or walk in them. Try it next year. It is a great way to get some activity. Bring out that inner “child” in you for all you adults. And for the kids, well…just be yourself…just get your parents out there with you. It truly can be a family event. What are you waiting for? Keep moving everybody! And have fun along the way!
Dr. Dan
Consecutive Exercise Day #: 4049
by Dan | Sep 30, 2018 | Exercise, Family, Goals, Motivation, Wellness/Health
This week the consecutive exercise streak began its 12th year! I have been off on my counting over the years, and so I double checked with an app the number of days from 9/26/07 when my streak began, until today, and I was off by 14 days in my counting. My actual consecutive days of exercise as of today is 4022! The important part is the day I started, so I guess I can allow myself some leeway of not having the number of days right over that time period. It has been fun, but it has also been work. The first year was still the hardest, and the now the rest is habit. I still have to plan at the beginning of each week when I plan on working out each day that week. It is still work, and takes a commitment on my part to stick with it. Many obstacles have gotten in the way over the years, including illness and some injuries, but nothing severe enough to bring the streak to an end.
Weather definitely plays a part when you live in SD! Rain, snow, ice, below zero temps…but what it boils down to if I were to miss is that it would just be another excuse. Once the excuses start, it is very hard to stop. You just put your head down and dig a little deeper.
Some days are tougher than others, but I have learned to hang on. I made this commitment to myself, and it was, and is, important to me. That I guess is really what is important. My goal of telling everybody I see every day that they need to work on their health by working on their diet, and trying to exercise, at least I practice what I preach! If you want it, you have to earn it!
I have had many training partners over the years, both 2 legged and 4 legged. They have all helped me to stay motivated to keep going as well, and hopefully the same as occurred in return for them. We all need help at times, so if it is ever offered, then take advantage of it. That day will come when you can return the favor. So, with that…
…the consecutive streak, just like the races, will continue. Every day is a new record. As long as I am in control, it will continue to keep going. Other things make it easy to keep this going as well.
When you work out, or exercise for a purpose, especially when it can be to the benefit of someone else, is always a motivating factor!
The friends made along the way has become priceless. Running is what brought all those relationships together, and we all work together to keep each other going. No task is too large when you have a automatic group of support backing you up along the way. Feel free to join us anytime, and if that does not work for you, then create your own support group that will work for you. Maybe you are tired of waiting for someone else to start it, so you start it! It has to start with, and by, someone! What are you waiting for!
I am planning on having a lot of running adventures with Sarah over the coming years. I have now ran in 33 of the 50 states, so now have to start hitting some of the rest of those states so that I can say I have been in all of them! There is always something to strive for. What is it you want? What are your goals? Have you told anybody else your goals? Make those goals known. When somebody other than you knows them, you become even more committed to making them a reality. What are you waiting for? Keep moving everybody…and have fun along the way!
Dr. Dan
Consecutive Exercise Day #: 4022 (after having those days in I miss counted)
by kelsey | Sep 26, 2018 | Etc., Goals, Wellness/Health
Last week I was recognized with the honor and award of South Dakota Young Dietitian of the Year! Our South Dakota Academy of Nutrition and Dietetics announced I was selected for the honor last spring (you probably remember hearing about it then), but we actually had our awards ceremony last week at our annual conference. I am truly humbled and honored to be selected for this award!
As I was recognized last week, I have been doing a lot of reflection and I can’t help but feel grateful! Dr. Dan is always good about sharing his personal insight and story so I thought I would take a lesson from him and share some about my story today.
It is hard to believe that this summer, marks my 10 year anniversary at the Brown Clinic and 10 years of being a Registered Dietitian. As I look back on this journey, I have a lot of people to thank and be grateful for–for helping me achieve my goals and fulfilling my passion and purpose in life! I knew at a young age I was interested in a health care related field as I got to shadow my dad Dr. Clark Likness around at hospital rounds on a Sunday morning or check out the clinic as he worked on his paper charts (yes paper charts–no internet back then!) on a weekend afternoon. Health and science were normal conversations in our house. My older brothers went into medicine but I just wasn’t sure that was for me. My oldest brother once told me–you need to follow your passion, don’t go be a doctor just because we are…be true to yourself…so I was in search of the right field for me, it just took me a few bumps in the road to find it!
I first became interested in nutrition in high school when I took a nutrition class from Jensi Andrus at WHS. I was fascinated by it…not to mention she is an excellent teacher that helped intrigue my interest more into the subject! I personally saw a dietitian in high school for disordered eating and that showed me first hand how important proper nutrition is to your health and well being inside and out. I went to college at Augustana for biology and pre-optometry and after about a year there, I realized I was in the wrong field. Something just didn’t feel right. I enrolled into another nutrition course there my sophomore year, fall semester, and within two weeks, I knew I had to follow my passion and go into nutrition.
Nutrition is an incredible field of science–something is always changing, new research to learn about, and what is even cooler is how much a person can improve/impact their health by improving what they eat! In addition, our behaviors about food can positively or negatively impact our health–I wanted to help people have healthy relationships with food and not demonize or have negative thoughts and behaviors with it! Well my change of career choice meant that I had to transfer schools, change my major, and move. I can still remember calling my parents to tell them I made up my mind of my purpose in life and them telling me….let’s just calm down and take some time to think about it, and I said nope- I’ve made up mind, I’m going to visit SDSU next week to learn how to transfer into their dietetics program! LOL–I am sure they were really thrilled with me at the time! 😉 For once, it all felt right.
I transferred to SDSU mid-way through my sophomore year and enrolled into their dietetics program. It just so happened that at that same time, they were starting their new equestrian program that helped them comply with Title 9 rules. I received an athletic scholarship and made SDSU my home. I loved my time at SDSU–learning about nutrition and riding horse as a division I athlete! At SDSU, I met Dr.Kendra Kattleman. She was the program director and is now the department head. She asked me if I wanted a job and I knew I couldn’t turn down working for one of the best dietitians, researchers, and professors in the country! I worked for Kendra for 4 years through undergrad and graduate school. I learned so much from her and she has truly helped me get to where I am today–thank you Kendra!!
After SDSU, I completed my dietetic internship at USD’s Center for Disabilities and Med School in Sioux Falls. I had a great experience learning from the best RDs in the state.
I never thought I’d end up back home in Watertown, but the end of my senior year at SDSU, Adam and I rekindled our middle/high school friendship and began dating and the rest is history as we moved back to Watertown so Adam could continue to farm and ranch with his family. I am so fortunate Brown Clinic saw the vision and purpose in wellness and took my new grad self onto the team in 2009. Dr.Dan and I created STRIVE 2 Survive, our multi-disciplinary approach to wellness and I have had the opportunity to work on several other really great wellness projects in addition to making a positive impact in all of the patients I see and the community I call home. It truly has been a journey and I couldn’t have done it without the support of my family, friends, colleagues, and community–THANK YOU! I feel like I got the best of my parents in my job–my dad’s medical side and my mom’s education back ground as I truly do both in my job!
I am looking forward to the this next phase in my career as we continue to expand and fine tune our wellness opportunities here at the Brown Clinic. We have some exciting things going on!! Thank you to my family for loving and supporting me through my ups and downs on this journey and especially now helping me be a working mom. Thanks to my great daycare lady Donnietta too–it makes coming to work easy and enjoyable when you know your child is well cared for! It truly takes a village! And thank you to all of you for allowing me to be a part of your wellness journey! I hope I have positively impacted you and your nutrition, health, and wellness!
Here are some pictures to share!
My purpose and loves:
Likness Family: Corbin was a baby and this picture doesn’t include our newest addition of baby Asher (Micah’s son), but these guys are the best!!
My In-Laws–the Ramls! Go Jacks!! (We’re missing the newest addition Ivy here –Grant’s daughter).
Awards Day: September 20, 2018: Dr.Kendra Kattelmann and myself. I wouldn’t be here getting recognized if it weren’t for her! Thank you Kendra!
Myself and Amanda Lambrechts. Amanda is a former student of mine that I had in the clinic and at SDSU. She is originally from Milbank and now working at HyVee in Sioux Falls and has her own private practice. Amanda nominated me for this award–thank you Amanda!
SD Dietitians of the Year:
Myself: Young Dietitian of the Year, Tiffany Krogstad: Emerging Dietitian of the Year, and Veronica Handeland: Outstanding Dietitian of the Year. Tiffany works at Sanford Oncology and Veronica at IHS in Eagle Butte. I am honored to have been recognized with them!
Myself with Dr.Dan….we make a great team for STRIVE 2 Survive!!
If you would like to work on improving your nutrition, health, and wellness give me a call or email! I would love to work with you!
Kelsey Raml, MS, RD, LN
kelsey.raml@brownclinic.org
605.884.4226
by Dan | Sep 22, 2018 | Exercise, Family, Goals, Heart Health, Motivation, Wellness/Health
Today marks another milestone in the consecutive exercise streak: Day #4000! In less than a week, I will have completed year 11, and moving onto year 12 of not missing a day of exercise. A lot of different things have gone on over all of these years that could have created a lapse in this record. But as I have said many times, it would have just been another excuse otherwise. Again, I don’t know how long this will go, but it will keep going as long as I have a say in it.
Over the years a lot of people have helped me in my consecutive day quest, and you have seen many pictures of them over the years, but a huge shout out goes to all of them as well to help keep me going. Hopefully, I help keep you going too!
But today, there is more for me to be jumping up and down with, and celebrating. My twin daughters, Molly and Megan, also turn 24 on this milestone day! Now that to me is what is really worth celebrating! With Megan living yet in Virginia, I don’t get to see her as often as I would like, but we talk multiple times a week, and text daily. Molly I get to see more often, but I am gone this weekend, so I could not celebrate her birthday with her. I am definitely thinking of you both, and will make up for it again the next time I see you both!
This is when they were 6 months old! A lot has changed since then. I love them and care about them even more now. I will always be their Dad! I love spending time with them. When all 3 kids were home the first week in August it was wonderful. I hope we have many more times like that.
Even many things have changed since you graduated from High School. The one thing that has not changed is how much we care about you! I hope they always remember that too! Sarah and I have tried instilling the right way to do things as they have grown up. We have always been very vocal on staying active. We love running with them! And Megan, we are going to start working on our swimming within this next month, so there may be some joint swim time to spend with you on this also! But the person who has helped me the most with my consecutive exercise streak, and my life in general, is Sarah!
We run together, spend time together, work together…be together. I love you and thank you for everything you do and have done for us, and our family. The competitive nature does not quit over time either. We are always ready to take on the next challenge, and you are always right there with me!
So I say “Bring it on”! I will keep going as long as I have the support from you Sarah! I want to be around more to spend time with you and our family, and our friends.
So for the rest of you, keep putting one foot in front of the other, and just make sure you “get out of bed, get out the door, and get moving!”
After all, there are a lot of things in life yet to go see, and do, and people to spend it with. Be in control of your health as much as you possibly can be. Strive to Survive! Happy Birthday Molly and Megan! Love you! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 4000!
by Dan | Sep 16, 2018 | Exercise, Family, Goals, Heart Health, Motivation, Wellness/Health
Sarah and I have been Family Physicians in Watertown since 1994. We have gone through many transitions during that time, clinic changes, family changes, countless patients. When you look back at all of it, you start to realize how fast things go. At the pace of how things go each week, it is no wonder things go by fast. This week had started out in SF with the two of us doing the Half Marathon in SF, along with many of our running friends from Watertown. I have lost count how many Half Marathons I have done, but have counted the marathons, which is at 16. The number for all of them really does not matter. The reason we run is what is important. We spend each day, day after day, trying to tell patients that they need to do more to help take care of themselves. I am a firm believer is living by example. If I am going to tell my patients they need to watch their diet, and be more active, then I better be doing it myself.
I hear many times how “crazy” we are with all of the exercise that we do. For me, it is not only about being healthy and taking care of myself, but also about having some time to myself. Time to think, time to unwind. Time to decompress from all of the issues from the day. This week was no different. We spend all day in the clinic seeing patients, handling one crisis after another. You go from one room where you are seeing an infant who is 5 days old, to the next person who is 98 years old. Diabetes, Hypertension, Heart disease, anxiety, depression, insomnia, fractures, lacerations, or someone who acutely needs to be set up for emergency surgery. I had to tell one patient, who I have taken care of for years, that it is time for him to be in the Nursing Home. Tears flow from everybody. I have to help be there for the next patient whose wife passed away a month ago, and he does not know how he can go on. I get to break the news to someone that they now have terminal cancer, and the battle ahead is not going to be easy. I do my best to try to stay on time, but some patients just need more time to figure out what is going on with them. Then I have to try and calm down the next patient who is angry because they had to wait while I was dealing with someone else’s emergency. Some days I wonder why I do this. All of the medical record documentation, the quality measures for insurance and Medicare, not to mention all of the requirements just for Medicare. Some days there is not enough time in the day to get it all done. But I became a Family Physician because I care about Family. Family is the core of everything. When we take care of a patient, we are also taking care of the Family, or helping this patient attempt to be able to spend more time with their Family. That is why I/We do this! That to me is also what defines whether someone is a good physician or not.
Take care of the patient who has the problem/disease, not just the disease! We are all individuals, and we all handle illnesses differently. A big part of our practice to teach…to teach not only our patients, but also other health care professionals. So this week we started off with a new group in our Strive to Survive program, attempting to teach them how to help take care of themselves. This, of course, after teaching this to my patients 20+ times a day. Thursday morning Sarah and spent teaching Pediatric Advanced Life Support to health care professionals to help take care of pediatric patients. Then Thursday night I spent on live TV with the TV Program “On Call”, answering any questions that were asked by patients calling in for an hour! Much of this education also revolved around taking care of yourself, and helping with your diet and increasing exercise. The more you can do on your own, the less medications you may be on later, and the healthier you can be. Of course, sports also come into play, and was on the sideline Friday night for the football game to help out in any way possible to ensure safety.
I don’t have an answer to everything. Some things cannot be fixed. But that does not mean you don’t do anything about it. You have to help your patient come to terms with their issues. To help them figure out how to cope with it, adapt to it…live with it…or how to cope with the fact that they are going to die from it.
The more you can keep working on it yourself, the better things can be. You keep going, just like I keep telling my patients. “Don’t quit”. “Dig deep”.
These are the reasons I run. I practice what I tell my patients to do. It helps keep me organized. It gives me the energy to put in these longs days to help with my patients…to help “keep me going”.
Life as a Family Physician is a lot like running an endurance event. Put my head down, concentrate, push through, come up with a plan, and then finish! Then onto the next. Each day is different. That is what makes Family Medicine enjoyable. No two days are alike. Some things are more predictable because we see it a lot, but many times you have no idea what you may encounter when you walk into a room.
Spending time exercising makes it easier for me to concentrate and focus…and to spend time with my Family. Those moments go by quickly, so don’t waste them! There is nothing that makes a Family Physician happier than seeing our patients work on things to help themselves. We can help instruct, coach, sympathize, empathize with you, but we cannot do the activity for you. I had a physician teacher when I was in medical school who was a smoker, and weighed over 300#. The cigarette pack would be in his shirt pocket hanging out, and he would tell his patients that they needed to lose weight, and quit smoking. How many patients do you think actually listened to him? I often times wonder how many times my patients listen to me! I keep trying, showing, and living it. This interaction is also a “team effort”. I can’t do it alone, and neither can you. Together, we have a much better chance of success!
Sarah and I finished another Half Marathon. We worked at it together, and with the help of training with our run club members. We all work together, but we all have to make the individual effort as well. You need both aspects. We as Family Physicians want to help you spend more time with your Family. Meet us half way, and make the effort to work on what you can, and we can help guide through the rest. The combination can create a very productive “A Team”! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3994
by Dan | Sep 9, 2018 | Exercise, Family, Goals, Motivation, Wellness/Health
Success means a lot of different things to different people. What does it mean for you? Did you accomplish a goal you set out to do? Did you lose weight? Did your cholesterol improve? Did you help someone else achieve a goal they were striving for? It may all mean something different to people, but it still means something was achieved. What makes it even more special is when it truly means something to you. That was this weekend for the Watertown Area Run Club. Many of us went down to do the Sioux Falls Half Marathon this morning, but one of us in this group was running their first marathon…26.2 miles. That person was Patricia Roth. She has been working incredibly hard this entire Summer to achieve her goal. We all saw it. We all wanted her to get it. Today, we all helped her get across the finish line! Her emotions afterwards holding up her medal, and knowing that she had just achieved something she did not think was possible for her. Our goals and our achievements are limited more by what is between our ears, than our physical abilities. She proved that over and over, and it was something special for the rest of us as well to see her achieve this goal.
Many of us started out Saturday night by going out to eat, and loading up on carbs. Spaghetti and pasta was the main course choices before hand. We were all getting ready for the next morning.
Patricia had to start first. The marathoners started 30 minutes before the half marathoners. We were there to get her fired up and to show our support. “This is it Patricia! This is what you have been working for. Go for it!”.
We got done with our race, showered, and headed out on the course to cheer Patricia on. We found her coming to mile 24.
A few of us started running with her to keep her going. Then, Owen and Amanda, after running their Half Marathon earlier, ran with her the entire last 2 miles of the marathon to keep her going. She did not stop! Smiling, and going strong. This is what she was working for! She wanted this!
The rest of us headed back to the finish line to cheer her for the last 100 meters coming in. Coming in strong, smiling, waving…grinning ear to ear!
This is Patricia coming into the final 100 meters, with Amanda and Owen on each side of her. She was giving us the “thumbs up”!
We were cheering so loud, yelling, screaming. Look at the smile on her face. She was about to accomplish her goal! She did it! She is now a marathoner!
Success again means different things to different people. Many of us had a good race today. We feel good about what we individually accomplished. But believe me, nothing felt better than how we all were cheering her on, helping her these last months achieve her goal! Seeing the look on her face, the tears flowing with joy afterwards. This is what running does for you. More importantly, this is what running friends do for you! We are a close knit group. We are there for each other. Now I call that a successful weekend. A success not only by the runners, but the spouses who help make it possible for all of us to run. They show support, they are out there cheering, taking pictures, driving back and forth. A special thank you to all of them as well. What does success mean to you? Keep moving everybody…you too will be successful!
Dr. Dan
Consecutive Exercise Day #: 3987
