by kelsey | Feb 2, 2016 | Heart Health

In celebration of National Heart Month, I think it’s fitting to discuss the significance diet and activity play in promoting a healthy heart. Heart disease is the number one killer of Americans and affects both men and women. Genetics do play a role, however a heart healthy diet and and regular activity can help minimize the effects and complications of heart disease. Whether you have heart disease in your family or not, it’s still good to follow a heart healthy eating plan. Highlights of the diet include:
- Lots of fruits and veggies! I’m sure you already knew this one, but the benefits of getting your 5 a day servings (at least!) of fruits and veggies are worth reminding you again. Most of us know this, the hard part is doing it. Try adding them to your meals, have fruit as a snack, get a double serving to help you reach this goal.
- Fiber! Fiber is very beneficial in combating heart disease. Incorporating more whole grains (and fruits, veggies, and beans/lentils) into your diet will increase your fiber and aid in heart health. Oatmeal, brown rice, wild rice, whole grain noodles, whole grain breads, and even popcorn are considered whole grains. Aim to get at least 25-35 g/day.
- Choose lean proteins. Decreasing the amount of saturated fat in your diet will help reduce plaque buildup. Choose white meat poultry without the skin, 90% or greater lean hamburger, cuts of pork and beef titled loin or round, fish, beans, etc….stay away from processed meats! Fatty fish such as salmon, tuna, herring, and trout offer additional benefits as they are loaded with healthy omega 3 fatty acids.
- Choose healthy fats. Incorporating more plant fats such as canola oil and olive oil into your diet and reducing your intake of saturated and trans fats has been shown to improve heart health. You want to choose foods that are lower than 5-8g of total fat per serving and <3g saturated and trans fat per serving. Total fat intake should be less than 50-75g/day. Choosing low fat dairy products will help reduce the amount of saturated fat in your diet as well.
- Hold the salt! Excess sodium can increase blood pressure and cause heart failure. Aim to keep your sodium intake below 2300mg/day. You can do this by doing more home cooking, avoiding boxed or packaged goods, cooking with salt free seasonings, and not using table salt.
- Exercise! At least 30 minutes of exercise a day has been shown to improve heart health. If you can do more, the better!
Making small changes or substitutions will help you have a healthier heart and reduce risk for disease. Reading labels is really essential to help you make good choices, so take some time in the grocery store and really examine the products to ensure you’re making healthy choices!
-Kelsey
by Dan | Nov 1, 2015 | Exercise, Goals, Heart Health, Motivation, weight lifting
As a physician, we do our best to take care of our patients. But, we would be totally lost without our Nurses! My current team is Linda, Melody, and Chris, of which Chris has been with me the entire 21 years I have been at Brown Clinic. My team knows my patients just like me. But, they also know me! They keep me organized and on track. It would be prudent that I listen to them! There is no question, my team takes care of me, for which I am grateful. Here is my Team:

My team has heard me thousands of times encouraging my patients that they need to watch their diet, and they need to stay active and exercise. When it comes to the exercise, they all follow this advice. Linda has run several 5k races, and Melody walks…someday I will get her to try running! Chris, though, has become a running maniac! She has been doing this now for about 3 years, and she runs and goes to races a lot with Susan, a former nurse of mine, and they are having fun. After all, this is what it is all about. Hopefully in the process, you improve your health as well.

Here is Chris, then Susan, and Shelly, one of Dr. Greg Larson’s nurses. They all participated in the Hospital Hill run this Summer.

Here is Linda after participating in one of the color runs.
I have heard excuses from them, and at times still do (Ha!) about the time and effort it takes to keep trying to exercise. Chris struggled at first, and was always worried that she was too slow! Now she does not worry about her speed, but she did get a shirt that expressed her thoughts.

As her shirt states: I Run…I’m slower than a herd of turtles stampeding through peanut butter, but I Run!
Exactly! I does not matter how fast you go, or what anybody else thinks of you…It only matters that you are trying, and that you are improving your health…Improving your health to be around longer to spend time with their family. Deep down, they work on this so they will be able to spend more time being my nurses!!!! After all, I listen to everything they tell me! (No laughing!) There is no question this takes work, and that there are always other things to do that keep us busy. We need to make it a priority. It took almost 17 years to get Chris on this bandwagon, and Linda is going…I need to keep working on Melody, and eventually she will get it too. Are you listening Melody? I am not giving up getting you going more! They are all important to me, and I want them to be around helping me, and my patients, for a long time. There will always be that special bond with Chris. What can I say, she has been with me since day one of my Watertown practice. Sarah is my wife, and I have her at home to help keep me organized and on track, but I have Chris at the clinic. I love it when we can all run in a race together…and here are Chris and Sarah after the 4th of July run this Summer.

We can have fun staying active as well. Chris just signed up at Anytime Fitness so she can stay active inside when it gets cold out, but is also working on strength training as well. I was encouraging her on her first day!

Way to go Chris! Keep encouraging those people around you to keep working on taking care of themselves. There are other people who would like to have them around a lot longer too. There is no question this takes work. If it were easy, everybody would be doing it. Just remember, anything worth having is worth working for! Thank you to MY TEAM! I appreciate all you do for me! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 2956
by Dan | Oct 15, 2015 | Exercise, Family, Goals, Heart Health, Motivation, Wellness/Health

When it comes to your kids, there is no better way to teach them about life, or how to handle things, than to lead by example. Staying active, participating in sports, or exercising on your own is so important when it comes to teaching skills in life. You learn how to mange your time, to focus and concentrate on things at the time, and to not only perform for your own individual goals, but to learn to work as a team. Life is a continuous struggle, but running, walking, biking, swimming, or whatever your favorite activity may be, will help you learn how to do things better. All 3 of my kids are now in college, learning to juggle schedules, managing time, and yet still try to have fun and enjoy life. Hopefully we have taught them adequately how to do this. Teaching them not only by continuously talking with them, and showing up at their events cheering them on, but by them watching us do our activities, and compete in racing events here. As my daughter reminded me here this last weekend when she called from school: “When are you going to showcase us on the blog, and talk about how we are superstars!” Well, Megan…here you go!

Megan was our born fish! Ever since she was little, all she wanted to do was be in the water. It is only fitting that her sport was swimming. She started when she was 10, and swam all through high school, and even swims now at college on the swim club. She gets to travel to different large universities and compete. She was a graceful swimmer, and it was fun to watch her, especially the backstroke. Effortless! Swimming is not my sport…I have to think too much trying. We all have our different talents, but the skill comes in continuing to push yourself. Your only limitation is the space between your ears!

Here she is taking off at the start of her backstroke. Perseverance is the key to any sport or activity. You have to keep trying…keep working…never settle for just being OK.

You are our superstar swimmer Meg! It was fun watching all those years. Never give up on yourself…if you take on life like you do swimming, there will be no stopping you!

Molly started coming into her own in High School with running. She always wanted to be a sprinter in track, but she was deep down a distance runner. Sorry Molly…but that is where your talent truly was. She was our “jack of all trades” sport participant. Gymnastics, soccer, softball, band, cross country, track. She wanted to do it all. Eventually things had to give, and she had to pick and choose, so she did more running as far as school activity. She played softball in the summer.

She was a hard worker, and never gave in. She was proud to be the first recipient of the Godfrey Award for participation in Track and Cross Country. And so were we! A very special award for a “super star” runner.

Keep up the running Molly. Will you be the first one to run a marathon with me???? Time will tell. Just don’t give up. You have many talents …never forget that!
Nick took off in running like Megan did with swimming. He ran more middle distance in track, and they were shorter races, but yet you had to have the stamina of a distance runner.

Lots of traveling involved going to all of your Cross Country races in the Fall. You were a great example leading your Arrow teammates, and showing leadership. They looked up to you, and often times it was commented how well the Arrow boys worked together as a team.
You liked doing different things in the summer as a break also, so you did many years of softball. Lots of games and championship competition that we saw with you as well. Learning to work together as a team, and showing good sportsmanship. It was fun to watch you!

Your true favorite sport was track…you loved the middle distance…800 meters. And, you were good at it! You have to have speed and endurance. Way to go all of those years!

Many times we would be cheering you down the home stretch! It was a proud moment for Sarah and I at Track awards when it was your turn…Just like Molly, you won the Godfrey Award for Cross Country and Track! Now is that cool or what? You guys all learned to compete, to show good sportsmanship, and win or lose gracefully. That makes the 3 of you all of “my heroes”! Your High School days of competing may be done, but hopefully the tone has been set for you all to keep staying active. You have seen your mom and I doing this your entire lives. Something was bound to wear off. Just remember, in life you are always coming down different “home stretches”. There is always another goal to achieve, an accomplishment to reach, a setback to endure. Just like sports and activities. It has set the tone for you to succeed in life. Remember that! Set your sites high, and continue to work on new goals. I have no doubts that you will all succeed! We will always be your mom and dad, and will be “cheering” for you along the way! All the Way! Forever! Love you!
Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 2939
by kelsey | Sep 16, 2015 | Cooking Tips, Diet, Food, Heart Health, Weight Management, Wellness/Health

There is more to fall than the Halloween costumes and hayrides. From September to November the autumn harvest brings in a variety of healthful and delicious produce. In order to get the best of what fall has to offer, keep track of what’s in season near you. Here are some popular fruits and vegetables that are enjoyed most often during the fall season.
Apples are sweet, crunchy and packed with antioxidants and there are more than 7,500 different types of apples! The picture is of one of my favorites–honeycrisp apples! Beets are available year round but are at their best in the fall. When choosing the best beets look for firm, smooth bulbs attached to bright, crisp greens. Brussels sprouts and cabbage are packed with vitamin A and C. Cranberries are between the size of a blueberry and grape. They are at their best October-November but only a small percent make it to the produce section the rest are canned, dried, or turned into juice. Research shows that cranberry concentrate can prevent urinary tract infections and fresh cranberries can slow the growth of breast, colon, prostate, and lung cancers. Pears are high in soluble fiber, which helps lower bad cholesterol. Pumpkins offer a lot of alpha- and beta-carotene, which can be converted to promote healthy vision and cell growth. Rutabagas and turnips research suggests that they may help reduce the risk of prostate and lung cancers. Squash is a great source of potassium and helps prevent muscles from feeling fatigued and weak. Last but not least are sweet potatoes and they have the best flavor during the fall, their peak season. They are rich in beta-carotene, which can prevent vitamin A deficiency and promote healthy eyesight. Sweet potatoes are also rich in vitamin C and when baked in their skin provide about 5 grams of fiber. Be sure to take advantage of the produce this fall and try something new!
-Written by Megan Tschakert, SDSU Dietetics Student
by kelsey | Aug 25, 2015 | Diet, Exercise, Goals, Heart Health, Motivation, Weight Management, Wellness/Health

This is a repost from two years ago to highlight another success story of STRIVE 2 Survive. Our fall program starts September 8th and enrollment is underway! Benefits of the 12 week program include improved health overall=improved lipids, glucose, blood pressure, weight, etc! Everyone’s goal is different, but we have one thing in common…we want to improve our health and wellness through improved nutrition and activity. Contact us today to get signed up!
“Weight loss and improved nutrition is a tough thing. Changing your lifestyle is truly challenging and it’s even more challenging with all of the temptations we have in our society to encourage us to over-indulge! Throughout our 12 week wellness program, we tell our participants that we never expect all of our recommendations to happen overnight that instead we encourage you to work on a few things at one time and gradually those baby steps will add up to big steps and big successes. Honestly, I would rather see a slow and steady weight loss that takes longer than the participant would probably like, than a quick weight loss that is eventually gained back.
My day was made yesterday when I got an email from Denise Hoff. Denise was in our winter STRIVE 2 Survive program last year and has made some pretty incredible improvements in her health. Denise gave me permission to share her success with you all as in her own words “maybe it will motivate someone else who thinks they are too big or too old to start.”
Denise has now lost about 17lbs and dropped 12.5″ total (waist, hips, bust, thighs, arms)…4 of the 12.5″ are off her waist! She was never a runner, but thanks to our team’s inspiration, she ran her first 5k with her daughter last weekend (see the picture!). She said they had a great mother/daughter time and as she ran, she was proud to say she was able to keep a stride and actually pass others!Denise started to run one block at a time. Her initial goal was a half of a mile, then one mile, then 1 1/2 miles, etc. She broke it down so it didn’t seem so overwhelming and set a goal of running a 5k with the encouragement and support of us and her family…she accomplished it successfully and is now looking forward to doing more 5ks! In addition to the improvement in her weight and waist circumference, her lab values have also improved as she dropped her total cholesterol about 50points, which is now well into the normal range and has kept her blood sugar and blood pressure in normal ranges also. As you can see from the timeline, these changes didn’t happen overnight, but she slowly worked at it and has achieved great success in the last 6-8 months and looks forward to continuing to work on her health and wellness goals. In Denise’s words “Thanks for being so supportive and encouraging. I hope the next time you see me, you will have to take a double look as I am hoping to look smaller and more fit.”
As we approach the start of our fall session of STRIVE 2 Survive, I hope Denise’s testimony shows you the benefits you can receive from our wellness program and our team’s education, support, and encouragement. If you see Denise on the street, be sure to congratulate her on her success! We are very proud of her!”
Fall STRIVE starts September 8th …contact us today to get enrolled!!
-Kelsey
by kelsey | Aug 11, 2015 | Diabetes, Diet, Food, Heart Health, Weight Management, Wellness/Health

Breakfast is one of the most important meals of the day! Yes, you have probably heard this before, but are you a breakfast eater!? Having a good breakfast is a great way to start out the day. It’s not only important for our body, but our mind too. Many times we’ll have excuses such as I was running late, I didn’t feel like eating, I’m not hungry in the morning, and this actually accounts for about a 1/4 to a 1/3 of the population! Starting the day without breakfast is like driving your car on a low tank of gas. We know we can’t go on forever on a low tank of gas, so we shouldn’t do that to our bodies either! Those that skip breakfast tend to snack more on high fat and lower nutritious foods…and are more likely to overeat at lunch because they are over-hungry. Studies have also shown that those working on weight loss are more successful when they eat breakfast as this really jump starts their metabolism and starts their day off right. In addition, eating a healthy breakfast helps our kids excel in school as it helps fuel the brain!
So what should you eat for breakfast? It’s important to get a balance at your meals and especially include a source of protein and a whole grain as these provide satiety. Here are some examples for you:
- Ready-to-eat cereal (>3g fiber, <2-3g fat, a ratio of greater than 4 g carbohydrate:1 g sugar)
- Hot cereal (oatmeal)
- Bagel with low-fat cream cheese or peanut butter
- Yogurt Parfait
- Fruit and yogurt smoothie
- Peanut butter or hummus on whole-wheat toast
- Breakfast quesadilla with low-fat cream cheese and sliced fruit
- Breakfast burrito or taco
- Toasted whole-wheat English muffin with lean ham and low-fat cheese
- Toasted pita with scrambled egg and low-fat cheese
- Low-fat milk and 100% fruit
If you are one who is not a fan of breakfast but understands the importance of it, I encourage you to try a variety of these options and see which one works best for you. I also encourage you to plan ahead. You may need to wake up 5 minutes earlier to fit breakfast in or make your smoothie the night before so all you have to do it pull the bottle or container out of the freezer or fridge in the morning and drink it on your way to work. Starting your day with a full tank will provide long lasting benefits to you and your body!
-Kelsey