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
by kelsey | Oct 12, 2017 | Etc., Food, Wellness/Health

If you ate today, be sure to thank a farmer! Today is National Farmers Day! Consumers want to know where their food comes from, yet know very little about how food gets from the farm to the dinner table; in fact, most consumers today are three generations removed from the farm. For example, one thing consumers are unaware of is that milk travels from the farm to grocery store in about 48 hours. In addition, some criticize farmers because they use GMO (genetically modified organisms) seeds and hormones in cattle to promote growth. Farmers understand the science behind these products and why they should be used: by using them, they can use less water, less pesticide and herbicide, and produce enough yield to feed the world! Without these scientific advancements, we would not be able to feed the starving world! Farmers share the same values as consumers on many topics including those related to producing nutritious food, environmental stewardship and animal care. This is not a just a “job” for them, it is their life! The above picture is of my favorite little farmer, our son Corbin, who was helping dad combine beans yesterday. Corbin is a 6th generation farmer!
October 12th is National Farmers Day and it’s a perfect time to tip our hats to America’s farmers and recognize all of the hard work they put into getting delicious food to our tables!
Here are few fun facts for you about agriculture in South Dakota include:
- 98% of farms in South Dakota are family owned and operated – in fact, over 2,500 South Dakota farms have been in the same family for more than 100 years.
- The average size of a farm in South Dakota in 2016 was 1,397 acres.
- The average age of a South Dakota farmer is 57 years.
- There are 46,000 producers in South Dakota on 31,000 farms or ranches.
- Each year, one South Dakota producer raises enough food to feed 155 people in the U.S. and abroad.
- South Dakota’s agriculture industry has a $25.6 billion economic impact each year. With more than 19 million acres of cropland and 23 million acres of pastureland, our farmers and ranchers are one of our economy’s key drivers.
- In addition to generating 20% of our state’s economic activity, production agriculture and its value added industries employ over 115,000 South Dakotans.
Here are some fun facts about dairy production:
- Milk takes about 48 hours to get from farm to store. Thanks to hardworking dairy farmers for making our food fresh & local.
- Between 1944 and 2007, milk production has quadrupled but emits 63% fewer greenhouse gasses, requires 90% less cropland and consumes 65% less water.
- Cheers to the dairy farmers working hard to make the milk behind our pizza!
- Take this 10-stop video tour to see how milk from real cows, on a Midwest farm, becomes dairy foods you love. Use your smartphone, tablet or computer for an insider’s view of dairy farm living: http://bit.ly/MidwestFarmTour
- Delicious dairy comes from local farms – see for yourself: http://bit.ly/MidwestFarmTour
Producing the food that you put on your table, truly is a labor of love and hard work, so in celebration of National Farmers Day, I encourage you to thank our local farmers for helping put that delicious food on your table… and take extra appreciation of it!
To all of you that work in acres, not hours. We thank you!
-Kelsey Raml, MS, RD, LN
by kelsey | Oct 10, 2017 | Etc.

Reposting just to remind you that we have our flu shot clinic TODAY from 3-7:30pm at Northridge!
There are many reasons to get the flu vaccine. Whether it’s to protect yourself, or help prevent loved ones who may be elderly, pregnant or prone to infection from getting sick, getting your shot is an important tool to defend against the flu.
It’s more than just protecting yourself — when you get your flu shot, you are also protecting people around you. The CDC says this includes “those who are more vulnerable to serious flu illness, like babies and young children, older people, and people with certain chronic health conditions.”
The CDC says how well the flu vaccine works each year can vary, but the greatest benefits of getting vaccinated are:
- Flu vaccination can keep you from getting sick with the flu.
- Flu vaccination can reduce the risk of flu-associated hospitalization, including children and older adults.
- Flu vaccinations are an important preventative tool for people with chronic health conditions.
- Vaccination helps protect women during and after pregnancy. Getting vaccinated can also protect a baby after birth from flu.
- Flu vaccination also may make your illness milder if you do get sick.
In addition, the CDC also recommends other good health habits, such as covering your cough and frequently washing your hands with soap, can help prevent the spread of the flu and other respiratory illnesses.
To help make your flu fight easier, Brown Clinic is holding walk-in flu shot clinics at its Northridge location on Tuesday, October 10 from 3 p.m. to 7:30 p.m., and Saturday, October 21 from 8 a.m. to 11 a.m. Brown Clinic also offers flu shots by appointment throughout flu season.
Flu season is just around the corner, so it’s time to get your shot and defend yourself and those around you against the flu.
by Dan | Oct 8, 2017 | Exercise, Goals, Motivation, Wellness/Health

Well, we did it! Our Watertown group of runners, the majority of which are part of the Watertown Area Run Club, finished our runs in the Twin Cities last week, finishing either the 10 mile run, or the marathon. All of this done for raising awareness, and money, for Friedreich’s Ataxia! I have written on this several times in the past, but this last Sunday was the day that brought it all together. The last 4 months we have all been working hard at training, and raising money for this cause. We succeeded! Everybody was able to run, and in particular, me. I had a leg injury 2 weeks prior to this day, but was able to still run, and I ran it with Sarah. I helped pace her through mile 21, then the leg was bothering quite a bit, and she helped me finish. We are the ultimate team…the ultimate running partner…my one and only! Thank you very much Sarah! This was her first marathon, and we were helping each other get to the finish line. The finish line though was the success for the marathon, but the ultimate success was the journey we had along the way. The journey we had with all of our “running family”…all in this for the benefit of someone else. We all now have memories for a lifetime!

The idea for all of this started back in February when Tom Batta asked to see if we would be interested. His daughter Ryanne has this genetic, neuromuscular disease, and is one of 4 in the Watertown Community to have this. This is a pretty significant number of people affected by this for this small community, as it is present in about 1 in 50,000 people. We are a community of 20,000! We should not have any! We all jumped on board with this, and even though we may have been raising money for this cause, I think it is pretty safe to say out of all of us running, we are the ones who benefited by doing this! I have never felt more connected to a group of people ever! It was a great learning experience for me…for us! ALL of us were going to do this, and willingly accepted this challenge! This picture was a large portion of us a few weeks prior to the marathon!
We all wore our shirts many times these past few weeks. Here we all our posing for the front of the shirt…

…and the back of the shirt!

Together we will find a cure! Together we will run for them! Together we will do this, and not think about our own personal times/goals/aspirations. Those all help, but the motivation for this run was why we were doing this, and how we were going to help someone else. It truly goes beyond words!

This is the group running the night prior to the event after going out for spaghetti and pasta, with some of the people we were running for, including Danny Rieffenberger, a second cousin of mine. We were ready to go, and they were ready to cheer us on!

Sarah and I were helping each other out, and trying to keep smiling. I admit, it got tough after mile 21…my leg hurt, it started pouring out, and did not quit until an hour after we were done. We kept pushing each other, and kept hoping everybody else was doing ok as well. We were a team, and wanted everybody coming in without any problems. We raised money as a team, we were in this together as a team, but we were running as “family”…a family that worries about each other, cares about each other, and works hard for each! Together…Together we will find a cure!

Sarah and I were coming across the finish together…this will be a great memory for me forever! We came across together, and pushed each other during the training time, and the day of the marathon!

I love this picture! It captures everything of the moment! I personally was struggling those last miles and had to keep walk/run because my leg was giving out! Sarah stood by me, pushed me, encouraged me! The elements of the weather was making is challenging as well. I had to keep telling myself that my pain and struggles would be temporary…we were in this for people who cannot run…who cannot do what the rest of us take for granted every day. This then motivated me to throw another surge in and keep going…for them! The look on my face shows a lot of relief at being done, and I was! I did not know if I was going to even be able to run this event, or finish, so the fact that I did, that is all that matters. I wanted to run this race more than any other one I have been in before. Why? Because I was truly running for someone else…we were all running for someone else, and it felt good! It changed all of our lives, and I only hope that with the money we helped raise, that we can help make a difference in the fight for Friedreich’s Ataxia! For this, we will keep running! Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 3662
by kelsey | Oct 5, 2017 | Cooking Tips, Diet, Food, Weight Management, Wellness/Health

If you’re a parent with school age children, you have probably witnessed this scenario many times: your child comes home from school and they are starving! They rummage through the cupboards and try to find something “good” to snack on until supper is ready. Snacks in between meals help provide the body with energy and aid in metabolism and blood sugar control, but the key is making a healthy snack as junk foods will only provide empty calories, leaving you hungry and looking for more later on. Check out the list below for healthy snack ideas!
Healthy Snacks for Kids
Inside-Out Sandwich: Spread mustard on a slice of deli turkey. Wrap around a sesame breadstick.
Rocky Road: Break a graham cracker into bite-size pieces. Add to low-fat chocolate pudding along with a few miniature marshmallows.
Mini Pizza: Toast a whole-wheat English muffin, drizzle with pizza sauce and sprinkle with low-fat mozzarella cheese.
Spread mustard on a flour tortilla. Top with a slice of turkey or ham, low-fat cheese and lettuce. Then roll it up.
Sandwich Cut-Outs: Make a sandwich on whole grain bread. Cut out your favorite shape using a big cookie cutter. Eat the fun shape and the edges, too!
Banana Split: Top a banana with low-fat vanilla and strawberry frozen yogurt. Sprinkle with your favorite whole-grain cereal.
Apple Pie Oatmeal: Make one packet of microwave oatmeal with low-fat milk. Mix in 1/4 cup unsweetened applesauce. Sprinkle with apple pie spice or cinnamon.
Mix together peanut butter and cornflakes in a bowl. Shape into balls and roll in crushed graham crackers.
Microwave a cup of tomato or vegetable soup and enjoy with whole-grain crackers.
Fill a waffle cone with cut-up fruit and top with low-fat vanilla yogurt.
Sprinkle grated Parmesan cheese on hot popcorn.
Peel a banana and dip it in yogurt. Roll in crushed cereal and freeze.
Spread celery sticks with peanut butter or low-fat cream cheese. Top with raisins.
Stuff a whole-grain pita pocket with ricotta cheese and Granny Smith apple slices. Add a dash of cinnamon.
Mix together ready-to-eat cereal, dried fruit and nuts in a sandwich bag for an on-the-go snack.
Smear a scoop of frozen yogurt on two graham crackers and add sliced banana to make a yummy sandwich.
Microwave a small baked potato. Top with reduced-fat cheddar cheese and salsa.
Make snack kabobs. Put cubes of low-fat cheese and grapes on pretzel sticks.
Toast a whole-grain waffle and top with low-fat yogurt and peaches.
Mix together low-fat cream cheese, mixed dried fruit bits and shelled sunflower seeds. Spread on a toasted English muffin.
Blend low-fat milk, frozen strawberries and a banana for thirty seconds for a delicious smoothie.
Make a mini-sandwich with tuna or egg salad on a whole-grain dinner roll.
Sprinkle grated Monterey Jack cheese over a corn tortilla; fold in half and microwave for twenty seconds. Top with salsa.
Spread peanut butter on apple slices.
Reference: Academy of Nutrition & Dietetics
-Kelsey