by kelsey | Jul 24, 2012 | Food, Heart Health, Wellness/Health

Lately, the farmers have been busy harvesting their grain crops such as oats and wheat. I always marvel at this process as what they’re doing is directly contributing to our food sources and availability. Without their hard work, our food chain would be greatly affected. Grains are an excellent source of energy for our brain and central nervous system. The whole grains are especially beneficial for promoting heart health due the fiber content. The average American only eats about 1 serving of whole grains a day and a serving is equivalent to a slice of bread, a cup of cereal, or a 1/2 cup of rice…which means that’s not much! We recommend at least half or your grain intake to be whole grains which should be at least 3 servings.
Whole grains are unrefined meaning they have all three parts still intact. Refined grains go through a process where the bran and germ are removed, thus extending shelf life and giving them a finer taste. Since the whole grains do not go through any processing and their germ (inner layer) and bran (outer layer) are still intact, they are a better source of fiber and other essential vitamins and minerals, especially selenium, potassium, and magnesium. When selecting a whole grain product, it’s important to look at the ingredient list and select a product that’s first ingredient is “whole” such as “whole grain,” “whole wheat,” etc. If the first ingredient says refined or enriched, that means that product is truly not whole grain.
Whole grains are found in brown and wild rice, whole wheat flour, oats, popcorn, rye, and whole wheat pasta. Like I’ve mentioned before, balance is truly key to a healthy diet, so achieving a balance of whole grains, lean proteins, fruits and vegetables will not only fuel your body but will aid in disease prevention. The fiber found in whole grains is not only beneficial for heart health, but also aids in stability for blood sugars, digestive health, and satiety. Next time you go to the store, make sure you take the extra few seconds to double check your label to ensure you’re getting a whole grain product…and be sure to thank our farmers for helping harvest our food supply!
-Kelsey
by Dan | Jul 23, 2012 | Exercise, Family, Motivation, Wellness/Health

It was a busy weekend for many parents. It was the state softball tournament held in SF. Boy, was it hot; around 100 degrees both days. Between me running back and forth between my daughter Molly’s game, and my son’s games, I had just as much of a workout as they did. Here Nick is with his Brown Clinic/Glacial Lakes Property Management teammates as they placed 2nd in the U14 division. They played very well, and gave it all they had.

Here Molly is racing around 3rd base on her way to home to score. Both kids had a lot of fun, and for me, as Dad, I can say it was a lot of fun watching them, but I was exhausted afterwards. Keeping up with the 2 of them, while Sarah is back home on call, was quite the workout. I did lots of walking in between games as well, and did not have to worry about trying to do any other exercise for the day. All of this was enough.
For all of you parents out there, you know what you all do for your kids. We make a lot of sacrifices as well trying to keep the kids involved in activities, and trying to be there to cheer them on as well. We have to remember to take care of ourselves as well, and remember to stay active for us as well. If we don’t, we are going to have a hard time keeping up with them. We also run the risk of not being around for them later when they need us. Hopefully, they appreciate all of this as well. For many of these things, it may not be appreciated at the time, but as they look back, they will remember we were there for them, and then it will matter. So remember, take care of ourselves, stay healthy, and keep moving everybody.
Dr. Dan
Consecutive Exercise Day #: 1761
by Dan | Jul 22, 2012 | Exercise, Heart Health, Wellness/Health

There are several tests that can be done in the evaluation of Coronary Heart Disease. These include:
1.) EKG–This is an electrical tracing of your heart, and can help detect any changes in blood flow to the heart, and help determine if someone is having a heart attack, or if they have had one in the past. It only takes a few minutes, and is painless.
2.) A Stress Test–You are monitored continuously with an EKG tracing, and then start walking on a treadmill, such as the one pictured. Every 3 minutes, the speed and the incline of the treadmill increase. We are trying to evaluate not only your exercise capacity/limit, but also help determine if your heart is getting enough blood with activity. We are “stressing” your heart.
3.) An Echocardiogram–it is basically an ultrasound of your heart, giving us information about your heart valves, and how well your heart contracts when it is beating.
4.) A cardiac catheterization, or angiogram–the large vessels in the groin of your leg have a catheter placed and dye is injected to evaluate the coronary vessels of the heart. This is where we can see exactly where blockages exist, and then can place a stent where necessary if blockage is present.
5.) A cardiac score/calcium score–This is a CT scan of the coronary vessels of your heart, and if the amount of calcium present in the coronary vessels are increased, this is also a risk factor with blockage of the vessel going forward. It to is painless, and takes only a few minutes.
Overall, what everyone needs to keep in mind is that if they are experiencing increasing shortness of breath with activity, or chest pain, then you need to see your doctor to decide on which tests above need to be performed in order to help evaluate you.
The final upcoming segment on coronary heart disease will be dealing with how to treat it. Keep moving everybody!
Dr. Dan
Consecutive Exercise Day #: 1760
by kelsey | Jul 19, 2012 | Cooking Tips, Food, Weight Management, Wellness/Health

As I mentioned in my post yesterday, I am proud to be a part of South Dakota Team BEEF which is sponsored by the SD Beef Council. Team BEEF is a group of runners and health advocates who recognize the benefits nutritionally of lean beef and the important role this top notch protein can play in training. As members of Team BEEF, you get a running jersey to promote Team BEEF and reimbursement for several sponsored races. I first learned of Team BEEF from a good friend and fellow dietitian who helped start Wisconsin’s Team BEEF when she was in school there. As I learned more, I knew I had to get involved as I am truly passionate about health and wellness and am an advocate for lean beef protein. Yes, I may be little biased because I am the wife of a cattle rancher and that’s our way of living, however if you truly examine the research and evidence regarding beef protein, there truly is a place for it in our diets…as long as you are selecting the lean cuts the majority of time.
Did you know that beef is 20% leaner than it was about 15 years ago? There are at least 29 cuts of lean beef which means they meet the government guidelines for lean, meaning each cut has less than 10g of total fat, less than 4.5 g of saturated fat, and less than 95mg of cholesterol (in a 3 oz serving). Here are some tips for you to make beef a part of your heart healthy meals:
- Look for key words such as “round” or “loin” …these are typically leaner cuts
- Choose 90% or greater lean beef. This means in a 3oz serving there is less than 5g of fat in it.
- Use healthy cooking methods such as grilling, broiling, baking, roasting, or braising. The less tender cuts can be marinated in a tenderizing marinade such as salsa or light Italian dressing.
- Trim the fat! Trimming the fat before cooking will help eliminate some of the fat from the cut.
- Cook with fresh ingredients such as lemon juice, peppers, onions, garlic, and herbs instead of adding extra fat to the cut.
- Practice portion control. Select the 3-5 oz serving over the 10oz.
Balance is key to a healthy diet, so be sure to include your fruits and veggies and whole grains along with your lean meat to create a healthy plate. As of a just a few months ago, all meat is required to have the nutrition content (label) posted by it in the grocery store. Be sure to use this when you’re selecting your cuts of meat and pay special attention to the total fat and saturated fat content. If you want to learn more about the benefits of beef and explore healthy recipes check out these websites: www.beefnutrition.org and www.beefitswhatsfordinner.com.
Below is a picture of some of the SD Team BEEF members after the Beef & Eggs 5k.

-Kelsey
by kelsey | Jul 18, 2012 | Goals, Wellness/Health

Many of our regular readers and my friends and family know about my heart issue that resulted in me having to readjust my fitness goals and aspiration. For those new readers of our STRIVE 2 Survive blog, you will have to refer back to a previous post (https://s2sbrownclinic.com/2012/05/the-reality-of-goal-setting/) to get more details. In short, my hopes and dreams of running a half marathon were diminshed when I learned my heart couldn’t take that amount of vigorous activity due to a congenital valve issue. This was a major let down for me, but I am a realist and I knew I had to move on as it wasn’t worth dwelling over and it definetely wasn’t worth dying over!
After a lot of self reflecting, I decided I needed a different goal that was better for my heart and for my spirit. Thus, I decided to sign up for the Beef & Eggs 5k race in Brookings. I also became a part of South Dakota Team BEEF thus promoting two passions of mine: running or activity in general and promoting the benefit of lean protein found in 29 cuts of lean beef. This last weekend, I fulfilled this goal and ran the 5k without any chest pain or shortness of breath. I ran with two of my best friends from college who were on the SDSU Equestrian Team with me and I couldn’t have asked for better support. My friend Anna, who is on the left of me in the picture, also a member of SD Team BEEF and my friend Katie, on the right, were a great support system for me. We weren’t too focused on time, but rather enjoyed each other’s company while doing something we all love.
Setting new goals isn’t always an easy task, especially when you didn’t meet the previous goal, however staying positive about your aspirations and being real about what you are capable of doing will help you. Setting goals pushes you to achieve more in life. In addition, it’s important to reward yourself when meeting the goals. My reward for fulfilling my new goal was a day spent with my friends after the race and it was totally worth it! I am thankful for having a great support system to help me get through the tough times and celebrate the good times.
Tomorrow I will discuss SD Team Beef, so stay tuned!
-Kelsey