Breastfeeding recommendations have changed significantly in recent years. In this episode of Beyond the Checkup, Dr. Lindsey Latteman explains the latest evidence on mastitis, milk supply, oversupply, pumping, and breast inflammation.

She discusses why old advice such as aggressive massage and excessive pumping has been replaced with a more evidence-based approach focused on reducing inflammation, supporting normal feeding, and helping parents feel confident throughout their breastfeeding journey.

Episode Highlights

00:00 Introduction to today's topic

02:15 Why breastfeeding recommendations have changed

06:48 The biggest myth about "clogged ducts"

11:10 Why ice is now recommended before heat

15:35 Oversupply and the freezer stash myth

20:40 When pumping can actually make things worse

25:05 Signs of mastitis and when to call your provider

30:10 Supporting parents without guilt or pressure

35:50 The most important goal: Feed your baby

Memorable Quotes

"The goal should be to feed the baby."

"More milk isn't always better."

"Inflammation is usually the problem, not a clogged duct."

"Every breastfeeding journey is different."

"We want parents to feel confident, not pressured."

For years, knee replacement had a reputation.

Painful recovery. Weeks of rehab. Walkers, narcotics, and putting your life on hold.

That reputation kept a lot of people waiting far longer than they wanted to

But what if recovery looked completely different?

In this episode of Beyond the Checkup, orthopedic physician assistants Brian Yost, PA-C and Jake Berwyn, PA-C explain how the new Jiffy Knee procedure is changing the way patients experience knee replacement surgery.

Instead of cutting through tendons and muscles, this approach works by carefully moving tissues aside, helping patients recover faster with less pain and less downtime. Many patients are walking without a cane or walker within days, and most are recovering without narcotic pain medication.

The results have been so significant that patients are already traveling from across Minnesota and neighboring states to have the procedure done at Stellis Health.

This episode breaks down how Jiffy Knee works, who it is for, and why so many people are saying they wish they had done it sooner.

What If Birth Felt Supportive, Not Stressful?

You picture how your birth will go. The environment, the people in the room, how you want to feel. Calm. Supported. In control.

But then the questions start. What if things do not go as planned? What if I do not know what to say in the moment? What if I am not heard?

In this episode of Beyond the Checkup, certified nurse midwives Jessica Borgstrom and Kristin Hazeman walk through what it really means to design the birth experience you actually want. Not a perfect plan, but a supported one.

They explain how trust, communication, and preparation can completely change how a birth feels, even when it takes unexpected turns. Because a positive birth is not about everything going exactly right. It is about feeling heard, respected, and supported every step of the way.

This episode covers how to build a birth plan that reflects your preferences, how to advocate for yourself early, and why the relationship you build with your provider matters more than any checklist.

[00:00:44] What “partnering with patients” really means in midwifery care

[00:02:24] Why feeling heard is the most important part of a birth experience

[00:03:34] Common fears during pregnancy and labor

[00:06:04] How to advocate for yourself early in pregnancy

[00:07:20] What makes a birth feel positive even when plans change

[00:08:56] What a birth plan really is and how to think about it

[00:10:28] How environment impacts labor and patient experience

[00:13:05] Creating a plan that is both empowering and flexible

[00:15:04] Staying grounded and avoiding overwhelm during labor

[00:18:14] Final advice: trusting your body and the process

Resources

• Beyond the Checkup Podcast – Stellis Health

• Jessica Borgstrom

• Kristin Hazeman

• Midwifery Services at Stellis Health

• Stellis Health Appointment Scheduling

Memorable Quotes

“Birth is unpredictable, but feeling heard changes everything.”

“A positive birth is not about perfection. It is about feeling supported.”

“Your birth plan is not a checklist. It is how you want to feel.”

“We build trust early so you feel confident later.”

“Your body is meant to do this.”

What's inside this episode:

• What it really means to partner with your provider

• How to advocate for yourself before labor begins

• Why birth plans should be flexible, not rigid

• What creates a positive experience even when things change

• How environment and support impact labor

• What partners can do to be involved and helpful

Have you ever felt your stomach drop before a big moment? Lost your appetite under stress? Or turned to comfort food when you're down?

You're not alone—and you're not imagining it.

In this episode of Beyond the Checkup, Stellis Health mental health practitioner Tom Hawkins joins host Pete Waggoner to unpack the powerful relationship between your brain, your emotions, and your digestion. Together, they break down why anxiety and appetite are so closely linked, how your nervous system plays a role, and what simple tools can help bring balance to your body and mind.

Whether you're dealing with nausea, overeating, or just wondering why your stomach reacts to stress—this episode will leave you thinking differently about the phrase “gut feeling.”

What You'll Learn in This Episode

• How anxiety and digestion are connected

• Why your appetite changes when you’re stressed

• What it means to have a “gut feeling”

• How trauma or chronic stress can cause long-term digestive issues

• Easy holiday tips for emotional and digestive wellness

• A practical breathing technique that signals your body to relax

  
  

Episode Highlights (Timestamps)

[00:02:15] Is “gut instinct” real? How our brain and body communicate
[00:04:08] Fight, flight—or digestion? How stress literally shuts down your gut
[00:07:22] Why anxiety can feel like a stomachache
[00:09:20] Top-down vs. bottom-up emotions—and how your gut and brain affect each other
[00:12:19] Why holidays throw off digestion and how to help your body adjust
[00:14:20] The small plate trick: easy mindful eating tip for big meals
[00:16:00] Appetite changes and mental health—what your eating habits are telling you
[00:20:00] A simple breathing exercise to calm your nervous system

Listen to all podcasts here: https://stellishealth.com/category/podcast/

The Signs You Shouldn’t Ignore About Your Mental Health

Have you ever told yourself “I’m just tired” or “I’ll be fine once things calm down” - but deep down you weren’t actually fine?

This episode of Beyond the Checkup shares why those thoughts matter.

Stellis Health mental health practitioner Tom Hawkins joins host Pete Waggoner to explain what counseling really looks like, how to know when it might be time to reach out, and what small tools can help you start feeling better now. 

Whether you’re curious about therapy or looking for simple ways to manage stress and overwhelm, this episode is packed with practical advice.

Episode Highlights (Timestamps)

[00:01:00] What a mental health counselor does and the different credentials you might see

[00:03:11] The power of daily self-care, including movement, gratitude, and connection

[00:05:00] Red and yellow flags: subtle signs it might be time to seek support

[00:07:59] Common myths and misunderstandings about counseling

[00:11:00] How Tom helps patients track progress and build coping skills

[00:13:28] Practical tools: journaling, grounding techniques, gratitude

Resources Mentioned

• Tom Hawkins, MHPRAC, Mental Health - Monticello location

• Quiet by Susan Cain

• Calm app

• Stellis Health Podcasts & Blogs

Summary:
In this episode of Beyond the Checkup, host Pete Waggoner is joined by three Stellis Health experts—Dr. Lindsey Latteman, Dr. Amanda Zehrer, and Dr. Danielle Schirm—for an open, honest discussion about menopause and perimenopause.

The team breaks down what these phases really are, how symptoms vary, and what treatments can help women feel their best.

What You’ll Learn:

• The difference between perimenopause and menopause
  
• Common symptoms and surprising myths
  
• When to seek help—and why hormone therapy isn’t one-size-fits-all
  

Episode Highlights (Timestamps):

• 00:00 – Meet the Providers
  
• 00:38 – What Menopause Really Means
  
• 01:30 – Why It’s a Tunnel, Not a Doorway
  
• 02:09 – How Long Symptoms Can Last
  
• 03:41 – Top Symptoms: Hot Flashes, Brain Fog, and More
  
• 06:37 – Hormone Therapy: What It Is and Isn’t
  
• 08:42 – Support from Loved Ones
  
• 10:00 – Bioidentical Hormones Explained
  
• 12:00 – Why Hormone Testing Doesn’t Work
  
• 14:20 – Common Misconceptions & Cultural Attitudes
  
• 17:45 – The Importance of Pelvic Exams Post-Menopause
  
• 19:00 – Most Common Symptom Combinations
  
• 21:00 – Lifestyle Changes that Help
  
• 22:45 – The Menopause Society & Red Flags to Avoid
  
• 24:14 – Final Thoughts from Each Provider
  

Resources Mentioned:

• The Menopause Society
  
• Stellis Health Appointment Scheduling
  

Provider Bios:

• Dr. Lindsey Latteman
• Dr. Amanda Zehrer
• Dr. Danielle Schirm, DO

Memorable Quotes:

“Menopause is a tunnel, not a doorway—you don’t just wake up one day and know you’re there.” – Dr. Lindsey Latteman

“This isn’t something you just have to live with. There are real solutions.” – Dr. Danielle Schirm

“It’s not about reversing age—it’s about feeling better today.” – Dr. Amanda Zehrer

Episode Summary

In this inspiring episode of Beyond the Checkup, host Pete Waggoner sits down with Stellis Health CEO Brent Wilde and President Dr. Frank Anderson to discuss the heart of independent care, the power of community-rooted providers, and what’s ahead for Stellis Health. From the legacy of neighbor-driven care to future plans like imaging centers and ambulatory surgery, they open up about why leadership with values makes a difference.

Key Takeaways

• Independent clinics offer personalized, community-based care.
  
• Stellis is committed to keeping costs low while providing top-tier services.
  
• Teaching, teamwork, and continuous learning are pillars of Stellis culture.
  
• Big plans are in the works for an imaging center and surgery center.
  
• Leadership isn’t just about running a business—it’s about staying connected to patients.
  

Episode Highlights (Timestamps)

• [00:00:00] – Meet Brent Wilde and Dr. Frank Anderson
  
• [00:01:30] – Their professional journeys into healthcare and leadership
  
• [00:03:45] – The value of rural medicine and community connection
  
• [00:07:00] – Stellis' independent model and how it benefits patients
  
• [00:11:50] – Growth, history, and the founding mission of Stellis
  
• [00:15:10] – Recruiting the right people: values-based hiring
  
• [00:21:30] – How independent status impacts pricing and access
  
• [00:26:45] – What makes patients feel at home at Stellis
  
• [00:31:10] – Future goals: imaging center, surgery center, Monticello expansion
  
• [00:36:00] – Differences between Stellis and Stellis Health Skin Care
  
• [00:39:15] – Final thoughts on trust, transparency, and the team mindset

Understanding Fatty Liver & Metabolic Liver Disease

In this informative episode, Dr. Kari Fabian and Maura Romanshek, PA-C, break down the silent rise of metabolic liver disease, formerly known as non-alcoholic fatty liver disease. They explain how it’s connected to obesity, diabetes, and high-fructose diets—and why more Americans (including kids!) are being diagnosed earlier.

Listeners will also learn about the FibroScan machine available at Stellis Health, a non-invasive test that helps detect liver stiffness before it leads to irreversible damage.

Key Takeaways

• Fatty liver is often silent, meaning you could have it and not know it.
  

• The FibroScan test at Stellis Health helps detect early risk and prevent disease progression.
  

• Fructose-heavy diets, especially high-fructose corn syrup, are key drivers of liver damage.
  

• Early lifestyle changes and targeted medications can significantly improve or reverse liver disease.
  

You don’t need dramatic weight loss to improve liver health—just consistent, practical steps.

Episode Highlights (Timestamps)

• [00:00:00] – Introduction with Pete Waggoner, Dr. Kari Fabian, and Maura Romanshek, PA-C
  

• [00:01:15] – Dr. Fabian shares her background and passion for diabetes care
  

• [00:02:30] – Maura discusses her transition from family medicine to diabetes and weight management
  

• [00:04:20] – Understanding what metabolic liver disease is and how it differs from alcoholic liver disease
  

• [00:06:10] – What happens to the liver when fat builds up over time
  

• [00:07:45] – Surprising discovery: fatty liver is showing up in children
  

• [00:09:00] – The impact of diet, especially high-fructose corn syrup, on liver health
  

• [00:12:20] – The silent nature of fatty liver—how it often goes undetected without symptoms
  

• [00:14:15] – The importance of screening and using the FIB-4 score
  

• [00:16:00] – Introducing the FibroScan: what it is and how it works
  

• [00:18:45] – Lifestyle changes that help reverse fatty liver disease
  

• [00:21:30] – Fructose in fruit vs. processed foods—what’s safe and what’s harmful
  

• [00:24:20] – The role of coffee and tea in liver health
  

• [00:26:00] – How Stellis providers meet patients where they are in their health journey
  

• [00:28:15] – Available medications and why early detection is key
  

• [00:30:00] – Encouragement for listeners to ask about screening at their next appointment
  

  Resources Mentioned

• Stellis Health Diabetes Care
  

• Dr. Kari Fabian, MD – Internal Medicine & Diabetes Care Dr. Fabian is a board-certified internist and lipidologist with over 25 years of experience. She specializes in diabetes care and complex lipid disorders, practicing at Stellis Health’s Buffalo and Monticello clinics.
  

• Maura Romanshek, PA-C – Diabetes & Weight Management Maura is a board-certified physician associate focusing on diabetes and weight management. She practices at Stellis Health’s Monticello and Buffalo clinics.
  

• Stellis Health Liver Health & FibroScan Services Learn more about Stellis Health’s liver health services and the FibroScan technology used for non-invasive liver assessments.
  

• Book an appointment at Stellis Health
  

• More on Metabolic Liver Disease – CDC
  
  

Memorable Quotes

• "It's estimated that 25 to 30% of U.S. adults have some degree of fatty liver disease." – Maura Romanshek, PA-C
  

• "Fructose in whole fruit is fine. It's the industrial high-fructose corn syrup that's harming your liver." – Dr. Kari Fabian
  

• "The liver is remarkable—it can heal itself. But only if we catch damage early." – Maura Romanshek, PA-C
  

• "We’re finding signs of fatty liver in children as young as kindergarten." – Dr. Kari Fabian
  

• "Screening for liver disease should be as routine as checking blood pressure or cholesterol." – Dr. Kari Fabian
  

Guests: Dr. Natalie Roser, MD & Carlie Kobilka, Advanced Aesthetician

Host: Pete Waggoner

Episode Summary

• In this episode of Beyond the Checkup, host Pete Waggoner sits down with Stellis Health’s skincare experts, Dr. Natalie Roser and Carlie Kobilka, to explore medical and cosmetic dermatology.

• They discuss a wide range of treatments available at Stellis Health’s Medical Skincare Center, from skin health management to advanced cosmetic procedures like laser therapy, Botox, and chemical peels.

• Dr. Roser and Carlie share expert insights on the importance of a consistent skincare routine, debunk common skincare myths, and highlight the latest technology available for anti-aging, acne treatments, and laser resurfacing.

• From everyday skin care tips to in-depth discussions on aesthetic procedures, this episode is packed with valuable knowledge for anyone looking to improve their skin health.

• Stellis Health offers full-spectrum dermatology services, from medical treatments for skin conditions to cosmetic procedures that enhance skin appearance.

• The Sciton Laser System provides cutting-edge treatments for resurfacing, anti-aging, acne scars, and pigmentation correction.

• Investing in skin treatments is great, but daily skincare habits (especially sunscreen!) are essential for long-term results.

• More men are embracing cosmetic treatments, including Botox, chemical peels, and laser therapy, to maintain healthy skin.

• Tanning beds do not provide a safe "base tan"—they accelerate skin aging and increase cancer risk. Wearing sunscreen year-round is crucial.

Key Takeaways & Episode Highlights (Timestamps)

• [00:00:00] – Welcome to Beyond the Checkup with Pete Waggoner

• [00:00:39] – Meet Dr. Natalie Roser, Stellis Health family medicine & skincare specialist

• [00:01:31] – Meet Carlie Kobilka, advanced aesthetician at Stellis Health

• [00:02:32] – What services does the Medical Skincare Center offer?

• [00:03:37] – Medical Dermatology: Treating skin conditions like eczema, acne, and skin cancer

• [00:04:06] – Cosmetic Dermatology: Botox, fillers, and laser treatments for rejuvenation

• [00:05:57] – The importance of regular exfoliation & facials for glowing skin

• [00:07:00] – Chemical Peels: How they work & why they aren’t as scary as they sound

• [00:08:42] – Dermaplaning: The secret to smooth, radiant skin

• [00:10:20] – Facials: Acne, brightening, and anti-aging facials for all skin types

• [00:12:07] – Botox & Fillers: What they do and how they prevent aging

• [00:14:08] – Laser Resurfacing: The Halo treatment for smoother, younger-looking skin

• [00:16:44] – Acne & Scar Treatments: How Stellis Health helps clear skin for all ages

• [00:20:47] – Laser Hair Removal: Who it’s for & what to expect

• [00:21:10] – Skincare Trends & Myths: Why sunscreen is the #1 anti-aging product

• [00:23:11] – Spring Break & Tanning Beds: The truth about "getting a base tan"

• [00:24:36] – Special Skincare Offers at Stellis Health

• [00:25:28] – How to book a free consultation for medical or cosmetic skincare

Resources Mentioned

Stellis Health Medical Skincare Center: https://stellishealth.com/skincare/

Schedule an Appointment: https://stellishealth.com/buffalo-clinic/ – Call 763-684-3700

Meet Dr. Natalie Roeser: https://stellishealth.com/skincare/our-team/

Meet Carlie Kobilka: https://stellishealth.com/skincare/our-team/

Our Top Skincare Treatments: https://stellishealth.com/skincare/

Memorable Quotes

• "The most important thing you can do for your skin is wear sunscreen—every single day, no matter the season." – Dr. Natalie Roser
  

• "Skincare isn’t just for women—more men are realizing how simple treatments like Botox, peels, and lasers can keep their skin healthy." – Carlie Kobilka
  

• "Tanning beds don’t give you a safe base tan—they damage your skin and speed up aging." – Dr. Natalie Roser
  

• "A skincare routine is like maintaining your car—if you don’t take care of it, you can’t expect great results." – Pete Waggoner

Empowering Birth: Inside the World of Midwifery with Stellis Health’s Jessica Borgstrom and Kristin Hazeman

Summary

In this heartwarming episode of “Beyond the Checkup,” hosted by Pete Waggoner, Stellis Health midwives Jessica Borgstrom, CNM and Kristin Hazeman, DNP, APRN, CNM explore the holistic approach of midwifery and the dedicated care they provide for women through all stages of life.

Jessica and Kristin discuss the philosophy behind midwifery, their unique birthing and postpartum care methods, and the vital role of family involvement in prenatal and birthing experiences. 

Their dedication shines through as they share touching stories of births, the importance of emotional support, and the resources available to support women’s health in every phase of life. 

Join us as we celebrate the compassionate work of these providers, bridging the gap between natural care and medical support.

Takeaways:

In This Episode: