Every month, Dr. Sandy Vieder of Lakes Urgent Care answers your questions about timely health issues.

From asthma to flu shots, sports injuries to seasonal health topics, Dr. Sandy Vieder, Medical Director and co-owner of Lakes Urgent Care, answers questions asked by his patients every month.



Most-Recently Answered Questions

Allergies

Preparing early for the oncoming allergy season can significantly reduce your allergy symptoms once the season begins. The best way to prepare is to consult with your primary care physician now and allow her to provide you with guidance for your specific allergy symptoms. Very soon, pollen levels will begin to escalate as our weather warms and the plant life around us comes back to life. It may be advisable to begin preventative allergy medications now. This can help prevent early inflammation and the cascade of allergic reactions you may face before they spiral out of control. If you’re unsure of the source of your allergies, see you doctor right away and get tested. Knowledge of what types of allergens trigger your symptoms can help refine medication treatments and help you reduce exposure. The CDC and our local health department can be excellent sources of information for activity and peaks with particular types of allergies and pollens.

Category: Allergies

Prevention is always worth a pound of cure! If you are able to determine the specific allergens that trigger your symptoms, this can help you reduce or potentially eliminate exposure to the elements that cause you grief. If tree pollen is your source of misery, it may not be possible to eliminate exposure. That’s where treatment with preventative medications can make a significant difference, especially if you start before your symptoms begin.
In your home, keep windows closed and rely on your home’s heating and cooling system along with good quality air filters and dehumidifiers to reduce symptoms while indoors or sleeping. When coming in from any outdoor activity, showering and changing your clothes can help reduce your exposure to allergens.

Category: Allergies

Perennial allergies refer to specific allergens that cause an allergic reaction year-round. Common examples include pet hair or dander, food allergies or medication allergies.

In contrast, seasonal allergies typically occur with weather changes that allow for new environmental plant, mold, insect or grass growth. Locally, pollen and mold season can begin as early as February and last through November. Now is the right time to begin discussions with your physician about the preventative measures you can take to keep allergy symptoms from activating your immune system. And this can help you avoid the dreaded return of sneezing, nasal congestion and itchy, watery eyes. Lakes Urgent Care can also be a resource if you do not have a primary care physician. We can help guide your preparation for seasonal allergies or arrange for allergy testing. With appropriate preparation and recognition of triggers to avoid, everyone can enjoy the coming warm, sunny months ahead!

Category: Allergies

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All Questions

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Allergies

Preparing early for the oncoming allergy season can significantly reduce your allergy symptoms once the season begins. The best way to prepare is to consult with your primary care physician now and allow her to provide you with guidance for your specific allergy symptoms. Very soon, pollen levels will begin to escalate as our weather warms and the plant life around us comes back to life. It may be advisable to begin preventative allergy medications now. This can help prevent early inflammation and the cascade of allergic reactions you may face before they spiral out of control. If you’re unsure of the source of your allergies, see you doctor right away and get tested. Knowledge of what types of allergens trigger your symptoms can help refine medication treatments and help you reduce exposure. The CDC and our local health department can be excellent sources of information for activity and peaks with particular types of allergies and pollens.

Category: Allergies

Prevention is always worth a pound of cure! If you are able to determine the specific allergens that trigger your symptoms, this can help you reduce or potentially eliminate exposure to the elements that cause you grief. If tree pollen is your source of misery, it may not be possible to eliminate exposure. That’s where treatment with preventative medications can make a significant difference, especially if you start before your symptoms begin.
In your home, keep windows closed and rely on your home’s heating and cooling system along with good quality air filters and dehumidifiers to reduce symptoms while indoors or sleeping. When coming in from any outdoor activity, showering and changing your clothes can help reduce your exposure to allergens.

Category: Allergies

Perennial allergies refer to specific allergens that cause an allergic reaction year-round. Common examples include pet hair or dander, food allergies or medication allergies.

In contrast, seasonal allergies typically occur with weather changes that allow for new environmental plant, mold, insect or grass growth. Locally, pollen and mold season can begin as early as February and last through November. Now is the right time to begin discussions with your physician about the preventative measures you can take to keep allergy symptoms from activating your immune system. And this can help you avoid the dreaded return of sneezing, nasal congestion and itchy, watery eyes. Lakes Urgent Care can also be a resource if you do not have a primary care physician. We can help guide your preparation for seasonal allergies or arrange for allergy testing. With appropriate preparation and recognition of triggers to avoid, everyone can enjoy the coming warm, sunny months ahead!

Category: Allergies

Have a seasonal allergy action plan and think preventative. When you use medications early, you may ease your symptoms all spring. Finding the right combination of treatment might take a bit of trial and error:

Antihistamines can help if you’re sneezing, have a runny nose, or your nose and eyes are itchy.

Decongestants can come to the rescue when you’re all stuffed up because they shrink the lining of the passages in your nose. You can try a nasal spray or a pill format, but be aware of potential rebound effect with long-term use, as they are best used for periodic relief.

Nasal corticosteroid sprayed into your nose, can give you relief from stuffiness and sneezing. These are very effective when used regularly, but they may take a few days or weeks to kick in.

Always consult with your primary care physician if you take other routine medications to avoid potentially problematic interactions.

Category: Allergies

Unfortunately, the answer is yes.  An earlier and longer growing season for trees and plants will increase pollen levels, which in turn could significantly exacerbate allergies, asthma and other chronic respiratory illness. Our March warmth started the blooming and pollination process much earlier than normal.  If you are miserable and feeling the effects and symptoms of seasonal allergies, you’re not alone. Tree pollen, mostly from Cottonwood, Maple and Juniper trees are causing the most grief right now.

Category: Allergies

Exposure to different allergens or bacteria can help your immune system develop antibodies and other useful proteins that can aid in fighting infections in the future. There is also evidence to suggest that having pets in the home may help children develop antibodies slowly over time. There is certainly nothing wrong with children playing in the dirt outside, but this should always be followed by good sanitary habits including washing hands and exposed areas with soap and water. Cleaning up after play also helps prevent any significant infections from developing initially with contact.

An ounce of prevention is worth a pound of cure! Staying in front of allergy symptoms by utilizing your treatment program before symptoms begin is much more effective. It’s also very helpful to take note of specific triggers that may initiate allergy symptoms. If there are certain seasonal milestones that always seem to give you trouble, such as spring-flowering trees or cottonwood season, it’s always best to take your medication and initiate your prevention program before those triggers come into full bloom.

Category: Allergies

Pillows accumulate many asthma- and allergy-provoking items such as bacteria, pollen, mold, and dust mites. In general, most experts in this field recommend replacing pillows every 3-5 years at most. It can also be helpful to cover your pillows with allergy-proof protective coverings. And don’t forget to wash your pillowcases at least once a week to keep them free of these allergy-provoking elements.

Category: Allergies

It’s always best to consult with your primary care physician for direction in creating the best treatment approach to seasonal allergies. Zyrtec is certainly an excellent antihistamine that generally does not cause sedation. Your doctor can tell you if you may also benefit from adding additional elements to your treatment program such as a nasal steroid spray, which is also now being offered as an over-the-counter choice.

Category: Allergies

It can be difficult to determine whether your symptoms are due to a common cold or allergies. However, the most distinct difference is that allergy symptoms generally only cause nasal congestion, runny nose and sneezing, without the other typical symptoms of the common cold such as fever, headache, muscle aches and sore throat. Allergy symptoms may also cause sinus congestion that manifests itself as pressure behind the cheekbones and mild to moderate pressure or headache in your forehead just above the eyebrows.

Category: Allergies

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"I needed to take my two boys in to be seen today and we just moved to the neighborhood so I googled the nearest urgent care and boy am I so glad I did because this is the BEST urgent care that I have ever been to!! They were super fast and got us seen right away. The nurse made my sons laugh and feel comfortable the whole time. The doctor was very thorough and really connected with my boys which calmed their nerves. They even gave my sons a prize for coming in! Thank you for being so kind and thorough in this fast paced world!! You guys are awesome!"

Deshon - Google review

Lakes Urgent Care
5
2020-07-20T11:13:48-04:00

Deshon - Google review

"I needed to take my two boys in to be seen today and we just moved to the neighborhood so I googled the nearest urgent care and boy am I so glad I did because this is the BEST urgent care that I have ever been to!! They were super fast and got us seen right away. The nurse made my sons laugh and feel comfortable the whole time. The doctor was very thorough and really connected with my boys which calmed their nerves. They even gave my sons a prize for coming in! Thank you for being so kind and thorough in this fast paced world!! You guys are awesome!"
"They were incredibly fast to get us back and taken care of and super professional when I had questions. I can’t say enough good things! Thank you Lakes Urgent Care in Livonia for being so professional, quick and clean!! It’s worth the drive if you’re in Southeast Michigan. Definitely our urgent care of choice!!"


Whitney - Facebook review

Lakes Urgent Care
5
2020-07-20T10:43:28-04:00

Whitney - Facebook review

"They were incredibly fast to get us back and taken care of and super professional when I had questions. I can’t say enough good things! Thank you Lakes Urgent Care in Livonia for being so professional, quick and clean!! It’s worth the drive if you’re in Southeast Michigan. Definitely our urgent care of choice!!"
"This place was awesome! Phone etiquette was amazing and they accommodated me last minute. Once I was there the environment was clean, staff was really nice informative and even with everything going on with this pandemic they were very attentive and professional. Super helpful and even though I went just for testing the doctor made sure to stop in and answer any questions I had. I’d recommend this place for any urgent needs!"

Andrea - Google review

Lakes Urgent Care
5
2020-07-20T10:46:23-04:00

Andrea - Google review

"This place was awesome! Phone etiquette was amazing and they accommodated me last minute. Once I was there the environment was clean, staff was really nice informative and even with everything going on with this pandemic they were very attentive and professional. Super helpful and even though I went just for testing the doctor made sure to stop in and answer any questions I had. I’d recommend this place for any urgent needs!"
"Super clean, they take your temperature before you walk in. I saw the staff clean everything after every patient. The staff and doctor were so great today! Thank you for servicing our community! Highly recommended!"

Stephanie - Facebook review

Lakes Urgent Care
5
2020-07-20T10:41:37-04:00

Stephanie - Facebook review

"Super clean, they take your temperature before you walk in. I saw the staff clean everything after every patient. The staff and doctor were so great today! Thank you for servicing our community! Highly recommended!"
"My minor daughter, my elderly mom and myself went here this morning @ 10am and from the intake worker to the nursing staff and Doctors we have never been treated so kindly at any other ER. Very friendly, compassionate staff. They even let all three of us go into one exam room and treat all of us as a family unit! We all three highly recommended Lakes Urgent Care!"

Kimberly - Facebook review

Lakes Urgent Care
5
2020-07-20T10:36:23-04:00

Kimberly - Facebook review

"My minor daughter, my elderly mom and myself went here this morning @ 10am and from the intake worker to the nursing staff and Doctors we have never been treated so kindly at any other ER. Very friendly, compassionate staff. They even let all three of us go into one exam room and treat all of us as a family unit! We all three highly recommended Lakes Urgent Care!"
"Needed care for my 93 yr old Father in Law during Covid pandemic. We were not infected but he needed a simple procedure. Their complete screening process before entering Clinic dispersed any worries we had. Everything went great. Huge effort to ensure everybody's health and safety. Well done."

Aaron - Facebook review

Lakes Urgent Care
5
2020-07-20T10:44:59-04:00

Aaron - Facebook review

"Needed care for my 93 yr old Father in Law during Covid pandemic. We were not infected but he needed a simple procedure. Their complete screening process before entering Clinic dispersed any worries we had. Everything went great. Huge effort to ensure everybody's health and safety. Well done."
"I woke up Sunday with severe vertigo. After calling my PCP I decided I couldn't wait and went to Lakes Urgent Care Livonia. They got me in quickly, did a thorough exam and sent in a prescription to my pharmacy. The doctor explained everything to me in a manner I could understand. I have complete confidence in the doctor. Also, I felt safe (coronavirus) and everyone was pleasant and helpful. Additionally, the doctor made a follow up phone call to check on me! I'm happy to say the medicine prescribed is working great!"

Cindy - Google review

Lakes Urgent Care
5
2020-07-20T11:33:19-04:00

Cindy - Google review

"I woke up Sunday with severe vertigo. After calling my PCP I decided I couldn't wait and went to Lakes Urgent Care Livonia. They got me in quickly, did a thorough exam and sent in a prescription to my pharmacy. The doctor explained everything to me in a manner I could understand. I have complete confidence in the doctor. Also, I felt safe (coronavirus) and everyone was pleasant and helpful. Additionally, the doctor made a follow up phone call to check on me! I'm happy to say the medicine prescribed is working great!"
5
7
Lakes Urgent Care