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

Blood Pressure

We have known for a long time that high blood pressure is a silent killer, often with no symptoms. New treatment guidelines were announced at the annual meeting of the American Heart Association and American College of Cardiology on November 13, 2017.

The new guidelines may impact up to 50% of our adult population and are based upon extensive research by a panel of scientific health experts. But there is still much work to be done within the medical field to effectively roll out and apply these recommendations in the clinical setting. Proactively treating patients sooner will help reduce the risk of poor outcomes and complications associated with untreated hypertension.

If you do not have a primary care physician, the physicians at Lakes Urgent Care can help with your initial assessment and direct your follow up care with a high-quality primary care provider.

Category: Blood Pressure

Children, teenagers and young adults should get their blood pressure checked at least once every 5 years. Given the new guidelines, I recommend that this same group get their blood pressure checked at least once annually. As you age, your blood pressure is likely to increase and should be checked more often. If you have any type of underlying chronic illness, more frequent blood pressure checks are mandatory. Your blood pressure fluctuates during the day, so when you start tracking your blood pressure, you should check it at different times of the day, about 5-6 times. If you have already been diagnosed with hypertension and are taking high blood pressure medication, your blood pressure measurements should coincide with your doses. The best time to check it is before you take your medication. Your primary care physician should provide you with education and recommendations for a routine to check your own blood pressure and track those results in a blood pressure diary.

Category: Blood Pressure

If you smoke, quit. Add some form of regular exercise. Reduce your intake of sodium, alcohol, caffeine, added sugars and refined carbohydrates. Lose some weight. By reducing your body mass index (BMI) by just 5%, you could significantly lower your blood pressure.

Add calcium, magnesium and potassium rich foods, soy, dark chocolate or cocoa and fresh berries to your diet. Many nutritionists recommend whey protein, Co-Q-10, fish oil, Hibiscus, Berberine and aged garlic extract for their beneficial effect on blood-pressure reduction.

Add any type of stress reduction activities in addition to meditation. There is a well-known connection between daily stress associated with work, family or financial difficulties and its negative impact on our blood pressure. Developing effective stress management reduction skills will have a very powerful beneficial impact on your general wellness and mental fitness. Finally, sleep apnea (excessive snoring) has been directly linked to high blood pressure, and other chronic illnesses. Lakes Urgent Care can help you set up a sleep study if you are unable to do so through your primary care physician.

Category: Blood Pressure

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All Questions

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Blood Pressure

We have known for a long time that high blood pressure is a silent killer, often with no symptoms. New treatment guidelines were announced at the annual meeting of the American Heart Association and American College of Cardiology on November 13, 2017.

The new guidelines may impact up to 50% of our adult population and are based upon extensive research by a panel of scientific health experts. But there is still much work to be done within the medical field to effectively roll out and apply these recommendations in the clinical setting. Proactively treating patients sooner will help reduce the risk of poor outcomes and complications associated with untreated hypertension.

If you do not have a primary care physician, the physicians at Lakes Urgent Care can help with your initial assessment and direct your follow up care with a high-quality primary care provider.

Category: Blood Pressure

Children, teenagers and young adults should get their blood pressure checked at least once every 5 years. Given the new guidelines, I recommend that this same group get their blood pressure checked at least once annually. As you age, your blood pressure is likely to increase and should be checked more often. If you have any type of underlying chronic illness, more frequent blood pressure checks are mandatory. Your blood pressure fluctuates during the day, so when you start tracking your blood pressure, you should check it at different times of the day, about 5-6 times. If you have already been diagnosed with hypertension and are taking high blood pressure medication, your blood pressure measurements should coincide with your doses. The best time to check it is before you take your medication. Your primary care physician should provide you with education and recommendations for a routine to check your own blood pressure and track those results in a blood pressure diary.

Category: Blood Pressure

If you smoke, quit. Add some form of regular exercise. Reduce your intake of sodium, alcohol, caffeine, added sugars and refined carbohydrates. Lose some weight. By reducing your body mass index (BMI) by just 5%, you could significantly lower your blood pressure.

Add calcium, magnesium and potassium rich foods, soy, dark chocolate or cocoa and fresh berries to your diet. Many nutritionists recommend whey protein, Co-Q-10, fish oil, Hibiscus, Berberine and aged garlic extract for their beneficial effect on blood-pressure reduction.

Add any type of stress reduction activities in addition to meditation. There is a well-known connection between daily stress associated with work, family or financial difficulties and its negative impact on our blood pressure. Developing effective stress management reduction skills will have a very powerful beneficial impact on your general wellness and mental fitness. Finally, sleep apnea (excessive snoring) has been directly linked to high blood pressure, and other chronic illnesses. Lakes Urgent Care can help you set up a sleep study if you are unable to do so through your primary care physician.

Category: Blood Pressure

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"It took less than 40 min to register, complete paperwork, see the doctor, get test results, and be discharged. Best doctor experience ever."

Greg

Lakes Urgent Care
5.0
2018-05-22T14:38:59-04:00

Greg

"It took less than 40 min to register, complete paperwork, see the doctor, get test results, and be discharged. Best doctor experience ever."
"The urgent care here is wonderful. Everyone is caring and kind and not condescending or rude. I was greeted promptly and brought to a room quickly. As far as my past experiences at urgent cares, this is far and beyond the best one I've been to! They were kind and quick with the check up, and honest about medications and possibilities."

Jennifer

Lakes Urgent Care
5.0
2017-07-21T13:12:19-04:00

Jennifer

"The urgent care here is wonderful. Everyone is caring and kind and not condescending or rude. I was greeted promptly and brought to a room quickly. As far as my past experiences at urgent cares, this is far and beyond the best one I've been to! They were kind and quick with the check up, and honest about medications and possibilities."


"Friendly staff, nice building and waiting room. By the time I finished filling out the paperwork I was already being seen. The doctor gave me clear and concise treatment and direction, and all support staff were professional but also had a healthy humor and helped me feel better in my mind as well. Didn't require me to have insurance, and didn't destroy my savings. All in all, a perfect experience."



Nicholas

Lakes Urgent Care
5.0
2019-12-16T13:47:35-05:00

Nicholas

"Friendly staff, nice building and waiting room. By the time I finished filling out the paperwork I was already being seen. The doctor gave me clear and concise treatment and direction, and all support staff were professional but also had a healthy humor and helped me feel better in my mind as well. Didn't require me to have insurance, and didn't destroy my savings. All in all, a perfect experience."
"The doctor was AMAZING!! I got in quick, he was the most thorough, and no nonsense doctor I've ever been to! He listened to me, gave me the correct prescriptions"

Gail

Lakes Urgent Care
5.0
2016-12-21T11:07:36-05:00

Gail

"The doctor was AMAZING!! I got in quick, he was the most thorough, and no nonsense doctor I've ever been to! He listened to me, gave me the correct prescriptions"
"The doctors were prompt, had great bedside manner, and were accurate with their diagnosis and treatment. We also appreciated their follow up care and genuine care."

Annette

Lakes Urgent Care
5.0
2016-12-21T11:13:45-05:00

Annette

"The doctors were prompt, had great bedside manner, and were accurate with their diagnosis and treatment. We also appreciated their follow up care and genuine care."


"It was very quick and painless! In and out in less than 20 min, the doctor, Dr. Youseff, was very kind, compassionate, took the time to listen, and to explain. I really liked the facility and the staff, overall a great experience!"



Zeina

Lakes Urgent Care
5.0
2019-12-16T13:38:25-05:00

Zeina

"It was very quick and painless! In and out in less than 20 min, the doctor, Dr. Youseff, was very kind, compassionate, took the time to listen, and to explain. I really liked the facility and the staff, overall a great experience!"
"Wonderful care! Great with toddlers! Wait time was very short. New location is wonderful. Water bottles available in the waiting room. Wait time was reasonable. Dr. Khan was very helpful and his treatment plan for my illness was easy to follow!"

Zoe-Michelle

Lakes Urgent Care
5.0
2019-12-16T13:59:03-05:00

Zoe-Michelle

"Wonderful care! Great with toddlers! Wait time was very short. New location is wonderful. Water bottles available in the waiting room. Wait time was reasonable. Dr. Khan was very helpful and his treatment plan for my illness was easy to follow!"
"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."

Anthony

Lakes Urgent Care
5.0
2016-12-19T12:52:20-05:00

Anthony

"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."
"Best urgent care ever they have never failed me great friendly staff and I have health issues so I'm always their and they go out of their way for me."

Ray

Lakes Urgent Care
5.0
2016-12-21T11:11:37-05:00

Ray

"Best urgent care ever they have never failed me great friendly staff and I have health issues so I'm always their and they go out of their way for me."
"When I have to use the urgent care services, it's usually pretty quick. The staff is nice. Today's visit was for a mandolin slicer accident. The nurse had a good attitude and the PA that worked on me was very nice and very gentle while cleaning and looking over my wound. I was in and out within an hour and highly recommend this place."

Lea Anne

Lakes Urgent Care
5.0
2017-06-07T14:26:59-04:00

Lea Anne

"When I have to use the urgent care services, it's usually pretty quick. The staff is nice. Today's visit was for a mandolin slicer accident. The nurse had a good attitude and the PA that worked on me was very nice and very gentle while cleaning and looking over my wound. I was in and out within an hour and highly recommend this place."
"Great care, friendly staff. Good medicine isn't always quick medicine but i did not spend a lot of time there but left with great results. Thanks to all that work there."

Dodie

Lakes Urgent Care
5.0
2017-06-07T14:29:51-04:00

Dodie

"Great care, friendly staff. Good medicine isn't always quick medicine but i did not spend a lot of time there but left with great results. Thanks to all that work there."
"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"

Pamela

Lakes Urgent Care
5.0
2017-07-21T15:07:01-04:00

Pamela

"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"
"The Dr and staff were so friendly and helpful and the Medical Assistant was outstanding. She really helped the wait time go by faster and couldn’t be friendlier. I really love this location although I hadn’t been there for 4 years I will always drive further away from where I live to go there."

Tina

Lakes Urgent Care
5.0
2019-12-16T14:07:50-05:00

Tina

"The Dr and staff were so friendly and helpful and the Medical Assistant was outstanding. She really helped the wait time go by faster and couldn’t be friendlier. I really love this location although I hadn’t been there for 4 years I will always drive further away from where I live to go there."
"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."

Erika

Lakes Urgent Care
5.0
2016-12-21T11:13:15-05:00

Erika

"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."
"This Urgent Care facility is the finest you will find in this community. There are many urgent care places closer to where we live but we chose to go a bit out of our way because of the reputation of Lakes Urgent Care. My husband was treated with respect, all of his concerns were listened to and addressed and he was very well taken care of. The PA, Dean Burklund, took his time with the exam and made sure nothing was missed."

Sandi

Lakes Urgent Care
5.0
2019-12-16T14:04:47-05:00

Sandi

"This Urgent Care facility is the finest you will find in this community. There are many urgent care places closer to where we live but we chose to go a bit out of our way because of the reputation of Lakes Urgent Care. My husband was treated with respect, all of his concerns were listened to and addressed and he was very well taken care of. The PA, Dean Burklund, took his time with the exam and made sure nothing was missed."
"They were so wonderful! My daughter had an ear infection and it reached a peak of discomfort, of course, at 8pm. They got her in, seen and prescribed antibiotics in time before our pharmacy closed at 9pm. It was such a relief. Thank you to this fantastic team!"

Julia

Lakes Urgent Care
5.0
2019-12-16T14:06:27-05:00

Julia

"They were so wonderful! My daughter had an ear infection and it reached a peak of discomfort, of course, at 8pm. They got her in, seen and prescribed antibiotics in time before our pharmacy closed at 9pm. It was such a relief. Thank you to this fantastic team!"
"The Doctor did everything she could do for me and i was able to walk out (i was wheeled in) and to top it off I got a follow up call from Nicole today."

Jessica

Lakes Urgent Care
5.0
2016-12-21T11:12:30-05:00

Jessica

"The Doctor did everything she could do for me and i was able to walk out (i was wheeled in) and to top it off I got a follow up call from Nicole today."
"I've only had great experiences here. For an urgent care facility, they are quick and efficient. The staff is very friendly and wait times are minimal."

Amanda

Lakes Urgent Care
5.0
2016-12-19T12:54:48-05:00

Amanda

"I've only had great experiences here. For an urgent care facility, they are quick and efficient. The staff is very friendly and wait times are minimal."
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