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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"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."
"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!"
"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!"
"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!"
"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!"
"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!"
"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!!"
5
7
Lakes Urgent Care