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Ask Dr. Vieder

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

Click on a question or topic below to learn more.

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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"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+00:00

Anthony

"With a child, urgent care facilities are such a peace of mind—and until I found Lakes, I never knew where to go."
"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+00:00

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"
"I had gone in for a broken toe, to make sure it wasn't worse then I thought. Facility was very clean. Front desk was great. Got me in. MA was in and quick. Dr. was great, did a thorough exam for an broken toe. X-rays. All the staff was personable, friendly, and fast. Glad I found them."

Adrienne

Lakes Urgent Care
5.0
2017-07-21T14:25:07+00:00

Adrienne

"I had gone in for a broken toe, to make sure it wasn't worse then I thought. Facility was very clean. Front desk was great. Got me in. MA was in and quick. Dr. was great, did a thorough exam for an broken toe. X-rays. All the staff was personable, friendly, and fast. Glad I found them."
"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+00:00

Erika

"The staff was very friendly, respectful, and knowledgeable. I will definitely return for any health issues that will challenge me."
"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+00:00

Pamela

"Excelente servicio, muy recomendable para turistas que necesiten atención médica, no es muy barato pero ofrecen descuentos :)"
"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+00:00

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."
"I went to Lakes Urgent Care after my doctor suggested going to an ER and let me tell you I was SO impressed by this facility. The location is so convenient, the facility is so clean and the staff was incredible. They are running a well-oiled machine! The doctor went through a thorough exam and made me feel that all my questions and symptoms were addressed. I would recommend this place to family and friends and of course know where I will be going the next time I do not feel well. Thank you Lakes Urgent Care!"

Heather

Lakes Urgent Care
5.0
2017-07-21T14:52:21+00:00

Heather

"I went to Lakes Urgent Care after my doctor suggested going to an ER and let me tell you I was SO impressed by this facility. The location is so convenient, the facility is so clean and the staff was incredible. They are running a well-oiled machine! The doctor went through a thorough exam and made me feel that all my questions and symptoms were addressed. I would recommend this place to family and friends and of course know where I will be going the next time I do not feel well. Thank you Lakes Urgent Care!"
"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+00:00

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."
"The doctor was AMAZING!! I got in quick, he was the most thorough and no-nonsense doctor I've ever been to!"

Gail

Lakes Urgent Care
5.0
2017-07-21T14:55:59+00:00

Gail

"The doctor was AMAZING!! I got in quick, he was the most thorough and no-nonsense doctor I've ever been to!"
"We've been to Lakes Urgent Care many times and I have never had anything but a great experience with friendly staff, quick service, and accurate diagnosis. Yesterday my son was there with another bout of Strep Throat. I had lots of questions and the doctor was friendly and answered all of them with patience. I have always been satisfied there. I would recommend it to anyone."

Marla

Lakes Urgent Care
5.0
2017-07-21T15:04:51+00:00

Marla

"We've been to Lakes Urgent Care many times and I have never had anything but a great experience with friendly staff, quick service, and accurate diagnosis. Yesterday my son was there with another bout of Strep Throat. I had lots of questions and the doctor was friendly and answered all of them with patience. I have always been satisfied there. I would recommend it to anyone."
"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+00:00

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."
"They are in and out and they mean business, love it here"

Manuela

Lakes Urgent Care
5.0
2017-11-29T10:22:39+00:00

Manuela

"They are in and out and they mean business, love it here"
"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+00:00

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 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+00:00

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."
"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+00:00

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."
"With a child, urgent care facilities are such a peace of mind--and until I found Lakes, I never knew where to go. ...the staff at Lakes (owners included) made my wife and I feel so confident in their physicians. We were seen in a matter of 5 minutes which is unheard of, and I just can't explain enough how positive of an experience it was. As long as I live where I do, I'll never worry about where I'm going if urgent care is what my family needs."

Anthony

Lakes Urgent Care
5.0
2017-07-21T14:21:29+00:00

Anthony

"With a child, urgent care facilities are such a peace of mind--and until I found Lakes, I never knew where to go. ...the staff at Lakes (owners included) made my wife and I feel so confident in their physicians. We were seen in a matter of 5 minutes which is unheard of, and I just can't explain enough how positive of an experience it was. As long as I live where I do, I'll never worry about where I'm going if urgent care is what my family needs."
"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+00:00

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."
"My primary care doctors were on vacation and their office staff recommended Lakes Urgent Care. 1st time going and was promptly seen and diagnosed with scripts. Friendly staff and open late. Would definitely recommend."

Tony

Lakes Urgent Care
5.0
2018-05-22T14:07:29+00:00

Tony

"My primary care doctors were on vacation and their office staff recommended Lakes Urgent Care. 1st time going and was promptly seen and diagnosed with scripts. Friendly staff and open late. Would definitely recommend."
"During a recent visit to the Detroit area, I experienced sudden and debilitating pain in my left hip. I had no idea what was wrong and was concerned that I would not be able to make the trip back home to Los Angeles. To my extreme relief, the staff at Lakes Urgent Care was able to diagnose and treat my problem quickly and efficiently. I found the staff to be compassionate and professional, and the facility clean and comfortable. I would recommend them to anyone needing urgent care."

Leslie

Lakes Urgent Care
5.0
2018-05-22T14:10:49+00:00

Leslie

"During a recent visit to the Detroit area, I experienced sudden and debilitating pain in my left hip. I had no idea what was wrong and was concerned that I would not be able to make the trip back home to Los Angeles. To my extreme relief, the staff at Lakes Urgent Care was able to diagnose and treat my problem quickly and efficiently. I found the staff to be compassionate and professional, and the facility clean and comfortable. I would recommend them to anyone needing urgent care."
"I was seen quickly, less than 5 minutes. Very professional. They sent my prescriptions to my pharmacy so I could pick them up quickly. Very satisfied."

Janet

Lakes Urgent Care
5.0
2018-05-22T14:06:38+00:00

Janet

"I was seen quickly, less than 5 minutes. Very professional. They sent my prescriptions to my pharmacy so I could pick them up quickly. Very satisfied."
"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+00:00

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."
"The staff was wonderful with my 11 month old daughter. They were fast, thorough and very helpful. The office was clean and they got us in quickly to the room and the doctor came in shortly after. I had to call them back to get a different prescription because our pharmacy was out. The doctor gladly called a new one in and even called me back to tell me that everything was now good. I will definitely recommend them to friends and go there in the future if needed."

Emily

Lakes Urgent Care
5.0
2017-07-21T15:10:09+00:00

Emily

"The staff was wonderful with my 11 month old daughter. They were fast, thorough and very helpful. The office was clean and they got us in quickly to the room and the doctor came in shortly after. I had to call them back to get a different prescription because our pharmacy was out. The doctor gladly called a new one in and even called me back to tell me that everything was now good. I will definitely recommend them to friends and go there in the future if needed."
"In and out within an hour with a sick young child. The staff was very friendly and worked hard to gain the child's trust so they could run some tests. I will be going here for all my urgent care needs!"

Robin

Lakes Urgent Care
5.0
2018-05-22T14:14:55+00:00

Robin

"In and out within an hour with a sick young child. The staff was very friendly and worked hard to gain the child's trust so they could run some tests. I will be going here for all my urgent care needs!"
"Fast service and very friendly staff! Had a good experience! Kim and Hailey were awesome helpful and very friendly! Highly recommend!"

Tania

Lakes Urgent Care
5.0
2018-05-22T14:08:16+00:00

Tania

"Fast service and very friendly staff! Had a good experience! Kim and Hailey were awesome helpful and very friendly! Highly recommend!"
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