Lakes Urgent Care’s Dr. Sanford Vieder answers your timely health care questions

Dr. Sanford J. Vieder, D.O., FACOEP is board certified in emergency medicine and urgent care medicine, and a Fellow of the American College of Emergency Physicians. He is Lakes Urgent Care’s medical director and is currently chairman and medical director at Beaumont Hospital’s Emergency Trauma Center in Farmington Hills. Dr. Vieder serves on the Medical Control Authority for both Oakland and Wayne Counties. He also serves as the medical director for multiple local police and fire departments including Farmington Hills. In 2007 he received the Maimonides Award for his outstanding leadership and support of the Health Professions Division of the State of Israel. He was named an HOUR Detroit Top Doc for Emergency Medicine for the 11th consecutive year in 2021.



Featured Questions:

COVID-19 Testing

There are 4 basic tests currently approved by the FDA for the detection of the Covid-19 virus:

Rapid antigen test:  detects particles of the Covid-19 virus and is most effective between days 3 and 10 following exposure to the virus. Results are available within 20 minutes.

Rapid PCR test: detects a different particle of the Covid-19 virus and is most sensitive for active disease, typically turning positive within 5 days of exposure and active infection.  Like the gold standard PCR test, this test can remain positive for up to 3 months after active infection. Results are available within 20 minutes of sample run. Testing supplies for this type of test are very limited across the country and therefore we follow strict CDC protocol to determine if this test should be completed.

Full standard PCR test: the “gold standard test” and by far the most sensitive and specific. This test also detects a different particle of the Covid-19 virus and is most sensitive for active disease, typically turning positive within 5 days of exposure and active infection.  This test can remain positive for up to 3 or more months after active infection. Results are available within 24-48 hours of sample run.

Serum antibody test: this is a blood test which detects antibodies in the blood which develop after recovery from an active infection and are created by the immune system.  This test is best used a minimum of 14 days after known or suspected infection. Test results are typically available within 24-48 hours of sample run. Antibody test can also be used to determine if your immune system has properly responded to the Covid-19 vaccine.

Category: COVID-19 Testing

The clinical decision about which test should is best utilized depends upon the history of exposure, current symptoms including their time of onset and a physical exam.  While we certainly understand that everyone desires to have an immediate or “rapid result”, a rapid test may not be the best choice to obtain the most accurate diagnosis and actually lead to an incorrect diagnosis.

Lakes Urgent Care follows current CDC guidelines and best practice algorithms.  We make frequent updates to practice guidelines so we can provide the best care possible.  Utilizing this information in conjunction with each specific patient’s history and physical exam, our providers will recommend the best test to be performed for each individual patient. It is important to understand that there is no one size fits all approach when dealing with Covid-19!

Category: COVID-19 Testing

This can be a challenging question and there is significant information and clinical decisions to be made, based upon that information to make the best recommendations about testing.

If you previously had a confirmed positive test, the CDC does not support “retesting until negative” and many insurance companies will not cover repeated tests in this circumstance.  The reason for this is that you are likely to continue testing positive for up to 3 or more months.  What is critical, is whether you have symptoms of Covid-19 or possibly some other source of infection.

If you have never tested positive and are concerned that you have been exposed, it is best to quarantine to protect others (even if you have no symptoms) and wait until day 5 after exposure to be tested, while maintaining the quarantine.

If you have never previously tested positive but are now symptomatic, we can certainly test you, although the results may be conflicting.  In this situation maintaining quarantine to protect others is paramount until you have been tested and the result is available.  Also keep in mind, that while Covid-19 is by far the most prevalent current community infection, there are literally hundreds of other viral illnesses which could be responsible for your current symptoms.  Strep throat, pneumonia, upper respiratory infections and to a lesser extent, influenza, are still prevalent at this time and can be the source of your symptoms or illness.

Category: COVID-19 Testing

All Questions

Click on a question or topic below to learn more.

COVID-19 Testing

There are 4 basic tests currently approved by the FDA for the detection of the Covid-19 virus:

Rapid antigen test:  detects particles of the Covid-19 virus and is most effective between days 3 and 10 following exposure to the virus. Results are available within 20 minutes.

Rapid PCR test: detects a different particle of the Covid-19 virus and is most sensitive for active disease, typically turning positive within 5 days of exposure and active infection.  Like the gold standard PCR test, this test can remain positive for up to 3 months after active infection. Results are available within 20 minutes of sample run. Testing supplies for this type of test are very limited across the country and therefore we follow strict CDC protocol to determine if this test should be completed.

Full standard PCR test: the “gold standard test” and by far the most sensitive and specific. This test also detects a different particle of the Covid-19 virus and is most sensitive for active disease, typically turning positive within 5 days of exposure and active infection.  This test can remain positive for up to 3 or more months after active infection. Results are available within 24-48 hours of sample run.

Serum antibody test: this is a blood test which detects antibodies in the blood which develop after recovery from an active infection and are created by the immune system.  This test is best used a minimum of 14 days after known or suspected infection. Test results are typically available within 24-48 hours of sample run. Antibody test can also be used to determine if your immune system has properly responded to the Covid-19 vaccine.

Category: COVID-19 Testing

The clinical decision about which test should is best utilized depends upon the history of exposure, current symptoms including their time of onset and a physical exam.  While we certainly understand that everyone desires to have an immediate or “rapid result”, a rapid test may not be the best choice to obtain the most accurate diagnosis and actually lead to an incorrect diagnosis.

Lakes Urgent Care follows current CDC guidelines and best practice algorithms.  We make frequent updates to practice guidelines so we can provide the best care possible.  Utilizing this information in conjunction with each specific patient’s history and physical exam, our providers will recommend the best test to be performed for each individual patient. It is important to understand that there is no one size fits all approach when dealing with Covid-19!

Category: COVID-19 Testing

This can be a challenging question and there is significant information and clinical decisions to be made, based upon that information to make the best recommendations about testing.

If you previously had a confirmed positive test, the CDC does not support “retesting until negative” and many insurance companies will not cover repeated tests in this circumstance.  The reason for this is that you are likely to continue testing positive for up to 3 or more months.  What is critical, is whether you have symptoms of Covid-19 or possibly some other source of infection.

If you have never tested positive and are concerned that you have been exposed, it is best to quarantine to protect others (even if you have no symptoms) and wait until day 5 after exposure to be tested, while maintaining the quarantine.

If you have never previously tested positive but are now symptomatic, we can certainly test you, although the results may be conflicting.  In this situation maintaining quarantine to protect others is paramount until you have been tested and the result is available.  Also keep in mind, that while Covid-19 is by far the most prevalent current community infection, there are literally hundreds of other viral illnesses which could be responsible for your current symptoms.  Strep throat, pneumonia, upper respiratory infections and to a lesser extent, influenza, are still prevalent at this time and can be the source of your symptoms or illness.

Category: COVID-19 Testing

Patients of all ages can be tested at Lakes Urgent Care, but we ask that you kindly make an appointment in advance so we can minimize any wait time for you in addition to minimizing the number of patients in the urgent care at any given time, which helps eliminate exposure risks for everyone. You can easily make an appointment by going to our website and taking a few short minutes to register and find an available convenient time for you or a family member.

Category: COVID-19 Testing

 

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