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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

Outdoor Summer Safety

For your health and safety, it is critical to clean your grill grates before you start cooking. The concern with wire brush cleaning tools is that the wire bristles can snap off, land in the grates and ultimately find their way into your food. There are hundreds of emergency department visits annually related to ingested wire bristles.

The good news is that there are many safer and just as effective alternatives to a wire brush. Consider using a grill cleaning stone or brick, a bristle free metal brush made of metal coil or even a nylon bristle brush. These are all safer alternatives. If you do want to stick with a wire brush, make sure that it is in good condition and always wipe down the grates or grill surface with a wet paper towel after using the wire brush.

There is nothing better than the aroma and taste of summer grilling! Unfortunately, there is now ample research indicating that cooking meats at high temperature with flames that cause excessive charring increases the presence of HCA’s and PHA’s which are the chemicals known to increase the risk of cancer. As with so many other things in our lives, moderation is the key.

Marinating meats for at least 30 minutes prior to grilling provides a protective mechanism that prevents these chemicals from developing. Cut back on grill time, reduce the heat being used and avoid direct flame to the foods being cooked. Before cooking, clean your grill thoroughly to remove carcinogenic residue that builds up over time. Processed meats such as hot dogs and sausages also have an increased risk associated with these potential carcinogens.

Consider swapping grilled meats for grilled vegetables and fruits, which do not carry the same risk. This will allow you to enjoy that Bar-B-Q charred taste because the previously mentioned chemicals develop only in muscle proteins.

With any type of head injury, if there has been a loss of consciousness or there is evidence that your athlete has confusion, nausea/ vomiting, visual disturbances or has a headache that will not resolve with a simple dose of Tylenol or Advil, they should be seen by a physician experienced with concussion evaluations. Depending upon the outcome of that evaluation, advanced imaging like a CT scan of the brain may be required.

With extremity injuries, a good role of thumb is if they cannot reliably bear weight on a lower extremity or use their upper extremity for simple tasks like opening a door or carrying a book, it is best to have a physician evaluate that injury and take diagnostic x-rays to rule out the possibility of a fracture.  Keep in mind that even though somebody may be able to move a joint, there may still be an underlying fracture and the only reliable method to determine this is with an x-ray and a physician evaluation.

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All Questions

Click on a question or topic below to learn more.

Outdoor Summer Safety

For your health and safety, it is critical to clean your grill grates before you start cooking. The concern with wire brush cleaning tools is that the wire bristles can snap off, land in the grates and ultimately find their way into your food. There are hundreds of emergency department visits annually related to ingested wire bristles.

The good news is that there are many safer and just as effective alternatives to a wire brush. Consider using a grill cleaning stone or brick, a bristle free metal brush made of metal coil or even a nylon bristle brush. These are all safer alternatives. If you do want to stick with a wire brush, make sure that it is in good condition and always wipe down the grates or grill surface with a wet paper towel after using the wire brush.

There is nothing better than the aroma and taste of summer grilling! Unfortunately, there is now ample research indicating that cooking meats at high temperature with flames that cause excessive charring increases the presence of HCA’s and PHA’s which are the chemicals known to increase the risk of cancer. As with so many other things in our lives, moderation is the key.

Marinating meats for at least 30 minutes prior to grilling provides a protective mechanism that prevents these chemicals from developing. Cut back on grill time, reduce the heat being used and avoid direct flame to the foods being cooked. Before cooking, clean your grill thoroughly to remove carcinogenic residue that builds up over time. Processed meats such as hot dogs and sausages also have an increased risk associated with these potential carcinogens.

Consider swapping grilled meats for grilled vegetables and fruits, which do not carry the same risk. This will allow you to enjoy that Bar-B-Q charred taste because the previously mentioned chemicals develop only in muscle proteins.

With any type of head injury, if there has been a loss of consciousness or there is evidence that your athlete has confusion, nausea/ vomiting, visual disturbances or has a headache that will not resolve with a simple dose of Tylenol or Advil, they should be seen by a physician experienced with concussion evaluations. Depending upon the outcome of that evaluation, advanced imaging like a CT scan of the brain may be required.

With extremity injuries, a good role of thumb is if they cannot reliably bear weight on a lower extremity or use their upper extremity for simple tasks like opening a door or carrying a book, it is best to have a physician evaluate that injury and take diagnostic x-rays to rule out the possibility of a fracture.  Keep in mind that even though somebody may be able to move a joint, there may still be an underlying fracture and the only reliable method to determine this is with an x-ray and a physician evaluation.

Wearing a properly-fitted helmet, which has been approved with the ATSM label, is an excellent start. In addition to a proper fit on the head itself, make sure your kids understand that it’s critical to also wear the chin strap, so the helmet stays on their head! Beyond that, consider additional safety devices like properly-fitted wrist guards, elbow pads and kneepads. We frequently see severe elbow fractures as a result of skateboard falls, which can quickly ruin a child’s summer.

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.

The vast majority of insect bites do not require medical attention. It is common to have some localized redness and swelling immediately after a bite. However, if the bite site begins to appear infected, redness, swelling, severe pain or any fluid draining from the area, you should seek medical attention, as the infection may require antibiotic treatment. If the bug bite causes the individual any facial swelling, shortness of breath or trouble breathing, seek medical attention immediately.

There are simple measures you can take to help reduce your risk of exposure to bug bites. Wear long sleeves and long pants when planning evening outdoor activities. In addition, apply a good quality insect repellent that contains at least 10 percent DEET, and use preventive environmental products such as citronella candles and yard torches. Mosquitoes frequently breed in standing water and puddles so, be vigilant and don’t let water accumulate around your home.

To ensure that you get the maximum protection from your sunscreen product, apply sunscreen prior to going out in the sun. You generally need approximately 1 ounce (the equivalent of a shot glass) applied to the overexposed areas. Then follow the recommended reapplication guidelines mentioned previously above. Another important fact to know is that no sunscreen is truly waterproof. Some products are more resistant to coming off when exposed to water or sweat, but the best defense to ensure that your sunscreen does not come off your skin when exposed to the sun is frequent reapplication, particularly after swimming, to avoid any risk of unintended exposure.

As the old rhyme goes, “leaves of 3—let them be!” Poison ivy is a three-leafed very distinct appearing plant that generally grows in the midst of other shrubbery. It rarely grows independently.
The rash caused by poison ivy is from an oily resin found in the leaves, stem and roots. When this oil touches your skin, it often causes a very itchy and blistering rash. If you believe you have come in contact with this plant, immediately wash the area with soap and water. There are products available that are effective at specifically removing poison ivy oil. You can find them online or at camping/outdoor stores.

If you develop a rash, it can generally be safely treated at home with a topical hydrocortisone cream and an antihistamine like diphenhydramine for the itching. An oatmeal bath can also be very beneficial to help treat severe itching. If the rash is gets infected (generally from scratching the lesions), then you should seek medical care with your primary care physician or a certified urgent care center.

Most lawn equipment today comes with excellent safety features built-in. However, there is no substitute for reading the owners’ manual (yes gentlemen, you should do this!) and fully understanding how the equipment works. While lawn tools can be very effective in helping create a wonderful appearance in the yard, they can also be extremely dangerous. There’s no replacement for common sense along with these safety recommendations:

  1. Always wear closed toe shoes and work gloves to protect your hands and feet.
  2. If a device stops working properly and you believe that there may be something jamming a rotating blade or other moving part, always shut the device off and refer to the manual for troubleshooting. Do not risk injury by substituting your fingers for tools.
  3. Be aware that cutting devices can frequently launch unexpected materials, striking the operator, other people or pets and causing severe injury.

While choosing the best sunscreen is important, perhaps even more crucial is using it correctly — something a lot of us don’t do.

Sunscreen is best applied before going outdoors and before planned activity. Once outdoors, it is best to reapply sunscreen again following swimming or participating in an activity where you may sweat. Although some sunscreen products claim they remain effective after swimming, it is always best to reapply sunscreen after drying off. The FDA defines water-resistant sunscreen as meaning that the SPF level stays effective after 40 minutes in the water. Sunscreens are in no way waterproof, so you’ll need to reapply them regularly after you take a dip.

Don’t forget that wearing a hat and sun glasses with UV-A and UV-B type filtering and some type of clothing is always recommended which is more effective than just sunscreen alone. Enjoy the beautiful Michigan summers safely!

It is critical to choose a sunscreen with broad-spectrum or multi-spectrum protection for both UVA and UVB. Sunscreen products are rated by their “sun protection factor” (SPF). This rates how well the sunscreen protects against one type of cancer causing UV ray, ultraviolet B (UVB.) UVA rays do not cause the skin to burn, but do increase the risk of skin cancer and are largely responsible for the wrinkles associated with prolonged sun exposure.

For the vast majority of people, SPF 15 is fine. People who have very fair skin, a family history of skin cancer, or other conditions like Lupus that increase sensitivity to sunlight should consider SPF 30 or higher.

Keep in mind that the higher the SPF, the smaller the increased benefit: contrary to what you might think, SPF 30 isn’t twice as strong as SPF 15. While SPF 15 filters out 93% of UVB, SPF 30 filters out 97%. Generally, the cost of sunscreen products increases with the higher SPF rating.

The sensitive skin of babies and children is easily irritated by chemicals found in adult sunscreens, so avoid sunscreens with para-aminobenzoic acid (PABA),sulisobenzone, oxybenzone or dioxybenzone. Children’s sunscreens use ingredients less likely to irritate the skin, like titanium dioxide and zinc oxide.

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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. ...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 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 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."
"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."
"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 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."
"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"
"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."
"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 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."
"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!"
"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."
"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!"
"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 :)"
"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."
"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 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."
"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."
"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."
"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!"
"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."
"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!"
"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."
"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."
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