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

Playground Safety

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.

Winter is not only hard on our bodies, but also takes a toll on playground equipment. As children begin to move outdoors, check playground equipment for things like worn or rusted bolts, cracked plastic parts or exposed splinters of wood. Make sure that any moving parts have been properly lubricated. It is critical to install some sort of padding or landing zone beneath swings, slides or monkey bars. Ideally, shredded rubber is best, but woodchips, mulch or pea gravel can also serve as adequate padding for falls occurring beneath or around the equipment. Experts generally recommend a depth of at least six to nine inches of these substances in areas where children are likely to fall or hit the ground.

If your child falls and has an obvious deformity to a limb, is unconscious or complains of severe head or neck pain, do not move them. Call 911 for help. It’s very common for kids to fall on their outstretched hand trying to protect themselves, causing a fracture involving the elbow. This type of injury requires a trip to the operating room for treatment. Most other injuries, ranging from a sprain to a moderate to severe cut, can be safely treated in a certified urgent care, saving you time and money.

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Playground Safety

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.

Winter is not only hard on our bodies, but also takes a toll on playground equipment. As children begin to move outdoors, check playground equipment for things like worn or rusted bolts, cracked plastic parts or exposed splinters of wood. Make sure that any moving parts have been properly lubricated. It is critical to install some sort of padding or landing zone beneath swings, slides or monkey bars. Ideally, shredded rubber is best, but woodchips, mulch or pea gravel can also serve as adequate padding for falls occurring beneath or around the equipment. Experts generally recommend a depth of at least six to nine inches of these substances in areas where children are likely to fall or hit the ground.

If your child falls and has an obvious deformity to a limb, is unconscious or complains of severe head or neck pain, do not move them. Call 911 for help. It’s very common for kids to fall on their outstretched hand trying to protect themselves, causing a fracture involving the elbow. This type of injury requires a trip to the operating room for treatment. Most other injuries, ranging from a sprain to a moderate to severe cut, can be safely treated in a certified urgent care, saving you time and money.

Adult supervision is always advised so that you can keep an eye out for potential hazards and be the referee if play gets a little out of hand. Make sure that your child is using age-appropriate equipment. Preschoolers (ages 2 – 5) and school-age children (ages 5 – 12) are developmentally different and should use equipment (hopefully in separate areas) designed for their age group to help ensure a good (and a safe) experience.

The majority of playground injuries are related to children falling to the ground from slides, swings, monkey bars and other equipment. Wood fiber or mulch, pea gravel, sand, poured-in-place rubber, rubber mats or rubber tiles are safer playground surfaces, while concrete, asphalt, black top, and packed dirt or rocks are much more hazardous.

Make sure the equipment, including home play structures, are anchored safely in the ground. You can also do a quick check to see if all equipment pieces are in good working order, S-hooks are entirely closed, bolts are not protruding, and there are no exposed footings. Equipment should be free of rust, splinters, and missing parts.

Strings on clothing, long necklaces, or ropes used for play can cause accidental strangulation if caught on equipment. Ropes used as part of playground equipment should be secured on both ends.

Check for hot surfaces on all playground equipment before your child starts to play on it. If shade structures do not protect the equipment from the sun, the surface can become extremely hot and can even cause burns on the skin. And never let your child go barefoot or wear open toe shoes.

Encourage the use of UVA and UVB protective clothing and sunglasses, suggest playing in shaded areas, and, of course, always use sunscreen. A heat index at or above 90˚F may pose a health risk. Always keep your child well hydrated.

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"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 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."
"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."
"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!"
"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."
"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."


"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."
"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!"
"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."
"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."


"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!"
"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."
"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."
"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."
"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."
"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."
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