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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

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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All Questions

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