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

Sleep

Sleep hygiene refers to the quantity and quality of the sleep that you obtain each night. It is important to get an appropriate amount of sleep, making sure it’s not too little or too excessive. Our sleep needs are dynamic and change across different ages and can be impacted by lifestyle and health status. As a general guide, teens need about 8-10 hours a night, young adults and adults need about 7-9 hours, and adults 65+ need about 7-8 hours each night.  Having good sleep hygiene is critical to your overall health and can have a significant positive impact on the reduction of high blood pressure, diabetes and other chronic diseases.

Category: Sleep

Make sure that your bedroom is completely conducive to sleep. Dark shades, noise reduction and eliminating a bright clock are helpful. Avoid nicotine, alcohol and caffeine a minimum of four hours prior to anticipated bedtime. Try to maintain a regular circadian rhythm and sleep cycle by being consistent with the time that you go to sleep and awaken each day as much as possible. Exercising earlier in the day is better than in the evening. Make sure that you balance your fluid intake to avoid excessive amounts of volume before bedtime which may trigger more trips to the bathroom during the night.

Category: Sleep

If you do not awaken with pain or soreness, there may be no need to change your sleep position. However, the vast majority of people do sleep on their side which can lead to significant shoulder and neck pain. If you are a side sleeper, make sure that you use a pillow that’s thick enough to support your head and take some of the pressure off your shoulders as well as your neck. In addition, sleeping on your right side can potentially increase problems of heartburn and acid reflux. Those who sleep on their stomach should use a flatter pillow to avoid excessive pressure on the neck and upper back. Sleeping on your back is the best position anatomically speaking, but less than 10% of people actually do so. Sleeping on your back helps to reduce aches, pains and heartburn because it allows the body to rest in a completely neutral position. The downside to sleeping on the back is that it can increase the amount of snoring. Regardless of which position you ultimately sleep in, comfort is the key and if you awaken refreshed and without significant aches or pains, you’re probably in the perfect position!

Category: Sleep

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Sleep

Sleep hygiene refers to the quantity and quality of the sleep that you obtain each night. It is important to get an appropriate amount of sleep, making sure it’s not too little or too excessive. Our sleep needs are dynamic and change across different ages and can be impacted by lifestyle and health status. As a general guide, teens need about 8-10 hours a night, young adults and adults need about 7-9 hours, and adults 65+ need about 7-8 hours each night.  Having good sleep hygiene is critical to your overall health and can have a significant positive impact on the reduction of high blood pressure, diabetes and other chronic diseases.

Category: Sleep

Make sure that your bedroom is completely conducive to sleep. Dark shades, noise reduction and eliminating a bright clock are helpful. Avoid nicotine, alcohol and caffeine a minimum of four hours prior to anticipated bedtime. Try to maintain a regular circadian rhythm and sleep cycle by being consistent with the time that you go to sleep and awaken each day as much as possible. Exercising earlier in the day is better than in the evening. Make sure that you balance your fluid intake to avoid excessive amounts of volume before bedtime which may trigger more trips to the bathroom during the night.

Category: Sleep

If you do not awaken with pain or soreness, there may be no need to change your sleep position. However, the vast majority of people do sleep on their side which can lead to significant shoulder and neck pain. If you are a side sleeper, make sure that you use a pillow that’s thick enough to support your head and take some of the pressure off your shoulders as well as your neck. In addition, sleeping on your right side can potentially increase problems of heartburn and acid reflux. Those who sleep on their stomach should use a flatter pillow to avoid excessive pressure on the neck and upper back. Sleeping on your back is the best position anatomically speaking, but less than 10% of people actually do so. Sleeping on your back helps to reduce aches, pains and heartburn because it allows the body to rest in a completely neutral position. The downside to sleeping on the back is that it can increase the amount of snoring. Regardless of which position you ultimately sleep in, comfort is the key and if you awaken refreshed and without significant aches or pains, you’re probably in the perfect position!

Category: Sleep

If you’ve already made an effort to address all the things you can do on your own and continued to have insomnia, that would be a good indicator to seek medical attention.

Start by seeing your primary care physician. They can often help you work through some additional factors that may be contributing to your insomnia before recommending or prescribing any type of medication to improve your ability to fall asleep or staying asleep. In some instances, they may even recommend that you undergo a sleep study along with consultation with the physician who specializes in sleep disorders.

Category: Sleep

Unfortunately, for children adults alike, we are part of a modern society and generation of chronically sleep deprived individuals. Recent studies indicate that as many as 87% of high school students do not get the recommended 8-10 hours of daily sleep. Routine over-programming, high expectations for academic and athletic performance, along with the technological and social pressures consume a disproportionate number of hours daily. The deficit this creates has a negative impact on quality sleep time for all of us.

Failing to get an adequate amount of quality sleep on a regular basis can lead to a long list of significant health problems, including issues with learning and behavior, mental health issues such as memory loss and depression, a higher risk of obesity and behaviors that are likely to foster dependence on medication or recreational drugs. Scientific studies have also shown that there is significant worsening of hypertension, diabetes and emotional disorders with ongoing sleep deprivation.

Category: Sleep

There is significant scientific evidence suggesting how not only the amount of sleep we get each day but the quality of that sleep is critical to our overall health. So you are wise to get your kids back on track after a summer of deprogramming and fun. Perhaps the best recommendation is to begin “powering down” our brains at least one hour

Perhaps the best recommendation is to begin “powering down” our brains at least one hour before scheduled bedtime. This means turning off all the electronics around us including TVs, laptops and Smart phones. Bright light is one of the primary triggers that your brain uses to help regulate your sleep/wake cycle. Limiting that exposure prior to bedtime is critical. Setting a specific time or even an alarm signaling when it is time to go to bed can begin to get you back on track. Try and do this before the school year starts to adjust to this new circadian rhythm.

Other simple things that you can do include limiting caffeine intake many hours prior to bedtime, assuring that the bedroom is quiet and dark, and for those of you would like to share the bed with your favorite pet, reconsider having your dog or cat find her own perfect place to sleep outside of the bedroom.

Category: Sleep

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