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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All Questions

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


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


"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!"
"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."
"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!"
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