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

Sports Physicals

The pre-participation physical (often referred to as the sports physical or camp physical) is meant to identify a number of potential early warning signs that an athlete may have a more significant underlying health concern. We screen for visual problems, kidney function and diabetes in addition to cardiovascular and pulmonary symptoms. The key components to this process are providing the physician with honest responses to a series of questions meant to screen for potential heart ailments, including chest pain or discomfort with exertion, fainting spells, excessive fatigue or shortness of breath with activity. The second component is the physical exam, which specifically looks at blood pressure, heart rate and assessment for heart murmurs or abnormal breath sounds. If the history or physical exam reveals any potential heart or lung issues, then additional testing is recommended. Additional testing may be required If there are other signs and symptoms suggesting a possible problezm such as diabetes or kidney disease.

If additional testing is indicated, the clearance for participation may be delayed. Typically, additional tests for heart and lung symptoms may include a chest x-ray, EKG and possibly an echocardiogram (ultrasound exam of the heart), which is an excellent way to screen the heart for structural problems, without using any radiation. Starting September 24th, Lakes Urgent Care will offer echocardiograms for any patient where it may be indicated or in the event a parent wants their athlete screened because of a family history of heart problems such as cardiomyopathy (abnormal enlargement of the heart chambers). The echocardiogram may also be recommended if your student has abnormal blood pressure, any warning signs or symptoms or an abnormal EKG.

Under most circumstances, if your son or daughter just recently had a complete annual physical, your primary care physician will be happy to complete the required sports physical paperwork for you. However, if it’s after hours or you haven’t had that annual physical yet (which we always strongly recommend be done with your primary care physician or pediatrician), but need to turn in the paperwork, you can feel confident that Lakes Urgent Care will give your son or daughter a complete sports physical including additional testing if indicated. We always offer to share any evaluation or testing recommended or completed at Lakes Urgent Care with your primary care physician.

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Sports Physicals

The pre-participation physical (often referred to as the sports physical or camp physical) is meant to identify a number of potential early warning signs that an athlete may have a more significant underlying health concern. We screen for visual problems, kidney function and diabetes in addition to cardiovascular and pulmonary symptoms. The key components to this process are providing the physician with honest responses to a series of questions meant to screen for potential heart ailments, including chest pain or discomfort with exertion, fainting spells, excessive fatigue or shortness of breath with activity. The second component is the physical exam, which specifically looks at blood pressure, heart rate and assessment for heart murmurs or abnormal breath sounds. If the history or physical exam reveals any potential heart or lung issues, then additional testing is recommended. Additional testing may be required If there are other signs and symptoms suggesting a possible problezm such as diabetes or kidney disease.

If additional testing is indicated, the clearance for participation may be delayed. Typically, additional tests for heart and lung symptoms may include a chest x-ray, EKG and possibly an echocardiogram (ultrasound exam of the heart), which is an excellent way to screen the heart for structural problems, without using any radiation. Starting September 24th, Lakes Urgent Care will offer echocardiograms for any patient where it may be indicated or in the event a parent wants their athlete screened because of a family history of heart problems such as cardiomyopathy (abnormal enlargement of the heart chambers). The echocardiogram may also be recommended if your student has abnormal blood pressure, any warning signs or symptoms or an abnormal EKG.

Under most circumstances, if your son or daughter just recently had a complete annual physical, your primary care physician will be happy to complete the required sports physical paperwork for you. However, if it’s after hours or you haven’t had that annual physical yet (which we always strongly recommend be done with your primary care physician or pediatrician), but need to turn in the paperwork, you can feel confident that Lakes Urgent Care will give your son or daughter a complete sports physical including additional testing if indicated. We always offer to share any evaluation or testing recommended or completed at Lakes Urgent Care with your primary care physician.

The pre-participation physical is NOT a substitute for your child’s annual complete physical with his or her pediatrician or primary care physician. The focus of this annual visit is much different and should never be ignored or avoided in your child’s best interest. Vaccination status, psychosocial history exploration, in addition to a much deeper history and physical exam are critical in maintaining excellent health in our children and keeping them safe.

A sports, camp, or pre-participation physical is an abbreviated physical exam which essentially looks for any health issues that may preclude a young athlete from safely participating in the sport or activity of interest. When done properly, the history portion is completed by the parent and then reviewed with the health care provider to determine potential risks.

Family history is an important component to a sports physical.

The physical portion of the exam focuses on the patient’s vision, heart, lung and musculoskeletal system. If the doctor finds any sign of a potential problem, he or she should require a more in depth evaluation or testing with the patient’s regular pediatrician or primary care physician. At Lakes Urgent Care we also routinely complete vision testing along with urine testing as a part of the pre-participation physical.  If there appears to be no reasons for exclusion, the appropriate forms are completed for submission.

Regardless of whether he plays sports or not, your son should have a complete physical exam once a year with his pediatrician or primary care physician. The sport or camp physical should never be used as a substitute for this more thorough annual evaluation. The focus of each of these types of physicals is very different.

The sports physical is really an adjunct to the annual complete physical, with more specific questions about your son’s physical ability to play sports safely. Most health insurance plans to don’t cover services for this type of evaluation, but you can get this completed at a certified urgent care at a very reasonable cost. Simply download and bring your school’s athletic exam form to either your primary care physician or a certified urgent care facility. Lakes Urgent Care takes care of sports physicals easily and quickly if you need us after hours to accommodate your family’s busy schedule.

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