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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"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."
"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."
"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."
"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."
"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 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 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."


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