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

Ticks and Lyme Disease

Ticks are skillful at attaching themselves to skin. When they do, it is difficult to remove them. Use fine tweezers to grasp the tick as close to the skin surface as possible and pull at a perpendicular angle to the skin surface until they let go. Removal should be attempted as quickly as possible to decrease the length of exposure.  Avoid “breaking” the tick so that no small pieces are left in the skin which could cause a localized infection. In rare instances where a tick bite does lead to an infection, initial signs and symptoms include itching, burning and redness in a circular fashion around the tick bite. Sometimes that rash can proceed to what is called a bull’s-eye lesion with concentric red circles around the bite area. If the disease is going to progress, you’ll start to have flu-like symptoms including muscle aches, fatigue, headache and fever. If you begin to experience any of these symptoms following a possible tick bite, get evaluated by your primary care physician or go to a certified urgent care like Lakes Urgent Care to initiate prompt diagnosis and treatment.

Most ticks don’t carry diseases and most tick bites don’t cause serious health problems.

But several diseases are attributed to bacteria transmitted by tick bites including Lyme Disease and Rocky Mountain Spotted Fever. Ticks can act as a transmitter of disease for both humans and many domesticated animals. When ticks latch onto their host to obtain a blood meal, they transmit these potentially infectious bacteria through their saliva. If you have a dog that likes to run in the woods, he will be at higher risk for having a tick join him. Your veterinarian can recommend either a monthly flea and tick preventative chew tablet or topical medication to reduce the risk of your dog becoming infected with ticks or bringing them into your home.

Tick infestations and activity in the lower Peninsula of Michigan has been increasing over the past few years and there are some specific things you can do to stay safe. When on a hike, walk in the center of the trail. Wear light colored clothing to make ticks easy to spot. Apply an insect repellent containing at least 20% DEET. Consider wearing clothing treated with permethrin when hiking or working in wooded areas. Also consider placing your clothes in a dryer on high heat for at least 60 minutes upon returning from potential exposure areas to kill the ticks. In our region, the greatest time of risk is from April through September.

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Ticks and Lyme Disease

Ticks are skillful at attaching themselves to skin. When they do, it is difficult to remove them. Use fine tweezers to grasp the tick as close to the skin surface as possible and pull at a perpendicular angle to the skin surface until they let go. Removal should be attempted as quickly as possible to decrease the length of exposure.  Avoid “breaking” the tick so that no small pieces are left in the skin which could cause a localized infection. In rare instances where a tick bite does lead to an infection, initial signs and symptoms include itching, burning and redness in a circular fashion around the tick bite. Sometimes that rash can proceed to what is called a bull’s-eye lesion with concentric red circles around the bite area. If the disease is going to progress, you’ll start to have flu-like symptoms including muscle aches, fatigue, headache and fever. If you begin to experience any of these symptoms following a possible tick bite, get evaluated by your primary care physician or go to a certified urgent care like Lakes Urgent Care to initiate prompt diagnosis and treatment.

Most ticks don’t carry diseases and most tick bites don’t cause serious health problems.

But several diseases are attributed to bacteria transmitted by tick bites including Lyme Disease and Rocky Mountain Spotted Fever. Ticks can act as a transmitter of disease for both humans and many domesticated animals. When ticks latch onto their host to obtain a blood meal, they transmit these potentially infectious bacteria through their saliva. If you have a dog that likes to run in the woods, he will be at higher risk for having a tick join him. Your veterinarian can recommend either a monthly flea and tick preventative chew tablet or topical medication to reduce the risk of your dog becoming infected with ticks or bringing them into your home.

Tick infestations and activity in the lower Peninsula of Michigan has been increasing over the past few years and there are some specific things you can do to stay safe. When on a hike, walk in the center of the trail. Wear light colored clothing to make ticks easy to spot. Apply an insect repellent containing at least 20% DEET. Consider wearing clothing treated with permethrin when hiking or working in wooded areas. Also consider placing your clothes in a dryer on high heat for at least 60 minutes upon returning from potential exposure areas to kill the ticks. In our region, the greatest time of risk is from April through September.

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