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


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


"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."
"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."
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