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

Travel-related Health Issues

Plan ahead for delays, changes in weather or other emergencies. Place a small amount of your daily medications in a bottle for your carry-on bag that can take you through a two-day delay. Put your regular medication bottles with your checked baggage. Check the weather, consider that it may change, and bring clothes that allow for layering.

Make sure everyone stays adequately hydrated and drinks plenty of fluids each day, especially when traveling to warmer climates. Bring along plenty of hand sanitizer to reduce your exposure to contaminated surfaces. Also bring a travel package of sanitary wipes and clean commonly touched surfaces in your hotel room, like the TV remote. Finally, do your best to maintain regular sleep and exercise habits.

Bring good shoes for hiking and swim shoes for beach and water activities. Pack exercise clothes so that you can maintain your exercise routine in the hotel gym. If visiting somewhere with a high altitude, contact your physician for altitude sickness medication or see us at Lakes Urgent Care. Make sure that everyone is up to date on any needed vaccinations including the influenza vaccine.

Check the local resources in the area where you are traveling to determine any particular health risks. In the Caribbean and Central America, be wary of mosquito-borne illnesses like Zika. In the African continent, Malaria is more prevalent. Prevention of both of these illnesses can be achieved by utilizing insect repellent containing at least 20% DEET. If you are sleeping in an outdoor environment, always use mosquito netting. There is also an increased risk of contracting hepatitis when traveling to these same areas, so if you have not yet been vaccinated for Hepatitis A and B, we strongly recommend doing so. Both of these vaccines are available at Lakes Urgent Care or through your primary care physician or local health department. Pay attention to the local news stations and weather forecasts during your visit, and avoid outdoor activities if severe weather conditions are expected. Additionally, cold and flu-carrying pathogens cover many surfaces such as desks, door handles, and phones. Keep yourself protected by washing your hands with soap and water often or carrying a hand sanitizer with you at all times.

Be prepared before you leave. If traveling out of the country, find out exactly what your health insurance company will cover. Medicare does not cover hospital or medical costs outside of the United States so you will likely require a supplemental insurance plan or have to pay cash and then seek reimbursement. Contact the nearest US Embassy for a list of physicians and medical facilities that they recommended and trust. The US consulate can also be of assistance if you require the transfer of funds or require repatriation. Give strong consideration to purchasing a global medical transport insurance policy, such as MedJet Assist, that can help a sick family member that requires hospitalization.  There are several companies that offer reasonably priced family plans that can provide significant piece of mind if someone becomes ill outside of the country or more than 150 miles from home.

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All Questions

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Travel-related Health Issues

Plan ahead for delays, changes in weather or other emergencies. Place a small amount of your daily medications in a bottle for your carry-on bag that can take you through a two-day delay. Put your regular medication bottles with your checked baggage. Check the weather, consider that it may change, and bring clothes that allow for layering.

Make sure everyone stays adequately hydrated and drinks plenty of fluids each day, especially when traveling to warmer climates. Bring along plenty of hand sanitizer to reduce your exposure to contaminated surfaces. Also bring a travel package of sanitary wipes and clean commonly touched surfaces in your hotel room, like the TV remote. Finally, do your best to maintain regular sleep and exercise habits.

Bring good shoes for hiking and swim shoes for beach and water activities. Pack exercise clothes so that you can maintain your exercise routine in the hotel gym. If visiting somewhere with a high altitude, contact your physician for altitude sickness medication or see us at Lakes Urgent Care. Make sure that everyone is up to date on any needed vaccinations including the influenza vaccine.

Check the local resources in the area where you are traveling to determine any particular health risks. In the Caribbean and Central America, be wary of mosquito-borne illnesses like Zika. In the African continent, Malaria is more prevalent. Prevention of both of these illnesses can be achieved by utilizing insect repellent containing at least 20% DEET. If you are sleeping in an outdoor environment, always use mosquito netting. There is also an increased risk of contracting hepatitis when traveling to these same areas, so if you have not yet been vaccinated for Hepatitis A and B, we strongly recommend doing so. Both of these vaccines are available at Lakes Urgent Care or through your primary care physician or local health department. Pay attention to the local news stations and weather forecasts during your visit, and avoid outdoor activities if severe weather conditions are expected. Additionally, cold and flu-carrying pathogens cover many surfaces such as desks, door handles, and phones. Keep yourself protected by washing your hands with soap and water often or carrying a hand sanitizer with you at all times.

Be prepared before you leave. If traveling out of the country, find out exactly what your health insurance company will cover. Medicare does not cover hospital or medical costs outside of the United States so you will likely require a supplemental insurance plan or have to pay cash and then seek reimbursement. Contact the nearest US Embassy for a list of physicians and medical facilities that they recommended and trust. The US consulate can also be of assistance if you require the transfer of funds or require repatriation. Give strong consideration to purchasing a global medical transport insurance policy, such as MedJet Assist, that can help a sick family member that requires hospitalization.  There are several companies that offer reasonably priced family plans that can provide significant piece of mind if someone becomes ill outside of the country or more than 150 miles from home.

Modern day aviation gets a bad rap when it comes to illnesses associated with commercial flight. The truth is, the air in airplane cabins is actually filtered very well every 3 to 5 minutes with HEPA filters. The primary reason you may get ill is because you are flying in close quarters with a crowd of people, and several of them likely have an infection like the common cold or flu. Germs spread through the air before it gets circulated, resulting in exposure. In reality, the nozzles blowing air above your seat may actually mitigate the effects of germs from those around you who may be coughing or sneezing.

Breaking away from your typical routine of exercise and fitness can certainly be interrupted by a great vacation. Keep in mind that schedule changes, alcohol consumption and dietary changes contribute to falling off your typical routine.

However, if you get a little bit creative you can find some ways to burn off those extra calories and maintain aerobic fitness. Take stairs instead of elevators, do simple things like push-ups, pull-ups and sit-ups to help keep your muscles toned. Take your extra leisure time to go on a long walk or find a new and exciting place to go for a run. You’ll definitely feel better about yourself and your overall fitness when you return home and get back to the daily grind!

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