Doctor Darren Updyke of Mary Washington Hospital.
congrats!

Patient (me) presents with PPMS, balance issues, 4 compression fractures in spine, and a swollen ankle from a fall that took place approximately 6 weeks ago. Patient requests an xray and no meds.

Diagnosis- no fracture present in ankle, bone fragments on joint indicate there was a fracture at time of injury, ripped achilles tendon, torn ligaments, and excessive fluid in ankle. And fyi patient has an extra bone in back of ankle.

Solution- air cast and crutches!

Why does he get the award you ask? Let's see, I told him I am on morphine 3x a day. So he writes me a scrpit for vicoden. Which I give back to him and remind him I am on morphine. He decided to slip the script into the middle of my discharge papers.
and crutches... let's see, I fell bc I have BALANCE issues from ms. This is how I injured my ankle. Top this with the broken back and combine it with the 2 dogs and small child at home and you will get another trip to the ER.

I just wanted an xray!!