### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Hi my name is Kelli Jo...Last July I was involved in a (hit & run) accident. I was struck by a truck motorist and broke my left tibia. Underwent surgery receiving a metal plate with 8 screws. About a month after surgery my right ankle started to swell. Surgeon encouraged me to see primary physician. I did, and because I did not have health insurance at the time, and my doctor did not believe it was accident related, returned to work and waited 8 months until I received insurance to. go in and get tested. The first test I was given was a Doppler ultrasound, blood & urine samples. What came back under UA Micro Panel: positive for Leuk sm1. (i was told thyroid problems..my thyroid has to work xtra hard to work). My doctor s nurse contacted me with the results and scheduled a phone meeting with my doctor. Unfortunately, I woke up late and missed the meeting. Called the clinic right away to reschedule but not able to get in until 6/23. I m upset because...I m tired of suffering. I ve gone back to work after my accident but have had to work on my feet all day with swollen ankles. I have swelling in both feet, but more so in my right ankle. By the end of the day from work I can t even walk. It so bad. I travel to and from work by bus and have to walk to and from bus stops. I ve missed some work because of it too. (more lately). I ve been having a lot of charley horse cramps in my legs. They re more like ATTACKS. So brutal and so hard to subside. Last night I was awaken at 3:00am..started with 1 in my right back of the upper leg, then got another one same area in my left leg. (So had the both together). They re so bad I think I wake up the whole apt. complex...crying with agony and pain. I m mentally & physically exhausted having to go through this. I m depressed. I do take depression medicine celexa and have been for many years. (with the exception having no medical, went off it cold turkey for 8 months). I ve dealt with this long enough and I m tired of it affecting my job performance wise and absenteeism. I ve told my doctor about this and I have followed everything she s recommended to help while I m working..(compression socks, extra breaks putting my feet up, anti inflammatory pills). My doctor is on vacation now. Even though I missed the phone meeting..could t she of recommended something in the meantime? I don t want to lose my job over this. But I m afraid I may be getting close. I ve been at my employment for 4 years. I do housekeeping & laundry for a nursing home facility. I am 48 yrs old. will be 49 in August. Please can you provide some suggestions.. Thank you. (sorry about the note length). I APOLOGIZE I THOUGHT THIS WAS FREE ADVICE. I DON T HAVE A CREDIT CARD. THANK YOU ANYWAYS. I APPRECIATE YOU READING THIS. I LL FIGURE SOMETHING ELSE OUT. (i hope).

### output:

Don't worry. .this swelling is common after fracture fixation and prolonged period of immobilization of the joint. Do full laboratory investigation(CBC.liver and kidney enzymes. Blood sugar. Serum uric acid). Do X-Ray on your leg and your swollen ankle. Don't hang your leg down. Always keep them produce your physical activity and reduce mental stress as it may exaggerate the pain. Be sure you Will practice your work as before