Jacksonville Orthopaedic Institute

Front office staff is professional and friendly, and helpful. John Tierney was my PA and he as very effective, friendly, and a good communicator.

Dr. Graham was fantastic. Him and his staff were friendly and everyone explained my injury to me so I could understand. Treatment was explain completely. I am very pleased with Dr Graham and his whole staff

I've been a patient for years, w Dr. Hastings. Office staff is friendly and knowledgeable. I also appreciate appointments are on time. Dr. Hastings is the best!

Subject: Request for Review of Orthopedic Care Provided by Dr. Graham To Whom It May Concern, I am writing to request a formal review of the care I received from Dr. Graham during my recent appointment 06/12/26 for a newly diagnosed spiral fracture of the third metacarpal. At the time of the visit, I was wearing a temporary splint placed by urgent care and was experiencing pain and swelling. I informed Dr. Graham that I did not feel the splint was fitting properly and asked for guidance regarding appropriate immobilization. I was told that the splint “looked fine.” When I expressed continued concern, I was advised to purchase a brace from Amazon take otc Tylenol and to work on making a fist so that my hand would not become stiff. I was not provided with a specific recommendation regarding the type of brace that should be used, nor was I given detailed instructions regarding activity restrictions or warning signs to monitor. Most concerning, I was instructed to return in four months. I specifically asked whether the intended follow-up interval was four weeks, and I was informed that it was indeed four months. A four-month follow-up appointment was subsequently scheduled. As a healthcare professional myself, I understand the importance of preventing stiffness and promoting recovery. However, I left the appointment feeling dismissed and without clear guidance regarding the management of an acute fracture. My concerns were not adequately addressed, and I remain troubled by the absence of earlier follow-up or imaging to evaluate healing and alignment. I respectfully request that this encounter be reviewed and that I be provided with clarification regarding the rationale for the treatment plan and follow-up interval. My purpose in submitting this concern is to advocate for clear communication, appropriate patient education, and high-quality care for all patients. Sincerely, Lakeisha Simmons, RN