Page 8 August 2 0 1 4 By Jeannine Hinds, M.D. You tripped while walking the dog, and now your ankle hurts. A lot. How do you know if it’s a sprain or a break? If it’s a sprain, you overextended or tore a ligament — the tough bands of fibrous tissue that connect one bone to another — while stressing the joint. You might have heard or felt a pop when you injured it. You’re experiencing pain, swelling and bruising, and you have a limited ability to move your ankle. Take a pain reliever such as ibuprofen (Advil) or acetaminophen (Tylenol). And try the RICE approach: R: Rest. Stay off it. I: Ice. Apply ice for 15-20 minutes several times a day for the first few days to reduce pain and swelling. C: Compression. To reduce swelling, wrap an elastic bandage around your ankle, but not so tightly that you reduce circulation. Start wrapping at the end farthest from your heart. Loosen the wrap if the pain worsens, the area becomes numb or swelling starts below the wrapped area. E: Elevation. Place your ankle above the level of your heart, especially at night. Gravity helps drain the fluid causing the swelling. If it’s a sprain, you should be able to walk on your ankle within a couple of days. Mild and moderate sprains usually heal in three to six weeks. If it’s a severe sprain, you may need to see your doctor. If you’re unable to walk more than a few steps, you can’t move your ankle or it’s numb, see your doctor. An X-ray can rule out a fracture or other bone injury, and/or an MRI can help diagnose the extent of the injury. If you broke your ankle, you’ll have immediate, throbbing pain, swelling, tenderness and bruising. Your ankle might look deformed. Getting a shoe on or off will be an issue. Treatments will vary. You may need to have it immobilized with a cast, or surgery might be necessary. Dr. Jeannine Hinds treats patients of all ages at Arcadia Family Clinic, 4131 N. 24th St., Suite B-102, Phoenix, 602-955-6632, or JCL. com/practices. Is it a sprain or a break? By Steven Sarkis In 2012, the Atta family of Temecula, California, locked up their home and went on a long vacation. While they were away, a man named Victor Cheng moved into their home. As it turns out, Cheng was the previous owner of the property before he foreclosed on the home and it was later purchased by the Atta family. While the Attas were away, Cheng moved in, filed a fake deed with the county recorder and put the utilities back into his name. When the Attas finally returned home from vacation, the new occupant even tried to file an eviction case against them. Cheng was eventually charged with burglary, trespassing and filing false documents, but insisted in court that he could not be prosecuted for these crimes because the indictment spelled his name in all capital letters. The truth is indeed stranger than fiction. Mr. Cheng is what’s referred to as a “sovereign citizen.” Though not very common, over the past six years as a justice of the peace I’ve seen a handful of these individuals each year. It usually takes a few moments before the realization sets in that I have one of these individuals in front of me. The realization usually dawns upon reading their lengthy legal documents and hearing them say strange things like, “the person you have listed in your case isn’t me because my birth name is not spelled with Sovereign citizens dilemma all capital letters.” It’s usually downhill from there. While most judges try to give people their day in court, if we gave most sovereign citizens their day in court it would literally be one full day in court. Disposing of these individuals can sometimes be pretty difficult because while they are usually not brilliant people, they are also not dumb. In fact, some of them are very articulate and well versed in the law, although generally not the same law that applies in our courts. Sovereign citizens generally believe in the Uniform Commercial Code, maritime law and the Bible. None of which actually apply to the laws in our courts. In general, sovereign citizens, also known as ‘organic citizens’ do not believe that the government has any power over them, believe that they don’t have to pay taxes, pay fines, tickets, or obey any laws. The FBI has referred to these sovereign citizens as “paper terrorists” due to the havoc they can wreak on a person’s life. They often file false property liens, fake tax documents or ridiculous lawsuits, usually against the public employees who have done them wrong. As proof, on one occasion a few years ago I was sued personally for ten million dollars by a sovereign citizen who disagreed with my legal ruling, in which I simply found them guilty of speeding. You just can’t make this stuff up. 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