That doctor sounds like he was a bit of a... well just substitute in your choice (:
I would say that this is substantially worse. If you can't move the joint, definitely go in. You need your hands for doing human things, so you don't want them permanently damaged!
Even if the doctors get irritated, they aren't the ones that have to deal with the consequences if something goes wrong. So who cares about them. It is YOUR hand and your pain.
Doctors are often big bullies imo. Make them listen to you.
Let us know what happens/happened!
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I was told not to come back unless it gets "substantially worse." It hasn't worsened since this morning, but I would have expected the swelling to lessen.
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