Help!

I'm freaking out, been caring for my 19 yr old son. He had a trimalleolar fracture June 16th, surgery on June 23rd. He's been doing PT and has been out of the boot for a few weeks (when they told him to wean off, he pretty much ditched it completely). I've been so worried about his mental health from it; he's an elite athlete and is both extremely depressed about it, but also rushing healing in my opinion, risking further injury. He's returned to work and some activities without really getting clearance from his Dr, who assumes he will "know his limits"...not this kid. He pushes every limit.

He just called me in major pain because he rolled it stepping in a hole, no boot, brace, or anything.

I feel like we need to go get an xray today. Thoughts? Advice? Experiences?