Quadrivial Quandary:  Logophiles, Rejoice!  Each day we give you four unusual words.  Can you fit them all in one illustrative sentence?
Quandary Resolution 7154
hokum, cloud nine, accentuate, mince pie
 
There once was a medical locum
Who spoke the most terrible hokum
Prescribing mince pies
To heal people's eyes
And peppermint wraps for the scrotum.
 
But one of his patients drank wine
For a twisted and misshapen spine
And his backside ablated
But pecs accentuated
And he swore he was then on cloud nine!
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