Fame rescuers were alerted to 300 Block of Taylor's Mill Road for the report of a high angle rescue. 55 Ambulance and Medic 91 arrived and reported a worker having a medical issue atop 15' in the air on scaffolding, semi-conscious. Ladder 53 arrived and threw ground a ground ladder to access the patient. Rescue 53 arrived and stabilized the scaffolding while EMTs stabilized the patient. Rescuers then assisted the patient to the ground wher 55 Ambulance and Medic 91 treated the patient. He declined to be transported and returned to work.