he introduced medical bills during the course of the arbitration hearing where he was treated for four thousand back all sorts of things off all the way through to the date of commission confirm period nothing more as a final decision the commission reversed arbitrator's decision reinstated that's a final word but commission's decision on any issue the connection from the underlying application for adjustment and finally application for just your claim would he have to prove an accident there's a causal connection between my car accident and my condition of bil presentation did not change the diagnosis did not change the treatment wrong commission's recommendations did not change the failure of the commission to analyze this marital evidence as it should under the whether there is only a minor issue remaining with respect to the foot in the medical bill but it may take more than a ministerial function of the commission to determine that so it wasn't clear to me i didn't know that there was a one hundred percent basis to succeed on nineteenth two thousand and two is a day when there was no longer a causation of another factual basis is he deposition testimony where he talked about his off the auto accident pain still being present constant in two thousand and four that is headaches don't have anything to do with the worker's comp accident and so forth i think there's a bundle more evidence on target that kind of evidence of it developing the case that's a question you might ask why wasn't this presented to our doctors it didn't come along until late in the game and  so therefore there was no opportunity to do that but then the question is it will one of our medical evidence of palomar is that there has to be medical evidence and it's a question of law and you don't have any and therefore we went  working he had never been restricted and we had the auto accident we had a slip from dr shaming the next day saying no work for you cannot work at all and we reach this off course that is several times after that up until the last  in their time after time after time so it's not surprising that there's nothing new documented or perhaps of the auto accident isn't described in here simply because things are just being pasted in there one after another fifty times before but when looking at it more directly some i came upon something which is that there are two separate indistinct bills submitted by dr shame the first bill for four thousand six hundred ten dollars and it gives specifically gives an onset da of november eighteenth two thousand one it gives the worker's comp accident it describes treatment going from a twenty two to nov thirteenth two thousand to in that particular bill it gives four specific medical diagnosis codes and i won't give you the numbers but the numbers are there in the record in the corresponding with the following four diagnoses striking against or by object is the first ankle signify this is the second  for the treatment before so these four codes are motor vehicle accidents passenger is the first one hyperextension hyper flexion injury is the second nerve root compression is the third you he ordered x rays and did a comprehensive exam this is for sandwich in those fifty repetitive entries so we know something happened august nineteenth we know he was aware of it we know he changed it that is no diagnosis to change the work status he was aware of the accident he investigated he did a work up and he changed that diagnosis changed the treatment that he was providing to address those different diagnoses and he then did this from the work accident date i'm sorry from the current date of august nineteenth two thousand so i think we are both extremely damaging factual evidence that there is no causation and that the chain of causation was broken on august nineteenth two thousand today and we actually do have medical evidence as i just discussed dr shame additional evidence why there was no causation here and this is actually the causation could have been cut off from washington right actually submitted which should have been cut off perhaps the best that would be april twenty ninth two thousand and two which is one the second time th april ninth two thousand today and he says this has been going on for too long in sandwich and then we have a treating physician dr goldberg who petitioner self tells us told the january twenty ninth two thousand and two if you think you're going to court with arthritis and some kind of this you know i'm not buying it how often you get stuff like that from a trader and then finally it goes back to dr bob for a second time  twenty ninth two thousand and two dr bao kind of more or less through the son says i don't know why he's back today he does not get better any time since december two thousand and one discharge this in a second time all of this is a bonding and medical evidence supporting that there is no causation outside of the auto accident we also had in another all three years but we also have dr wainer who examined claimants in two thousand and three and also two thousand and if you don't find that there is a subsequent intervening action and as a result of the car accident which we think you should because there is medical evidence coming that there are abundant bases to affirm the breaking