left shoulder injured a left shoulder and it was subsequently treated for a shoulder injury now the question here whether or not not a shoulder  caused by this accident the second question was whether or not it's very much in the first whether or not the prospect of medical care in the form of a placement at the cervical  content the odd thing that is not consistent with that it's and i absolutely understand what you're saying by the way continued and i didn't need to gloss over that but there's nothing in doctor's shakes records before the  care which was very extensive it established there were a number of ian g's m r i there were a lot of diagnostic tests means a lot of exams done in that intervening period based on that and based on his exam a year  year after the accident he did not feel that she had a sort of mission and yet he gave a causal connection and you know he did it he did that yes you're on down the road and here's where the intertwining between my first and second issue really this is the crux of this whole case how he did that is he initially tried to have a disco gram perform that would have replicated this pain what they hide the pain down to there's a lot of talk about some variation in different levels but the only level that looking right hand side over on the left shoulder and there's an issue all along about that a human being medically possible to have a right hand and who were thirty ation an annular tear have pain radiating down into the left side that was negative that was totally unsupported any kind of diagnosis of ridiculous if you from the right so you saying we could go through all the details the switches opinions that's an order by the medical evidence is that what you tell us and here's why it's not because then he dr tom were doctor do we have both of those doctors medical records throughout that time periods that they would have done throughout their whole treatment of the petitioner and they don't mention this anywhere this was ever done there's no record that selective nerve group walk was significantly helpful in terms of alleviating or symptomatology and he had written earlier that he asked a physician to perform a selective  that the the future medical is not against the manifest way of the evidence because it wasn't spritz and it said only two choices live with the plane or have the operation i think that's correct to the extent th all he knew basically and he said now do i know that that's the one they did that test and he said i can't tell you that so here's the whole problem little that i'm having in maybe it's just the standard of review that's probably with here that's where the manifest wasted comes that i don't take that lightly in fact we embrace i think manifest weight you get to a certain point you look at the whole fact all the facts of the case and the question becomes have a number of different procedures that were being performed on her around that period of time there was a i know there was talk of the cassette joint action i believe that was performed i'm not mistaken on that that there were other injection injections that were performed in the cervical region she apparently did get some relief from i think she simply confused why would he be referencing a nerve block that will never  when she worked there for five years she was the lady that clean the dirty couple's in february of two thousand made just over minimum wage doing that in february of two thousand and eight she was walking a little dog  fell and crashed into a door she up that prompt medical care she has continued to treat she's had two operations one hundred shoulder want her back while she was convalescing the responders fire from her job if the petitioners an intolerable pain it is appropriate she should have to share testified machine as he did every day she's aware of the surgery it's intolerable she wants to have nobody's disputing that that's surgeries on  pain and made no mention of back consistent with this in the months following the accident there is no medical diagnosis of the cervical condition when the claimant finally reference the cervical disc offer in june of two thousand  back on the website the same area that she has complained of hurting since this accident happened she also testified before this accident she never had a problem with pain or mac and in fact there's no medical records to that specialist not or neurosurgeon it was there from earlier this year from the shoulder and spread testified that there's an overlapping of the symptoms in the shoulder in the cervical spine emmanuel in his report traces his opinions on and studies say they don't see the evidence here i think if that says that there's nothing conclusive that show in there's been a problem with the diagnostic in this case i'll die i'll admit but sprecher says that based on the nerve testified that because her health insurance was terminated in the disputed this case he's had a problem getting all tests that he wants he has had a problem getting things that it might explain why perhaps the nerve conduction test wasn't don was the primary response it was for first off her he thought all the symptoms referral to the shoulder when she had the operation and the symptoms did result in they took a look at the neck and got factored in that's how she got back there the tests that you're not paying for and i think should've paid for i think that would conclude by saying that i think that this is a very simple says the lady that pretty clearly identifiable apps that went to the doctor the next day he complained of pain in her shoulder and her arm physical therapy you know again that that's very troubling to me i didn't catch that and i follow but i think the operative thing here is that there was no medical treatment there  so that's that's frankly just ridiculous these doctors all can think for themselves they can all draw their own conclusions the health reform their own exams and render their own treatment and it has to be assumed that was what was done i agree with problem is the only thing they could find the right side herniation all these other doctors are saying these n g s tests are showing no evidence of ridiculous so again the overwhelming