work accident which makes sense she began seeking treatment then one time this particular history of turning to her left for work is the same when she gave within five times of the next week or time to four different doctors and once in her own accident or wrecks a report says pushed president forward wheelchair turn to laugh in felt instant brushing tile there's no history of a repetitive problem at this point no history that she had been experiencing some neck soreness prior to this turning over head although she does have that later as you know still don't win because it was no medical opinion providing the connection between her legs repetitive activities and  i was turning my head and walking i was not carrying anything that was pushing anything i was just doing what i'm going to do right now and go back to my we all move many times during the day does not increase the risk of condition and yes the next combined with the physical requirements of her job led to a situation where she was susceptible to sustain a cervical strain in the wayne county hospital first place you went to they just said past medical history of osteoarthritis at trial she said yes i had  so even if you have we all have arthritic older they've six you know you still have to prove you've got a work related event turning and developing pain loads because you popped it this get that moment with it because you're aggravating can condition let's put it that way when she does even normal it's going to turn now if that's the case it's compensable if there's medical evidence to support that i agree with well you've got evidence of blue health up to early october medical evidence that says you know sports this commission as you all know the commission's findings must be based on the record there is no medical opinion record that says that this lady's soreness and that's all she complained about after doing the lifting in the days before this i had next pain soreness never diagnosed never treated and no doctor came along and said well you know because you know if you can have your way through your sample if you're carrying a ladder you may get sore the next day you know you turn your neck and that's how we're going to deal with this and you know we don't want to say that although she was not pushing a wheelchair the time for initial onset of acute symptoms she had just finished pushing the medical testimony to establish causation between the work performed and the claims disability nonsense cases involving activation of a preexisting condition primarily concerned medical questions not legal ones especially to a problem and then here's the clincher in a repetitive promise  issue of regarding the commissions giving my client forty five and five seven weeks of temporary full disability and whether she is entitled to medical benefits each issue in addition the green county circuit court affirmed the decision of the illinois workers compensation commission in regards to were caused by were first the commission mentions the commission mentioned there the physical requirements the answers is that yes there are  based upon a reasonable degree of medical certainty did you have an opinion as to whether or not she can pursue her duties as an lpn at the nursing home she can but less than twelve hours based upon a no reasonable degree of medical certainty you haven't opinion as to whether her current condition is related to the injury she received at work on or about october ninth two thousand  off work out there she was i the fire had a reasonable understanding that she was fired from march twenty fifth two thousand and five to december thirtieth two thousand and five which was the date of the operation  let me touch briefly on  was injured  thank you on every bottle i don't know this case new expert to sort everything out you've got different possible theories here you've got a bunch of different conditions you've got a lady who's fifty six the number i pointed generally changes what's