consisting of an aggravation of her degenerative arthritic shoulder instead the respondent proved that she did not perform repetitive shoulder work and that there was no medical cause or connection this case really lifted one of the doctors she said why do repetitive work of course you're going to town she does repetitive work as that's what she's been saying all along but that's just what she set and these doctors merely wrote down what she said and that's what their records say that your little  opinions about that yes your honor that's exactly what i'm saying that there was no independent cause of connection opinion and any of the medical records of the doctors there was and there was no independent medical report by any of the petitioners doctors who  statements which is again a house of cards upon which the petitioners case was built she says it's tough she said she lifted her she raised her arm and her above her shoulder level and that's what it is and she told her doctors opinion any medical opinion separate opinion by dr luke as to any kind of understanding of her job he didn't have a job description there's no detail in there that she you know she was reaching for the stream feeders or the things that she even testified to that occasions over several days of trial and the arbitrator observed several times that i miss lee she's not reaching above her shoulder now when the other trainer made these observations it's very significant that the petitioner did not object attorney did not object and say you know and could end it if that wasn't objection that she was reaching about her shoulder and this is customarily done you say well you know objection your honor it does show that she's reaching above her shoulder and it's not  is based on she couldn't have been the farm unless she was reaching the membership exactly and there's no dispute as to bit this whole case involves what she did her job involved at or above shoulder work or nat and if if if she was using her hand like this  you know we didn't address an acute injury because because this case involves arthritis dr sacrement testified about the mechanics of the shoulder and how you would cause  of the work station makes it very clear that it none of these that the entire workstation was set up through so that you did not base your at or above shoulder level everything was adjustable case she came up on her bio and she never testified on rebuttal that she didn't adjust the equipment because all of this equipment can be adjusted so that when these from the street or when the stuff it's probably have a table you're just saying the school they're dealing with what's inconsistent and not corroborated and against everything it's sort of like was she can get up and say this guy is orange and if all the other evidence says that the sky is blue we have to believe it's orange because because well the com jack setting the argument that the wave of workstations were stacked the only thing was she said this is a very slow mind with all the old ladies than it so the only difference is that the lie that they did it was slow are so awful that would mean is that you were own when there's when all she's saying is is she tells him i do repetitive motion and he bases that opinion i don't think that that is sufficient to tell us why dad gets there it may not be sufficient to compare to represent it's not there  and that is what the doctor sat if that's a yes that is what he said dance around it her her repetitive her her work with repetitive motion aggravated it but it still doesn't show us what is that repetitive motion and is it truly and it gets us back down to what do you need to prove the case a repetitive of repetitive trauma injury when all the petitioner hands is her own testimony brief points out the three treating physicians all of which treated the petitioner here all pined and all provided evidence that the repetitive work activity was the causal connection to her repetitive shoulder injury dr prison points out stack and diagnosed her with the work related injury of the right shoulder right shoulder tendonitis versus the situs that's a thousand forty eight dr who could also find that the petitioner shoulder pain is a direct result of the type of work that she does  history every time she saw physician here was the same prophetic work activity that she did on this production of somebody's line the last treating physician was dr terry again the same history of repetitive work activity he's the physicians that actually did the this written description that the section twelfth ization dr sagan relied upon was deemed by the commission to be flawed and an accurate and not like accurate representation of the work activity that the petition did and they base that work to real reasons that they bring out in their decision the job description so she does absolutely zero work activity above her head clearly her evidence was on pre budget and on contradicted that when she takes operation manager apparently did set up some of these lines there's about thirty different room and there's a number of sequences and lines within the various products that go along the pharmaceutical company but he never testified that the workers did not stand at these tables to do the activities that's what petitioner testified to she did not have a chair when she was sitting from the first position and taking that bottle liquid pharmaceuticals and holding up the light to see if they were leaking she didn't have a cheer as the video suggests when she reaches to the stream feeder three hundred to twelve hundred times per hour to take the written insert from the string feeder position number four online where he's got a for production and those were corroborated by mr harper how they synchronize this blow fill seal machine with the production of these files across the somewhat line bay process seventy two hundred vials per hour along the production line the first feeder and the second feeder that she needs where she's reaching at that level between three hundred and twelve hundred times per hour that she's at the first was ition exactly at mid ne based seventy seven of the record and that the second display box with the stream feeder she's again reaching as she demonstrates that quote i level that speech eighty two of the record so even if we look at opinion the evidence is ample that this woman had repetitive work activity where she's reaching at shoulder level or above i think the evidence is overwhelming the dream physicians did not have to create some sort of report to substantiate their opinions for causal connection it's there by way of the history of the histories consistent by the petitioner and this job description is not accurate and that was the basis of dr statements opinion he conceded he didn't know the frequency for which he did any type of lifting at the shoulder level but if she did it on a frequent basis that would be a company cause for compression to the sobek romeo area and would be a competent class for her underlying injury so i think at incorporated into central point such who claims is the third party administrator for cardinal health four hundred they had a change in their corporate identity i don't know when that took place but at the time that i filed it named both of those entities as response here also no man's they're both corporations so i don't believe it's a dva were a k a i don't recall the timing as to when cardinal burst into automated liquid or vice versa so it's really an f k possibly the but just the discussion about the the ship or position the ship or position is out is the last rotation and she would so infrequently have to put the box  when you look at the films the films are totally consistent with the japanese houses and that's why when you have these conflicts if you're looking at the japanese houses and looking at her own demonstrations and i think those are so important because it makes her testimony totally contradictory