experience for in other cases but very specifically in this case we have doctors giving differing opinions as to what the i recognized causes of carpal tunnel syndrome  caused by diabetes birth control medication and then he said probably by lateral carpal tunnel syndrome and it cannot arise from the type of work done by the claimant but then when i took his deposition i said to him  medical tests confirm the condition of the ill being was carpal tunnel and he said yes because true but he said the history was not consistent with the work experience that could cause that type of injury only vigorous activity such as excessive vibrations of a chainsaw respected for development carpal tunnel nothing is mentioned about force and the other trader news case what he did is he said there's no testimony presented on force used to harvest the muscles and i don't think i don't think force has a direct relationship repetitive movement is what causes the information in an urban area you know a car going to be cited a case where mention is made as to repetitive activity but you're certainly not suggesting that that  evidence alone in a case would cause us to take additional notice that carpal tunnel syndrome is present it's still something that has to be proven and in this case the proof came the physician's testimony and dr weiss indicated that it requires something else that being the vigorous type of activity that you described and the commission found that to be absent found dr has if you want is to suggest that we can set aside or ignore or suggest that he has no ability his opinion because he said that carpal tunnel in addition to repetitive it has to be forceful and makes the decision of whether weis is believable or you're going to it will i think this court that's why i'm here i think this court should reject dr weiss is statements and opinions medically because that what if you read summarize i just think it makes no sense whatsoever he said he says all kinds of bizarre things about carpal tunnel but he does not use any objective medical test his positions and i think that's that's very important i think we understand the essence of your you're asking us to look carefully at the underlying basis lysistrata right if we agree with you the underlying basis is flawed it goes out and the w not know what causes carpal tunnel but he knows there are missing mushroom can't do it dr weiss does not pay any attention to the two objective medical tests that all orthopedic surgeons use he absolutely has no opinion on it he said he didn't even know what the numbers meant i asked him what were the number of an insidious fifty me so i don't know i don't be intentional his numbers dr sinha said i'm sorry and all the other medical doctors that i but it was defeated sixty so therefore it has he said specifically it has the mechanical main meaning there's a swelling in the wrist and it's not disease related it has to be mechanical and that's why he's in need i might be pretty good this case about it was a systemic problem there's no evidence of any force no evidence of vibration but one compelling portion of his testimony was when he described it or use an analogy hey if you have surgery and you go to physical therapy what do they prescribe for you they prescribe no force highly repetitive activities to heal the damaged tissue so they him makes absolutely no sense at low force days they feel one hundred percent fine i've taken many depositions on the subject but dr sin has testimony was the one that actually struck me as being unusual because in all of my dealings and these types of injuries i've never heard anyone say that they can tell you how a condition occurred based on a number from him and c b i've never heard that before and i think he could make a lot of money in this business if he can prove that if he has a number your question of how the condition occurred that is not what he said when he ruled out was it is not neurologically related it's mechanical because it's a swelling in the risk because there's an n c p origin and that's all he said