involve sledgehammers approximately fifteen pins three foot long that they have to hammer into the into the forms that are ten foot long and he would have to up to seventy condition that we presented in this case is the same as in march eleventh two thousand so it seems as though everything else is ignored in terms of the medical and so on and on the top was a preexisting condition should not defeat his claim and i'm i'm i'm going to point out some of the things that i feel that prove that that was a severe aggravation after he was it manifested itself when he was picking up the heavy forms and electricity shot through his arms and hands and that and he went directly to the prompt care and received treatment then when he got responding in chicago who did it records review only and he concluded that the condition after april twelfth was the same as it was in march of two thousand and dr cohen said he based his opinion on a video and i objected to his opinions on consequent action because the video was never ever shown to me it was never shown anyone and it to me with script in his decision and alone along with the evil twelve the incident is strong enough jim forces to say that this is this was an accident that manifested in itself on that day ok but furthermore the petitioner testified that after march of two thousand and eleven he was ok he was fine and they said would you have fine go to a p t surgeon even going he didn't call anyone after that he just went to work on it for twelve so certainly the inference that's ok because he did have a preexisting condition and if you look in dr mander me and he told me and her it was for the last eight months right and also if you look at the people quote this is the symptoms are made worse by overuse the symptoms are worse that's in the record on april thirtieth he went it will he went through the prime care and that he in the reference there is that he is sudden onset of constant moderate lateral hand problem with the symptoms are worsening then he goes to dr meander and he reports in the history he has been progress getting progressively worse it bothers him significantly the factors opposed to merely in the actual progression of that which you just heard me i guess you just look at the facts if you look at the facts of this horrible strenuous gap this man did for eight months and you say oh he didn't do out that's the only history we have a module of now here's here's let me go one step further in the decision so the arbitrator says and concludes well we didn't have a prior m g they're saying we have no history why how c there be any history from any doctors who never went to the doctor after march eleventh and so on i say you have to go by the history that we have here if you put the pieces of the puzzle together what does it tell you and let me just say this let's say that i was up here arguing for a case in march of love the two thousand and eleven and the council here was defending it you think that he wouldn't bring up this eight months of so what i'm saying is the commission decision here telling us that he did has no history of worsening is incorrect the commission decision relying on dr cohen who has a video in everything showed anybody but no what he did to me is not correct the history here ignoring the evil twelve electricity going into his  hands is is not to be eliminated and as i pointed out in my arguments of the case law that they're dead just because there is a preexisting condition it does not break the cost of connection and a bit of the end of the accident if the in the here's one of the cases i mentioned the fact that the claimant may have a pointed out was strictly on point was a reversal of the commission decision and they found it was against the manifest with the accident evidence and they said under the act commission compensation maybe ordered for claimants condition  even though the condition of his or her employment do not constitute the sole or even the principle cause of the injury so i guess basically all i'm saying is this you got it extremely strong history of heard and they all came to the conclusion that petitioner field needed her you correctly stated that ten months before the titian or came under response and boy it carpal tunnel symptoms for months before in the proper case he could correct it that is that this was not a property this is not proper case because the issue is what a fact that his employment had with responded have on this preexisting condition that's the issue we talk about pieces of the puzzle this is a huge piece the titian are secured the evidence deposition of dr b and are looking for that piece of the puzzle but for some reason dr manner didn't know any of the facts he didn't know when he started working for the respondent he wasn't aware that he had previously carpal tunnel syndrome dr means or could not address this big piece of the puzzle because he was not asked to address the only doctor that was asked to address it was  testified that i don't care what he did for responding if you assume what he did for responded was a job hey that was a risk factor carpal tunnel syndrome it's not relevant to the job you do it's not relevant he's a twenty six year old with with complaints of possible tunnel syndrome ten months before his employment with responded he did exactly what dr point body would do he ran the natural progression he ended up with surgery which he would have done regardless of whether it  started back before and by the way this this tenet work for the mountain for two or three weeks before but i'm saying that the tremendous amount of aggravation went through and the accident twelve seems to be classic carpal tunnel manifesting itself and resulting in the final symptoms and the worsening is throughout the medical practices like pointed out so i think the  that there's no worse thing is incorrect than by the way how are we going to go back and guess what happened march eleventh two thousand we're just going to guess that he was symptomatic relief or surgery then