little over two months after starting the job there started september twenty first november thirtieth is the first documentation from treating with this general practitioner and his primary complaints were unrelated to him in the history and that's in the carpal tunnel was demonstrated on a nerve conduction study which took place in the summer about three weeks after the initial to three weeks after the initial treatment and the petition was working full time is that because the nerve conduction study showed severe he works his symptoms progress initially just dealing with symptoms in this case important because he testified to say symptomatic before we started this job and there's nothing in the record to refute that asymptomatic before we started this job but if he's working every day the symptoms progress and even if the symptoms are temporary when he goes home and say wakes up and fine but over the course of time and headed up doing this job for months if the symptoms progress on a daily basis to where he's unable to continue working and events which the supreme court has stated is circumstantial evidence of causation and we also have an in the records in this case the nurses know the shows that dr morgan's office was the surgeon attempted to get payment from the work comp here and i believe that circumstantial evidence of his opinion that this was a worker's comp injury and it was related to his employment otherwise why would he time to collect payment from them on the issue causation in the three doctors that he gave consistent with his testimony but there is no use of the words by the treating physicians it is my opinion that this is a work related accident and that's why i think our treated them selves you know he should go the other way but the way that the city has written his decisions situation i do think the faction in this case and the cases stand for the proposition that titian or can prove this case through a chain of events evidence without any medical consultation of that so called the fact that testimony in that history of being asymptomatic before he starts working there that evidence unrefuted i think is very significant and i don't think it's addressed in the commission's decision i think it's kind of summarily dismissed and they adopt wrong my name is shelley and i represent extra hope in this matter as you know i think that the main issue for us here is whether the commission decision is against the manifest way that we have a dense and it's my proposition that it simply isn't the petitioner for the burden of proof in this case and did not need it and there is one medical opinion on the record in this case and and i would like to point out i disputed now petitioner trying to argue basically that he's able to meet his burden of proof without any medical evidence to support it based on a chain of events a common sense approach but i don't think that's the case here because we obviously have dr brown who's a board certified orthopedic hand specialist he treats every day upper extremity injuries including injuries such as this one forms carpal tunnel releases every day and he's i think we can all agree a reasonable mind that doesn't think that common sense rules the day in this case or you are saying he couldn't win  that i think his opinions are credible no one has challenged his opinions his opinions are well reasoned and they're supported by the evidence he knows why he concludes what he concludes about causation  i'd like to talk about the aggravation theory by the nature of that term i think there needs to been some sort of symptomatic preexisting condition that is ongoing and then made worse that's what an aggravation is there's no evidence of that here can but i think the evidence in this case shows that and i think even dr brown says he calls a trancing an increase which i'm not even sure rises to the level of an aggravation quite frankly if the condition  morgan's office that me that notation could have done it without his knowledge we don't know his deposition was never taken because a story in a placard that office deposition was never taken that staff members deposition was not taken to say that because they attempted to if the underlying basis of their decision is that petitioner presented know that it will cause action evidence when they didn't properly weigh the evidence and ignoring dr morgan's attempts to collect from the work comp carrier is what's improper ignore that the most logical inference is that that doctor believed that this was caused related to his employment and the commission decision does not show the properly weight was summarily ignoring the evidence in support of plaintiff's plant plants condition being related and in summer and summer it's our position that concluding that using these clamps or similar jumper cables one thousand to twelve hundred times per day with each a and fifty to sixty hours a week over the course of four months that's an unfair to conclude that doesn't at least aggravate someone's carpal tunnel syndrome assuming it's preexisting to make that conclusion is not rational and that's