What is the impact of relying upon details of the mechanism of injury in a medical report?

The employer’s argument that the relied upon details of the mechanism of injury could have been inaccurate is a speculative statement not support by the weight of the evidence. As a matter of obtaining a history of injury occurrence, physicians rely upon the statements of patients. Determining the accuracy and reliability of those statements is an adjudicative function based on a review of all the evidence. In this case, the worker provided a description of the mechanism of injury consistent with all her other reports. I acknowledge the inaccuracies pointed out by the employer concerning the weight of the bin and the height the worker had to reach; however, I accept the consistent evidence that reaching and twisting to the left caused the thoracic strain. The medical evidence supports the causative significance of this mechanism of injury in producing the diagnosed back strain. In applying the test in Faryna v. Chorny, I find the evidence given by the worker is in harmony with the preponderance of the probabilities.