Claimant, a 56-year-old retired widower, resides in Collinsville, Illinois. He graduated from high school in 1967 and attended college for eighteen months before he was drafted into the Vietnam War. He received numerous awards including a Purple Heart and a Badge of Honor during his military service between 1968 and 1970.
He worked a variety of jobs for Employer between June 1970 and January 2003 including janitor, ash handler, laborer, machinist, welder, repairman and supervisor.
In 1987 he became a maintenance supervisor. He supervised up to twenty-six employees, including repairmen, machinists, and electricians. Twenty-five to fifty percent of his time each week was spent on the computer and approximately 10 percent was spent demonstrating the proper use of equipment to employees. Claimant demonstrated pneumatic impact and vibratory tools, electrical hand tools, wrenches, ratchets, hand grinders, drill motors, and slays. The computer and keyboard sat on a metal desk. There was no pad for the keyboard. The mouse pad sat on a pullout tray from the desk. Claimant completed forms in longhand.
Claimant first noticed carpal tunnel type problems about nine years before he retired in January 2003. He did not recall talking with Dr. Malench, his primary care physician, in 1996 about tingling in his hands. However, he did not dispute the medical record. Prior to retirement, tingling in his hands awakened him. His hands fell asleep while driving. He felt a "funny bone" sensation from his elbows to his fingers, and stiffness in both hands. He often shook his hands to wake them when working with hand tools. Claimant did not report the condition to his Employer before he retired and did not ask for any medical treatment.
In July 2003, he complained to Dr. Malench of elbow pain after painting. His hand complaints remained the same after he retired. He mentioned the carpal tunnel type hand complaints. The doctor prescribed anti-inflammatories. The elbow problems resolved and he is not seeking benefits for his elbows.
Claimant worked for Employer (Ameren) as a consultant from October 2003 to the end of January 2004. He collected data from motors located in St. Louis power plants and input data into the computer. Companies used the data to solicit repair bids. He was hired through the purchasing department. He was not supervised, and Ameren relied on his expertise. Ameren offered him the position because his primary responsibility before retirement was maintaining the equipment. The length of his consulting services was fixed.
Ameren set an hourly salary based on his pre-retirement income. Claimant had no benefits and the parties signed no written agreement. The Employer instructed Claimant where to go, what to do, and how to enter the information into a spreadsheet, which they provided. He input data about 80 percent of the time, and 20 percent of the time he wrote information. The Employer paid him to work approximately 35 hours per week. Claimant worked four months and only consulted for Ameren. During this time his hand complaints remained consistent.
The wrist complaints continued, and in November 2003, Dr. Malench ordered a nerve conduction study at Anderson Hospital which revealed severe bilateral carpal tunnel syndrome. Claimant reported the condition to the Employer in December 2003. He received a denial letter from the Employer in January of 2004, suggesting he should use his group insurance to cover treatment. His care was transferred to Dr. McKee, who recommended bilateral carpal tunnel surgery. Surgery was performed on both hands on February 17, 2004. Dr. McKee released Claimant from treatment on March 16, 2004.
Claimant identified the nerve conduction bill and surgeon's charges. Surgery resolved the numbness and tingling in his hands, however decreased grip strength and limited finger dexterity remain. His golf game has declined. He does very little gardening. Claimant has two scars from surgery. He stands 5 feet, $101 / 2$ inches tall and has weighed 245 pounds for approximately six years. It is his belief that the carpal tunnel syndrome is related to his work because of intensive use of his hands and no other possible sources. He denied a history of diabetes, arthritis, or thyroid conditions.
Dr. Ollinger examined Claimant June of 2005 but did not ask Claimant about the Employer's essential job function survey. The survey described Claimant's duties as a full-time employee with the Employer. Dr. Ollinger did not ask about Claimant's use of vibratory tools, which was contained in the survey.
As a supervisor, his main task was to direct employees. He acknowledged this was a less demanding use of his hands than other jobs. He lost no time from work for his hands while employed full time. He worked for Energy Electric Company as a consultant for four days in January 2004. He attended meetings and discovered the company already had a system in place.
Claimant had surgery two weeks after completing Ameren's consulting project. After surgery he complained of loss of finger dexterity and stiffness. Ameren is in the busi