Based on a comprehensive review of the evidence, including Claimant's testimony and the expert medical opinions and depositions, as well as my personal observations of Claimant at hearing, I find:
1) Claimant is a 24-year-old restaurant server, who has worked for Midamerica Hotels Corporation (Employer) at the Holiday Inn since September 2004. She worked for Employer full time, an average of 8 hours per day for 5 days per week, prior to September 2006. Claimant testified that she generally worked from 5:30 a.m. to 1:30 p.m. during the breakfast and lunch rush periods. However, now she is only working part-time, a couple of days per week, because she just had a baby. She has not worked anywhere else since she began her employment with Employer. Her hourly rate of pay is $\ 2.50 per hour plus tips.
2) Claimant's job duties for Employer generally involved typical restaurant server activities. She said that she would start the day by making coffee in a large coffee
urn. She would then start the process of stocking up the stations for the breakfast rush. This involved putting juice, milk, bread, butter and syrup on a cart and bringing it to the front from the dry storage and the cooler. She would then unload these various items at the waitress station. She would place creamers in the baskets and put the baskets on each table. She then rolled silverware for approximately 64 settings. When guests arrived, she would serve them their food and then bus the tables after they were finished eating. She testified that the breakfast rush ran from approximately 6:00 a.m. to 8:00 or 9:00 a.m. After the breakfast rush was over, she would start putting everything away to get ready for the lunch rush, including wiping tables and other activities. She did not perform any dishwashing, but she did have to take the dirty dishes back to the kitchen on a tray so that they could be washed. Claimant testified that she carried the trays with her left hand flat and her right hand holding it up on the side to provide support. She testified that lunch usually consisted of serving salads, soups, etc. to the "bridge ladies" who came to the restaurant, ate and played bridge.
3) On cross-examination, Claimant admitted that the volume of customers she has varies from day to day. She described a typical day as waiting on approximately 80-90 customers. She testified that a slow day was approximately 60 customers. She estimated that 40-50 % of each workday involved carrying the trays to and from the tables, and about 20 % of each workday was rolling silverware. She estimated that over the course of the day, she might roll anywhere from 250-300 silverware sets.
4) Claimant testified that she first noticed problems with her hands in September 2006. She said that she was waking up with a tingling feeling from her palm up into her first two fingers and then she would also notice some pain that traveled up the arm into the neck.
5) Claimant testified that she reported her hand symptoms to Employer and she was eventually sent to the doctor. The only time she missed work for her hand symptoms was when she was sent to the doctor. She described her symptoms as constant since September 2006, and she testified that she had more trouble with the left hand than the right hand.
6) In terms of other injuries or accidents she has had, Claimant testified that she fractured her left wrist when she was nine or ten years old. She said the wrist was casted, but she had no other treatment for it since the cast was removed. Claimant admitted that she was involved in a motor vehicle accident in March 2009, but she denied that she had ever been involved in such an accident before that time. She testified that she received treatment for her neck for whiplash at the hospital the night of the accident, but that was all the treatment she received for the accident. Claimant admitted that she is on Medicare for disability related to ulcerated colitis. She has treated for this condition since she was 13 years old. She testified that she takes regular medication, sulfasalazine, an anti-inflammatory, to treat her ulcerated colitis.
7) Claimant was examined by Dr. R. Evan Crandall (Exhibit 1) at Employer's request on October 17, 2006. Claimant provided a history of the onset of her bilateral hand and wrist complaints a couple of months prior to the examination, with a worsening
of those complaints on September 15, 2006. Claimant reported her complaints as night numbness, numbness during the day, a burning feeling in the hands, and pain into th