Below is a searchable chronology of the addressing of Michael John's injury. From all accounts, if a worker shops for a doctor to get pain meds, Xanax etc. they are considered to be playing the system. If Jayco, or their representative, shops for a doctor to get a desired result it would seem that is 'procedure'.

This sequence of events included OSMC, Indiana University Health, South Bend Orthopedics, Sentry Insurance and Jayco HR

An attempt was made to contact Jayco HR with this information. They were uninterested.

A scanned copy of the below OCR scanned content is available which includes attached notes from various doctors here.

• May 8th- Initial injury- I was drilling out the floor of an RV and was pushing down on the drill and heard a pop in my right elbow and have had pain and numbness ever since this injury. The pain is in my right elbow and on the top of my right forearm and the pain radiates down my arm into my right hand. I also have numbness which began in my right pinky finger and has worsened to include pinky, ring finger and middle finger. I am having trouble doing normal every day functions due to increasing pain and numbness. I chronically drop tools or anything I pick up in my hand due to the numbness.
  
• May 9th Appointment was made for me to see the company Dr. (phone 825-0590) Diagnosis was lateral epicondylitis (tennis elbow). Treatment plan was to wear an arm brace for tennis elbow, Ibuprofen 800 mg 1 pill three times daily, and apply ice after work. Return appointment to clinic on May 15th and returned to work with no restrictions.
  May 15th- Return appointment to clinic to see company Dr. Diagnosis was lateral epicondylitis and R forearm extensor sprain. Treatment plan was to rest arm, continue Ibuprofen, use heat instead of ice, avoid wrist activities and lifting, and Dr. administered a steroid injection and returned me to work with restrictions, no right hand gripping or pinching, and no right wrist extension or flexion. Return appointment to clinic on May 22nd
  
• May 22nd- Return appointment to clinic with company Dr. Diagnosis was lateral epicondylitis. Treatment plan was to continue Ibuprofen, rest arm, use arm sling to immobilize arm, continue heat, Dr. administered another steroid injection and returned me to work with restrictions, no right hand gripping or pinching, and no right wrist extension or flexion. Return appointment to clinic on May 29th.
  
• May 29th- Return appointment to clinic with company Dr. Diagnosis was lateral epicondylitis. Treatment plan was to continue using heat and sling at home, and continue Ibuprofen. Returned me to work without restrictions and follow up as needed.
  When returning to work pain and numbness over right forearm was getting worse instead of better, spoke with Dennis Bontrager, Supervisor and an appointment was made with company Dr.
  
• May 31st- Return appointment to clinic with company Dr. Diagnosis was R forearm pain. Treatment plan was to continue Ibuprofen, heat three times daily, elevate arm and continue to use sling to immobilize arm and to be off work for 10 days. Return appointment to clinic on June 12th.
  
• June 12th- Return appointment to clinic with company Dr. Diagnosis was R forearm muscle pain. Treatment plan was to continue Ibuprofen, heat three times daily, elevate arm and continue to use sling to immobilize arm. My arm was no better after being off work and resting arm. The Dr. continued to keep off work since my employer couldn't accommodate my work restrictions and referred me to OSMC appointment was made June 14th.
  
• June 14th- Appointment with Dr. Erekson at OSMC. Diagnosis was R lateral epicondylitis and R radial tunnel syndrome. Treatment plan was to start occupational therapy, beginning on June 20th. I continued to be off work since they could not accommodate the restrictions. Return appointment to clinic on July 5th
  
• June 20th- Began therapy.
  
• June 25th- Therapy appointment.
  
• June 27th- Therapy appointment.
  
• July 2nd- Therapy appointment.
  
• July 5th Appointment with Dr. Erekson at OSMC. Diagnosis was R lateral epicondylitis and R radial tunnel syndrome. Treatment plan was to refer me to Dr. Schramm who specializes in hand and arm problems, appointment was made with Dr. Schramm on July 26th
  
• July 26th Appointment with Dr. Schramm at OSMC. Diagnosis was R lateral epicondylitis and R radial tunnel syndrome. Dr. Schramm obtained an x-ray of my r elbow to make sure there was no fracture or bony abnormality. His treatment plan was to obtain an EMG/ Nerve Conduction study which were scheduled on July 31st with Dr. Joan Szynal. Return appointment with Dr. Schramm scheduled on Aug 16th.
  
• July 31st EMG / Nerve Conduction Test performed.
  
• Aug 16th Returned appointment with Dr. Schramm at OSMC. Diagnosis was R lateral epicondylitis and R radial tunnel syndrome. Treatment plan was that surgery needed to be done since all non invasive treatment had been tried and failed. (Splints, slings, anti-inflammatory, ice, heat, injections, and therapy). Dr. Schramm stated that there is an 85% chance that I could be back to work without restrictions and be able to do everything I could prior to this injury in approx 3 months. Dr. Schramm scheduled surgery for R lateral epicondyle debridement and R radial tunnel release for Aug 29th.
  
• Aug 29th Surgery was cancelled by Caseworker from Sentry Insurance (Scott Kosnicki 800-739-3344 ext. 3469377), (now (920) 739-3161 ext. 4682), stating that another opinion needed to be obtained. Caseworker scheduled appointment with Dr. Clemency at SBO on Sept 6th.
  
• Sept 6th Appointment with Dr. Clemency at SBO. Diagnosis was R lateral epicondylitis. Dr. Clemency never asked me where my pain was or where it hurts and told me what my pain level was; he never asked me how I hurt it or what had been done previously. Dr. Clemency said there was nothing wrong with me, but recommended a follow up appointment on Sept 20th.
  
• Sept 20th Return appointment with Dr. Clemency at SBO. Diagnosis was R lateral epicondylitis. Treatment plan even though he still kept telling me that nothing was wrong he proceeded to fit me with another arm brace which I had already tried and it made the pain worse (I did tell the Dr. this and he ignored it and said this brace was different even though it was the same one I had worn before) and he scheduled me for therapy (I did tell the Dr. that I had already done therapy with no improvement, again he ignored and said this therapy was different even though it was the same exercises I had done before.) The Dr. returned me to work with no restrictions. Return appointment scheduled Nov 1st.
  
• Sept 27th Therapy appointment.
  
• Oct 1st Therapy appointment.
  
• Oct 4th Therapy appointment.
  
• Oct 8th Therapy appointment.
  
• Oct 11th Therapy appointment.
  
• Oct 15th Therapy appointment. Therapy documentation is attached.
  Pain was getting increasingly worse and I made a phone call to Dr. Clemency's office stating that the pain was getting worse, my appointment that was made for November 1st was moved up to October 18th
  
• Oct 18th Therapy appointment.
  There is a gap in therapy because the caseworker from Sentry only authorized 4 weeks of therapy, I as well as the therapy department made numerous phone calls to the caseworker which he did not return.
  
•  Oct 18th Return appointment with Dr. Clemency at SBO. Diagnosis was R lateral epicondylitis. Treatment plan was to continue physical therapy and Dr. Clemency gave me a steroid injection into the right elbow area, ( I did tell the Dr. that I had been given 2 other steroid injections that did not help and again he ignored this and stated those Dr's didn't know what they were doing this injection is different.) Dr. Clemency stated that all the pain would be gone in 1 week after giving me the injection.
  
• Nov 8th Caseworker finally returned a call to the therapy department and I resumed therapy that day.
  
• Nov 8th Therapy appointment.
  
• Nov 13th Therapy appointment. Therapy discharged report attached. Therapist wrote on discharge report that patient demonstrates a strong correlation to radial tunnel syndrome. Dr. Clemency didn't sign this note until after I was discharged.
  
• Nov 14th MRI of right elbow was done at SBO.
  
• Nov 15th Return appointment with Dr. Clemency at SBO. Diagnosis was R lateral epicondylitis and R elbow pain. Treatment plan was that Dr. Clemency stated there is nothing he can fix and pain is in the eye of the beholder and to continue his home exercises and return to work and live with the pain.
  Numerous calls made to the caseworker at Sentry, Scott Kosnicki, following this appointment to request another Dr. to look at MRI or to have another opinion since the pain and numbness were continuing to become worse and I was afraid I would loose use of my right hand. Calls were made to Scott Kosnicki on Nov 15th at 9:13 am, Nov 16th at 1:56 pm, Nov 19th at 1:46 pm, Nov 20th at 8:54 am, Nov 20th at 10:47 am the caseworker finally answered his phone.
  
• Nov 20th Caseworker, Scott Kosnicki, from Sentry said that their decision is that they are going with Dr. Clemency opinion and there is nothing else they can do despite the problem with my arm not being fixed.