This claim involved a worker who was injured in a motor vehicle collision during the course of her employment.  She sustained injuries to her neck and left arm.  She was eventually required to undergo a cervical spine fusion.  She also suffered from a nerve injury that resulted in a clawing deformity of her dominant hand.  She developed anxiety and depression as a result of her injuries.  After a lengthy fight with the insurance company, all of these injuries were found to be related to her initial motor vehicle collision.  The claim was finally settled with the assistance of a mediator.