The claimant was involved in an industrial accident and injury in 2000. While delivering bread, he slipped in water on a metal ramp and about 40 trays fell on top of him injuring his left shoulder, neck, back, and legs. The employer/carrier accepted the case as compensable and began providing medical care and paying the claimant indemnity benefits. The claimant was seen by a neurosurgeon who opined the claimant was not a surgical candidate and referred him to a pain management specialist who treated the claimant with injections and pain medication, which did not give him significant relief. For the claimant’s shoulder problems, a doctor eventually performed surgery. Another doctor opined the claimant’s problems were related to the industrial accident and opined the claimant was unable to return to heavy-duty work but a sedentary/sit down job may be acceptable. The parties attended a final hearing in 2007 and the judge ruled the claimant had suffered from a significant impairment. The judge awarded the claimant PTD benefits from 2004 through the present and attorney fees at the expense of the employer. This was a major victory for the claimant who would now receive money for the rest of his life. After several mediation attempts, the parties attended mediation and finally were able to reach a complete washout agreement of $400,000.00.