Frank McGann spent 32 years with the Authority, retiring in May 2021 as a senior meter reader. After he left, he reported intermittent tingling and pain in both hands and wrists that had worsened over the prior two years and was diagnosed with bilateral carpal tunnel syndrome. His treating physician, Dr. Harold Avella, said the condition was tied to his job. The employer’s orthopedic consultant, Dr. Steven Goodman, initially disagreed but changed his view after reviewing additional records, including EMG results, and re=examining McGann.