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his pain. For some time thereafter, petitioner was temporarily
paralyzed.
Petitioner also developed osteoarthritis, primarily in the
lower back related to the fusion of vertebrae and in his knees.
By mid-1987, moderate degenerative changes were apparent in
petitioner's mid- and lower thoracic spine. By 1990 the
degenerative changes were apparent throughout petitioner's spine.
In September 1978, Maryland State Retirement Systems granted
petitioner a disability retirement allowance. However, after a
discussion with his wife, petitioner decided not to accept any
"freeloads". Petitioner struggled to rehabilitate himself, and
he eventually returned to work as a project engineer with the
Highway Administration.
In early 1987, petitioner's left knee "went out completely".
Sometime thereafter, but before 1989, doctors replaced
petitioner's left knee. However, within 9 months, the
replacement knee "broke completely out of [the] bone".
Petitioner had difficulty walking after the replacement knee
broke. Accordingly, on August 3, 1990, doctors replaced
petitioner's left knee for the second time. Petitioner needed to
use crutches for 6 months following his second knee operation.
Petitioner has also had a clinically significant history of
hypertension. This condition has occasioned the postponement of
scheduled surgery on two occasions.
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