The simultaneous occurrence of multiple nerve lesions (six or more) is required to explain symptoms typically attributed to a single cause, except in cases like parsonage Turner syndrome.

“it's not like they have one or two discs that could be bulging and causing that symptom it's not like they could have even transected their long thoracic nerve like a woman who has a mastectomy you're always looking out for that post-mastectomy it's like they would have to have six lesions simultaneously exactly and it just doesn't happen except with that”