EE was shoveling soft ground and hit cement, which reverberated through his left wrist and arm. It hurt at the time, but was not enough to stop him from working. When he woke up on 9/21/06, his left wrist was swollen and sore. Dr diagnosed as a sprain. D @ A negative. Light duty until follow up on 9/26/06. Only scheduled day missed 9/21/06 for appt. 9/25-9/26 @ Geotemps.