The ruling, issued April 17 by the Intermediate Court of Appeals of the State of Hawai‘i, centers on a claim brought by Lola L. Suzuki, a former employee of American Healthways, Inc., who reported injuring her right wrist in November 2006. The company and its insurance carrier, St. Paul Travelers, sought two more examinations related to her subsequent claims of a neck injury and sleep disorder – conditions Suzuki contended were caused by a prior medical evaluation in 2007.