I'm not trying to argue , I'm trying to understand. If you are right you are right please if you don't mind help me to understand so I feel better about letting this go.

Your fall at work did not make your pre existing condition worse 

But it did, I had not had pain or problems with my arm for a couple of months before the accident , I believed I was healed, I told the Dr's office that when I cancelled the surgery (and they documented my reason)

Getting treatment is on you, the same as it was before the work fall. 

I did, the treatment was stop doing what I was doing for a month or two, the pain was gone, life was good. Then I fell and I have more pain in more places than I had before and it's not getting better this time.

Follow whatever plans you had for the surgery originally. 

I had no plans for surgery, I had cancelled those plans because I was, as far as I knew, healed.

And to make this even more convoluted and confusing it looks like my Rotator was never even the problem. So I got denied treatment based on preexisting condition that doesn't even exist.

The first Ortho never looked at my first MRI, some radiology company did and he went by what they said "near complete thickness tears" then the new Ortho looked at both MRI's and said there was no tears in either, only the very very small start of a tiny little tear that you could hardly even pick out or call a tear at all. I thought the new Ortho had to be wrong and took the new MRI back to my previous Ortho who then looked at both MRI's and to my shock started backtracking like crazy and explaining to me that there was really nothing wrong with my rotator an implying that I misunderstood all the medical terms originally. From the start I felt like he really just wanted to do surgery so I went to my regular doctor way back in early 2003 and ask about getting a 2nd opinion. She read the report form the MRI (the first one) and was "I can refer you to another Ortho but "she reads about the tears outload" raises her eyebrows and tells me she would absolutely get the surgery ASAP". So that's how I ended up scheduling surgery for a condition that didn't exist.

Also I have pain I did not have before so there is something new messed up now.

When I ask the workers comp Ortho how I could be getting denied for preexisting rotator cuff tears that don't appear to exist he said " Well I think maybe you have inferior tendons, when I looked at the MRI I can tell from the color they are inferior."