I'm with blume 357, inhaled a 5 inch piece of shrapnel?
Well I would guess his problems all relate to 9/11 experiences. There are a ton of the rescue workers having major trouble.
Not sure if he should get off the hook totally though. Maybe required counseling or something would be better.
The prcedent would not be binding in other courts, but it is still a precedent other judges/atorneys could cite. At least that is my understanding.