November 2011

Clay Weldon vs. Wallace Kuhl & Associates; U.s Fidelity And Guarantee Company

This case is about Clay Weldon, who was injured while working as a materials technician in California. He requested authorization for spinal surgery, which was denied by U.S. Fidelity and Guarantee Company. The Workers’ Compensation Appeals Board reversed the award of spinal surgery as reasonable medical treatment, finding that the opinion of the Agreed Medical Examiner, Dr. McCormack, that the surgery was not warranted was substantial medical evidence.

Maryellen Murphy vs. San Leandro Unified School District; Permissibly Self-insured, Administered By Keenan & Associates

: The San Leandro Unified School District was permissibly self-insured and administered by Keenan & Associates. Maryellen Murphy filed a Petition for Reconsideration with the Workers’ Compensation Appeals Board. The Board denied the Petition for Reconsideration, finding that the permanent disability determination based on preclusion from sedentary work was supported by the evidence, and that there was insufficient evidence to support apportionment of permanent disability with respect to Murphy’s knees. The Board also admonished Murphy for repeated references to the video and reports which were excluded from evidence.

Mark Campagna vs. American Corp./american Airlines; American Home Assurance, Adjusted By Specialty Risk Services

This case is about Mark Campagna, an aircraft mechanic who sustained an injury to his right shoulder while employed by American Corp./American Airlines. Access Mediquip filed a lien in the case claiming entitlement to payment in the amount of $5,738.00 for medical services provided to applicant. The WCJ issued a Notice of Intention to Dismiss Lien (NOI) to Access Mediquip, which was served on August 16, 2011. Access Mediquip’s representative, Pinnacle Lien Services, filed a timely objection to the NOI on September 9, 2011. The WCJ’s Order Dismissing Lien was rescinded and the matter was returned to the trial level for further proceedings and decision by the

Carol Lynn Randall vs. First American Title And Zurich North America

This case involves a petition for reconsideration filed by defendant First American Title and Zurich North America with regard to a decision filed on August 30, 2011. The Workers’ Compensation Appeals Board granted the petition for reconsideration in order to allow sufficient opportunity to further study the factual and legal issues in the case and to issue a just and reasoned decision.

Parveena Prasad vs. Sacramento Bee/mcclatchy Newspapers, Inc., Permissibly Self-insured

This case involved a workers’ compensation claim by Parveena Prasad against Sacramento Bee/McClatchy Newspapers, Inc. Prasad’s claim was based on an admitted industrial injury to her right elbow and neck while employed by the defendant. The claim was settled on May 25, 2010 by compromise and release with a lump sum payment of $20,000.00. As part of the settlement, defendant agreed to pay, adjust or litigate any liens and to hold applicant harmless from them. Accident Injury & Family Therapy, Innovative Medical Management and Louis Heard failed to attend either of the mandatory settlement conferences in this case contrary to the Rules, and the Appeals Board imposed sanctions and awarded costs and fees against them.

Refugio Perez vs. Orange Plastics; State Compensation Insurance Fund

In this case, Refugio Perez, an employee of Orange Plastics, sought workers’ compensation for an industrial injury to his psyche and hands. The Workers’ Compensation Appeals Board granted reconsideration and amended their decision to find that Perez was entitled to 90 percent permanent disability, payable at the rate of $230.00 per week for 606.50 weeks in the total sum of $139,495.00 and thereafter a life pension of $115.96 per week, subject to cost of living adjustments. The Board also awarded attorney fees in the amount of $21,000.00, but deferred the issue of attorney fees on the life pension. The matter was returned to the trial level for further proceedings and decision on this issue.

Larry Mcatee vs. Wolseley Management, Inc. Dba Ferguson Enterprises, Inc.; Pacific Employers Insurance Company

In this case, Larry Mcatee was claiming an industrial injury to his back and nervous system while working as a truck driver on March 2, 2000, and cumulative trauma industrial injury to those same body parts during the period January 1, 2001 to February 18, 2003. At a mandatory settlement conference, the WCJ ordered and noted that discovery was closed. The defendant then petitioned for removal of the case to the Appeals Board and for reconsideration of the September 7, 2011 order of the WCJ closing discovery. After the parties agreed to conduct additional discovery, the WCJ recommended that the September 7, 2011 order closing discovery be rescinded and the petition for reconsideration be dismissed as moot. The Appeals Board granted the petition for removal and

Victoria Martinez vs. Maxi Foods, Llc; Springfield Insurance Company

In this case, Victoria Martinez is appealing an order from the workers’ compensation administrative law judge (WCJ) that she attend a medical examination with Dr. James K. Styner. Martinez argues that the WCJ erred by issuing the order without giving her an opportunity to be heard on the matter. The WCJ’s Report and Recommendation on Petition for Reconsideration states that the issue of Martinez’s submission to the medical examination was raised at the Mandatory Settlement Conference on August 18, 2011. The Appeals Board dismissed Martinez’s Petition for Reconsideration and denied her Petition for Removal, noting that the WCJ’s Order Compelling Attendance at Medical Evaluation does not constitute a final order within the meaning of Section 5900.

Emmanuel Haro vs. Pyramid Tile; Redwood Fire & Casualty Company

(OXN 0144250)This case is about Emmanuel Haro, a tile laborer who sustained industrial injuries to his back and hand while employed on September 23, 2005 and November 12, 2005, respectively. He filed a Petition for Reconsideration of the March 1, 2011 Award issued by the workers’ compensation administrative law judge (WCJ) based on Stipulations with Request for Award previously submitted by his former attorney. The WCAB dismissed the Petition for Reconsideration due to defective service and for being skeletal.

Gary Glasgow vs. Ram Con Co., Inc.; And Ciga, By Sedgwick On Behalf Of Legion Insurance, In Liquidation

/OAK0268917 is a case in which Gary Glasgow, the applicant, filed a Petition for Reconsideration and Removal from the Findings and Order and Award served on September 12, 2011. The case involves Glasgow’s injury to his right lower extremity, right foot and ankle, Reflex Sympathetic Dystrophy (RSD), and Complex Regional Pain Syndrome (CRPS) when a prefabricated toilet structure fell on his right foot. The Workers’ Compensation Appeals Board denied the Petition for Reconsideration, finding that the opinions of Dr. Newton and Dr. Stark were substantial evidence and most clearly described the range of the actual permanent disability residual to the injuries. The Board also found that the reports of Dr.