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Regular DecisionWorkers' Compensation

MARY JONES vs. ST. HELENA HOSPITAL

Filed: Apr 14, 2015
Santa Rosa
ADJ8579043

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior "take nothing" order, remanding the case for further development of the medical record. Applicant alleged a cumulative trauma knee injury, but the Qualified Medical Evaluator's (QME) opinion, relied upon by the judge, was deemed not substantial medical evidence. The Board found the QME failed to adequately inquire into the applicant's job duties or demonstrate a clear understanding of cumulative trauma. The case will be returned for selection of a new QME to re-evaluate the claim.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior "take nothing" order, remanding the case for further development of the medical record. Applicant alleged a cumulative trauma knee injury, but the Qualified Medical Evaluator's (QME) opinion, relied upon by the judge, was deemed not substantial medical evidence. The Board found the QME failed to adequately inquire into the applicant's job duties or demonstrate a clear understanding of cumulative trauma. The case will be returned for selection of a new QME to re-evaluate the claim.

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