WCPanelIQ
PanelQMEMed-legalGranted

Ragasa, Johnny

JOHNNY RAGASA, Applicant vs. WASTE MANAGEMENT OF ALAMEDA COUNTY, INC.; ACE AMERICAN INSURANCE COMPANY administered by GALLAGHER BASSETT SERVICES, INC., Defendants

ADJ number
ADJ14443327
Decision date
Mar 23, 2025
District office
Oakland
WCJ
—
Claim administrator
Gallagher Bassett Services, Inc. (administering ACE American Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: bilateral knees, left knee, right knee

LC §5909LC §5900LC §5950LC §4656LC §5402LC §3208.2LC §5303LC §5903LC §5952LC §5313LC §5901LC §5907LC §5908LC §5908.5LC §5803CCR §10600CCR §10625

Summary

Applicant Johnny Ragasa, a truck mechanic, sustained multiple specific and cumulative knee injuries, three admitted and one denied. The WCJ found that applicant sustained an industrial cumulative injury to bilateral knees through June 9, 2021, resulting in temporary total disability from January 10, 2023 onward, relying on the reporting of QMEs Dr. Retodo and Dr. Talan. Defendant petitioned for reconsideration, contending Dr. Retodo's QME reporting was not substantial medical evidence because it was conclusory and that applicant's testimony was inconsistent with the QME's described limitations. The Appeals Board granted reconsideration to allow further review of whether the medical reporting constitutes substantial evidence and whether the record requires further development. The Board's order is not a final decision; issuance of a final decision after reconsideration was deferred.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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