WCPanelIQ
PanelQMEMed-legalGranted

Howard, Samuel

SAMUEL HOWARD, Applicant vs. SAN DIEGO JEEP/SUNROAD HOLDING CORPORATION; PACIFIC COMPENSATION INSURANCE COMPANY, dba COPPERPOINT INSURANCE COMPANIES, Defendants

ADJ number
ADJ13368607
Decision date
Feb 23, 2025
District office
San Diego
WCJ
—
Claim administrator
Pacific Compensation Insurance Company, dba CopperPoint Insurance Companies
Commissioners
—

Injury / body parts: left ring finger, left middle finger, neck, right upper extremity (shoulder, forearm, hand), psyche (PTSD), CRPS of right upper extremity

LC §5909LC §5900LC §5950LC §5903LC §5952LC §5803LC §5907LC §5908LC §5908.5LC §5901

Summary

Samuel Howard, a lube technician, suffered a partial amputation of two fingers on May 16, 2020, and allegedly developed CRPS and PTSD due to subpar follow-up treatment. The WCJ found industrial injury to the fingers, neck, right upper extremity, and psyche, denied defendant's Petition to Replace PQME Reiss, and found applicant permanently totally disabled. Defendant sought reconsideration arguing the WCJ erred in failing to remove PQME Reiss for bias, in not allowing the medical-legal evaluators to review sub rosa video, and in finding 100% PTD. The Appeals Board granted reconsideration on a preliminary basis, finding the record was not properly developed and that there was no formal permanent disability rating and questionable substantial medical evidence. The Board deferred a final decision pending further review of the merits and the entire record.

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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