EDWARD KARLA, Applicant vs. LOS ANGELES UNIFIED SCHOOL DISTRICT, Permissibly Self-Insured, Defendant
ADJ number
ADJ15113297
Decision date
Jan 2, 2025
District office
Van Nuys
WCJ
—
Claim administrator
Los Angeles Unified School District (Permissibly Self-Insured)
Commissioners
—
Injury / body parts: right hip, lumbar spine
LC §5909LC §5900LC §4663LC §4664LC §5313
Summary
Karla Edward, a substitute teacher for LAUSD, sustained an industrial injury to her right hip and lumbar spine on January 15, 2019 when she tripped and fell. The WCJ awarded 35% permanent disability after adopting PQME orthopedist Dr. Lawrence Borelli's apportionment finding that 90% of the right hip disability was attributable to nonindustrial degenerative factors. Applicant sought reconsideration, arguing Dr. Borelli's apportionment opinion was not substantial medical evidence. The majority (Commissioners Capurro and Razo) denied reconsideration, finding Dr. Borelli's opinion met the substantial evidence standard under E.L. Yeager Construction (Gatten), and adopted the WCJ's Report. Commissioner Snellings dissented, arguing Dr. Borelli failed to adequately explain how and why moderate degenerative changes and a prior contralateral hip replacement accounted for 90% of disability as required by Escobedo.
Issues
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Holding
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Analysis
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Applicant takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Defense takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Provider takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Similar decisions
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.