WCPanelIQ
PanelQMEMed-legalLienDenied

Buczkowski, Elizabeth

ELIZABETH BUCZKOWSKI, Applicant vs. MACY’S, INC., permissibly self-insured, administered by SEDGWICK CMS, INC., Defendants

ADJ number
ADJ10906751
Decision date
Jan 12, 2025
District office
Van Nuys
WCJ
Todd T. Kelly
Claim administrator
Sedgwick CMS, Inc. (administrator for Macy's, Inc., permissibly self-insured)
Commissioners
—

Injury / body parts: left foot, left big toe, low back, complex regional pain syndrome to both lower extremities, right foot (neuroma)

LC §5909LC §5900LC §5705LC §3202.5LC §4663LC §4656LC §15LC §5502CCR §10600

Summary

Applicant Elizabeth Buczkowski sustained an admitted specific industrial injury on October 5, 2016 when a trash can fell on her left foot and big toe, leading to surgery, the development of CRPS, and spread of disability to both lower extremities. The WCJ found a 79% unapportioned permanent disability award based on PQME Dr. Galloni's reporting, rejected non-industrial apportionment as not substantial evidence, found no cumulative trauma injury, upheld a Class 4 50% WPI station/gait rating, and awarded EDD lien reimbursement. Defendant sought reconsideration arguing the record needed development, the PQME report was not substantial evidence, apportionment and a CT should have been found, the WPI class was wrong, and the EDD lien should be denied. The WCAB adopted and incorporated the WCJ's comprehensive report and denied reconsideration. The Board also independently noted that under Hikida, new disability arising from industrial medical treatment (the failed surgery causing CRPS) would not be subject to apportionment.

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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