WCPanelIQ
PanelMed-legalDenied

Gali, Manwell

MANWELL GALI, Applicant vs. CITY OF RICHMOND FIRE DEPARTMENT; AIMS, Defendants

ADJ number
ADJ15186514
Decision date
Dec 12, 2024
District office
Oakland
WCJ
Raymond Frost
Claim administrator
AIMS
Commissioners
—

Injury / body parts: psyche, PTSD

LC §3201.7LC §3212.5LC §3212.15LC §5502LC §5701LC §5903LC §5906LC §5952CCR §10109

Summary

Applicant Manwell Gali, a Richmond firefighter, claimed a specific psyche injury (PTSD) on September 27, 2019 and a cumulative trauma psyche injury ending the same date, arising primarily from responding to a high school shooting and other work traumas. The case proceeded under an ADR 'carve-out' program with arbitration under Labor Code section 3201.7. The arbitrator relied on Agreed IME Dr. Brian Jacks' report finding industrial PTSD, rejected defense IME Dr. Judith Keins' report (bipolar disorder, non-industrial) as not substantial evidence because she reviewed no medical records, and refused to admit Dr. Keins' supplemental report submitted the day after the arbitration. The arbitrator also found the specific injury presumptively compensable due to defendant's roughly 18-month delay in investigating before denying, and the CT injury presumptively PTSD under Labor Code section 3212.15. The WCAB granted reconsideration, then affirmed the May 3, 2023 Findings of Fact and Award, adopting and incorporating the arbitrator's Report.

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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