WCPanelIQ
PanelQMEGranted

Jones, William

WILLIAM JONES, Applicant vs. ROBBJACK CORPORATION; TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA, Defendants

ADJ number
ADJ10110509
Decision date
Nov 26, 2024
District office
Sacramento
WCJ
—
Claim administrator
Travelers Property Casualty Company of America
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: bilateral shoulders, left hand, neck/cervical spine, low back/lumbar spine

LC §4663

Summary

Applicant William Jones sustained cumulative trauma through August 17, 2015 to his bilateral shoulders, left hand, neck, and low back while working as a tool grinder. The WCJ found 47% permanent disability after applying the apportionment opinions of PQME Dr. Anderson, a neurology and pain medicine specialist. Applicant petitioned for reconsideration, arguing Dr. Anderson's apportionment opinions were not substantial evidence. The Appeals Board agreed, finding the PQME's apportionment to degenerative change, morbid obesity, bilateral foot problems, childhood injury, whiplash, neck twisting, and diabetes lacked detailed description of the apportionable disability, lacked supporting reasoning, was internally contradictory, and was speculative under Escobedo. The Board amended the award to 71% permanent disability without apportionment, including a life pension.

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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