WCPanelIQ
PanelQMEMed-legalGranted

Winbush, Clyde

CLYDE WINBUSH, Applicant vs. COUNTY OF LOS ANGELES DEPARTMENT OF MENTAL HEALTH, Permissibly Self-Insured, Defendant

ADJ number
ADJ16748561
Decision date
Nov 14, 2024
District office
Van Nuys
WCJ
—
Claim administrator
County of Los Angeles Department of Mental Health (Permissibly Self-Insured)
Commissioners
—

Injury / body parts: back, neck, shoulders, elbows, wrists, hands, fingers, hips, knees, heart, gastrointestinal system, head, varicose veins, sexual dysfunction

LC §5909LC §5900

Summary

Applicant Clyde Winbush worked for the County of Los Angeles until October 2008, when he sustained a specific back injury, and had prior stipulated awards for specific low back injuries in 1995 and 2008. He later filed a cumulative trauma claim alleging injury to numerous body parts including the gastrointestinal system, which QME internist Dr. Sherman attributed to NSAIDs and narcotics taken for his back symptoms following 2018 lumbar surgery. The WCJ found no industrial cumulative injury because the GI claim was derivative of an orthopedic cumulative injury for which no evidence had been introduced, and ordered applicant take nothing. The Board granted reconsideration, agreeing the record as it stood did not support a finding of industrial injury, but held the record must be developed because Dr. Sherman's GI opinion depended on an unproven underlying orthopedic cumulative injury. The Board rescinded the WCJ's decision and remanded for further development of the record with a new QME/AME evaluation.

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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