WCPanelIQ
PanelDenied

Rodriguez, Antonia

ANTONIA RODRIGUEZ, Applicant vs. SAN DIEGO CONVENTION CENTER; AMERICAN SPECIALTY INSURANCE SERVICE, administered by GALLAGHER BASSETT SERVICES, Defendants

ADJ number
ADJ1715757
Decision date
Date unavailable
District office
San Diego
WCJ
Linda F. Atcherley
Claim administrator
Gallagher Bassett Services (administering American Specialty Insurance Service)
Commissioners
—

Injury / body parts: left knee, back, left shoulder, left elbow, psyche, internal systems

LC §5909LC §5900LC §4660

Summary

Antonia Rodriguez, a 37-year-old housekeeper, sustained an admitted 2002 industrial injury to her left knee, back, left shoulder, left elbow, psyche, and internal systems. After multiple surgeries including a revision left total knee arthroplasty, the WCJ found her 100% permanently and totally disabled with no apportionment, relying on the orthopedic reports of Dr. Bernicker and pain management reports of Dr. Thompson, plus the vocational opinion of applicant's expert Alejandro Calderon establishing she was not amenable to vocational rehabilitation under LeBoeuf. Defendant petitioned for reconsideration, arguing Calderon's reporting was not substantial evidence and that 25% nonindustrial apportionment from the psychiatric AME (Dr. Zink) should apply. The Appeals Board denied reconsideration, adopting the WCJ's reasoning and finding the disability rested on unapportioned orthopedic injuries and pain, with vocational non-feasibility properly established.

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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