WCPanelIQ
PanelMed-legalLienGranted

Johnson, Deana

DEANA JOHNSON, Applicant vs. DAVITA HEALTH CARE PARTNERS, INC.; AMERICAN HOME ASSURANCE COMPANY, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., Defendants

ADJ number
ADJ12953785
Decision date
Aug 21, 2024
District office
Sacramento
WCJ
—
Claim administrator
Sedgwick Claims Management Services, Inc. (administering American Home Assurance Company)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: bilateral wrists, bilateral hands

LC §4660.1LC §4662LC §4663LC §5705

Summary

Deana Johnson, a registered nurse, sustained an admitted cumulative industrial injury ending March 28, 2019, to her bilateral wrists and hands. The WCJ found 26% permanent partial disability after apportionment, and applicant sought reconsideration arguing she was permanently totally disabled via Ogilvie rebuttal and that defendant failed its burden on apportionment. The AME, Dr. Weddington, criticized applicant's functional capacity evaluation (FCE) as including non-industrial disability and found her amenable to vocational rehabilitation, undermining applicant's vocational expert who relied on that FCE. The Board agreed applicant failed to rebut the PDRS for permanent total disability but found the AME's 75/25 apportionment opinion (resting only on the generalization that arthritis is common with age) was not substantial medical evidence. The Board granted reconsideration, rescinded the F&A, and substituted a new award of 35% permanent disability with no apportionment.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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