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PanelQMEMed-legalRemanded

Hough, Maria

MARIA HOUGH, Applicant vs. MERCY SAN JUAN HOSPITAL, permissibly self-insured, adjusted by SEDGWICK, Defendants

ADJ number: ADJ11099036
Decision date: Date unavailable
District office: Sacramento
WCJ: —
Claim administrator: Sedgwick
Commissioners: JOSEPH V. CAPURRO, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: psyche, neck, back, lower extremities, right wrist, right ankle, left knee

LC §5313LC §5903LC §5952LC §3208.3LC §3208.2LC §4663

Summary

Applicant Maria Hough, a phlebotomist for Mercy San Juan Hospital, claimed multiple injuries including a specific injury on February 24, 2017 and a cumulative trauma injury through February 24, 2017, both alleging psychiatric injury. The WCJ found that applicant sustained a cumulative trauma psychiatric injury in ADJ11099036 and awarded future medical care. Defendant sought reconsideration, arguing the QME's reporting did not constitute substantial evidence on psychiatric causation. The WCAB agreed, finding QME Dr. Petrakis failed to perform a proper Rolda analysis, did not distinguish which 2017 injury (specific vs. cumulative) caused the psyche injury, and expressly refused to address predominant causation. The Board rescinded the November 10, 2020 Findings, Award and Orders and remanded for further proceedings.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.