WCPanelIQ
PanelMed-legalGranted

Garcia Lopez, Porfirio

PORFIRIO GARCIA LOPEZ, Applicant vs. JOHN AND NICOLE SANTOS DAIRY; OMAHA NATIONAL INS.; ZENITH INSURANCE COMPANY, Defendants

ADJ number
ADJ14723091
Decision date
Apr 21, 2024
District office
Fresno
WCJ
—
Claim administrator
Omaha National Insurance; Zenith Insurance Company
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: neck, shoulders, bilateral shoulders, back, upper extremities, bilateral wrists, left elbow, bilateral elbows, right shoulder, left shoulder, right knee

LC §5950LC §5903LC §5952LC §5701LC §5906LC §5907LC §5908LC §5908.5LC §5803LC §5901

Summary

Applicant Porfirio Garcia Lopez, a dairy milker, sustained two industrial injuries (December 2, 2017 and November 21, 2020) while employed by John and Nicole Santos Dairy, insured by Zenith Insurance Company and Omaha National Insurance respectively. The parties agreed to use Dr. Michael Klassen as the AME for both consolidated claims, and he issued seven reports and was deposed four times. After trial, the WCJ found Dr. Klassen's reporting constituted substantial medical evidence and awarded permanent disability of 20% (2017 injury) and 12% (2020 injury) after apportionment. Applicant sought reconsideration, arguing Dr. Klassen's reports were confusing, contradictory, and internally inconsistent, and thus did not constitute substantial medical evidence requiring further development of the record. The Appeals Board granted reconsideration and deferred a final decision pending further review of the merits and the entire record.

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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