WCPanelIQ
PanelQMEMed-legalGranted in Part

Billow, Amber

AMBER BILLOW, Applicant vs. THE BOYS AND GIRLS AID SOCIETY OF LOS ANGELES COUNTY; UNITED STATES FIRE INSURANCE COMPANY, administered by CRUM AND FORSTER INSURANCE COMPANY, Defendants

ADJ number
ADJ6508173
Decision date
Jan 15, 2026
District office
Marina del Rey
WCJ
—
Claim administrator
Crum & Forster Insurance Company (administering for United States Fire Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: lungs, upper digestive system (GERD), psyche, sleep disorder, METs (claimed, rejected)

LC §4658LC §4663LC §4664LC §5502LC §5701LC §5903LC §5906LC §5952CCR §10325

Summary

Applicant, a wraparound counselor, sustained an industrial inhalation injury on August 23, 2007, with claimed injuries to her lungs, METs, upper digestive system (GERD), psyche, and a sleep disorder. The WCJ found 100% permanent and total disability based on QME Dr. Gillis's reports (which added impairments rather than using the CVC) and the vocational opinion of VE Paul Broadus. On reconsideration, the Board held that 'METs' is not a separate ratable body part but merely a measure of functional capacity, and that QME Dr. Gillis failed to provide a complete analysis justifying addition of impairments under the standards announced in Vigil v. County of Kern. The Board rescinded the F&A and substituted a new one correcting the body-part findings, while deferring permanent disability, apportionment, attorney fees, and the section 4658(d) 15% increase pending further development of the record. The Board denied defendant's request to strike Dr. Gillis's reports.

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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