WCPanelIQ
PanelQMEMed-legalDenied

Jackman, Caroline

CAROLINE JACKMAN, Applicant vs. STATE OF CALIFORNIA, DEPARTMENT OF GENERAL SERVICES, legally uninsured; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ8368911
Decision date
Apr 29, 2024
District office
Sacramento
WCJ
Darcy Kosta
Claim administrator
State Compensation Insurance Fund
Commissioners
—

Injury / body parts: psyche

LC §3600LC §3202.5LC §5952LC §4060LC §4061LC §4062.3

Summary

Applicant Caroline Jackman alleged an industrial psychiatric injury during a cumulative trauma period ending August 24, 2011, which the State (via State Compensation Insurance Fund) denied. After the PQME Dr. Wantuch's reporting was deemed not substantial medical evidence, the parties agreed to obtain reporting from a regular physician, Dr. Bates, who opined the psychiatric injury was due to applicant's pre-existing bipolar disorder. The WCJ found the injury non-industrial, and applicant petitioned for reconsideration arguing Dr. Wantuch's reporting should have been weighed as substantial medical evidence. The WCAB denied reconsideration, adopting the WCJ's report (except the last three sentences of the first full paragraph on page two), finding Dr. Wantuch repeatedly confused apportionment with causation and changed her opinions without explanation across numerous reports, rendering them not substantial evidence.

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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