WCPanelIQ
PanelQMEMed-legalDenied

Dominguez, Josefina

JOSEFINA DOMINGUEZ, Applicant vs. MV MEDICAL MANAGEMENT; HARTFORD PROPERTY AND CASUALTY COMPANY, Defendants

ADJ number
ADJ13261083
Decision date
Aug 27, 2023
District office
Van Nuys
WCJ
—
Claim administrator
Hartford Property and Casualty Company
Commissioners
—

Injury / body parts: hands, psyche

LC §5502

Summary

Applicant Josefina Dominguez, a 63-year-old claims auditor, sustained an admitted cumulative trauma injury to her hands and psyche during a period ending April 29, 2020. The WCJ found temporary disability from May 1, 2021 through November 2, 2021, relying on treating psychologist Dr. Thomas Fera's report. Defendant sought reconsideration, arguing the PQME psychologist Dr. Leine Delker found no temporary disability and the evidence was insufficient to constitute substantial medical evidence. The WCAB denied reconsideration, adopting the WCJ's Report, holding the WCJ was entitled to rely on the treating physician's opinion as substantial evidence even where it conflicted with other medical opinions. The Board noted Dr. Delker's finding of no TTD stemmed only from her initial (later reversed) opinion of no industrial injury, and she never re-addressed TTD after accepting injury.

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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