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PanelQMEMed-legalGranted

Troyan, Stephanie

STEPHANIE TROYAN, Applicant vs. MARIN COUNTY PARKS, permissibly self-insured, administered by ATHENS ADMINISTRATORS, Defendants

ADJ number: ADJ14647678
Decision date: Date unavailable
District office: Santa Rosa
WCJ: —
Claim administrator: Athens Administrators (for permissibly self-insured Marin County Parks)
Commissioners: NATALIE PALUGYAI, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: gastrointestinal system, sepsis (systemic infection), skin (urticaria/rash)

LC §5952LC §5701LC §5906

Summary

Applicant Stephanie Troyan, a landscape architect, contracted an industrial Salmonella enteritidis infection on June 17, 2019, leading to sepsis, hospitalization, and various subsequent conditions. The WCJ found no compensable consequence injuries, no permanent disability, a P&S date of December 12, 2019, and held that internal medicine QME Dr. Nakashima's reports were substantial evidence. The Appeals Board granted reconsideration, finding Dr. Nakashima's reports and deposition testimony were NOT substantial evidence due to internal inconsistencies, an inadequate (virtual) 2021 examination, failure to address subsequent medical conditions, and confusion between 'aggravation' and 'exacerbation.' The Board rescinded the F&O and returned the matter to the WCJ to develop the record by having Dr. Nakashima re-evaluate applicant with updated records. The Board agreed with the WCJ that there was no good cause to replace Dr. Nakashima.

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.