WCPanelIQ
PanelQMEMed-legalRemanded

Berrios, Marisela

MARISELA BERRIOS, Applicant vs. CHRISTOPHER RANCH LLC; THE HARTFORD, Defendants

ADJ number
ADJ11192906
Decision date
Date unavailable
District office
Salinas
WCJ
—
Claim administrator
The Hartford
Commissioners
PATRICIA A. GARCIA, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: right hip, right leg, right foot, right hand, lumbar spine

LC §3600LC §3202.5LC §3208.1LC §5400LC §5411LC §5412LC §5701LC §5814LC §5906

Summary

Applicant Marisela Berrios, a garlic/onion packer and floor lead, claimed a cumulative injury to her right hip, right leg, right foot, right hand, and lumbar spine during a period ending September 7, 2017, and was terminated September 19, 2017. The WCJ found no cumulative injury AOE/COE based on PQME Dr. Domeniconi's vacillating opinion that the injury was specific, and deemed all other issues moot. On reconsideration, the WCAB agreed Dr. Domeniconi's opinion was not substantial medical evidence because he was confused about the legal distinction between specific and cumulative injury and merely deferred to the applicant's lay characterization. The Board held the WCJ had a duty to develop the record rather than deny the claim, and also found defendant failed to meet its burden on the post-termination defense. The F&O was rescinded and the matter returned for further proceedings, with a recommendation to use an AME or appoint a regular physician.

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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