WCPanelIQ
PanelQMEMed-legalDenied

Mendoza, Cecilia

CECILIA MENDOZA, Applicant vs. BERRYESSA CONTRACTING, INCORPORATED; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ11197264
Decision date
Apr 28, 2020
District office
Sacramento
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
—

Injury / body parts: left shoulder, neck, left lower arm, upper back

LC §4660.1LC §4662LC §4660

Summary

Cecilia Mendoza, a farm laborer, sustained industrial injury to her left shoulder, neck, left lower arm, and upper back on August 27, 2017. The PQME, Dr. Gary Bocci, produced reports that the parties stipulated rated 25% permanent disability after all adjustments under the AMA Guides and 2005 PDRS. Applicant attempted to rebut the scheduled rating using her vocational expert, Jeff Malmuth, who opined she had sustained a total loss of earning capacity. The WCJ found Malmuth's report unpersuasive because it relied on incorrect lifting restrictions (3-5 lbs versus the actual 10-15 lbs), incorrect complaints regarding driving limitations and sleep disruption, and conclusions that were undermined by applicant's actual participation in vocational rehabilitation. The Appeals Board affirmed, holding that neither vocational expert's opinion constituted substantial evidence sufficient to rebut the scheduled 25% permanent disability rating.

Issues

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Holding

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Analysis

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Defense takeaway

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Provider takeaway

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