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Omar A Atilano — ADJ16048168

OMAR A. ATILANO, Applicant vs. BURKETT'S POOL PLASTERING, INC.; CALIFORNIA CONTRACTORS NETWORK; administered by AMERICAN CLAIMS MANAGEMENT, Defendants

ADJ number
ADJ16048168
Decision date
Feb 12, 2023
District office
Stockton
WCJ
Paul Saltzen
Claim administrator
American Claims Management (administering for California Contractors Network)
Commissioners
—

Injury / body parts: low back, lumbar spine

LC §5904CCR §35

Summary

Applicant Omar Atilano sustained a stipulated industrial low back injury on July 6, 2021, while working as a laborer for Burkett's Pool Plastering. After being initially discharged and returned to full duty at Kaiser, he later sought further treatment and was evaluated by PQME Dr. Sclafani, who found he was not yet permanent and stationary and imposed temporary partial work restrictions. The WCJ awarded temporary partial disability beginning August 8, 2022 (the PQME exam date), allowed a change of treating physician, and awarded medical care for the back. Defendant petitioned for reconsideration, arguing the PQME's opinion was not substantial evidence due to an inconsistent injury history, incomplete record review, and the PQME's unawareness of a prior full-duty release. The WCAB denied reconsideration, adopting the WCJ's report and giving great weight to the WCJ's credibility determination under Garza.

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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