WCPanelIQ
PanelQMEMed-legalGranted in Part

Russell Blair — ADJ3108970

RUSSELL BLAIR, Applicant vs. TRUGREEN LANDSCAPE / TERMINIX / SERVICEMASTER BRANDS, and ZURICH NORTH AMERICA, Defendants

ADJ number
ADJ3108970
Decision date
Feb 13, 2023
District office
Santa Ana
WCJ
—
Claim administrator
Zurich North America
Commissioners
KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: lumbar spine, right hip, psyche, left hip, bilateral knees, dental system, internal system, sleep disorder

LC §5952LC §3202LC §5701LC §5906

Summary

Applicant Russell Blair sought reconsideration of a WCJ's December 1, 2022 Findings and Award that found industrial injury to his lumbar spine, right hip, and psyche (with 66% of psychiatric PD attributed to the industrial injury), but denied injury to other claimed body parts including his dental system. Applicant argued that the QME psychiatric reports of Dr. Nathan (last evaluation December 27, 2010) were 'stale' and could not support a psychiatric disability finding, and that the failure to develop the record on his dental claim denied due process. The Board granted reconsideration and affirmed the F&A except that it deferred the issues of dental injury, the percentage of psychiatric PD caused by the injury, the overall level of PD, and the attorney fee amount. The Board found Dr. Nathan's reports did not constitute substantial evidence on apportionment because he failed to explain how and why the industrial and nonindustrial factors caused disability under Escobedo. The matter was returned to the WCJ for further development of the record.

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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