WCPanelIQ
PanelQMEMed-legalDenied

Carlos Madrigal — ADJ11161737

CARLOS MADRIGAL, Applicant vs. AVALON BAY COMMUNITIES, INC.; ACE AMERICAN INSURANCE COMPANY, administered by BROADSPIRE SERVICES, INC., Defendants

ADJ number
ADJ11161737
Decision date
Dec 28, 2022
District office
Oxnard
WCJ
Peter M. Christiano
Claim administrator
Broadspire Services, Inc. (administering ACE American Insurance Company)
Commissioners
—

Injury / body parts: psyche, internal

LC §3208.3LC §5813CCR §10964CCR §10945CCR §10561

Summary

Applicant Carlos Madrigal alleged a cumulative trauma injury (6/20/2013-10/31/2017) to his psyche and internal systems while working as a maintenance technician for AvalonBay Communities. After the WCJ found no compensable injury based largely on the psychology QME (Dr. Appleton) and a determination that applicant's testimony was not credible, applicant petitioned for reconsideration. The WCAB denied reconsideration, adopting the WCJ's report, which found the medical opinions of the treating physician (Dr. Olney) and neurology QME (Dr. Fieman) unreliable because they relied solely on applicant's uncorroborated self-reporting. The Board reaffirmed that one physician's opinion can constitute substantial evidence even if inconsistent with others (Place v. WCAB) and admonished applicant's attorney for failing to cite the record under CCR 10945(b), warning of potential sanctions under Labor Code 5813 and CCR 10561.

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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