WCPanelIQ
PanelQMEMed-legalDenied

Ruth Quevedo — ADJ12469521

RUTH QUEVEDO, Applicant vs. J&J TRADING POST, INC.; SEQUOIA INSURANCE COMPANY, administered by AMTRUST AMERICA, Defendants

ADJ number
ADJ12469521
Decision date
Nov 16, 2022
District office
Los Angeles
WCJ
—
Claim administrator
AmTrust America (administering for Sequoia Insurance Company)
Commissioners
JOSÉ H. RAZO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, MARGUERITE SWEENEY, COMMISSIONER

Injury / body parts: hands, shoulders, arms, low back, neck, psyche, left foot, sleep, wrists

LC §3600LC §3202.5LC §3208.3LC §5903LC §5952

Summary

Applicant Ruth Quevedo, a cashier for J&J Trading Post, claimed cumulative trauma injury to multiple body parts plus psyche through May 28, 2019, which defendant denied based on lack of evidence and a post-termination defense. The orthopedic QME Dr. Fleming and psychological QME Dr. Reznick both concluded applicant did not sustain an industrial injury, while the PTP Dr. Truong's contrary opinion was based on an inaccurate history and no review of medical records. The WCJ found no injury AOE/COE to any part pled, found applicant not credible, and ordered her to take nothing. On reconsideration, the Board affirmed, holding the QME reports constituted substantial evidence and giving great weight to the WCJ's credibility determinations. The outcome was a denial of applicant's claim.

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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