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Cuauhtemoc Mendoza — ADJ12278560

CUAUHTEMOC MENDOZA, Applicant vs. USA WASTE OF CALIFORNIA, INC.; ACE AMERICAN INSURANCE, administered by GALLAGHER BASSETT, Defendants

ADJ number
ADJ12278560
Decision date
Sep 19, 2022
District office
Van Nuys
WCJ
Martha Henderson
Claim administrator
Gallagher Bassett (administering ACE American Insurance)
Commissioners
—

Injury / body parts: left shoulder

LC §4656LC §5908

Summary

Applicant Cuauhtemoc Mendoza, a 70-year-old welder, sustained a left shoulder injury on September 18, 2018. Both applicant and defendant filed Petitions for Reconsideration from the WCJ's June 29, 2022 Findings & Award. Applicant sought additional temporary disability from July 22, 2020 (when treating physician Dr. Bahk requested a reverse total shoulder arthroplasty) until March 29, 2021 (when IMR denied the surgery), relying on Braewood. Defendant challenged the PQME's permanent disability rating, arguing that loss of strength should not be rated where a painful condition prevents application of maximal force. The WCAB denied both petitions, adopting the WCJ's report (except declining to imply that defendant's failure to object to rating instructions or request cross-examination of the rater waived those issues), 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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