WCPanelIQ
PanelQMEGranted in Part

Eduardo Lopez Soto — ADJ14028414

EDUARDO LOPEZ SOTO, Applicant vs. PALO ALTO CONCRETE AND CONSTRUCTION; REDWOOD FIRE AND CASUALTY INSURANCE COMPANY, administered by BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ14028414
Decision date
Jan 2, 2022
District office
San Francisco
WCJ
—
Claim administrator
Berkshire Hathaway Homestate Companies (administering Redwood Fire and Casualty Insurance Company)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: low back, right lower extremity

CCR §10152CCR §9785

Summary

Applicant Eduardo Lopez Soto, a construction laborer, claimed injury to his low back and right lower extremity arising from work on September 20, 2019. QME Dr. McGahan found applicant permanent and stationary (P&S) as of November 4, 2020, and reaffirmed that date in a supplemental report unless surgery occurred. Applicant sought reconsideration arguing that treating physician Dr. Smolins's reports were substantial evidence of continuing temporary total disability. The Board granted reconsideration but rescinded the WCJ's TD finding, holding that Dr. Smolins's reports—which assigned work restrictions but never addressed P&S status—were not substantial evidence of TTD, while Dr. McGahan's uncontradicted opinion established P&S as of November 4, 2020. The Board found applicant was not entitled to TD indemnity beginning November 26, 2020, noting his disability status could change if he undergoes surgery.

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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