WCPanelIQ
PanelQMEMed-legalRemanded

Gail Sears — ADJ9920866

GAIL SEARS, Applicant vs. COUNTY OF FRESNO, permissibly self-insured, administered by AIMS, Defendants

ADJ number
ADJ9920866
Decision date
Dec 23, 2021
District office
Fresno
WCJ
—
Claim administrator
AIMS (administering for County of Fresno, permissibly self-insured)
Commissioners
KATHERINE ZALEWSKI, CHAIR, ANNE SCHMITZ, DEPUTY COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: psyche

LC §3208.1LC §3208.3LC §5701LC §5906CCR §10813CCR §10754

Summary

Gail Sears, an attorney for the County of Fresno, claimed a cumulative psychiatric injury through March 26, 2015, alleging it stemmed from workplace events involving a coworker's alleged misrepresentations to a court and her supervisor's response. The WCJ found the injury did not arise out of or in the course of employment (AOE/COE). Applicant sought reconsideration, arguing that the psychiatric QME found that actual events of employment predominantly caused her injuries. The Board found that the QME report of Dr. Paul did not constitute substantial medical evidence because he erroneously identified two separate injuries, misunderstanding the legal definition of cumulative injury. The Board rescinded the F&O and remanded for the WCJ to clarify the events of employment and the date of injury, and to further develop the medical record.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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