WCPanelIQ
PanelQMEMed-legalDenied

Taulona Williams — ADJ13042596

TAULONA WILLIAMS, Applicant vs. KAISER PERMANENTE, Permissibly Self-Insured, Administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ13042596
Decision date
Dec 13, 2021
District office
Oakland
WCJ
James Griffin
Claim administrator
Sedgwick Claims Management Services (administering Kaiser Permanente, Permissibly Self-Insured)
Commissioners
—

Injury / body parts: right hand

Summary

Applicant Taulona Williams, a housekeeper/environmental services aide for Kaiser, claimed a cumulative right hand injury from mopping 24 private hospital rooms over a 40-hour workweek with overtime. The WCJ found industrial injury based on the QME report of Dr. Michael Fujinaka and applicant's credible, unrebutted testimony. Defendant sought reconsideration, arguing the QME opinion was not substantial evidence and that treating physician Dr. Kreiman's June 10, 2020 non-industrial report should control. The WCAB denied reconsideration, adopting and incorporating the WCJ's Report and Opinion, finding Dr. Fujinaka's opinion constituted substantial medical evidence predicated on reasonable medical probability, while Dr. Kreiman's non-industrial conclusion was unsupported by any clear diagnosis or the hand surgeon's opinion. The Board gave great weight to the WCJ's credibility determination.

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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