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Fredy Medina — ADJ11645082

FREDY MEDINA, Applicant vs. LOS ANGELES UNIFIED SCHOOL DISTRICT, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, INC., Defendants

ADJ number
ADJ11645082
Decision date
Nov 2, 2021
District office
Van Nuys
WCJ
—
Claim administrator
Sedgwick Claims Management Services, Inc.
Commissioners
MARGUERITE SWEENEY, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER

Injury / body parts: cervical spine, lumbar spine

LC §5952LC §5705LC §3202.5LC §5906

Summary

Applicant Fredy Medina, a teacher's assistant for LAUSD, claimed a cervical and lumbar spine injury on October 3, 2018, having also suffered a back injury in a September 7, 2018 motor vehicle accident. The WCJ found 12% permanent partial disability, apportioned 50% to pre-existing factors, and granted defendant a $4,930.00 EDD credit. On reconsideration, the Board held that QME Dr. Brourman's reports did not constitute substantial evidence on apportionment because he characterized his 50/50 split as 'no more than an educated guess' without explaining how and why the prior injury caused current disability. The Board granted reconsideration, eliminated apportionment (raising the award to 21% PD), and reduced the EDD credit to $2,071.43. A reasonable attorney's fee was set at $3,501.75.

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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