Luis Barrera — ADJ11414976

Luis Barrera, a 48-year-old ramp agent for Swissport Cargo Service, sustained a specific industrial injury to his right shoulder and claimed a compensable injury to his internal system-diabetes. The PQME in internal medicine, Dr. Robert Fisher, opined with reasonable medical probability that the applicant's diabetes was lit up or aggravated by his industrial shoulder injury due to reduced physical activity from light-duty restrictions and stress, and assigned a 10% WPI with 50% apportionment to non-industrial factors including family history. The WCJ found the diabetes injury industrial and relied on Dr. Fisher's reports as substantial evidence; defendants sought reconsideration arguing AOE/COE was not established and the reports were not substantial evidence. The WCAB adopted and incorporated the WCJ's report and denied reconsideration, emphasizing that defendants presented no contrary medical evidence and Dr. Fisher's opinions satisfied the Escobedo and Braewood substantial evidence standards.