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Fernando Pardilla — ADJ13407033

FERNANDO PARDILLA, Applicant vs. CENTRAL CONCRETE SUPPLY COMPANY, INC., permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ13407033
Decision date
Jul 21, 2021
District office
San Francisco
WCJ
Colleen S. Casey
Claim administrator
Sedgwick Claims Management Services (administering permissibly self-insured Central Concrete Supply Company, Inc.)
Commissioners
—

Injury / body parts: neck, back, bilateral shoulders, bilateral arms, gastrointestinal system, cervical spine, thoracic spine, lumbar spine

Summary

Applicant, a 59-year-old concrete mixer driver, sustained an accepted industrial injury on December 21, 2019 to his neck, back, and bilateral arms, having previously suffered a 2008 neck and right shoulder injury that required a cervical fusion. The WCJ awarded temporary total disability (TTD) indemnity for the period January 16, 2020 through November 26, 2020. Defendant sought reconsideration arguing that TTD causation could not be determined until applicant reached MMI because the cervical condition might be merely an exacerbation (rather than aggravation) of the prior 2008 injury. The Board denied reconsideration, holding that QME Dr. Holmes and PTP Dr. Stoller established a separate thoracic and lumbar spine injury (including an L4-L5 disc herniation consistent with the 2019 acute event) that supported TTD independent of the cervical apportionment dispute. The Board distinguished 'causation of injury' from 'causation of disability,' finding apportionment to non-industrial causes is not permitted for temporary disability.

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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