WCPanelIQ
PanelGranted in Part

Paulin Sandoval — ADJ7744441

PAULIN SANDOVAL, Applicant vs. RANSOM COMPANY; and TRAVELERS CASUALTY & SURETY COMPANY, Defendants

ADJ number
ADJ7744441
Decision date
Jun 28, 2021
District office
Oakland
WCJ
Terri Ellen Gordon
Claim administrator
Travelers Casualty & Surety Company
Commissioners
—

Injury / body parts: low back, psyche

LC §4663LC §4659LC §4662LC §5902

Summary

Applicant Paulin Sandoval sustained an industrial injury on October 27, 2010 to his low back and psyche while working for Ransom Company. The WCJ found 69% permanent disability after apportionment, relying on AME Dr. Conrad (orthopedics) and AME Dr. Petrakis (psychiatry). On reconsideration, the Appeals Board affirmed the orthopedic findings (48% after apportionment) but rejected Dr. Petrakis's 10% non-industrial psychiatric apportionment, finding it was based on the faulty premise that applicant's worry over his wife's health—which actually stemmed from the effects of his industrial injury and resulting dependence on family—constituted a separate non-industrial cause. The Board concluded Dr. Petrakis's opinion was not substantial evidence under Escobedo, amended the award to 71% permanent disability (48 C 44), and remanded for determination of the life pension and attorney's fees. Commissioner Razo dissented, arguing the AME's apportionment opinion should not be disturbed.

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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