WCPanelIQ
PanelQMEMed-legalDenied

Dennis Orr — ADJ3359423, ADJ7688594, ADJ6732602

DENNIS ORR, Applicant vs. HAYWARD UNIFIED SCHOOL DISTRICT; permissibly self-insured, administered by SCHOOLS INSURANCE AUTHORITY, Defendants

ADJ number
ADJ3359423, ADJ7688594, ADJ6732602
Decision date
Apr 26, 2021
District office
Oakland
WCJ
Alison Howell
Claim administrator
Schools Insurance Authority
Commissioners
—

Injury / body parts: back, lumbar spine

LC §4663LC §4664LC §4660.1LC §5903LC §5952LC §3202

Summary

Applicant Dennis Orr, a custodian, sustained three back injuries: a 2002 specific injury (settled at 25%), a 2005 specific injury (ADJ6732602), and a cumulative trauma ending December 26, 2006 (ADJ7688594). The AME, Dr. Peter Mandell, found 31% WPI and apportioned causation 25% to developmental/congenital problems, 10% to the 2002 injury, 10% to the 2005 injury, and 55% to the cumulative trauma. The WCJ relied on the AME and found 4% PD for the 2005 injury and 24% PD for the cumulative injury, rejecting applicant's vocational expert's opinion of 100% permanent total disability. Applicant petitioned for reconsideration, arguing the AME's apportionment was not substantial evidence, that Hikida precluded apportionment, and that the FCE and vocational report by Frank Diaz established total disability with no apportionment. The WCAB denied reconsideration, adopting and incorporating the WCJ's Report and Opinion, finding the AME's opinion constituted substantial evidence and that applicant failed to rebut the scheduled rating.

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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