WCPanelIQ
PanelQMEMed-legalDenied

Maria Da Silva — ADJ11087603

MARIA DA SILVA, Applicant vs. IN-HOME SUPPORTIVE SERVICES, legally uninsured, administered by INTERCARE INSURANCE SERVICES, Defendants

ADJ number
ADJ11087603
Decision date
Jun 4, 2026
District office
Marina del Rey
WCJ
Cirina A. Rose
Claim administrator
Intercare Insurance Services (administering In-Home Supportive Services, legally uninsured)
Commissioners
—

Injury / body parts: low back, left shoulder, head, right upper extremity, gait, right lower extremity, facial weakness, brain, throat (dysphagia/dysphasia), psyche

LC §5909LC §5900LC §4660.1LC §4659LC §4453CCR §10600

Summary

Applicant Maria Da Silva, a 50-year-old caregiver, sustained an admitted industrial injury to her low back and left shoulder on August 16, 2017, and later suffered an intraoperative stroke during industrial back surgery (a compensable consequence) resulting in right-sided hemiparalysis, gait derangement, and facial weakness. The WCJ found applicant permanently and totally disabled (100%) based on AME Dr. Lawrence Richman's opinion, while deferring the issues of brain, throat (dysphagia/dysphasia), and psyche injury. Defendant sought reconsideration, arguing the AME's PTD opinion was not substantial evidence, that vocational expert Aida Worthington's opinion should have controlled, and that further discovery (neuropsychiatric PQME, barium swallow) was needed. The WCAB denied reconsideration, finding the AME's opinion well-reasoned and persuasive, the vocational opinion conclusory and lacking probative value, and that deferral of the brain/throat/psyche issues made no difference to the scheduled rating due to the compressive effect of the Combined Values Chart.

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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