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PanelMed-legalRemanded

Lorena Santos — ADJ9417278

LORENA SANTOS, Applicant vs. SUBSEQUENT INJURIES BENEFITS TRUST FUND, Defendant

ADJ number: ADJ9417278
Decision date: Jun 15, 2026
District office: Goleta
WCJ: —
Claim administrator: Subsequent Injuries Benefits Trust Fund
Commissioners: JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: bilateral hips, bilateral shoulders, psyche, skin (seborrhea dermatitis and rosacea), gastrointestinal (irritable bowel syndrome), umbilical hernia, fibromyalgia

LC §4751LC §5701LC §5906

Summary

Applicant Lorena Santos sought benefits from the Subsequent Injuries Benefits Trust Fund (SIBTF), claiming a preexisting labor disabling permanent disability that, combined with her 2012 industrial injury to her hips and shoulders, entitled her to SIBTF benefits. The WCJ found she failed to substantiate any preexisting labor disabling permanent disability and denied benefits. On reconsideration, the Board agreed that the medical reporting of Drs. Markovitz, Ambrose, and Gilberg was insufficient—Markovitz's records mostly postdated the injury, Ambrose's apportionment was vague and conclusory, and Gilberg found no preexisting psychiatric condition. However, because the record contained several pre-injury medical records noting orthopedic conditions and fibromyalgia, the Board rescinded the WCJ's decision and remanded for further development of the record.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.