Juana Campos — ADJ9966846

Applicant Juana Campos sustained cumulative trauma injury through September 17, 2010, as a machine assembler builder, with industrial injury to her neck, left shoulder, and bilateral carpal tunnel. The WCJ found 72% permanent disability, including a 31% component derived from PQME Dr. Salinas' sleep impairment rating. Defendant sought reconsideration arguing the sleep impairment was improperly included via Almaraz/Guzman II when sleep was neither pled nor supported by adequate medical evidence. After reconsideration, the Board eliminated the 20% WPI sleep and arousal disorder rating (finding it a misapplication of the AMA Guides), but preserved the hernia analogy for lifting restrictions, the left shoulder Almaraz/Guzman II rating, and the additive (Kite/Vigil) methodology. The net result was an increase to 76% permanent disability, and the Board also amended the award to provide unrestricted future medical treatment.