Home/Case Law/SUSAN ADAMS vs. KAISER FOUNDATION HEALTH PLAN
Regular DecisionReconsideration

SUSAN ADAMS vs. KAISER FOUNDATION HEALTH PLAN

Filed: Jan 15, 2020
Riverside
ADJ11130965

CompFox AI Summary

The Appeals Board affirmed the WCJ's finding that the applicant did not sustain a cumulative trauma injury to her neck, upper extremities, or back. This decision relied heavily on the WCJ's credibility determination of the applicant. While a PQME opined that work activities likely caused a lumbar spine cumulative trauma, the Board found this opinion lacked substantiality. The PQME's report failed to adequately explain how work activities accelerated or aggravated the applicant's numerous pre-existing back conditions and prior injuries.

Full Decision Text1 Pages

The Appeals Board affirmed the WCJ's finding that the applicant did not sustain a cumulative trauma injury to her neck, upper extremities, or back. This decision relied heavily on the WCJ's credibility determination of the applicant. While a PQME opined that work activities likely caused a lumbar spine cumulative trauma, the Board found this opinion lacked substantiality. The PQME's report failed to adequately explain how work activities accelerated or aggravated the applicant's numerous pre-existing back conditions and prior injuries.

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