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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
Case No. ADJ3758714 [VNO 0553350] ADJ3611380 [ANA 0372874]
Regular
Oct 03, 2008

Herbert J. Ware, Jr. vs. Los Angeles Times

The Workers' Compensation Appeals Board granted reconsideration and rescinded the prior award, finding no substantial medical evidence supported the applicant's claim of cumulative trauma injury to his psyche. The Board determined that the medical evidence presented only addressed injury to the psyche as a sequela of a specific orthopedic injury, not a cumulative trauma arising from his overall employment. The case was returned to the trial level for further proceedings on all issues, including temporary disability and home health care reimbursement.

Cumulative traumapsychiatric injuryspecific injuryorthopedic injurysequelaepermanent and stationarytemporary disabilityhome health careQualified Medical EvaluatorAgreed Medical Examiner
References
Case No. ADJ1042301 (STK 0178592)
Regular
May 18, 2011

ANDRES CEJA vs. MODESTO TALLOW COMPANY, CLARENDON INSURANCE COMPANY

The Appeals Board granted reconsideration, rescinding the WCJ's order denying the applicant's petition to reopen. The Board found the WCJ erred in determining the applicant waived the issue of new and further disability to the psyche, as evidence on this issue was presented by both parties. The Board denied the petition for removal regarding a defense counsel's letter, finding it untimely. The matter was returned to the trial level for a decision on the existing record regarding psyche injury and any resulting new and further disability.

Petition for RemovalPetition for ReconsiderationFindings and OrderReopenAwardNew and Further DisabilityPsyche SequelaWaiverQualified Medical Evaluator (QME)Substantial Medical Evidence
References
Case No. ADJ10645876
Regular
Feb 07, 2023

GINA ROSALES vs. COUNTY OF RIVERSIDE

The Workers' Compensation Appeals Board (WCAB) reconsidered a case where the applicant claimed work injuries to her psyche, head, back, and body systems. The WCAB rescinded the original decision, finding insufficient development of the medical record regarding the applicant's claims of GERD and hypertension. However, the WCAB upheld the finding that the applicant did not sustain psyche or orthopedic injuries arising out of and in the course of employment. The case is remanded for further proceedings to obtain a supplemental medical opinion on the body systems injuries and then for a new decision by the WCJ.

AOE/COEPro PerFindings and OrderOpinion on DecisionReconsiderationWCJHealth Services AssistantPsyche InjuryBody Systems InjuryGERD
References
Case No. ADJ1577836
Regular
May 04, 2009

JESUS GAVINO-REMIGIO vs. STRATUS SERVICES GROUP, STATE COMPENSATION INSURANCE FUND

This case concerns an applicant injured when stepping on a metal hook, sustaining an admitted industrial injury to his right foot. The applicant sought reconsideration after the Workers' Compensation Judge (WCJ) denied findings that the injury also affected his internal systems (diabetes), eyes, and psyche, along with associated disability. The Board denied reconsideration, finding the defendant's medical expert's opinion on non-industrial diabetes causation to be substantial evidence, while deeming the applicant's medical experts' opinions insufficient. A dissenting commissioner argued the applicant's medical evidence sufficiently supported industrial causation for diabetes aggravation, warranting reconsideration.

Workers' Compensation Appeals Boardindustrial injuryright footinternal systemseyespsychediabetes mellituspermanent disabilitytemporary disabilityGerald Markovitz M.D.
References
Case No. ADJ4235749 (PAS 0026168) ADJ3954705 (MON 0195253)
Regular
Sep 09, 2016

GREEN, STEPHANIE vs. STATE OF CALIFORNIA; DEPARTMENT OF TRANSPORTATION

The Workers' Compensation Appeals Board granted reconsideration of the WCJ's decisions regarding applicant Stephanie Green's back and psyche injuries from 1990 and 1995. The Board found that further development of the record is required on the issues of permanent disability and apportionment. Specifically, the orthopedic AME's opinions are stale and require re-examination, and both medical and vocational expert opinions need clarification on independent medical judgment regarding apportionment. The cases are returned to the trial level for further proceedings and new decisions by the WCJ.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardsIndustrial InjuryBack InjuryPsyche InjuryPermanent and Total DisabilityApportionmentOrthopedic AMEPsyche QME
References
Case No. ADJ10908652, ADJ10908914
Regular
Sep 16, 2025

ZENAIDA AVILES vs. PIH HEALTH HOSPITAL, ATHENS ADMINISTRATORS

Applicant sought reconsideration of a Joint Findings and Award that denied industrial psyche injury (cumulative) and barred permanent disability from psyche injury (specific injury). Applicant contended that medical evidence supported cumulative psyche injury and that the WCJ erred in denying compensability of psychiatric permanent disability due to catastrophic consequences. The Appeals Board granted the petition for reconsideration, rescinded the prior Findings and Award, and returned the matter to the trial level for further proceedings, citing the need for further development of the medical record regarding intertwined disability and the application of the catastrophic injury exception.

Petition for ReconsiderationJoint Findings and AwardIndustrial InjuryPsycheCumulative PeriodSpecific InjuryPermanent DisabilityLabor Code section 4660.1Substantial Medical EvidenceQualified Medical Evaluator
References
Case No. ADJ344454 (LAO 0830287)
Regular
Nov 12, 2008

GUADALUPE MORERA vs. ANNA'S LINENS, SAFETY NATIONAL INSURANCE COMPANY, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION for LEGION INSURANCE COMPANY

The Appeals Board granted reconsideration to reverse a WCJ's award that had added neck and back injuries to a previously final psyche-only injury finding. The Board found the WCJ lacked jurisdiction to modify the prior final award in LAO 0830287, which was issued more than five years after the date of injury. Consequently, the Board restored the prior June 20, 2007 Findings and Award finding only a psyche injury.

Workers' Compensation Appeals BoardReconsiderationFindings and AwardJurisdictionIndustrial InjuryPsycheNeckBackPermanent DisabilityMedical Treatment
References
Case No. ADJ4111442 (VNO 0471258)
Regular
Oct 28, 2011

WUZHONG WANG vs. HOMETOWN INN, AMERICAN COMMERCIAL

The Appeals Board dismissed the applicant's petition for reconsideration because it was unsigned, unverified, and lacked specific record references. However, the Board granted removal on its own motion to correct a clerical error. This correction changed the employer's name from "HomeTown Buffet" to "HomeTown Inn" in the original Findings and Award. The Board affirmed the original award, which included a finding of psyche injury and awarded permanent disability and further medical treatment for the psyche.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings and AwardIndustrial InjuryPsychePermanent DisabilityApportionmentMedical TreatmentReport and RecommendationClerical Error
References
Case No. SBA 0083738, SBA 0084753
Regular
Dec 04, 2007

MAGDALENA PINEDA vs. INAMED CORPORATION aka MCGHAN MEDICAL, CIGA by CAMBRIDGE INTEGRATED SERVICES, SAFECO

The Workers' Compensation Appeals Board denied the applicant's petition for reconsideration of a previous award. The applicant had sought reconsideration of findings that she sustained industrial injury to her bilateral upper extremities, neck musculature, shoulders, and upper back, but not to her psyche or cervical spine. The Board adopted the WCJ's report and recommendations, denying the petition and noting a potential clerical error in the award regarding medical treatment for the cervical spine and psyche.

Workers' Compensation Appeals BoardMagdalena PinedaInamed CorporationMcGhan MedicalCIGACambridge Integrated ServicesSafecobilateral upper extremitiesneck musculatureshoulders
References
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