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Case Law Database

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

Case No. MISSING
Regular Panel Decision

Kurz v. St. Francis Hospital

The defendants moved to preclude plaintiffs' expert testimony on causation or, alternatively, for a pretrial hearing regarding the plaintiff's vision loss. The plaintiff developed visual disturbances shortly after receiving Amiodarone intravenously following cardiac bypass surgery in 2008. Defendants argued a lack of scientific evidence linking short-term Amiodarone use to optic neuropathy, while the plaintiff's expert contended that rapid drug absorption could cause optic disc edema, a known side effect. Furthermore, the plaintiff highlighted medical records where defendant physicians themselves initially attributed the vision loss to the medication. The court, applying the Frye standard, determined that general causation—Amiodarone causing vision loss—is an established medical theory. It further ruled that the specific causation tests from Parker and Cornell, typically applied to toxic tort cases, were not strictly applicable here due to the distinct nature of medical malpractice. Consequently, the court denied the defendants' motion, finding an adequate foundation for the admissibility of the plaintiff's expert testimony, with any disputes regarding specific timing affecting only the weight of the evidence, not its admissibility.

Medical MalpracticeExpert TestimonyCausationAmiodaroneOptic NeuropathyVision LossMotion in LimineFrye StandardParker StandardCornell Standard
References
9
Case No. MISSING
Regular Panel Decision

Runner v. New York Stock Exchange, Inc.

Plaintiff sustained severe hand injuries while moving an 800-pound wire reel down stairs using an improvised pulley system on defendant's premises. The District Court granted judgment for the plaintiff, finding Labor Law § 240 (1) applicable due to a gravity-related risk. The Second Circuit Court of Appeals certified two questions to the New York Court of Appeals regarding the statute's applicability to elevation-related injuries and direct causation by gravity, particularly when neither the worker nor an object directly falls. The Court of Appeals determined that the key inquiry is whether the injury resulted from inadequate protection against a risk arising from a significant elevation differential. It concluded that the plaintiff's injuries were a direct consequence of the force of gravity on the inadequately secured reel, making Labor Law § 240 (1) applicable. The first certified question was answered affirmatively, and the second was deemed unnecessary.

Labor LawScaffolding LawElevation DifferentialGravity RiskConstruction AccidentWorker InjuryMakeshift DeviceCertified QuestionsNew York Court of AppealsStatutory Interpretation
References
6
Case No. MISSING
Regular Panel Decision

In re the Arbitration between Agress & Brouillet

Petitioner sought an order to direct arbitration against the respondents after they allegedly refused to permit the petitioner to complete a contract for work, labor, and services on the respondents' premises. The contract included a specific arbitration clause covering disputes concerning the construction/meaning of specifications or the true value of extra work. The respondents opposed, arguing that the issue of contract termination or its justification was not covered by the arbitration clause. The court, citing precedent, determined that the arbitration clause was limited and did not encompass disputes regarding a breach of contract by either party. Consequently, finding no arbitrable dispute under the contract, the court denied the motion to direct arbitration.

ArbitrationContract DisputeScope of Arbitration ClauseMotion to Compel ArbitrationBreach of ContractLimited Arbitration Clause
References
3
Case No. ADJ9012138
Regular
Aug 12, 2016

PINON vs. DIRECT RESOURCE SOLUTION, ZURICH NORTH AMERICA

In *Pinon v. Direct Resource Solution*, the Workers' Compensation Appeals Board (WCAB) granted the defendant's petition for reconsideration. This action was taken to allow the WCAB further time to thoroughly review the factual and legal issues presented in the case. The WCAB emphasized that this additional review is necessary to ensure a just and reasoned decision. Consequently, all future correspondence related to the petition must be filed directly with the WCAB's Office of the Commissioners.

Workers' Compensation Appeals BoardPetition for ReconsiderationGrant of ReconsiderationElectronic Adjudication Management SystemEAMSOffice of the CommissionersDistrict OfficeWCJProposed SettlementCompromise and Release
References
1
Case No. Docket No. 67
Regular Panel Decision

Warner Bros. Entertainment Inc. v. Ideal World Direct

In this Memorandum and Order, District Judge William H. Pauley, III, addresses defendants Ideal World Direct, Marc Molinaro, and Matthew Ashworth's motion to dismiss the Second Amended Complaint or sever claims. Plaintiffs Warner Bros. Entertainment Inc. and Twentieth Century Fox Film Corporation allege copyright infringement and Lanham Act violations. The court granted the motion in part, dismissing all claims against Molinaro and Ashworth due to a lack of personal jurisdiction, but denied it regarding Ideal World Direct, finding sufficient grounds for jurisdiction and adequately pleaded claims for contributory copyright infringement and Lanham Act violations. Additionally, the court denied motions to dismiss for failure to comply with pleading requirements under Fed.R.Civ.P. 8 and 10(b), and the motion to sever claims was also denied.

Copyright InfringementLanham ActPersonal JurisdictionMotion to DismissContributory InfringementInternet WebsitesOnline PiracyFederal Rules of Civil ProcedureDistrict CourtCyberlaw
References
35
Case No. ADJ8674800 ADJ8674808 ADJ8674815
Regular
Jul 10, 2015

SHIMO WANG vs. SOUTHERN CALIFORNIA EDISON

The Workers' Compensation Appeals Board rescinded the prior finding that applicant did not suffer a heart injury arising out of and in the course of employment. The Board found the cardiologist's report insubstantial and remanded for further proceedings to develop the record on industrial causation. It clarified that the "good faith personnel action" defense applies to psychiatric injuries, not directly to physical injuries like heart conditions, unless the physical injury is a direct and sole consequence of a non-compensable psychiatric injury.

Workers' Compensation Appeals BoardShimo WangSouthern California EdisonAOE/COEheart attackcoronary syndromesQME cardiologistQME psychiatristadjustment disordergood faith personnel action
References
6
Case No. ADJ9674255
Regular
Jul 10, 2017

YAN LIU vs. HAWAIIAN GARDENS CASINO, INSURANCE COMPANY OF THE WEST

This case concerns an applicant who alleges both orthopedic and psychiatric injuries from her employment as a casino dealer. While the Board affirmed the finding of orthopedic injury, it deferred the issue of psychiatric injury. The Board clarified that Labor Code § 4660.1(c) does not bar psychiatric claims arising directly from employment events, but it requires a medical apportionment of causation between direct psychiatric injury and injury as a consequence of physical injury. The matter was returned to the trial level for further development of the record regarding the psychiatric injury and its apportionment.

AOE/COELabor Code Section 4660.1(c)psychiatric injurycompensable consequenceviolent actsubstantial medical evidencetreating physicianQMEcontinuous traumaharassment
References
10
Case No. ADJ 1513511 (LBO 0279490)
Regular
Apr 15, 2016

RIZALINA DERRO vs. KAISER PERMANENTE, WEST ANAHEIM MEDICAL CENTER, TERRACE VIEW CONVALESCENT HOSPITAL, COVENANT CARE, SOUTH GATE CARE CENTER, BROADSPIRE, SUN HEALTH CARE, AIG CLAIM SERVICES, CNA CLAIMS PLUS

The Workers' Compensation Appeals Board (WCAB) is issuing a notice to rescind a prior WCJ decision and remand the case to the WCJ for further record development. This action follows a Court of Appeal order directing the WCAB to address the causation issue regarding the applicant's left wrist injury and employment with Sun Health Care. The WCAB, in its response to the Court, indicated the need for further medical record development on this causation issue. The Court of Appeal dismissed the applicant's petition for review, granting the WCAB's request for remand.

Workers' Compensation Appeals BoardKaiser PermanenteWest Anaheim Medical CenterTerrace View Convalescent HospitalCovenant CareSouth Gate Care CenterBroadsireSun Health CareAIG Claim ServicesCNA Claims Plus
References
3
Case No. ADJ9870934, ADJ9870932
Regular
Mar 13, 2019

Julio Espana vs. STOCKTON UNIFIED SCHOOL DISTRICT, YORK RISK SERVICES GROUP

The Workers' Compensation Appeals Board rescinded the previous award and returned the case for further development of the record. The applicant claims his post-surgery disability, resembling Complex Regional Pain Syndrome, arose directly from treatment for his industrial injuries, arguing for an unapportioned award per *Hikida*. Medical evidence suggests a possible complication from the surgery caused increased pain and disability, but the extent to which this surgery directly caused the applicant's permanent disability requires further evaluation. Therefore, the case is remanded for an Agreed Medical Examiner to determine causation, diagnosis, and apportionment.

Workers' Compensation Appeals BoardPetition for ReconsiderationIndustrial InjuryPermanent Disability RatingUnapportioned AwardComplex Regional Pain SyndromeAMA GuidesQualified Medical EvaluatorMedical Malpractice LawsuitSpinal Surgery Complication
References
2
Case No. ADJ8586896
Regular
Dec 27, 2017

, Jose Benitez (Deceased), Zeferina Higuera Quezada vs. , AG Force, LLC, , Intercare Holding Insurance Services, , Gurmail Chehal and Samarjit Kaur, as Husband and Wife, Uninsured

This case concerns a deceased laborer, Jose Benitez, whose widow claimed his death from cellulitis resulted from an insect bite sustained while working for AG Force, LLC. Despite the lack of direct witnesses, the Workers' Compensation Appeals Board (WCAB) denied the defendant's petition for reconsideration. The WCAB found that the Administrative Law Judge's (ALJ) determination of industrial causation was supported by the credible testimony of the applicant's wife and medical reports. The Board emphasized the "reasonable probability" standard for industrial causation and gave deference to the ALJ's credibility findings.

Industrial causationreasonable probabilitycircumstantial evidencecredible testimonyWCJ credibility assessmentinsect bitecellulitisspider bitebrown recluse spiderattending physician
References
4
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