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Case Law Database

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

Case No. ADJ6456347
Regular
Jan 30, 2012

MARK WILLIAMS vs. CITY OF PASADENA

This case involves a police officer claiming industrial injury to his heart due to hypertensive heart disease, a condition he argued was distinct from previously compensated hypertension. The Workers' Compensation Appeals Board (WCAB) rescinded the administrative law judge's decision, finding the claim was not barred by res judicata. The WCAB clarified that while hypertension alone is not considered heart trouble, left ventricular hypertrophy, as diagnosed in the current claim, constitutes a distinct condition. The case is returned to the trial level for further proceedings on other unresolved issues.

res judicatahypertensive heart diseasepolice officerLabor Code section 3212.5heart trouble presumptionleft ventricular hypertrophystipulated awardindustrial injurypermanent disabilityapportionment
References
6
Case No. ADJ12288761
Regular
Dec 29, 2020

MICHAEL GOMEZ vs. CALIFORNIA INSTITUTION FOR WOMEN, STATE COMPENSATION INSURANCE FUND, STATE CONTRACT SERVICES

The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, upholding a finding of 62% permanent disability for a correctional officer with cumulative trauma. The core issue was whether Left Ventricular Hypertrophy (LVH), found by a QME, constituted "heart trouble" under Labor Code section 3212.2, triggering a presumption of industrial injury. The Board affirmed the WCJ's decision, relying on prior case law and expert medical opinions that LVH, even if minor, qualifies as "heart trouble" for purposes of the presumption. Defendant's arguments that LVH was not "heart trouble" and that medical opinions were contradicted were rejected as insufficient to rebut the presumption.

Workers' Compensation Appeals BoardCalifornia Institution for Womencorrectional officercumulative traumainternal organshypertensionGERDheart trouble presumptionLabor Code section 3212.2Left Ventricular Hypertrophy
References
13
Case No. ADJ10763960
Regular
May 20, 2019

DENNIS ROMERO vs. COUNTY OF SAN DIEGO

This case involves a workers' compensation appeal where the defendant, County of San Diego, sought reconsideration of an award granting the applicant, Dennis Romero, permanent disability. The defendant argued that the administrative law judge improperly overlapped factors of disability when assessing the applicant's $94\%$ permanent disability rating. The Appeals Board denied reconsideration, adopting the judge's report which found that the qualified medical evaluator considered factors beyond shortness of breath, such as left ventricular hypertrophy and lightheadedness, when determining impairments for hypertensive and coronary heart disease. The Board also cited legal precedent that the multiple disabilities rating schedule accounts for any overlap.

Workers' Compensation Appeals BoardPetition for ReconsiderationFindings Award and OrderDeputy SheriffIndustrial InjuryHeart InjuryHypertensionPermanent DisabilityHypertensive Heart DiseaseCoronary Heart Disease
References
1
Case No. MISSING
Regular Panel Decision
Apr 19, 1995

Claim of Tomlin v. Asplundh Tree Expert Co.

The claimant, a site manager for 23 years, began experiencing chest pains in February 1984. His employer granted him a medical leave and requested documentation. The claimant's treating physician, Patrick McAndrew, diagnosed essential hypertension, left ventricular hypertrophy, and chest pain of undetermined origin. The employer then used a disability claim form as a claim for a self-administered salary continuation plan, paying benefits under it. After an examination by the employer's physician, John Walters, who found no organic heart disease, the employer terminated the claimant, considering his absence a voluntary termination due to lack of a "bona fide" disability. The claimant subsequently filed for statutory disability benefits and a claim for discriminatory discharge with the Workers’ Compensation Board, alleging a violation of Workers’ Compensation Law § 241 for retaliation. The Board asserted jurisdiction, found discrimination, but reduced damages due to the claimant's failure to actively seek employment. The employer appealed, arguing lack of jurisdiction and insufficient evidence, but the decision was affirmed.

References
3
Case No. MISSING
Regular Panel Decision

Bauer v. Female Academy of the Sacred Heart

This case concerns Keith Bauer, a window cleaner, who was severely injured after falling from a third-story window while working for Environmental Service Systems at the Female Academy of the Sacred Heart. The accident occurred due to a safety hook becoming stuck on a square anchor, which violated Industrial Code standards. The primary legal issues were whether claims under Labor Law § 202 and Labor Law § 240 (1) could coexist, and if Labor Law § 202 imposed strict liability or comparative negligence. The Court of Appeals held that both Labor Law claims can be pursued simultaneously and determined that Labor Law § 202 is a comparative negligence statute, not a strict liability one. The court modified previous rulings by reinstating the plaintiff's Labor Law § 240 (1) claim for further proceedings, while affirming the comparative negligence approach for the Labor Law § 202 claim.

Window Cleaner InjuryLabor LawStrict LiabilityComparative NegligenceSafety AnchorsIndustrial Code ViolationConstruction SafetyThird-Party ActionStatutory InterpretationAppellate Review
References
7
Case No. MISSING
Regular Panel Decision

Missionary Sisters of the Sacred Heart, Inc. v. Dowling

This nonpayment proceeding addresses respondents Robert and Jessica Dowling's motion to dismiss, alleging petitioner Missionary Sisters of the Sacred Heart, Inc. failed to comply with the Fair Debt Collection Practices Act (FDCPA). The court examined whether the rent demand and the petition constituted 'communications' under the FDCPA, ultimately concluding they did not violate the Act's provisions in this context. Furthermore, the court determined that even if an FDCPA violation occurred, it would not serve as a defense to the underlying eviction proceeding. The decision also rejected the argument that state law (RPAPL) is preempted by federal FDCPA, finding that the two can be reconciled. Consequently, the court denied the respondents' motion to dismiss in its entirety.

FDCPADebt CollectionNonpayment ProceedingRent DemandMotion to DismissStatutory PenaltiesPreemption DoctrineCreditor-Debtor RelationsSummary EvictionFormal Pleadings
References
22
Case No. ADJ4400372 (SAC 0282814)
Regular
May 08, 2009

MICHAEL GRIFFIN vs. STATE OF CALIFORNIA, CALIFORNIA HIGHWAY PATROL, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted reconsideration and reversed the WCJ's denial of the applicant's petition to reopen. The Board found that the applicant established good cause to reopen for new and further disability related to his left thumb and heart injuries sustained during his employment with the California Highway Patrol. Substantial medical evidence supported the cumulative trauma to the left thumb and the presumption under Labor Code section 3212.3 applied to the heart injury. The case was returned to the trial level for further proceedings.

ReconsiderationPetition to ReopenNew and Further DisabilityGood CauseLabor Code Section 3212.3Presumption StatuteIndustrial CausationCumulative TraumaStipulated AwardLeft Thumb Injury
References
4
Case No. ADJ 9123567
Regular
Mar 18, 2016

PHILLIP WARD vs. CITY OF FORT BRAGG

The Workers' Compensation Appeals Board denied the City of Fort Bragg's Petition for Reconsideration. The Board adopted the Workers' Compensation Judge's report, which found that the applicant's "left ventricular stiffness" or "diastolic dysfunction" qualified as "heart trouble" under Labor Code section 3212.5. This finding meant the applicant's injury was presumed to be industrially caused, and the defendant failed to rebut this presumption. Therefore, the original award of injury, permanent disability, and medical treatment was upheld.

Workers' Compensation Appeals BoardPetition for ReconsiderationDenialPhillip WardCity of Fort BraggPolice SergeantCumulative InjuryHeart TroubleHypertensionLabor Code Section 3212.5
References
0
Case No. ADJ9506185
Regular
Jul 13, 2016

JIM NEWELL vs. COUNTY OF KERN

The Workers' Compensation Appeals Board denied the County of Kern's petition for reconsideration of an award to Jim Newell. The award was based on industrial cumulative trauma to the lumbar spine and hypertensive cardiovascular disease, including left ventricular hypertrophy (LVH). The County argued there was insufficient evidence of LVH and sought further medical development, specifically a cardiac MRI. The Board found that the existing medical evidence, including echocardiograms and expert testimony, constituted substantial evidence to support the LVH diagnosis, making further testing unnecessary.

Workers' Compensation Appeals BoardCounty of KernJim NewellSheriff's Sergeantcumulative traumalumbar spinecirculatory systemhypertensionhypertensive cardiovascular diseaseleft ventricular hypertrophy
References
2
Case No. 2007 NY Slip Op 32740(U)
Regular Panel Decision

Rivers v. New York City Department of Sanitation

The court upheld its decision to dismiss the petitioner's case, stating that the petition failed to present a legally sound cause of action. The court determined that the respondents' finding, which deemed the petitioner medically unqualified for a sanitation worker position, was based on rational grounds due to her suffering from left ventricular hypertrophy and elevated blood pressure. The court also affirmed that the respondents were justified in relying on the medical director's conclusions, even when faced with contradictory medical opinions from the petitioner's own physicians, citing prior case law to support this stance.

Medical DisqualificationSanitation WorkerLeft Ventricular HypertrophyElevated Blood PressureJudicial ReviewArbitrary and CapriciousRational BasisMedical Director OpinionConflicting Medical OpinionsPetition Dismissal
References
5
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