What the panel ordered
Petition for Reconsideration denied
Petition for Reconsideration filed by Defendant State Compensation Insurance Fund was considered and denied by the WCAB panel after review of the WCJ report
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
The WCAB panel gave great weight to the WCJ's credibility determinations and found no substantial evidence to reject the WCJ's reliance on Dr. Einbund's medical reports, which considered the applicant's weight issues and attributed 100% of the orthopedic disability to playing professional hockey.
From the decision · page 1We have considered the allegations of the Petition for Reconsideration and the contents of the report of the workers' compensation administrative law judge (WCJ) with respect thereto. Based on our review of the record, and for the reasons stated in the WCJ's report, which we adopt and incorporate, we will deny reconsideration.
The facts that decided it
What the panel treated as outcome-determinative, and which side it favoured.
Dr. Einbund's medical reports attributed 100% of the applicant's orthopedic disability to playing professional hockey, considering weight issues and medical history
Favours Applicant prevailed
The WCJ and WCAB found these reports credible and persuasive, constituting substantial medical evidence supporting the applicant's claim and rejecting legal apportionment to weight gain.
From the decision · page 4professional hockey. Once, he was knocked unconscious when a player's knee hit his head. The Applicant continually sought medical treatment from the team trainers, who provided temporary relief to permit him to continue playing games and participating in practices (Michael Einbund, MD, 08/06/2019, pgs. 2 § 4 [Applicant's Exh. 5]). Dr. Einbund apportions 100% of the Applicant's orthopedic disability to playing professional hockey.
WCJ's credibility determinations given great weight due to opportunity to observe witness demeanor
Favours Applicant prevailed
The WCAB relied on the WCJ's credibility findings to uphold the medical evidence and deny reconsideration.
From the decision · page 1We have given the WCJ's credibility determinations great weight because the WCJ had the opportunity to observe the demeanor of the witness. (Garza v. Workmen's Comp. Appeals Bd. (1970) 3 Cal.3d 312, 318-319 [35 Cal.Comp.Cases 500].) Furthermore, we conclude there is no evidence of considerable substantiality that would warrant rejecting the WCJ's credibility determination. (Id.)
What the panel did with the medical opinions
The role the physician served, and the weight the opinion carried. Physicians are named here as the decision names them; we do not score them.
Attributed 100% of the applicant's orthopedic disability to playing professional hockey, considering the applicant's weight issues and medical history, concluding no legal apportionment to weight gain was supported.
The WCJ and WCAB found Dr. Einbund's reports credible and persuasive, constituting substantial medical evidence supporting the applicant's claim.
From the decision · page 32. Dr. Michael Einbund, the Applicant's Qualified Medical Evaluator, issued reports dated 08/06/2019, 02/26/2020, and 01/21/2021 (Applicant's Exh. 5, 4, & 3). Dr. Einbund took a history of the Applicant's work activities as a goaltender and the history of the injuries he sustained, including injuries to his groin from collisions on the ice, hands, and fingers from catching hockey pucks, shoulders from falling on the ice, and to his head and neck when he collided with other players. He sustained jamming and jarring injuries involving the shoulders, elbows, wrists, hands, fingers, and ankles on a repetitive basis while playing
The rules the panel named
Authorities as the decision cited them, with how this panel applied each one.
8 CCR 10605(a)(1)
8 CCR 10605(a)(1) - Timeliness of petition for reconsideration
Petition for Reconsideration was timely filed within the allowed period including additional calendar days for service by mail, fax, or e-mail.
From the decision · page 5Concerning the timeliness of the Petition for Reconsideration, because the regulations allow for five additional calendar days from the date of service when any document is served by mail, fax, or e-mail (8 CCR § 10605(a)(1)), the Petitioner for Reconsideration was timely.
Garza v. Workmen's Comp. Appeals Bd. (1970) 3 Cal.3d 312, 318-319
Credibility determinations by WCJ given great weight when based on witness demeanor
The WCAB gave great weight to the WCJ's credibility determinations because the WCJ observed the witness's demeanor.
From the decision · page 1We have given the WCJ's credibility determinations great weight because the WCJ had the opportunity to observe the demeanor of the witness. (Garza v. Workmen's Comp. Appeals Bd. (1970) 3 Cal.3d 312, 318-319 [35 Cal.Comp.Cases 500].) Furthermore, we conclude there is no evidence of considerable substantiality that would warrant rejecting the WCJ's credibility determination. (Id.)
Place v. Workmen's Comp. Appeals Bd. (1970) 3 Cal.3d 372, 378-379
One physician's relevant and considered opinion may constitute substantial evidence even if inconsistent with others
The WCAB found Dr. Einbund's opinion substantial evidence despite conflicting opinions from other physicians.
From the decision · page 1We observe, moreover, it is well-established that the relevant and considered opinion of one physician may constitute substantial evidence, even if inconsistent with other medical opinions. (Place v. Workmen's Comp. Appeals Bd. (1970) 3 Cal.3d 372, 378-379 [35 Cal.Comp.Cases 525].)
What proof carried it
The evidence the panel weighed, by kind.
WCJ's credibility determinations given great weight because of opportunity to observe witness demeanor
From the decision · page 1We have given the WCJ's credibility determinations great weight because the WCJ had the opportunity to observe the demeanor of the witness. (Garza v. Workmen's Comp. Appeals Bd. (1970) 3 Cal.3d 312, 318-319 [35 Cal.Comp.Cases 500].) Furthermore, we conclude there is no evidence of considerable substantiality that would warrant rejecting the WCJ's credibility determination. (Id.)
Dr. Einbund's medical reports considered applicant's weight issues and attributed disability to hockey injuries
From the decision · page 4professional hockey. Once, he was knocked unconscious when a player's knee hit his head. The Applicant continually sought medical treatment from the team trainers, who provided temporary relief to permit him to continue playing games and participating in practices (Michael Einbund, MD, 08/06/2019, pgs. 2 § 4 [Applicant's Exh. 5]). Dr. Einbund apportions 100% of the Applicant's orthopedic disability to playing professional hockey.
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About this page
- A published decision of the California Workers' Compensation Appeals Board, taken apart by what it turned on. The Board publishes the decision itself; this page adds the extraction and quotes the passage behind every claim.
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