|
OUR RECENT
TAKE NOTHING’S:
In the matter of Patricia Pena v. Louis Vuitton U.S.
Manufacturing (LAO 0785641), Judge Joseph Bewick of the Los
Angeles WCAB, ruled that the defendant owed nothing to
Universal Psychiatric and Dr. Ronald Zalis for alleged
medical-legal and treatment charges totaling $34,248. The
applicant was a seamstress/purse assembler, who sustained an
admitted injury to the upper extremities and denied injury
to the psyche. As part of the Compromise and Release
agreement, defendant persuaded applicant to stipulate in the
settlement document that she had not been an employee for
six months and that Labor Code Section 3208.3(d) applied to
her. This particular code section requires that there must
be some type of sudden and extraordinary employment
condition involved for employees of less than six months to
sustain a psychiatric injury. The case proceeded to lien
trial, with lien claimant Universal Psychiatric claiming it
was owed $8,795 in medical-legal charges and Dr. Zalis
claiming he was owed $25,553 in treatment charges. Defendant
argued that because the applicant had stipulated that she
was not a six-month employee within the meaning of Labor
Code Section 3208.3(d), and no sudden and extraordinary
employment condition was involved (applicant claimed she was
depressed because she wasn’t seeing improvement in her
condition), there should be nothing owed on claimed
treatment charges. As for the medical-legal charges,
defendant argued that the reporting from Universal
Psychiatric could not be considered medical-legal in nature,
as the lien claimant failed to obtain a history from the
applicant that she had been an employee for less than six
months. Defendant contended that had the lien claimant
properly obtained this history, it would then be required to
determine if a sudden and extraordinary employment condition
was involved and to include this in its report. On the basis
of the parties’ arguments, Judge Bewick issued a decision
finding that defendant had no liability on the liens from
either Universal Psychiatric or Dr. Zalis.
In the matter of Armando Orihuela v. Stater Bros. Markets (VNO
0501266), Judge Eileen O’Kane of the Van Nuys WCAB, issued a
take nothing decision against the applicant who had alleged
injuries to his neck, back, shoulders and psyche. The
applicant alleged that he had sustained injuries to his
neck, back and shoulders during his employment as a
custodian at Stater Brothers Markets. He also alleged injury
to the psyche, claiming he was wrongfully terminated after
being accused of sexual harassment by two female co-workers.
The defendant denied the claims based on its in-house
investigation and a post-termination defense. The case
proceeded to trial over the course of two days of testimony
from the applicant and the two female co-workers.
Applicant’s wife was not allowed to testify on behalf of her
husband as a character witness following objection by
defense counsel. The applicant admitted that he had not been
seen by a physician for his orthopedic complaints prior to
his termination. He claimed his psychiatric complaints
developed right after being told he was being accused of
sexual harassment. Defendant presented testimony from both
of applicant’s co-workers. One witness testified that
applicant had hugged her and licked her ear. The second
witness testified that applicant pushed her against a wall
and tried to kiss her. In issuing her take nothing decision
against applicant, Judge O’Kane noted that the applicant did
not obtain any medical reporting reflecting orthopedic
complaints prior to his termination, and that she found the
testimony from the two defense witnesses on the psyche
issue, to be very credible.
In the matter of Gloria Ricks v. Mt. San Jacinto Community
College (VNO 0535773), Judge Julianne Reeves of the Van Nuys
WCAB, issued a take nothing with respect to applicant’s
claim of injury as the result of compensable consequences.
The applicant, a switchboard operator, had an accepted
injury to her bilateral knees and back. The applicant
alleged that after visiting her treating physician, Dr.
Anthony Fenison, she was involved in a motor vehicle
accident on her way home, resulting in injury to her neck
and right shoulder. The defendant denied the claim on the
grounds that applicant had made a material deviation in her
route home. The applicant was seen by Agreed Medical
Examiner, Dr. Harvey Wieseltier on the accepted body parts,
and was allowed to comment as to the nature and extent of
injury to the denied body parts. Dr. Wieseltier indicated
that he believed applicant was a surgical candidate with
respect to her right shoulder complaints. As a result, the
parties proceeded to an injury AOE/COE trial of the disputed
body parts. At trial, the applicant testified that she left
Dr. Fenison’s Moreno Valley office at approximately 5 p.m.
She claimed that she then sat in her car for 15 minutes
reviewing her medical records, before proceeding to stop at
a gas station before getting on the freeway. The applicant
testified that she was driving southbound on the 215
freeway, on her way to her fiance’s home in Perris, not her
home in Ontario, when she was involved in a car accident,
approximately 8 miles from Dr. Fenison’s office. Applicant’s
husband testified that the applicant would stay at his house
a few times per week and that she contacted him around 6:15
p.m. to advise she had been in a car accident. Defendant
contended that: 1) applicant had materially deviated from
her route home by going to her fiance’s house instead, and
2) that applicant could not satisfactorily account for what
she had been doing during the 1 hour 15 minute time frame
between leaving Dr. Fenison’s office and her involvement in
the car accident. In an interim Findings and Order, Judge
Reeves ordered that applicant take nothing on the
compensable consequences claim. Utilizing a Thomas guide
supplied by defense counsel and Google maps, Judge Reeves
determined the applicant should have reached the accident
scene within 12 minutes of leaving Dr. Fenison’s office
(applicant had testified that freeway traffic was flowing
freely). Judge Reeves said that even adding on another 15
minutes for sitting in Dr. Fenison’s parking lot and another
10 minutes to get gas, there was nothing to explain the
inordinate amount of time for the applicant to drive 8
miles. She said she could not logically conclude that
applicant had been involved in an industrial commute when
the accident occurred.
In the matter of Roy Ramos v. American Airlines (LBO
0304988/LBO 0304883) Judge Payne of the Long Beach WCAB
concluded that the defendant had not violated the provisions
of Labor Code Section 132a in its discharge of the employee
in 2000. Prior to this, the applicant, a flight attendant
for the airline, had a compensable psychiatric claim which
had been settled by way of stipulated Award. In his
petition, the applicant sought reinstatement of his job,
wages and benefits, and the statutory penalty capped at
$10,000. After a purported negative telephone exchange with
the applicant’s supervisor (the applicant in his direct
testimony would deny this occur), he was discharged; it was
the employer’s position that this was according to
guidelines. Subsequent to the termination, the matter was
considered by a 5-member arbitration panel with a joint
decision affirming the employer’s position. During the
course of the WCAB Trial, the Arbitration Decision, reports
and depositions of the treating physician and agreed medical
examiner (which questioned the applicant’s ability to return
to work and confirmed that he was receiving Social Security
Disability benefits), and the personnel file were entered
into evidence. Testimony included the applicant, the most
recent supervisor and the immediate preceding supervisor. On
the basis of the evidence, Judge Payne concluded that the
applicant had not sustained his burden of proof that
discrimination had occurred. The applicant discharged his
attorney and has proceeded to file a Petition for
Reconsideration which is pending.
|