In re Compensation of Cervantes, 043021 ORWC, 20-00135

Case DateApril 30, 2021
CourtOregon
73 Van Natta 376 (2021)
In the Matter of the Compensation of LUCY CERVANTES, Claimant
WCB No. 20-00135
Oregon Worker Compensation
April 30, 2021
          Unrepresented Claimant           SAIF Legal Salem, Defense Attorneys           Reviewing Panel: Members Ousey and Woodford.          ORDER ON REVIEW          Claimant, pro se,1 requests review of Administrative Law Judge (ALJ) Mills’s order that: (1) upheld the SAIF Corporation’s denial of her injury claim for neck and left shoulder conditions; and (2) upheld SAIF’s denial of her occupational disease claim for cervical and bilateral shoulder conditions. On review, the issue is compensability.          We adopt and affirm the ALJ’s order with the following supplementation.          In upholding SAIF’s denials of claimant’s injury and occupational disease claims, the ALJ found the opinion Dr. Velarde, the only physician to support compensability, to be unpersuasive because it was not based on a complete or accurate history. On review, claimant disputes the ALJ’s evaluation of the medical evidence. For the following reasons, we affirm.          To establish the compensability of her injury claim, claimant must prove that her alleged September 4, 2018, work injury was a material contributing cause of her disability/need for treatment of her neck and left shoulder conditions. See ORS 656.005(7)(a); ORS 656.266(1); Albany Gen. Hosp. v. Gasperino, 113 Or.App. 411, 415 (1992). To establish a compensable occupational disease, claimant must prove that employment conditions were the major contributing cause of the cervical and bilateral shoulder conditions. ORS 656.266(1); ORS 656.802(2)(a); Lori M. Lawrence, 60 Van Natta 727, 728 (2008).          [73 Van Natta 377] Because of the disagreement between medical experts regarding the cause of claimant’s condition, this claim presents a complex medical question that must be resolved by expert medical opinion. See Uris v. Comp. Dept., 247 Or. 420, 424-26 (1967); Barnett v. SAIF, 122 Or.App. 279, 282 (1993); Matthew C. Aufmuth, 62 Van Natta 1823, 1825 (2010).[2] More weight is given to those medical...

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