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.
QMERejected · internal medicine
Found fibromyalgia supported by applicant's self-report but lacked persuasive causation evidence and was not substantial evidence on causation regarding fibromyalgia.
Dr. Fisher's opinion on fibromyalgia was not persuasive or substantial evidence on causation, relying on non-peer-reviewed sources and lacking explanation.
From the decision · page 5Exhibit 7 the internal reporting of QME Dr. Fisher the blood chemistry is described as
within normal limits in his report 07/31/20181 wherein he finds fibromyalgia supported by
applicant's self-report. He lists reference material as support for his position as an herbal treatment
approach 2015 by Katya Adachi MD that gives a summation that no one really knows the causation
bridge for fibromyalgia.
QMERelied upon · internal medicine/rheumatology
Found no basis for aggravation of diabetes or hypertension; attributed some hand osteoarthritis and gastroesophageal reflux disease to industrial causes but found hypertension, diabetes, and other conditions nonindustrial.
Dr. Anderson's opinion was relied upon as substantial evidence contradicting industrial causation for diabetes and hypertension and limiting industrial causation to hand conditions and reflux disease.
From the decision · page 6He does not find a basis for any aggravation of her diabetes or hypertension in the medical
records.6
secondary_treaterRelied upon · family practice
Did not support diagnoses or treatment for fibromyalgia or work-related onset of overall pain except related to a single episode of flu; prescribed for longstanding diabetes and hypertension with no industrial aggravation.
Dr. Nguyen's deposition did not support fibromyalgia diagnosis or industrial aggravation of diabetes and hypertension, supporting denial of petition.
From the decision · page 4Exhibit B is the transcript of the cross examination of Dr. Tuan Nguyen, a family practice
doctor, who treated the applicant commencing 2015 and continuing through 2019. This deposition
does not support diagnoses or treatment for fibromyalgia, nor a work-related onset of overall pain
except related to a single episode of the flu. Over the years, he prescribed for the applicant's
diabetes and hypertension, both longstanding pre-existing conditions with no indication of any
industrial aggravation.