On Oct. 29, 2018, applicant Rafik Minasian, 59, an electrician, was working in Los Angeles when he fell from a ladder and landed on a concrete surface four feet below. Minasian sustained to his head, back, neck, shoulders, legs, left hand and right finger. Minasian filed a workers’ compensation claim against his employer, Connect to Electronics, which was insured by State Compensation Insurance Fund. He brought a claim against the respondent in an attempt to collect workers’ compensation benefits., Minasian sustained a severe traumatic brain injury, a compression fracture of the lumbar spine at L1, a fracture of the left scaphoid and a pulmonary embolism involving the right lung. He also complained of mild abdominal discomfort; blurred vision and pain in the left eye; weakness in the left thigh; and pain in his back, left foot, left knee and left wrist. Minasian was emergently transported to Dignity Health – Northridge Hospital Medical Center, in Northridge, where he was admitted. He ultimately underwent surgery, including a kyphoplasty (using an Osseon technique) on the L1 vertebra, and his left wrist was placed in a fiberglass cast for six weeks. Minasian claimed that he continued to suffer from daily left-sided headaches, hearing loss and tinnitus, sleep difficulty, swallowing difficulty due to a thyroid nodule, and numbness and tingling in the left lower extremity. He also claimed he had difficulty with memory, cognition, focus, attention, agitation, nausea after meals and anxiety related to shortness of breath. Given the alleged compromising nature of his , Minasian was transferred to an acute inpatient rehabilitation facility for room and board. At the facility, he also receives up to six hours per day of speech, pathology therapy, physical therapy and neuro re-education, as well as 24-hour nursing oversight with home visitations on the weekends. In addition, Minasian was admitted to neurorehabilitative day treatment to continue his medical treatment for chronic pain and headaches, as well as to undergo therapy for his concentration difficulties. Extensive family training and education was also provided to him five days per week with transportation. Following Minasian’s complaints of symptoms that included pain, numbness and weakness in his left wrist, he was diagnosed with post-traumatic carpal tunnel syndrome. He also claimed that his anxiety and insomnia persisted and that he continues to suffer numbness in his extremities, especially in his left arm and left leg, which led to trouble walking, anxiety and agitation. Minasian further claimed that his traumatic brain injury caused him to suffer symptoms such as extreme anxiety, worsened mood, spontaneous crying episodes, sleep difficulty, insomnia and poor attention. Minasian claimed that his anticipated future treatment includes visits with a physiatrist, a neurosurgeon, an orthopedist, a podiatrist, a neuropsychologist, a psychotherapist and an otolaryngologist. He also claimed that he will require an audiogram, a skilled nursing evaluation, a cane, a thoracolumbar brace, custom foot orthotics, diagnostic studies, laboratory studies, medications and physical therapy. Minasian sought recovery for his future medical care and disability status.