In Susan Paxton v. City of Orlando and Alternative Service Concepts EC moved for an appointment of an EMA in February 2020 but were unable to locate an EMA due to the Covid 19 pandemic. EC objects to proceeding without an EMA but the objection was overruled as Claimant has a right to quick and efficient delivery of benefits. The Claimant suffered a workplace exposure in 2000 and has treated for reactive airway disease (RAD) since 2002. Claimant then gained considerable weight and is now considered obese and suffers from gastrointestinal reflux disease (GERD) and sleep apnea. Treatment has been provided by EC for Claimant’s condition. The EC did not invoke the pay and investigate provision of Section 440. 20 (4). JCC found that EC estopped to deny the compensability of the GERD, sleep apnea and obesity. JCC GRANTED compensability and medical care for claimant’s obesity, GERD and sleep apnea.