In this issue...
Grom v. Shasta Wood
Products . . . . . . . . 1
Vol. XI No.1
JANUARY 2005
COMPENSATION
NEWS
MONTHLY REPORT
ACOEM treatment guidelines discussed
under Labor Code section 4604.5 (c)
This is a decision by
the WCAB
T
he applicant had an
industrial injury on July
27, 1999. This was an
admitted injury to his back. The
applicant was referred by his
primary treating physician to a
physician who specialized in pain
management.
The pain management doctor
started the applicant on many
different medications. The doctor
indicated that the applicant had a
low testosterone level and the
applicant was paying for the
testosterone treatment himself,
but could no longer afford it due
to his reduced earning capacity
from the industrial injury. The
doctor prescribed testosterone
cream therapy to counteract the
applicant's decreased
testosterone level due to the use
of opiate medications prescribed
for the industrial injury.
A dispute arose. The
defendant sent the request for
utilization review. The utilization
review doctor denied the request
for the treatment. The issue was
presented to the Workers'
Compensation Appeals Board
(WCAB). The Workers'
Compensation Judge (WCJ)
awarded the applicant the
treatment stating it was necessary
to cure and/or relieve from the
effects of the industrial injury.
On opinion and decision after
reconsideration the WCAB
analyzed Labor Code section
4600 and 4604.5 ©). 4600 states
"cure or relieve." They indicated
that "cure or relieve" and "cure
and relieve" have been used
interchangeable for decades.
They cited a California
Supreme Court case for support.
They further indicated 4604.5
uses both terms. The WCJ
language of "cure and/or relieve"
was consistent with prior court
interpretations. They indicated
that medical treatment which is
intended only to relieve, but not
cure, the effects of an industrial
injury is acceptable under Labor
Code section 4600. The phrase
"cure or relieve" is identical to
"cure and relieve".
The testosterone treatment
was allowed.
====================
Editor: Harvey Brown
Firm: Samuelsen, Gonzalez,
Valenzuela and Brown
Address: 18500 Von
Karman #470, Irvine
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