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SignificantDenied

Kenneth Grom

ADJ number: —
Decision date: Dec 7, 2004
District office: Redding
WCJ: —
Claim administrator: State Compensation Insurance Fund
Commissioners: —

Injury / body parts: back

LC §4604.5LC §4600

Summary

Kenneth Grom sustained an admitted industrial back injury on July 27, 1999 while employed by Shasta Wood Products. His treating physicians recommended testosterone cream therapy to counteract lowered testosterone levels (hypogonadism) caused by his chronic opioid pain medications, but SCIF's utilization review physician denied the treatment as not supported by ACOEM or other evidence-based guidelines. The WCJ awarded the treatment, finding applicant's scientific evidence rebutted the ACOEM presumption. The WCAB, after granting reconsideration, affirmed, holding that treatment reasonably required only to 'relieve' (not necessarily cure) the effects of an industrial injury is compensable, and that the phrases 'cure and relieve' and 'cure or relieve' in the Labor Code are interchangeable.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.