5416 CRB-8-09-1 (2010). Vannoy-Joseph v. State of Connecticut Department of Mental Health and Addiction Services.
Court | Connecticut |
Connecticut Workers Compensation
2010.
5416 CRB-8-09-1 (2010).
Vannoy-Joseph v. State of Connecticut Department of Mental Health and Addiction Services
CASE NO. 5416 CRB-8-09-1COMPENSATION REVIEW BOARD
WORKERS' COMPENSATION COMMISSIONMARCH 3, 2010ALICE VANNOY-JOSEPH CLAIMANT-APPELLEE v. STATE OF CONNECTICUT
DEPARTMENT OF MENTAL HEALTH AND ADDICTION SERVICES EMPLOYER SELF-INSURED
RESPONDENT-APPELLANT and GAB ROBINS OF NORTH AMERICA ADMINISTRATOR
APPEARANCES: The
claimant was represented by Kevin W. Coombes, Esq., McCarthy, Schuman and
Coombes, 61 Russ Street, Hartford, CT 06106. The respondent was represented by
Philip Schulz, Esq., Assistant Attorney General, Office of the Attorney
General, 55 Elm Street, P.O. Box 120, Hartford, CT 06141-0120. This Petition
for Review from the December 22, 2008 Remanded Decision of the Commissioner
acting for the Eighth District was heard September 25, 2009 before a
Compensation Review Board panel consisting of the Commission Chairman John A.
Mastropietro and Commissioners Randy L. Cohen and Christine L. Engel.
OPINIONJOHN A. MASTROPIETRO, CHAIRMAN. The
instant appeal arises from the trial commissioner's ruling on a matter that was
the subject of a remand order set out in Vannoy-Joseph v. State/DMHAS, 5164
CRB-8-06-11 (January 29, 2008) [hereafter Vannoy-Joseph I].(fn1) In
Vannoy-Joseph I,(fn2) this board considered the respondent's appeal of former
Commissioner A. Thomas White's November 6, 2006 Finding and Award in which he
authorized a three-level disc replacement surgery for the claimant. In this
board's rather lengthy opinion we considered the respondent's objections and
challenges to the trier's conclusion. Among the respondent's challenges in that
appeal were that the three-level disc replacement surgery proposed was not
approved by the Food and Drug Administration [FDA] and thus it was error for
the trial commissioner to authorize the procedure.
In our consideration of Vannoy-Joseph I, we, in essence, held
that the proposed use of a particular medical device and procedure that has not
yet been approved by the FDA did not, per se, disqualify it as reasonable or
necessary medical treatment under our Act. We advised that "in the case of a
contested surgical procedure that is not well-established in the medical
community, the evidence must include enough information for the trier to grasp
the concepts and methods that support the procedure, and to anticipate that it
will be effective for individuals comparable to the claimant." Id. We then
ordered a remand "for the limited purpose of addressing the scientific validity
of three-level disc replacement surgery for individuals comparable to the
claimant. . . ." Id.
Proceedings were then held before Commissioner Jack Goldberg
acting in the capacity as trial commissioner. See id., note 17. A formal
hearing was held June 25, 2008 in the course of which the trial commissioner
accepted evidence consistent with our remand order and at the request of the
respondent allowed the evidentiary record from the prior hearings to be
included as part of the record before the trier. See June...
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