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In re Canavan12/1/1999
sed during her tenure of employment. Based upon that knowledge and the diagnostic tests that he performed, he could reasonably infer that her condition was caused by her exposure to chemicals in the workplace. See O'Donnell's Case, supra at 165-166; Wax's Case, 357 Mass. 599, 600-602 (1970). The amount and duration of that exposure need not have been proved. See Duggan's Case, 315 Mass. 355, 357-359 (1944); Watson's Case, 322 Mass. 581, 583-584 (1948); Brek's Case, 335 Mass. 144, 146-148 (1956); Casey's Case, 6 Mass. App. Ct. 859, 859 (1978). Further, the Judge could properly take into account that Dr. LaCava's opinion was buttressed by his knowledge that other patients of his who had been similarly employed in the same pod at the hospital were similarly afflicted. See Brek's Case, 335 Mass. at 149 (physician permitted to testify that other patients had been victims of asbestos from the same plant). In those circumstances, the Judge did not err in admitting Dr. LaCava's opinion on causation and adopting it over that of the conflicting testimony of Dr. Acetta. Adams's Case, 339 Mass. 772, 772 (1959).
The self-insurer also argues that the employee has failed to prove that the intravenous infusions of vitamin C, antibiotic regimen, oral nutrients, and physical therapy prescribed by Dr. LaCava were reasonable and necessary. Based upon the testimony of the employee and Dr. LaCava and the medical report of Dr. LaCava in evidence, which the Judge credited, there was adequate evidentiary support for the Judge to have concluded that the medical expenses incurred by the employee were reasonable and necessary for the treatment of her work related medical condition. See Scheffler's Case, 419 Mass. 251, 258 (1994).
The decision of the board is affirmed.
So ordered.
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