Jerald L. Cook, MD, MS, MRO, CIME, FACOEM
, is Board certified in Occupational Medicine
and Public Health and Preventive Medicine
With additional experience in Environmental Medicine and Toxicology, Dr. Cook has broad background experience, serving such industries as nuclear power, firefighters, healthcare workers, police officers, veterinarians, public service, transportation, military and veterans, warehousing and retail, environmental engineering, business services, and federal government.
Dr. Cook is currently the Medical Director at a worksite health clinic providing primary and preventive care to warehouse workers. He also serves as a military commander advisor and provides direct acute care, primary care, wellness screening and health counseling to active duty Marines and Sailors.
Previously, Dr. Cook held the title of Occupational Health Department Head at the Twentynine Palms Naval Hospital where he was the sole provider offering occupational health services to 660 hospital staff and over 5,000 civilians and service members. He provided OSHA compliant medical surveillance examinations, FMCSA certification examinations, and managed federal workers’ compensation injuries and illnesses.
- Dr. Cook provides expert witness services for cases involving Occupational Medicine, Preventive Medicine / Occupational Environmental Medicine, Preventive Medicine, and Public Health. He has reviewed 10,000 medical records for medical necessity and standard of care. Dr. Cook's services include medical record review, causation analysis, written reports, depositions, and trial testimony as needed. He is also a Registered Nurse, and has testified as an expert on the training and expectations of nursing care. He is also an expert in conditioning and physical fitness, as an IRONMAN Certified Coach and endurance athlete himself for over 30 years.
Areas of Expertise
View Dr. Cook's Consulting Profile
- Workers' Compensation
- Neuromuscular / Musculoskeletal Injuries
- Workplace Drug Testing
- Environmental / Work Stress
- Service Animals
- Exercise Science
- Ionizing Radiation
- Environmental Exposures
- Long Term Disability
|Peer ReviewDOT / FMCSATravel MedicineMoldOrganic SolventsMetalsHeat InjuriesImpairment RatingsFitness for Duty Determinations|
Cocaine remains a popular drug of abuse, and per HHS (2008) of 6.5 million US Federal workplace drug tests, about 40,000 were positive for cocaine in 2007. Drug testing for cocaine is based on the metabolite benzoylecogonine which is detectable in the user’s urine for 24 hours, possibly even up to 72 hours. Non-metabolized cocaine may only be detectable for 4-6 hours following use, making it a less useful target in a drug testing program.
In 2016 the White House reported that they were going to scrutinize some forensic sciences in the court room. The White House's scrutiny, however, over some forensic disciplines is probably justified. When the level of evidence required is very high, the expectations from the scientific community should also be very high. These are usually cases where consequences of decisions can lead to long imprisonments. Being speculative about what evidence means, or making decisions based on poor science is irresponsible. The public has high expectations from the scientific community, and when experts testify that there is scientific evidence which proves a case, there is trust involved in those statements. If judges allow experts to present themselves as such, and to express their opinions as the truth, errors involved making scientific conclusions may not be well understood by the layperson.
Presumptive tests, also known as preliminary tests or field tests, allow drugs to be quickly classified into a particular chemical group, but do not unequivocally identify the presence of a specific chemical compound. Preliminary drug test results are often included in a panel of tests, which then be used as a guide to an appropriate confirmatory test to determine and verify the chemical compounds present.
Fibromyalgia is considered a functional disorder with unknown etiology and unclear pathophysiology. It's not well understood because there is little objective information to support the physical and psychological impairment that affected individuals report. This often becomes a challenge for individuals that feel disabled by the disorder and try to prove that the disorder prevents productive and meaningful work, so they qualify for disability benefits. Fibromyalgia is characterized by complaints of widespread musculoskeletal pain, fatigue and poor sleep, cognitive and psychiatric symptoms, headaches including migraines, and a variety of other symptoms. With or without psychosomatic symptoms, depression and anxiety are common in fibromyalgia (Ghiggia, et al. 2017) and should always be assessed when evaluating the presence of and effects of fibromyalgia. Individuals with fibromyalgia experience a heightened response to stimuli.