A hotel worker sustained a torn rotator cuff when he was moving a large table through a door while setting up for a banquet. The employer and insurer denied the claim and alternatively, asserted that the worker should not be compensated for wage loss from his second, similar job. The matter was heard before the Virginia Workers’ Compensation Commission, and the insurer was ordered to pay wage loss based on the combined earnings from both jobs and to pay for medical treatment. The doctor recommended surgery, and the insurer declined to authorize the surgery. The matter was scheduled for another hearing, as a result of which the insurer was ordered to pay for the surgery, and sanctions were imposed on the insurer for unreasonable delay and denial of medical treatment.