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lower right abdomen and left groin. On 20 February 2004, he was admitted to the
Gleneagles Maritime Medical Centre (GMMC) in Singapore where he was examined and
attended to by Dr. Lee Choi Kheong (Dr. CK Lee),[8] whose initial diagnosis was as
follows:
Multiple (3) Right Liver Nodules Suspected Haemangiomata need to
establish definitive diagnosis.
Right Kidney Cyst benign and need not be operated.
He is sent for CT Scan of the Abdomen this morning and tomorrow we will
know more about his condition. At the moment there is no need for any
operation and further tests will be performed.[9]
After undergoing further tests and Computed Tomography (CT) Scan, Dr. CK Lee
diagnosed Dedace to be suffering from Disseminated Sepsis with Multiple Liver
Abscesses. In his Medical Report, Dr. CK Lee elaborated:
This is the reason of the toxic and recurring attacks of fever and abdominal
pain which fail to resolved [sic] with previous simple medication given before
we managed him. Although at this stage we could not absolutely and
conclusively exclude the possibility of Malignancy, there are [sic] strong
evidence that he is improving with antibiotics therapy started. on admission.
The three lesions detected at first by Ultrasound of the liver. has reduced to
two meaning one has [been] resolved completely and the sizes of the
lesions have [been] reduced from 2.21 cm to 1.7 cm.
We will need to continue the present treatment until 1st March 2003 by
intravenous medication and thereafter his medication can be changed to oral
route. On that day he can be discharged with medication to take with him
for further treatment at home.[10]
Consequently, Dedace was repatriated to the Philippines on 1 March 2004,[11] and was
referred to Dr. Nicomedes G. Cruz (Dr. Cruz). On 27 March 2004, the radiologist, Dr.
Cesar S. Co, performed Magnetic Resonance Imaging (MRI) on Dedace, which revealed
the following findings:
Two lesions are noted in the right lobe of the liver measuring 1.7 x 1.6 cm
and 1.3 x 1.0 cm. It is hypointense on TI and hyperintense on T2 sequences
and shows enhancement after contrast infusions.
Gallbladder, ducts, pancreas and spleen are unremarkable.
A 1.3 x 1 cm lesion is seen in the mid-portion of the right kidney, which did
not enhance on contrast study.[12]
It appeared that Phil-Man inquired from Dr. Cruz on whether. Dedace's illness was
work-related. In his Reply, dated 20 May 2004, Dr. Cruz stated that their
gastroenterologist was of the opinion that Dedace's illness is not work-related, to wit:
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