6/5/2020
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body weakness, the repeat FBS was normal and his blood pressure was 130/70 which
was normal Petitioner was then diagnosed with controlled hypertension and diabetus
mellitus, and was declared fit to work on April 7, 2000.[10]
While Dr. Cruz declared petitioner fit to work on April 7, 2000, respondents still granted
the request of petitioner's counsel for another medical opinion. Thus, in a fax
transmission[11] dated June 22, 2000 sent to petitioner's counsel, respondents required
petitioner to see Dr. Natalia G. Alegre (Dr. Alegre) of St. Luke's Hospital for a second
medical opinion. Petitioner went to see Dr. Alegre only on August 31, 2000 wherein he
was directed to undergo laboratory examinations. On September 7, 2000, Dr. Alegre
issued a Medical Report[12] as follows:
The chest x-ray of Mr. Prudencio Caranto showed the heart not enlarged.
The FBS was elevated at 236 mg/dl (normal Value: 70-110). The creatinine
(kidney function test) was normal but the urinalysis showed +2 glucose. The
Glycohemoglobin test (HbAIC) was normal. The 2D Echo revealed concentric
left ventricular hypertrophy with adequate wall motion and contractility but
with diastolic dyskinesia.
Patient then has complications involving the heart and the eyes (Gr. I-II
hypertensive retinopathy). He belongs to medium to high risk category
group that in 20-30% in 10 years will develop severe complications (heart
attack, heart failure). These target organ damage, eyes and heart, were
brought about by non-compliance in the intake of medications (financial
reasons?). Proper control could not be attained because of the above
reason. Our Cardiologist feels that the hypertension and diabetes could be
brought under control with diet, exercise and medications given an
approximate time.
Diagnosis: Hypertensive Cardiovascular Disease, Poorly Controlled Non-Insulin Dependent Diabetes Mellitus, Poorly Controlled.
Mr. Caranto at this time is not fit for work as opined by our Cardiologist
based on the above diagnoses and may be given a disability of Gr. 12 (slight
residuals of disorder of the intra-thoracic organ [heart] and intra abdominal
organ [pancreas-diabetes]) under the heading Abdomen #5.[13]
Respondents offered petitioner the amount of US$5,225.00 as disability compensation
in accordance with his disability grading but petitioner rejected the offer.
It appears that on May 18, 2000, petitioner had consulted a private physician, Dr. Efren
R. Vicaldo (Dr. Vicaldo), who diagnosed him to have Essential Hypertension, Diabetes
Mellitus, non-insulin dependent and found his condition to be a partial permanent
disability with an impediment Grade V (58.96%). His justification for Impediment Grade
V were as follows:
elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/61060
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