8/26/2020 E-Library - Information At Your Fingertips: Printer Friendly Last May 23, 2012, Eng. Fitter Tuquero was referred to our Neurologist, Dr. Epifania Collantes and was again examined. Diagnosis given: Status-Post Head Trauma Secondary to Mauling with Depressed Skull, Left Parietal Area. .... Recommendation: 1. To undergo EEG (Electro-Encephalogram).[17] On June 11, 2012, Toquero underwent a routine electroencephalography conducted by Dr. Benilda C. Sanchez-Gan, an epileptologist.[18] The Medical Report indicated: TECHNICAL DESCRIPTION: .... Photic stimulation and hyperventilation had no effect. No focal abnormality or epileptiform activity was present. Simultaneous single lead EKG showed irregular heart rate of 66-72/minute. IMPRESSION: This is a normal awake, drowsy and sleep EEG recording.[19] Toquero requested that a metal plate be implanted in his skull to cover the hole in it, since only his scalp and hair protected his brain from further injury. The companydesignated physician assured him that they would make the proper request, but to no avail.[20] Alarmed by his physical condition, Toquero consulted his chosen physicians, Dr. Leonardo R. Pascual (Dr. Pascual) and Dr. Renato P. Runas (Dr. Runas).[21] Dr. Pascual assessed that Toquero's physical discomfort was due to trauma and skull defect. Dr. Runas declared Toquero "permanently unfit to return to work as a seaman in any capacity"[22] and diagnosed him with a total and permanent disability. Dr. Runas' Medical Evaluation Report read: Seaman Toquero became incapacitated because of the serious head injury that he incurred on board. He has frequent headache and dizziness as a result of severe jarring of the brain. The physiological state of the brain has been altered by the injury. Numbness of the face and scalp is also a permanent manifestation of the injury. He has a large bone defect which may pose further damage to his brain. Contusion of the brain tissue also occurred at the site of the skull fracture. Permanent physiological and functional damage may not be apparent initially but will gradually and progressively develop later. At this time, he is no longer allowed to engage in heavy physical activities. The ship's environment is also dangerous to him because of the unsteady state of the vessel when sailing at high seas. https://elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/65333 3/22