8/26/2020
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In determining whether or not a given illness is work-related, it is
understandable that a company-designated physician would be more
positive and in favor of the company than, say, the physician of the
seafarer's choice. It is on this account that a seafarer is given the option by
the POEA-SEC to seek a second opinion from his preferred physician. And
the law has anticipated the possibility of divergence in the medical findings
and assessments by incorporating a mechanism for its resolution wherein a
third doctor selected by both parties decides the dispute with finality, as
provided by Sec. 20 (B) (3) of the POEA-SEC quoted above.[95]
Nevertheless, this is
company-designated
instances where the
medical records, the
not a hard and fast rule. This Court has acknowledged that the
physician's findings tend to be biased in the employer's favor. In
company-designated physician's assessment is not supported by
courts may give greater weight to the findings of the seafarer's
personal physician.[96]
Disability ratings should be adequately established in a conclusive medical assessment
by a company-designated physician. To be conclusive, a medical assessment must be
complete and definite to reflect the seafarer's true condition and give the correct
corresponding disability benefits.[97] As explained by this Court:
A final and definite disability assessment is necessary in order to truly reflect the true
extent of the sickness or injuries of the seafarer and his or her capacity to resume work
as such. Otherwise, the corresponding disability benefits awarded might not be
commensurate with the prolonged effects of the injuries suffered.[98]
On the contrary, tardy, doubtful, and incomplete medical assessments, even if issued
by a company-designated physician, have been repeatedly set aside by this Court.[99]
Here, the medical assessment issued by the company-designated physician cannot be
regarded as definite and conclusive. A review of the records shows that the companydesignated physician failed to conduct all the proper and recommended tests. Dr.
Bacungan's letter[100] discloses that a complete neurologic examination
recommended to adequately assess petitioner's disability rating. It read:
was
According to the attending Neurologist, an orthopedic surgeon cannot
adequately assess the neurologic status of the patient. A complete
neurologic examination includes memory and cognitive assessment and
should be done before declaring the patient incapacitated. This will show
whether the patient has mild, moderate or severe brain dysfunctions. In
addition, neurologic examination will evaluate the motor strength, gait,
balance and other deficits of the patient.[101]
Despite the recommendation, Dr. Bacungan did not conduct all the proper tests to fully
evaluate petitioner's condition. Respondents solely relied on an electroencephalography
run by the company-designated physician. In their Comment, respondents only
referred to this test in concluding that petitioner was not suffering from a total and
permanent disability.[102] Nothing in the records shows that other tests were
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