4/9/2020 E-Library - Information At Your Fingertips: Printer Friendly findings: Hypertensive cardiovascular disease, concentric left ventricular hypertrophy, lateral wall ischemic and impediment Grade V (58-96%). Another five months have passed or on June 16, 2001, petitioner again sought the medical advice of another private physician, Dr. Caja, who issued a medical report which reads: June 16, 2001 To whom it may concern, This is regarding Mr. Daniel M. Ison, 57y/o, seaman from Cainta, Rizal. June 2000 when patient started to experience chest pain while on board the ship. He was then done ECG and chest x-ray which revealed S-t segment depression and t wave inversion. He was then repatriated where further work-up was done. 2D ECHO done showed mild aortic regurgitation and mitral regurgitation. He was then prescribed Isopten, Adalat, and Cardinel. He was then diagnosed to have hypertensive cardiovascular disease, ischemic heart disease, concentric left ventricular hypertrophy. His BP then fluctuates from systolic of 140-150. He claims that if his BP went down to less than 130, he feels bad. Recently, he complains of occasional chest heaviness with easy fatigability and dyspnea on exertion. He has been having poor compliance with his medications. His recent BP is 190/110 and so continuation of his previous medications was advised. Addition of Neobloc 50mg TID and Approvel 150mg OD was given. Precaution on correct diet and proper lifestyle was recommended. The patient’s clinical condition needs close monitoring and limitation to the daily activities. Thus, rendering him unfit for work. DISABILITY RATING: GRADE 3 Respectfully yours, (Signed) Jocelyn Myra R. Caja, MD Medical Specialist Lic. no.: 076484[33] Based on the said medical reports of petitioner’s physicians, the NLRC reversed the Labor Arbiter’s ruling and granted petitioner disability compensation. However, on appeal, the CA disregarded said physicians’ medical findings and instead upheld the one made by the company-designated physician. We hold that the CA is correct in ruling thus. The company-designated physician has cleared petitioner for employment resumption after two months of continuous treatment and after medication has successfully controlled his hypertension. As aptly held by the CA, the extensive medical attention given by the company-designated physician to petitioner enabled the former to acquire a detailed knowledge and elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/54687 8/12