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was rushed to the intensive care unit of Clinica Perpetuo Socorro, where he underwent
blood transfusion.[9]
On January 14, 2012, Paringit was discharged from the intensive care unit with a
diagnosis of: "Decompensated cardiac insufficiency. Severe anemia. Renal dysfunction."
[10] He was transferred to a regular room for further treatment and monitoring and was
discharged from the hospital on February 2, 2012. He was soon medically repatriated
and arrived in Manila on February 9, 2012.[11]
On February 13, 2012, Paringit was admitted to the YGEIA Medical Center for
evaluation and management. He again underwent blood transfusion and was placed on
medication.[12]
On February 20, 2012, Paringit was discharged from the hospital with a working
diagnosis of: "Congestive Heart Failure; Hypertensive Cardio Vascular Disease[;]
Valvular Heart Disease; Anemia Secondary to Upper GI Bleeding Secondary to Bleeding
Peptic Ulcer Disease[.]"[13] Dr. Maria Lourdes A. Quetulio (Dr. Quetulio), the companydesignated physician, prescribed Paringit's medication and advised him to return to the
hospital on February 29, 2012 for his check-up.[14]
On February 29, 2012, after his check-up, Dr. Quetulio advised Paringit to continue his
prescribed medication and referred him to a valvular heart specialist for further
management. She also advised him to return for his follow-up check-up on March 5,
2012.[15]
On March 2, 2012, Paringit consulted a valvular heart specialist at the Philippine Heart
Center who advised him to have a repeat 2D echocardiogram and coronary
angiography.[16]
On March 5, 2012, Dr. Quetulio noted that Paringit was a candidate for open heart
surgery. She also advised him to continue his medication while waiting for his
employer's go signal on his recommended procedures.[17]
Paringit underwent repeat 2D echocardiogram, which showed that he had a severe
valvular problem. The cardiologist who examined him recommended that he undergo
open heart surgery for valve replacement or repair, with possible coronary bypass graft.
[18]
On March 22, 2012, Paringit underwent a coronary angiography. While the procedure
revealed that he had no blocked coronary vessels, the attending cardiologist opined
that he still had to undergo open heart surgery for valve replacement or repair. Dr.
Quetulio again advised him to continue his medication while awaiting his employer's
approval of the recommended open-heart surgery.[19]
By April 30, 2012, Paringit was still waiting for his employer's decision on his openheart surgery.[20]
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