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medical treatment. In Dr. Cruz’s report dated 26 January 2009,[9] he stated:
The patient underwent debridement of the wound of the right big toe today
at Manila Doctors Hospital. Operative findings showed infected open wound
in the medial aspect of the right big toe. There is foul smelling purulent
discharge. Vascularity of the toe is compromised with beginning gangrene
formation. He tolerated the procedure well. Fasting blood sugar is elevated
at 14 (normal value = 4.2-6.1). He was referred to our endocrinologist for
co-management.
Diagnosis:
Infected wound with gangrene, right big toe
S/P Debridement
Diabetes mellitus[10]
Carcedo also underwent disarticulation of the right big toe on 26 January 2009.[11] He
was discharged from the hospital on 12 February 2009.[12]
On 24 March 2009, Dr. Cruz recommended “an impediment disability grading of 8%
Loss of first toe (big toe) and some of its metatarsal bone.”[13]
Due to infection of the amputated stump, Carcedo was again admitted to the hospital
on 20 April 2009 for intravenous antibiotics.[14] While confined in the hospital, Carcedo
underwent sequestrectomy of the right first metatarsal bone.[15] He also underwent
curettage and serial debridements of the wound.[16] On 27 May 2009, Carcedo’s right
first metatarsal bone was removed. He was discharged on 6 June 2009, with the
following report from Dr. Cruz:[17]
The patient was discharged today from the hospital. The wound of the right
foot is still open with good granulation tissues. There is a minimal
suppuration and serous discharge. He is advised to continue daily wound
care.[18]
On his follow-up consultation on 15 June 2009, Dr. Cruz noted that:
There is x x x good granulation tissue on the stump of amputated right big
toe. The wound is open but with slight yellowish discharge. Cleaning and
dressing were done. He was advised to continue his medications.[19]
On 21 October 2009, Carcedo filed a complaint[20] for total and permanent disability
benefits in the amount of US$148,500.00, sickness allowance and other consequential
damages.
elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/59949
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