E-Library - Information At Your Fingertips: Printer Friendly 5 of 16 http://elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/56639 » He requires maintenance medication to control his hypertension to prevent other cardiovascular complications such as coronary artery disease, stroke and renal insufficiency. » With his nephrolithiasis, he is prone to develop ascending urinary tract infection so that he has to monitor his urinalysis and be treated for any signs of infection. » He may require intervention in the form of lithotripsy or surgery to remove his nephrolithiasis. » His renal colic may be a recurrent discomfort impairing his quality of life. » He is not expected to land a gainful employment given his medical background. Thank you. (signed) Efren R. Vicaldo, M.D.[20] Respondent underwent surgery for his nephrolithiasis on August 31, 2005. On September 12, 2005, respondent took an x-ray examination which registered the following results: ROENTGENOLOGICAL FINDINGS: Previous film not available for comparison. Plain radiograph of the KUB shows gas and fecal-filled bowel loops which partially obscure both renal shadows. No opaque lithiasis noted. Spur formations are noted on the lumbar vertebrae. IMPRESSION: DEGENERATIVE OSSEOUS CHANGES OF THE LUMBAR VERTEBRAE[21] Respondent filed a claim for disability benefits with petitioners, but the claim was denied. Thus, on October 18, 2005, respondent filed against the petitioners a Complaint[22] for the recovery of total permanent disability benefits, illness allowance, reimbursement of medical expenses, damages and attorney’s fees. On July 3, 2006, respondent returned to Dr. Cruz and underwent urinalysis, ultrasound and x-ray. On July 18, 2006, Dr. Cruz issued his final Medical Report,[23] 3/27/2020, 12:44 PM