6/7/2020 E-Library - Information At Your Fingertips: Printer Friendly Dr. A. Fedorowiez Ships Surgeon M/S Crystal Serenity Dear Dr. Fedorowiez, Re: Mr. Mario MADRIDEJOS - d.o.b. 04/09/61 C/o Denholm Ship Agency Ltd Liner House, Test Road, Eastern Docks Southampton Hampshire SO4 3GE Thank you very much for referring along this gentleman who works on your ship who has a sebaceous cyst to the right of the umbilicus. I explained the diagnosis to this gentleman in clinic today. He has had symptoms of aching and discomfort and we therefore proceeded to excise this lesion under local anaesthetic at the Spire Hospital Southampton today. The diagnosis of sebaceous cyst was confirmed and he has three interrupted nylon sutures to close the wound. I would be very grateful if you could arrange for the sutures to be removed in approximately ten days' time and I have discharged him back to your care. Yours sincerely (Dictated by Mr. Byrne but sent unsigned to avoid delay)[24] On July 6, 2010,[25] he arrived in Manila, Philippines. The following day, he allegedly reported to NYK-FIL "for a medical referral to the company doctor." However, he did not get any referral letter since he was told that his illness was not work-related.[26] Due to persistent symptoms, he was purportedly constrained to undergo medical examinations by Physician-Surgeon Dr. Aylmer F. Españo (Dr. Españo) from Metropolitan Medical Center. He was also prescribed with medicines for his sebaceous cyst[27] On August 26, 2010, Dr. Españo issued a medical certificate which stated: This is to certify that Mr. Mario Madridejos, male, married, a resident of Paete, Laguna, was seen and examined in this clinic from July 7, 2010 up to present, with the following findings and/or diagnosis: • Sebaceous Cyst (Right Umbilicus) Physical findings ha[ve] been noted with POEA Disability Grade 7-Moderate Residuals of Disorders of the Intra-abdominal organs, but due to the severity and deterioration of injury/illness[,] he is entitled under P.O.E.A. Disability Grade 1 for Severe Residuals of Impairment of intra-abdominal organs which requires aid and attendance that will unable [sic] worker to seek any gainful employment. elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/63066 3/25