G. R. No. 179177 5 of 29 http://sc.judiciary.gov.ph/jurisprudence/2009/july2009/179177.htm breathing and chest pains radiating to the back, the same condition for which he was brought to the clinic in Saudi Arabia in May 2002. Petitioner Nisda went to see a Dr. Geraldine Monteclaro Torrefiel, an internist who specialized in allergy, asthma and [16] immunology. In a Certification dated 19 July 2002, Dr. Torrefiel confirmed that she saw petitioner Nisda on even date and reported that [B]ecause of chest pain which radiates to the back associated with exertional dyspnea. I therefore recommend him to see a cardiologist for a complete cardiac evaluation and [17] management. On 22 July 2002, petitioner Nisda went back to Nobel and was sent to St. Magdalene [18] (ECG or EKG) of petitioner Nisdas heart Diagnostic Clinic, Inc. An electrocardiograph [19] was done at the said clinic, and the test result revealed that he had Normal Sinus Rhythm [20] [21] LVH w/ strain and/or ischemia In view of his ECG/EKG result, petitioner Nisda was referred, on 24 August 2002, by St. Magdalene Diagnostic Clinic, Inc. to St. Lukes Medical Center for a coronary [22] angiogram. Said test was conducted on petitioner Nisda on 25 August 2002. The [23] Coronary Angiogram Report contained the following details IMPRESSION: Severe Three Vessel Coronary Artery Disease LV Diastolic Dysfunction Based on the foregoing Coronary Angiogram Report, cardiologists impressed upon petitioner Nisda the necessity of a bypass operation. Hence, absent further ado, in view of the seriousness of his condition, petitioner Nisda underwent a triple [coronary artery] [24] [25] bypass surgery at the Makati Medical Center on 5 September 2002. On 6 September 2002, the Makati Heart Foundation provided respondent ADAMS the hospital [26] for petitioner Nisdas bypass operation. It would appear from the record that package there was no response from respondent ADAMS. 1/28/2016 1:07 PM