6/5/2020 E-Library - Information At Your Fingertips: Printer Friendly 2. At C4-5, there is a small-to-moderate sized, diffuse, posterior broadbased disc herniation of the protrusion type. There is resultant effacement of the subarachnoid space ventrally and a mild amount of right-sided neural foraminal stenosis. 3. There is slight reversal of the normal lordotic curvature of cervical spine consistent with muscle spasm.[4] In his medical report dated September 28, 2009, Dr. Carter found Camoral with “Cervical Disc Herniation and Radiculopathy” and declared him “unfit for duty”. Camoral was repatriated on October 4, 2009, and on arrival in Manila he was referred to company doctors at the Marine Medical Services of the Metropolitan Medical Center. On October 26, 2009, he underwent a surgical procedure known as “Anterior C5 Discectomy Fusion with Pyramidal Cage and Mastergraft Putting, Plating.” In the Operation Sheet, his pre-operative and post-operative diagnosis showed “Cervical Spondylotic Radiculopathy secondary to C4-C5, C5-C6 Disc Protrusion,” while the portion on “Description of Organs” stated that he had a “compressed end at C4-5 to C5-6 level and thickened posterior ligaments.” He underwent rigorous physical therapy, but after more than five months his condition barely improved, and the pain in his neck, chest and shoulder persisted. He then consulted Dr. Rogelio P. Catapang, Jr. (Dr. Catapang), a renowned Orthopaedic and Traumatology Surgeon, who after a thorough clinical and physical examination of Camoral issued a report on February 22, 2010.[5] The report stated that: Present physical examination revealed neck pain more on flexion; presence of a post operative scar anterior neck; neck movement is limited, sudden and strenuous activities may aggravate the condition. Mr. Camoral continues to complain and suffer from neck pain despite continuous therapy. The pain is made worse by neck rotation. He has lost his pre-injury capacity and is UNFIT to work back at his previous occupation as a seafarer. x x x If a long term and more permanent result are [sic] desired however, he should refrain from activities producing torsional stress on the neck and those that require repetitive bending and lifting, things Mr. Camoral is expected to do as a Seafarer. Some restriction must be placed on Mr. Camoral’s work activities. This is in order to prevent the impending late sequelae of his current condition. He presently does not have the physical capacity to return to the type of work he was performing at the time of his injury. He is therefore UNFIT in any capacity for further sea duties.[6] Camoral failed to get further financial assistance from the petitioners for his subsequent treatment and medications, as well as total disability benefits. He was instead offered $10,075.00 corresponding to Grade 10 disability the company gave him. With no income for more than 120 days and having been declared unfit to return to his previous elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/59517 2/12