5/28/2020 E-Library - Information At Your Fingertips: Printer Friendly SO ORDERED.”[16] Ruling of the NLRC The NLRC affirmed the LA’s ruling and added that Margarito did not even bother to comply with the mandatory requirement of reporting to the petitioners’ office within three (3) days from his disembarkation for post-employment medical examination pursuant to Section 20 (B)[3] of the POEA-SEC. The NLRC Resolution[17] dated October 23, 2008 disposed as follows: “WHEREFORE, premises considered, the appealed Decision is hereby AFFIRMED in toto. The instant appeal is hereby, DISMISSED for lack of merit. SO ORDERED.”[18] Ruling of the CA The respondents elevated the case to the CA and, in support of their position that Margarito’s illness is work-related, proffered the June 25, 2007 medical evaluation of Dr. Efren R. Vicaldo (Dr. Vicaldo) of Philippine Heart Center, articulating thus: This patient/seaman presented with history of nausea and anorexia noted on June 2006 for which he was seen in United Arab Emirates. He underwent blood chemistry examination and abdominal ultrasound and was diagnosed as kidney disease. History revealed that he is also a known diabetic for six years now and maintained on Metformin three times a day. He was repatriated on September 8, 2006 and was subsequently confined at Las Piñas Doctor’s Hospital. He underwent creation of arterio-venous fistula on the left arm as access to future hemodialysis. Since then he underwent regular hemodialysis at Manila Doctor’s Hospital two to three times a week on the average. Latest laboratory exams done on June 19, 2007 showed significant elevation of his creatinine and potassium. When seen at the clinic his blood pressure was 130/90 mmHg; PE of the heart and lungs were unremarkable and he presented with hemodialysis access on his left arm (sic). He is now unfit to resume work as seaman in any capacity. His illness is considered work aggravated/related. He requires regular hemodialysis to maintain his creatinine level as well as elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/57272 3/16