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from pre-identified diseases including Diabetes mellitus. This is a point, however, that
we have considered in other rulings. In Nisda v. Sea Serve Maritime Agency,[58] we
noted that it is an accepted rule that PEMEs are usually not exploratory in nature.
The tests conducted are not intended to be an in-depth and thorough examination of an
applicant’s medical condition. They merely determine whether the examinee is “fit to
work” at sea or “fit for sea service”; they do not describe the real state of health
of an applicant.[59]
Thus, Simbajon cannot rely on his PEME results alone to support his claim that his
disease only developed after embarkation. This is particularly true since several points
during his treatment, his DM Type II was found to be asymptomatic, i.e, as
symptomless or presenting no subjective evidence of disease.[60] Thus, it is probable
that Simbajon’s disease was already pre-existing even before he boarded NCL’s vessel;
his diabetes was not detected because it was asymptomatic.
For failure to prove that his disease was contracted within his six days of service
because of factors necessary to contract it, we cannot support Simbajon’s assertion
that his DM Type II was a work-related disease that should merit compensation from
the petitioners.
Fit-to-work assessment of the
company-designated physicians
versus the unfit-to-work findings
of Simbajon’s physician
We now resolve the issue of the conflicting findings of the petitioners’ designated
physicians and Simbajon’s own physician. The company-designated physicians have
declared Simbajon as “fit to work” after 172 days of treatment from his disembarkation
on August 15, 2004. On the other hand, Simbajon’s chosen physician, Dr. Vicaldo,
came out with the findings that Simbajon’s illness had rendered him “unfit to resume
work as a seaman in any capacity,” with a Grade VI (50%) disability rating.
In Philippine Hammonia Ship Agency, Inc. v. Dumadag,[61] we have ruled that the
POEA-SEC is the law between the parties and as such, its provisions bind both
of them. Under the POEA-SEC, the applicable provision to resolve the issue of
conflicting medical findings is Section 20-B (3), which states:
Upon sign-off from the vessel for medical treatment, the seafarer is entitled
to sickness allowance equivalent to his basic wage until he is declared fit to
work or the degree of permanent disability has been assessed by the
company-designated physician but in no case shall this period exceed one
hundred twenty (120) days.
xxx
If a doctor appointed by the seafarer disagrees with the assessment,
a third doctor may be agreed jointly between the Employer and the
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