6/5/2020 E-Library - Information At Your Fingertips: Printer Friendly "non-compliance with the intake of medicines" considering his earlier medication and treatment under Dr. Cruz from the time he was repatriated to the Philippines in a three (3)-month period, at the end of which term he was declared "fit to work." Indeed, diabetus mellitus is a chronic disease with no cure but it can almost always be managed effectively Management of the disease may include lifestyle modifications such as losing weight, diet and exercise to long term use of oral hypoglycemics or insulin therapy. Adequate control of diabetes leads to a lower risk of the complications of uncontrolled diabetes which include kidney failure (requiring dialysis or transplant), blindness, heart disease and limb amputation. Thus, patient education and compliance with treatment is very important in managing the disease; improper use of medications and insulins can be very dangerous causing hypo- or hyperglycemic episodes. Among the major risk of the disorder are chronic problems affecting multiple organ systems which will eventually arise in patients with poor glycemic control. Considering the subjective factor involved in the assessment of risks for long-term complications of the disease, an accurate appraisal of the disability of private respondent must be based not only on laboratory procedures conducted at the time of examination but also his medical history, i.e., medications and progress in his condition. We find the generalized statements of Dr. Vicaldo not sufficient compared to a more detailed medical assessment of Dr. Alegre based on actual laboratory results and recent medical history of private respondent. Private respondent assailed the finding of Dr. Alegre that his poorlycontrolled diabetes mellitus and essential hypertension were brought about by his non-compliance with the intake of medicines. Private respondent produced some prescriptions by different doctors, but his appointed doctor, Dr. Vicaldo, neither presented any clinical explanation to controvert Dr. Alegre's evaluation. At any rate, we find no substantial evidence to support the NLRC's finding that Dr. Vicaldo's medical finding and disability assessment as reliable and satisfactory compared to that of Dr. Alegre, the company-designated physician. Hence, Dr Alegre's disability rating of Gr. 12 (pancreas-abdomen) under the Schedule of Compensation should be the basis of computation of disability benefit to which private respondent is entitled.[31] Petitioner claims that he is entitled to US$60,000.00 disability benefit as provided in their CBA, to wit: 20.1.4 Compensation for disability xxxx 20.1.5 Permanent Medical Unfitness - A seafarer whose disability is assessed at 50% or more under the POEA Employment Contract shall, for the purpose of this paragraph as regarded as permanently unfit for further sea service in elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/61060 8/12

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