1/5/2021 E-Library - Information At Your Fingertips: Printer Friendly Subsequently, the petitioner underwent a treatment procedure for open reduction and internal fixation with plate replacement and screws of the fractured right distal radius. After his discharge from the hospital, the petitioner was then made to undergo physiotherapy to improve the function of his right arm.[9] On April 22, 2013, the company-designated physician noted: 1) weak grip, right; 2) paresthesia on the right thumb; and 3) left wrist pain upon extreme movements. The petitioner was advised to continue the rehabilitation. Dr. Esther G. Go (Dr. Go), the company-designated doctor, issued an interim assessment of Grade 10 disability which was noted by the company medical coordinator, Dr. Robert D. Lim (Dr. Lim), thus: xxxx Patient complained of left wrist pain upon extreme movements. There is weak grip, right. There is also paresthesia on the right thumb. He was advised to continue his rehabilitation. His interim assessment is Grade 10 - ankylosis of the left wrist in normal position.[10] Further, on April 26, 2013, Dr. Ramon Lao (Dr. Lao), a company surgeon, suggested a Grade 10 disability due to ankylosed wrist.[11] Meanwhile, the petitioner sought an independent doctor, Dr. Rogelio P. Catapang (Dr. Catapang), an orthopaedic surgery and traumatic flight surgeon who made the following findings: Mr. Abundo continues to have weakness and pain of the right extremity despite continuous physiotherapy. Range of motion is restricted particularly in supination. Because his grip is weak, he is unable to lift heavy objects, the kind of work seaman are expected to perform. He has lost his pre-injury capacity and is UNFIT to work back at his previous occupation. xxxx In addition, excessive forces associated with throwing and swinging activities may aggravate the present condition, the patient sustained his injury following a direct trauma to his arm; although he has received first aid the first definitive treatment was immediately done. The signs and symptoms associated with these injuries are directly related to the degree of severity. There may or may not be any visible or palpable deformity. Point tenderness is normally present at the site of injury, and may remain. The patient has demonstrated a limited range of motion, weakness of the hand in the affected side and an increase in pain at the involved site with attempted movements. https://elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/65828 2/15