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(g) The company-designated physician declared him totally and
permanently disabled but the employer refuses to pay him the
corresponding benefits; and
(h) The company-designated physician declared him partially and
permanently disabled within the 120-day or 240-day period but he
remains incapacitated to perform his usual sea duties after the lapse of
said periods.[37]
After an assiduous assessment of the evidence, however, the Court finds that
petitioner’s claim for permanent disability benefits is without basis at all.
First. Petitioner’s complaint is premature. A perusal of the detailed medical reports
issued by the company-designated physicians reveals that despite the examinations
and procedures that were conducted on petitioner, they were not yet able to form a
definitive assessment of his ailment. Oft-repeated in the medical reports of the
company-designated physicians is the fact that despite the described medical
examinations conducted on petitioner, he was to be re-evaluated following continued
physical therapy and medications. Then, when the company-designated physician
suggested a disability grading of “Grade 12 (neck) – slight stiffness of the neck and
Grade 11 (chest-trunk-spine) – slight rigidity or 1/3 loss of motion or lifting power of
the trunk,” he was still required to come back for further re-evaluation, as he did
when he reported back in December 2008 and on January 6, 2009. Unfortunately,
despite orders from the company-designated physician to come back once more on
February 3, 2009 for re-evaluation, he never did.
In other words, when petitioner decided to seek the opinion of Dr. Escutin, it was yet
to be established by the company-designated physicians whether he was totally or
partially disabled, as the disability grading was tentatively given and only as a
suggestion, from the results of the various examinations conducted on him as of
that time. To be sure, the findings of the company-designated physicians are worth
reiterating:
Suggested disability grading is Grade 12 (neck) – slight stiffness of
the neck and Grade 11 (chest-trunk-spine) – slight rigidity or 1/3 loss of
motion or lifting power of the trunk.[38] [Emphasis supplied]
The fact that the company-designated physicians needed to further examine
petitioner’s condition following continued medication and therapy cannot be denied.
While initial treatment and medication proved successful in alleviating his back
injury, he still continued to suffer on and off bouts of pain on his neck. After that, he
again complained of back pains, so he was treated and required once more to report
for re-evaluation. Thus, considering the sporadic nature of his condition, it was
reasonable for the company-designated physicians to require him to be routinely reevaluated.
3/27/2020, 12:39 PM