E-Library - Information At Your Fingertips: Printer Friendly 8 of 14 http://elibrary.judiciary.gov.ph/thebookshelf/showdocsfriendly/1/57204 Noteworthy at this juncture is the observation of the CA that from the time petitioner sustained his injury until a disability grading of Grade 11 (for the chest-trunk-spine) and Grade 12 (for the neck), only 110 days had lapsed. At the time he instituted his labor complaint on February 11, 2009, only 196 days had lapsed. Clearly, respondents were deprived of the opportunity to determine whether his claim for permanent total disability benefits had any merit. Second. Even assuming ex gratia argumenti that the company-designated physicians had arrived at a final conclusion of Grade 11/12 disability, petitioner’s evidence would still cast doubt on such findings. In stark contrast to the detailed medical reports by the company-designated physicians, a reading of the medical report of Dr. Escutin shows that it was not supported by any diagnostic tests and/or procedures sufficient to refute the results of those administered to petitioner by the companydesignated physicians. Dr. Escutin’s assessment of “permanent disability” for petitioner merely hinged on the following general impressions, to wit: PERTINENT PHYSICAL IMPRESSION GENERAL SURVEY: Conscious, coherent, ambulatory NECK EXAMINATION: - Pain on deep palpation Absence of normal lordotic curve Pain on twisting/flexion/ Extension of the NECK Numbness at the back of the neck Elevation of the right upper extremity is painful BACK EXAMINATION - Pain on prolong walking/standing - Leg straight raisin up to 30 degrees - Difficulty in climbing up the stairs - Pain on twisting/bending on the trunk FINAL DIAGNOSIS - CENTRAL DISC HERNIATION, C3/C4, C4/C5 - CERVICAL SPONDYLOSIS - CENTRAL DISC (sic) HERNATION L4/L5 - SPONDYLOLISTHEISI, L5/S1 - NERVE RADICULPATHY, C3/C4, C4/C5/L4/L5,L5S1. Moreover, Dr. Escutin’s conclusion that petitioner suffered from “permanent disability” and that he was unfit to serve as a seaman in any capacity was anchored primarily on petitioner’s own narration that as a result of his previous examination at the Metropolitan Medical Center, he was diagnosed to have a herniated disc at the cervical and lumbar spine; that he was recommended for operation, but he refused, considering it was the plan to remove the disc that was pressing on his nerve roots; 3/27/2020, 12:39 PM

Select target paragraph3