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FREEDOM ASSOCIATION
/YUGOSLAV COMMITTEE TO LIBERATE PRESIDENT MILOSEVIC/
WARNS:
HEALTH AND LIFE OF PRESIDENT MILOSEVIC
UNDER THREAT!
Level of health protection in former Nazi prison in the Hague is the same like in Nazi
concentration camps
(two prisoners already dyed due to lack of medical care)!
60-year old president Milosevic with malignant hypertension and specific form of
angina pectoris in an endless "trial" every day whole day is treated by aspirins, when
he got a flu (according to prison doctor - general practician) with more then 10 days
of high temperature!
He is under total life risk in such circumstances,
say medical experts of Belgrade University!
He needs urgent check-up by medical specialists, which NATO "tribunal" prohibits up to
now!
ACTION MUST BE TAKEN!
After the "tribunal's" negative answer to first such initiative, Freedom Association
sends the following letter (with medical documentation enclosed) to "judges",
"prosecution" and "amici curiae" of the now-days Gestapo
(in accordance with their "rules"),
warning them about the criminal responsibility:
UNITED
NATIONS
International Criminal Tribunal
for the Former Yugoslavia
To the III
Trial Chamber
Your Excellencies,
Bearing in mind the intensive dynamic of the so-called trial, to which President
Slobodan Milosevic is exposed from day to day, we must warn you that you carry the
responsibility for his health and life.
Since you are evidently not enough informed with the general, but with the
current as well, state of health of President Milosevic, and since, no matter of his
illness, you do not show interest enough for the improvement of his health, that is
the reason why we are compelled, as National Committee for liberation of Slobodan
Milosevic, towarn you about that. We especially bear in mind your responsibility for
the state of health of President Milosevic that derives from your Statute and Rulebook
on Procedure and Evidence and a number of other international documents. The treatment
of President Milosevic as a whole finds itself in full collision with the Convention
on torture and other brutal, humiliating sanctions and proceedings, adopted by the
United Nations General Assembly on December 10, 1984, came into force on June 26, 1987
and is in collision with the equivalent Convention, adopted by the Council of Europe.
If however, for the sake of accomplishing an unprecedented "project" of a
trial, you will further on allow, as it has been the case so far, the deterioration of
President Milosevic's health, you will carry full responsibility for that.
Therefore, we demand to enable a number of medical experts (first of all
specialists for cardio-vascular diseases) from Yugoslavia, to make an urgent
examination of President Milosevic and give a proposal for adequate treatment, in
order to stop the further deterioration of his health. The team of experts would be
comprised out of Prof. Dr. Med. Sc Bozina Radevic (cardio-vascular surgeon), Prof. Dr.
Med. Sc Zdravko Mijailovic (cardiologist), Doc. Dr. Med. Sc Dragana Bojic
(cardiologist), and Prof. Dr. Med. Sc Vojislav Suvakovic (infectologist).
Starting from Rule 74bis of the Rulebook on Procedure and Evidence of the
Tribunal, according to which you are proprio motu able to issue such an order, we
demand from you to immediately enable a consilium medical examination of President
Milosevic.
Attached you will find the reports of Prof. Dr. Med. Sc. Zdravko Mijailovic
of the Military Medical Academy of Belgrade, dating from May 31, 2001 and June 4, 2001
(both in English), together with the copies of the originals in Serbian, as well as
the medical report dated from March 25, 2002 related to the state of health of
President Milosevic.
Belgrade, March 26, 2002
For "SLOBODA" ("Freedom") Association
The National Committee for the
Liberation of Slobodan Milosevic
Bogoljub Bjelica, President
MEDICAL REPORT
RE: SLOBODAN MILOSEVIC
Inspection of medical documentation and his previosly, well known healt problems
insigate and underline further facts:
The majority of people know what is hypertension. It is not secret that hypertension
has an inportant role of cardiovascular mortality and morbidity. Effective treatment
significantly reduces relative risk of stroke up to 40%, and of myocardial infraction
by 20%. Slobodan Milosevic does not have simply elevated blood preasure, he has
hypertensive crisis or malignant hypertension. His diastolic blood pressione often,
with abrupt onset exceeds 130 mmHg, systolic 200 mmHg. What does it mean?
Accelerated (malignant) hypertension occurs most commonly in patients with essential
hypertension. The risk of complication is more closely linked with the rate of rise in
blood preasure than the absolute blood preasure level, because patients auto regulate
to compensate for chronic hypertension. When blood preasure rises rapidly as
Milosevics' case, celebral, retinal and renal damage may ensue and the patient may
develop acute cardinale failure. It carries a high mortality risk: untreated, 1-year
survival in approximately 25%; with treatment, 1-year survival is around 90%. Rapid
control of escalating blood presure is essential, but it has to be achieved by slow,
sustained reduction. There is no prison hospital which can obtain this treatment. They
can provide only aggressive treatment. Aggressive reduction can cause tissue and
celebral ischaemia and infraction, because in most cases the tissues have auto
regulated to require a grater than normal perfusion pressure.
His another heath problem is Prinzmetal's variant angina pectoris. There is no pearson
who does not understand what means "angina pectoris". In the last few months Milosevic
has been having chest pain due to coronary arterial spasm which can not be relieved by
sublingual nitroglycerin. It occurs at rest with abrupt onset or rapid deterioration
of previously stable condicion. Reason for deteriration his condicion is inappropriate
coronary vasoconstriction whish has been shown to occur during exposure to mental
stress.
In the other hand, anxiety is a normal reaction to cardial illness and many patient
will have symptoms as a result. The tendency to categorize patient's symptoms as
"genuine" and "non-cardiac" is unhelpful. Relaxation and stress management are
fundamental problems particularly useful in managing angina where (after exertion)
stress is the second most likely precipitant of symptoms.
Slobodan Milosevic is in the prison where there is no possibility for appropiate
medical treatment. He probably can get pills or doctors' supervision. But underlying
conditions ask for high educated consultants, intesive care unit and above all
relaxsation. Only in this condition his cardiac properties will not function related
his chance to present evidence of his innocent.
Prolonger trial and stress continuity increase risk of major cardiovascular events.
Slobodan Milosevic is undergoing extreme phychical effort. Everyday rapid
deterioration of his health can cause sudden death. That is why he must be rewieved
and under care of medical experts from Yugoslavia who know his medical history. They
need to see him and after serious examination decide about further treatment.
We are not talking about quality of life we are fighting for life!
Professors of Belgrade University:
Dragana Bojic, Ph.D., MD, cardiologist
Vojislav Suvakovic, Ph.D., MD, infectologist
Milos Janicijevic, Ph.D., MD, neuro-surgeon
Done in Belgrade, March 25, 2002
FOLLOW-UP CARDIOLOGY EXAMINATION
PATIENT: SLOBODAN MILOŠEVIC
The patient is 61 years old.
Risk factors for coronary arterial disease: smoker, hyper lipidaemia, heredity, high
stress, arterial hypertension (in earlier check-ups over many years arterial tension
ranged most frequently around 135-140/ 85-90 mmHg, with occasional therapy. Maximum
blood pressure readings ranged around 150/95mmHg and rarely 150/100 mmHg).
He is also aware of small cysts in kidneys.
Echo examination of abdomen a year and a half ago, changes in gall bladder observed,
like a polyp or calculus but no further investigation made because of the patients’
rejection.
Occasionally administered medicines:Presolol 100mg ¼ ili ½, Upsarin effervettes 1 in
the morning. Between 11.04.2001 and 13.04.2001 he was hospitalized in the Military
Medical Academy Hospital, where:
During echo cardiography: significant hypertrophy of myocardium was proven in the left
ventricles, global EF around 45%, but with akinesy of the distal third of the septum,
top of heart and distal third of frontal and lateral wall of the left ventricle
(Docent dr.A. Neskovic-KBC Dedinje).
The selective coronography revealed coronary bridge ) suffocation of the left coronary
artery). Naked microcirculation and on other segments epicardial coronary arteries
only negligible changes. Left ventricle of normal size, of hyperopic walls, in systole
like hypertrophy cardiomiopathy.
Under the decision of the medical consultation team the patient was dismisses with
medical therapy (dismissal letter attached).
In the meantime a check-up was undertaken (223.04.2001) when it was concluded that the
arterial hypertension has not been cured, with the existence of probable angina
pectoris, more intensive medicinal therapy and additional examinations (ophthalmology
examination, neurological examination, analysis of the adrenal glands, abdominal echo
and kidney and adrenal glands echo, 24 hour halter monitoring of blood pressure and
halter ECG...follow up of ECG and additional assessment of microcirculation
(scintigraphy of the heart or PET scan..).
In the meantime he occasionally complained of chest sharp pain propagating to the jaws
and numbness in the jaws...he did not take nitroglicerine... those disorders appear
when in the state of rest, but more often while walking when he occasionally sweats.
Then he must sit down and rest, when the troubles pass away gradually.
Occasionally he feels lack of air and speedy or irregular hear beat.
Sometimes mild headaches felt.
Regularly controlled blood pressure and pulse by the attending doctor. Maximum
measured blood pressure readings 220/13p mmHg on 30.05.2001, pulse 120/mm.
The lowest TA value in the period under review was 140/100mmHg and pulse 88/min, once
on 21.04.2001.
The most frequent TA readings were 190/115 mmHg and pulse around 100/mm.
Regularly were monitored electro cardiograms, where sinus tachicardy was observed of
around 10/min, with symmetrically negative T waves in D1, AVL and V2 to V6.
ECG dated 11.05.2001 shows sinus tachicardy around 11/min with deeply negative T
waves in D1, AVL, V2 to V6 even up to around 1.5 cm with lowering of ST clip 2-3 cm.
Planned and appointed examinations suggested earlier were not carried out in the
meantime because the patient was not motivated.
According to the patient, the medication proposed earlier has been regularly
administered.
OBJECTIVE FINDING
Cordially compensated. Presently a febrile.
Obese according to general type. Veins in the neck not tense.
Over the neck arteries no suboclussion murmur is heard.
On the lungs vesicular breathing with rare low tone whistling.
Heart action is rhythmical, speeded to about 120/min, tones somewhat quiet, without
pathological noise. TA:200/120mmHg (after regular therapy taken this morning).
Liver and spleen not palpable. No sensitivity of gall bladder to palpation.
No signs of free liquid in the abdomen.
Kidney lobes insensitive to succusion.
No visible cardiac edema on lower legs, or deformities.
ECG : sinus tachicardy around 120/min, PQ=0.16, negative T in D1, AVL, V2 to V6 with
lowering of ST clip in the left pericardial drains up to 2mm
DG: Hypertensio arterialis (unregulated)
Hypertrohpy of myocardium of the left ventricle
Angina pectoris (cor,bridge...microvasc.??)
TH: Dilatrend 12.5mg, 1 in the morning with the control of TA and pulse.
If TA remains unregulated, the dose may be corrected with additional 1 in the evening.
Enalapril 20mg 1+1+0 with the check up of TA
Lometazid 1-2 a week.
Nitroglycerin as needed.
Demetrine tab. 2x1
OPINION:
Present hypertension and unregulated with the existing therapy (max. 220/130 mmHg and
most often 190/115 mmHg with a pulse of some 100/min).
The above readings of hypertension increase the risk exponentially for fatal events
(relative risks of stroke is above 4, and for an acute coronary event between 3.5-4).
According to the patient, he was taking the therapy regularly, but as evident from the
above analyses arterial hypertension is unregulated.
Apart from it the patient feels troubled chest of angina type with clear changes in
ECG, which are maintained.
Based on the above and starting from scientific, professional and moral standards it
is necessary to:
1. Ensure regular intake of adequate therapy
2. Complete the examinations recommended earlier (Ophthalmology, neurology,
analysis of hormones of adrenaline gland, analysis of kidney function, abdominal echo,
ultra sound adrenaline gland check, 24 hour Halter monitoring of blood pressure,
supplemental examination of hypertrophy of myocardium, scinthigraphy of the heart, PET
scan and others..)
3. If the patient shall have repeated problems behind the sternum of anginoide
character, dizziness or the similar, ECG should be repeated, cardio specific enzyme
and promptly proceed along the principles of care of such patients.
4. If the disorders will persist, the blood pressure reading cannot be corrected
and the proposed examinations cannot be carried out in view of the above mentioned
risks of fatal events in such patients, it shall be necessary to ensure via competent
means an adequate correction of blood pressure, additional examinations of hypertrophy
of myocardium, microcirculation of the heart as well as other examinations in
hospital (VMA..) conditions.
31.05/2001 in Belgrade
Col.Ass.Prof. MD, PhD
Zdravko M.Mijailovic
FOLLOW-UP CARDIOLOGY EXAMINATION
PATIENT: SLOBODAN MILOŠEVIĆ
Follow-up examination of 04.06.2001
The patient was examined previously on 31.05.2001.See the finding attached.
The patient is 61 years old.
Of risk factors from coronary disease: smoker, hiperlipidaemia, heredity, arterial
hypertension ranging during many years in the past around 135-140/85-90 mmHg with
intermittent therapy.
Maximum readings of the blood pressure used to be 150/95mmHg, and on rare occasions
150/100 mmHg.
He is aware of smaller cists in kidneys.
On the earlier abdominal examination, changes were observed on the gall bladder, which
resembles of gallbladder polyp, although calculosis could not have been excluded.
Follow-up gastro enterologic examination with a repeated echo examination of abdomen
was not made due to lack of motivation on the part of the patient.
Of drugs he was using Presolol 100mg ½ or ¼ in the morning and Upsarin eff.
Between 11.04.2001 and 13.04.2001 he was treated in VMA hospital where on
Chocardiography considerable hypertrophy of myocardium was evidenced on left ventricle
(1.4cm), global EF around 45%, but with akinezy of distal third of the septum, peak of
the heart and distal third of frontal and lateral walls of the left ventricle
(Ass.Prof. Dr.A.Neskovic- KBC Dedinje).
At the selective coronorography: visible coronary bridge (suffocation of the left
coronary artery( naked microcirculation, and on other segments of epycardiac coronary
arteries only negligible changes. The left ventricle of normal size, of hypertrophic
walls, in systole and by type of hyperthrophic cardiomyopathy.
By the decision of the doctoral consultation team the patient was dismisses with
medicinal therapy (Letter of dismissal attached).
In the meantime a follow up was done (23.04.2001) when it was concluded that arterial
hypertension is unregulated with probable presence of angina pectoris, the therapy was
strengthened, and additional examinations advised for abdomen and echo of kidneys and
adrenaline gland, 24 hour Halter monitoring of blood pressure and Halter ECG... follow
up of ECG, as well as supplemental assessment of microcirculation (Scintigraphy of the
heart or PET scan...).
Blood pressure readings were regularly controlled and pulse by the attending doctor.
Maximum values of blood pressure were 220?130 mmHg on 30.05.2001, pulse 120/min.
The lowest read TA value over the period was 140/100mmHg and pulse 33/min, only once
on 21.04.2001.
The most frequently obtained TA values were 190/115 mmHg with pulse of around 100/mm.
Electro cardio grams were also regularly followed, where sinus tahicardy was observed
of some 100/mm, with symmetrically negative T waves in D1, AVL and V2 to V6. ECG of
11.05.2001 revealed tahicardy around 110/mm, with deeply negative T waves in D1, AVL,
V2 do V6 even up to 1.5cm with a drop of ST clip 2-3mm.
Planned and appointed examinations proposed earlier were not completed due to the lack
of motivation on the part of the patient.
In the meantime, since 31.05.2001 till today, he continued to com-plain here and there
to the chest pain propagating to the jaws and numbness in the jaws...he did not take
nitroglicerin...these troubles appear at rest but more often while walking when he
sometimes sweats. Then he must sit down and take a rest, and the disorders pass away
spontaneously.
>From time to time he feels lack of air and irregular and speedy hart beat.
Sometimes he has light headache.
Since 31/05.2001 till today no blood pressure was measured and no examinations made,
no electrocardiogram, either.
The planned and appointed examinations proposed earlier were not completed in the
meantime due to the lack of motivation by the patient.
OBJECTIVE FINDING
Cordially compensated. Now a febrile.
Obese according to general type. Veins of the neck not tense.
On lungs vesicular breathing, with rare low tone whistling.
Heart action is rhythmic, speedy up to some 130/min, tones somewhat quieter without
pathological hums.
TA 230?130 mmHg (following the morning regular therapy, Dilatrend 12.5mg, Enalapril
20mg, Lometazid...).
Liver and spleen not palpable. Gall bladder is not sensitive to palpation.No signs of
free liquid in the abdomen.
Kidney archinephrons insensitive to succussion.
No visible cardiac edema on lower legs or deformities.
ECG sinus tahicardy around 130min,PQ= 0,16, negative T in D1,AVL,V2 up toV6, with
lowering of 3T of clips in the left perocardial drains up to 2mm.
DG. Hypertensio arterialis (unregulated)
Hypertrophy of myocardium of the left ventricle
Angina pectoris (cor. “bridge”...microvasc.?? )
Obs.polypus(calculosis) v.feleae
TH. Dilatrend 12.5mg 2 in the morning with control of TA and pulse. If TA
remains unregulated the dose may be corrected with an addition in the evening.
Enalpril 20 mg i+i+0 with the control of TA.
Norvasc 5mg 0+i=i
Isosorb R 2x1
Lasix i-2 a week
Bromazepam 3mg 2x1
Nitroglicerin as needed
OPINION
The extremely high value of arterial hypertension continued, and was not regulated
with the existing therapy (max. 230/130 mmHg at a pulse rate of 130/min, and most
often 190/115 mmHg with pulse rate of around 100/min.). These values of arterial
hypertension exponentially increase a risk of fatal incidents (brain stroke, acute
myocardial infarct, hear arrest, malignant disorders in heart rhythm...).
Next to that the patient has chest pain of angina type with clear changes in ECG that
are reflected.
These disorders could be an indication of threatening fatal coronary accidents, and
particularly in combination with enormous hypertension which ranges on average to
195/115 mmHg for over two months, proven hypertension of myocardium, alterations in
microcirculation, found phenomenon of “suffocation of left coronary artery” and
enormous stress the patient has been permanently exposed to).
Despite all measures undertaken as evident from the above stated findings, the
arterial hypertension remains uncorrected, angina disorders are repeated and ECG
alterations persist.
Based on the above, starting from high risk to the patient, and since the treatment so
far failed to yield results, and starting from scientific, professional and ethic
norms:
1. It is necessary immediately in hospital conditions to ensure an adequate correction
of blood pressure; implement earlier planned additional examinations, ophthalmology
examination, neurological
examination, analysis of the hormone of adrenaline gland, analysis of
kidney function, abdominal echo with ultra sound examination of adrenaline, 24 hour
Halter monitoring of blood pressure, Halter ECG, supplemental examination of the
nature of hypertrophy of myocardium and assessment of microcirculation, possibly
burden test, scintigraphy of heart, PET scan and others...).
04.06.2001 in Belgrade Col. Ass.Prof.MD,
Phd,
Zdravko M.Mijailovic
To join or help this struggle, visit:
http://www.sps.org.yu/ (official SPS website)
http://www.belgrade-forum.org/ (forum for the world of equals)
http://www.icdsm.org/ (the international committee to defend Slobodan Milosevic)
http://www.jutarnje.co.yu/ ('morning news' the only Serbian newspaper advocating
liberation)
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