New medical report submitted to LHC advises Nawaz against traveling to Pakistan – Pakistan

A new medical report by former Prime Minister Nawaz Sharif was submitted to the Lahore High Court on Tuesday in which the PML-N supremo was advised against traveling to Pakistan due to possible health risks amid of the current Covid-19 crisis and the possibility of health-related complications he may develop after returning to “solitary confinement”.

The three-page report, a copy of which is available with Dawn.comwas introduced by attorney Amjad Pervez at a hearing in the Chaudhry Sugar Mills (CSM) case, in which members of the Sharif family were accused of involvement in money laundering under the guise of sale and purchase of factory shares.

In the report submitted today, Dr. Fayaz Shawl, director of the Department of Interventional Cardiology at Adventist Healthcare White Oak Medical Center in the United States and Clinical Professor of Medicine at George Washington University, said that he had known the PML-N leader since June 13. , 2004, when he performed a coronary intervention on her at the King Faisal Specialist Hospital and Research Center in Jeddah, Saudi Arabia.

He said he then performed two more procedures on Nawaz at Zulekha Hospital in Dubai on January 28, 2007.

Additionally, the doctor said he was “regularly updated by his cardiologist (from Nawaz) in London, as well as his personal physician, Dr Adnan.”

Sharing details of Nawaz’s medical history and the medications he was prescribed, Dr Shawl noted that the PML-N supremo had been thoroughly investigated since arriving in London in 2019, and the investigations confirmed that “he has significant ischemia (a condition in which blood flow is restricted or reduced in a part of the body) in the distribution of his left circumflex artery”.

Referring to his previous assessment of Nawaz in September 2020, the doctor recommended that the PML-N chief undergo coronary angiography to “reassess his coronary anatomy so that an appropriate treatment modality can be recommended before his return to Pakistan.”

Dr Shawl said that depending on the results of his angiogram, Nawaz may need “either complex coronary intervention […] or undergo CABGS (coronary bypass surgery) again.” However, he added, the procedures were “on hold” due to the Covid-19 pandemic.

Additionally, the doctor recalled that Nawaz had two episodes of non-ST-segment elevation myocardial infarction, a type of heart attack, while in prison before he was allowed to travel to the UK.

“Any new solitary confinement will have a negative effect […] on his health, both physical and psychological,” warned Dr Shawl.

He added that while in London amid a pandemic crisis, Nawaz had been “medically managed and is under close surveillance”.

“He’s gotten a little better [because of] medical treatment but more so because he is not in solitary confinement,” he noted, adding that once the Covid-19 crisis is over, Nawaz should proceed with his “coronary angiogram and a possible angioplasty or undergo CAGBS again if the [former] intervention was not possible”.

The doctor suggested that Nawaz stay in London under the care of multi-specialty doctors. “These facilities have provided him with the best care so far with no further acute coronary syndromes, which he had suffered prior to his arrival in London,” he noted in the report.

“Given the current Covid-19 crisis around the world, he should, by all means, avoid traveling and/or visiting public places such as the airport,” advised Dr Shawl, referring in particular to the possibility of the PML-N leader going to Pakistan. .

“In my opinion, until he has coronary angiography, he should stay close to the facilities where he received his treatment and the Covid-19 [pandemic ends]. His comorbidities make him a “high risk” candidate for death, respiratory failure, etc., if he contracts the Covid-19 infection,” he added.

The doctor further mentioned in the report that during Nawaz’s recent assessment, “I found Mr. Sharif under a lot of stress, [and] if he returns to Pakistan without undergoing definitive treatment in London, the stress of living in solitary confinement and the loss of a partner may further compromise his heart condition.”

“If he returns to solitary confinement, he could develop what we call takotsubo syndrome (a type of heart failure) due to a stressful environment” and it could have “devastating consequences”, warned the Dr. Shawl.

Medical background

Nawaz has been in London since November 2019 when he was undergoing medical tests, and he was due to undergo cardiac catheterization at the time.

In January 2020, doctors assessed whether he would need heart surgery, bypass surgery or a stent. Due to her blood issues, family sources said that at the time they considered traveling to the United States to address her complications.

Then the pandemic took hold, leaving many hospitals across the UK struggling with staff shortages due to high infection rates.

However, the UK only went into nationwide lockdown in March 2020 as cases spiked and hospitals declared emergencies, and it’s unclear why the former prime minister didn’t have the operation between January and March 2020.

The former prime minister had two major heart operations in the past (2010 and 2016) and suffered from thrombocytopenia in 2019, when he got permission from the Pakistani government Tehreek-i-Insaf to travel abroad for medical care.

Without the third heart operation he has been advised to undergo, it seems unlikely that the former prime minister will return to Pakistan.

Meanwhile, the Punjab government recently set up a special nine-member medical commission to review documents submitted as the former prime minister’s medical reports by his British doctor, Dr David Lawrence, and give its medical opinion on expert regarding the patient’s physical condition and ability to return to Pakistan.

However, board members said they could not give a structured opinion on Nawaz’s condition or his ability to travel without details of his current clinical evaluation, blood reports, imaging results and procedures.

“False” report

Reacting to Nawaz’s medical report presented in court today, Information Minister Fawad Chaudhry advised the former prime minister to return the ‘looted’ money to the country and continue living in London.

In a video message, he said a doctor in the US state of Washington wrote Nawaz’s medical report, even though the former prime minister resided in London.

Calling the report “false”, the minister said such reports make a mockery of the country’s legal system and laws.

He expressed hope that the courts would take cognizance of the false report and how Nawaz left the country.

“You will not achieve your goals by sending such fake reports,” he said. The Information Minister also mocked the content of the medical report and said it only lacked the direction that Nawaz could not walk anywhere but Hyde Park as it would increase his stress levels.

Here, Chaudhry was apparently referring to a photo of Nawaz from 2020, where he was seen having tea outside his son’s office near Hyde Park.

After the photograph was widely shared on social media, PTI leaders including Chaudhry criticized Nawaz, accusing him of lying about his health to leave the country.