Former Prime Minister Nawaz Sharif’s new medical reports have been submitted to the Lahore High Court (LHC) after the British authorities turned down his request for an extension in his stay, pleading that he cannot return as doctors have not yet allowed him air travel, reports Dawn.

Since November 2019, this is Nawaz’s 11th medical report submitted to the LHC.  In all medical reports, a similar plea had been taken that ‘doctors have stopped him (Nawaz) from air travel’.

Pakistan Muslim League-Nawaz (PMLN) President Shehbaz Sharif has already said that Nawaz Sharif will not return until his complete recovery and stated that he can legally stay in the UK till the British immigration tribunal makes a final decision.

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Nawaz’s consultant, cardiothoracic surgeon David Lawrence, in Nawaz’s medical report wrote, “Nawaz Sharif, undoubtedly, has complex and complicated medical issues which need to be treated holistically. Great care needs to be exercised in dealing with each of the diseases and comorbidities he is suffering in order to maintain the right balance.”

“There is also the appearance of the transient ischemic dilatation suggesting significant ischemic burden that amounts approximately 22 per cent of the myocardium. This is indicative of significantly reduced blood supply to the heart in the circumflex territory and impaired functionality. Mr Nawaz is advised cardiac catheterisation and subsequent management given the significant risk of worsening of his heart disease but once his comorbidities (ITP, hypertension, diabetes, and chronic kidney disease) were stabilised by a multidisciplinary approach,” said the doctor.

“He developed Immune thrombocytopenic purpura (ITP) during his incarceration and his response to the first and second-line therapies was unsatisfactory, a stable platelet count within the medically prescribed range was paramount to ensure the safety of diagnostics and treatment. In addition to the recent finding of him having developed carotid artery’s stenosis, he was assessed to have had an exacerbation of his coronary artery disease and deterioration of renal functions. The intention was indeed to proceed with the management of his cardiac and carotid diseases once he was given clearance from hematology and nephrology specialties,” says the medical report.

“He should, by all means, avoid travelling and visiting public places like airports. He should only stay in close proximity to the healthcare facilities where he has been getting his treatment until the Covid-19 threat is over and his health problems are adequately addressed,” Lawrence said.

“Mr Nawaz needs to take serious precautions being a clinically extremely vulnerable person,” added the report.