Ombudsman's medical council: After losing the next 5-7 kilograms, Mikheil Saakashvili will become bedridden, because the muscles of his lower limbs will be completely wasted
According to the assessment of the expert group of the Public Defender, the health condition of Mikheil Saakashvili, the third president of Georgia, has worsened since the last visit and he has "sarcopenia, muscle wasting, severe 4th stage of cachexia and a critical drop in orthostatic pressure with disruption of coordination".
As noted in the expert assessment published by the Office of the Ombudsman, the patient has entered the phase of active catabolism and "after losing the next 5-7 kilograms, he will become bedridden."
"On February 19, a group of specialists/experts set up by the Public Defender of Georgia made another visit to the clinic Vivamed in order to assess the condition of Mikheil Saakashvili.
Taking into account the mandate of the Public Defender, the purpose of the visits of the expert group, from the day of its creation, is to monitor the medical services provided to the patient. The group was/is not involved in the direct process of the patient's treatment.
On February 19, the members of the expert group were scheduled to examine the patient and review his medical documentation. Mikheil Saakashvili's physical examination was completed, and unfortunately, the clinic could not provide medical materials on site due to non-working days. However, the Office of the Public Defender has requested complete medical materials from December 4, 2022 (the last visit of experts to Mikheil Saakashvili) until now, and the group of experts will additionally review the materials.
The Office of the Public Defender and the group of experts will continue intensive documentary monitoring of Mikheil Saakashvili's health management in the near future.
Experts that took part in the February 19 visit: Tengiz Tsuladze (neurologist), Grigoli Khurtsidze (therapist, internal diseases/hospital medicine), Giorgi Katcharava (cardiologist) and Nino Zavrashvili (endocrinologist). Giorgi Papiashvili (cardiologist/arrhythmologist) and Giorgi Grigolia (anesthesiologist-reanimatologist) also took part in the online discussions held after the visit.
The conclusion of the medical experts: the patient's condition - significant worsening after December 4 (the last visit to the patient).
By objective examination: severe sarcopenia is expressed.
The patient lost another 5.7 kilograms at the expense of significant muscle wasting. Movement is significantly limited due to weakness.
When standing up, there is a sharp drop in blood pressure from 125/75 to 60/40, which is accompanied by loss of balance and a significant loss of coordination. It is worth noting the further decline of mental functions
Impression:
1. Sarcopenia, muscle wasting, severe stage 4 cachexia.
2. Critical drop in orthostatic pressure with disruption of coordination.
Prognosis and risks:
1. The patient has entered the phase of active catabolism.
After losing the next 5-7 kilograms, he will become bedridden, because the muscles of his lower limbs will be completely wasted and he will not be able to move due to weakness.
When losing weight at this rate, it is expected to reach this mark in 1-2 months.
The critical weight for him is 52-53 kilograms, after which irreversible changes in the body will begin.
2. Peripheral and autonomic neuropathy is deepened, which causes a critical drop in pressure when standing up.
Currently, unsupervised patient movement is dangerous, as the risk of falls, body injuries/fractures is very high. In the case of the latter, the resource of the cachexic body to heal the wound or fracture is very low, which will lead to the cascading development of other critical complications (hemorrhage, infection, deep vein thrombosis, etc.) with a high probability of lethal outcome.
Members of the group of specialists/experts: Giorgi Grigolia; Grigoli Khurtsidze; Giorgi Kacharava; Giorgi Papiashvili; Tengiz Tsuladze; Nino Zavrashvili," the statement reads.
