RITORNO DALLA ZASTAVA

Viaggio del luglio 2002
(resoconto di viaggio a cura di un compagno del gruppo ZASTAVA
Trieste - zastavatrieste@...)

Vi inviamo i primi materiali sul viaggio appena concluso alla
Zastava di Kragujevac per consegnare le adozioni a
distanza.
Per i titolari delle nuove adozioni stiamo procedendo ad
organizzare la spedizione delle schede relative ai bambini
adottati.

Il pullmino e' partito il 5 luglio al mattino da Firenze
raccogliendo altri per la strada. Alla fine la delegazione era
formata da 5 compagni: Alma del coordinamento RSU,
Enrico dell'associazione SOS Jugoslavia di Torino, Gilberto
del gruppo ZASTAVA Trieste, Marina di Milano e Marvida di
Trieste. Il pullmino era ovviamente carico fino al
limite di scatole di aiuti, soprattutto alimentari. Ricordiamo
che le spese di viaggio sono state direttamente sostenute
dai partecipanti, senza alcuno storno dai fondi ricevuti per
le quote di adozione a distanza da distribuire in questa
occasione (come del resto in tutti i precedenti viaggi effettuati).

Siamo arrivati a Kragujevac alle 6 del mattino di sabato, senza
alcun problema durante il viaggio, ad eccezione di una multa in
Slovenia e una lunga deviazione su strade secondarie per
evitare un'attesa di molte ore alla principale frontiera croato-
jugoslava, dovuta ad una interminabile coda di camion. Dopo
un primo incontro con i compagni della Zastava, abbiamo nel
pomeriggio visitato due delle famiglie adottate. In una di queste
(di nuova adozione) abbiamo potuto verificare con mano gli
effetti nefasti sulle condizioni materiali di vita dei lavoratori
jugoslavi e delle loro famiglie del nuovo corso in
atto dall'ottobre del 2000: di fronte a patologie gravi del
padre e di una delle figlie la sanita' pubblica si lava le mani e
costringe al reperimento sul mercato libero delle medicine
necessarie; poiche' i soldi sono pochissimi questa gente e'
costretta ad acquistare i medicinali al mercato nero, senza
alcuna garanzia rispetto alle date di scadenza dei farmaci
ne' al loro contenuto. I farmaci sono venduti sfusi!

Il 7 luglio domenica e' stata convocata l'assemblea dei
lavoratori e delle loro famiglie per la consegna delle adozioni
a distanza. Ne sono state consegnate circa 80, suddivise tra
alcune in corso, molti rinnovi e 12 del tutto nuove, provenienti
da lavoratori italiani che fanno riferimento alle tre associazioni
che partecipavano al viaggio. Durante l'assemblea c'e' stato
il solito scambio di regali tra famiglie italiane e jugoslave e
viceversa. Tra l'altro tanti mazzi di fiori - che al ritorno in Italia
sono stati depositati davanti al monumento ai caduti della lotta
di Liberazione di Opicina (Trieste).
Nel pomeriggio di domenica siamo ripartiti per l'Italia,
arrivando alla frontiera di Fernetti alle 2 di notte.

Le informazioni che abbiamo ricevuto dai compagni del Sindacato
autonomo Zastava relativamente ai numeri di lavoratori ancora
occupati, in cassa integrazione o licenziati e sui livelli salariali
non si discostano significativamente da quelle gia' riportate nella
relazione del viaggio di circa tre mesi fa (meta' marzo 2002).

Chi fosse interessato puo' trovare le relazioni relative a quel
viaggio sul sito del coordinamento delle RSU, all'indirizzo:
http://www.ecn.org/coord.rsu/
seguendo poi il link:
Solidarietà con i lavoratori della Jugoslavia
e specificatamente il documento
http://www.ecn.org/coord.rsu/doc/rsu2002/2002_0317resoconto1.htm

oppure sul sito del gruppo ZASTAVA Trieste all'indirizzo
http://digilander.libero.it/zastavatrieste/index.html
e specificatamente il documento:
http://digilander.libero.it/zastavatrieste/Documenti/
Resoconto_viaggio_marzo2002.html

Quello che abbiamo potuto verificare è un peggioramento continuo
della situazione materiale in cui versano le famiglie in relazione ad
un continuo inarrestabile aumento dei prezzi, soprattutto delle
tariffe dell'elettricita', di cui si sta discutendo un ulteriore aumento
del 50%, ma anche una tenuta della capacità di iniziativa da parte
del sindacato in difesa dei diritti dei lavoratori e per conquistare
prospettive produttive per la fabbrica.

La grande difficolta' dei lavoratori rispetto alle forniture di
servizi essenziali (soprattutto l'elettricita') risiede nel fatto che
l'attuale Governo aveva promesso una sanatoria rispetto alle
bollette non pagate nel passato; ora invece passa all'incasso
di cifre astronomiche relativamente ai redditi disponibili, e per
chi non paga sono pronte le forbici.

Per quanto riguarda la scuola, una volta sostanzialmente
gratuita, sono state introdotte tasse di iscrizione che nulla
hanno da invidiare alle nostre; e' tutto un proliferare di nuove
scuole e Universita' private; si nega cosi' l'accesso
all'istruzione superiore ad un popolo che vantava in passato
un altissimo tasso di scolarita'.

Lo sfuttamento dei lavoratori licenziati o con redditi
bassissimi ricorda i padroni delle ferriere. Durante l'assemblea
abbiamo saputo che molti lavoratori licenziati sono impegnati
nella raccolta della frutta (la regione di Kragujevac ha una
florida agricoltura) con paghe da fame: 5 euro al giorno per
12 ore di lavoro. Si attendono ora gli imprenditori-avvoltoi
europei che installeranno i loro capannoni di produzioni decentrate
con salari da fame e senza diritti. Ricordiamo a questo proposito
cio' che e' successo nel bacino industriale di Timisnoara in
Romania: gli industriali tessili e conciari provenienti soprattutto
dalla provincia di Treviso hanno decentrato le loro produzioni
e sfruttano fino all'inverosimile piu' di 100.000 lavoratori in
quella regione, con salari vergognosi e senza alcun diritto
sindacale.

Non possiamo e non dobbiamo lasciare soli, abbandonati e
invisibili, i lavoratori jugoslavi e le loro famiglie.
Dobbiamo intensificare i nostri sforzi affinche' giunga a loro
la nostra solidarieta' e fratellanza materiale e politica.

===*===

Intervento, a nome del coordinamento RSU,
associazione SOS Jugoslavia di Torino
e gruppo ZASTAVA Trieste
fatto da Gilberto Vlaic di ZASTAVA Trieste all'assemblea dei
lavoratori della Zastava, tenutasi il 7 luglio 2002 in occasione
della consegna delle adozioni a distanza raccolte a favore
delle famiglie dei lavoratori tutt'ora senza lavoro e senza salario
a causa dei bombardamenti delle fabbriche della Jugoslavia.


Cari lavoratori della Zastava, porto a voi, alle vostre famiglie
e ai vostri figli i piu' calorosi saluti del coordinamento RSU, della
associazione SOS Jugoslavia di Torino, del gruppo ZASTAVA di
Trieste e di tutte le famiglie italiane coinvolte in questa grande e
bellissima esperienza di solidarieta' e fratellanza.

Vorrei iniziare questo breve intervento con alcune osservazioni
personali.
Per me questo e' il terzo viaggio; il primo, nel marzo del 2001,
coincise con l'anniversario dell'aggressione della NATO, di cui
purtroppo il mio Paese fa parte.
Io pensavo che la fortissima emozione che provai in quel primo
incontro con voi sarebbe diminuita nei viaggi successivi, e
invece devo confessarvi che non e' cosi'.
Mi erano chiari i gravissimi problemi che l'aggressione della
NATO aveva creato, le lacerazioni del diritto nazionale ed
internazionale che venivano compiute; mi erano chiari i
veri motivi economici e politici che stavano dietro quell'
aggressione, ma mi mancava la conoscenza diretta di
voi, persone in carne ed ossa, mi mancavano le
cose che raccontano i vostri figli nelle loro lettere alle
famiglie italiane; l'emozione del primo viaggio e' ben poca
cosa rispetto a quella attuale.
Mi sento di aver lasciato a Kragujevac, qui tra voi, un pezzo di
me stesso, un pezzo del mio cuore.

Io credo che questi nostri incontri rappresentino uno dei punti
piu' alti della solidarieta' internazionalista tra i lavoratori, uno
dei migliori esempi della fraternita' tra i popoli.
E malgrado siano ormai passati tre anni da quella aggressione,
molti lavoratori, molti cittadini italiani non hanno dimenticato e non
vogliono dimenticare. La nostra presenza qui oggi ne e' la
testimonianza concreta.

In questo viaggio portiamo molti rinnovi di sostegno a distanza,
provenienti dalle citta' di Torino, Roma, Padova, Milano,
Trieste, Bari, Lodi,e alcuni nuovi realizzati nelle stesse citta'.
Avevamo ricevuto ad aprile un accorato appello di Rajka Veljovic
con la descrizione della situazione sempre piu' difficile in cui versa
la Jugoslavia, ed in particolare le grandi citta' operaie come la
vostra.
Nel suo messaggio Rajka scriveva tra le altre cose:
"Il sostegno a distanza, oltre ad essere un aiuto economico
prezioso, ha un significato forte anche come appoggio morale
ai nostri bambini ed al nostro popolo. Di non sentirsi soli, isolati
ed abbandonati."

Cari lavoratori, e voi bambine e bambini, ragazze e ragazzi che
siete i destinatari di questi sostegni, statene pur certi: sarete
sempre presenti nei nostri pensieri e lavoreremo affinche' la
solidarieta' materiale non venga a mancare in futuro.

Sappiamo bene che l'aggressione che avete subito mirava a
cancellare l'ultimo Stato balcanico non "allineato"
economicamente, politicamente, culturalmente e
ideologicamente, alla "globalizzazione".
Sappiamo bene che le gravi difficolta' che voi come lavoratori
jugoslavi incontrate attualmente nel vostro Paese sono
principalmente dovute a fattori economici e politici internazionali,
prime fra tutti le ricette ultra-liberiste del Fondo Monetario
Internazionale, ma sappiamo anche che sono causate da
politiche interne nazionali che non vanno certo nella direzione
della difesa dei diritti e delle condizioni materiali di vita dei
lavoratori, ma che pongono il profitto e gli interessi del capitale
sopra a tutto. Le vostre lotte contro la nuova legge sul lavoro lo
dimostrano.

Anche noi, come lavoratori italiani, abbiamo i nostri problemi.
Un vento di destra sta soffiando in Europa, e particolarmente in
Italia. Da un anno abbiamo un governo che ha al centro del suo
programma la sconfitta dei lavoratori italiani e la distruzione
dei nostri diritti: il diritto al lavoro, ad una scuola e ad una
sanita' pubbliche dignitose, il diritto ad una giusta pensione.

Un attacco feroce viene portato ai diritti degli immigrati, che
vengono considerati tutti come criminali; e' stata recentemente
varata una nuova legge per cui gli immigrati perdono anche la
dignita' di persone e vengono trattati come sola merce-lavoro.
E' in atto un tentativo di imbavagliare i mezzi di informazione
e di asservire la magistratura al potere governativo.

Contro queste cose stiamo lottando: il 23 marzo scorso a Roma
eravamo in 3 milioni in una manifestazione indetta dalla CGIL;
il 16 aprile abbiamo fatto uno sciopero generale nazionale di 8
ore che ha paralizzato il Paese.
Altri scioperi sono in corso.

Purtroppo alcune frange sindacali, che non hanno il concetto di
uguaglianza, solidarieta' e fratellanza tra i lavoratori come
primo fondamentale punto della loro azione, stanno trattando
con il Governo la riduzione dei nostri diritti.

Siate vicini a noi nella nostra lotta, cosi' come noi siamo e
saremo vicini alla vostra.

E' questo il vero senso dell'internazionalismo dei lavoratori:
il mondo non si divide in Italiani, Jugoslavi ecc., ma si divide
in lavoratori e padroni, in chi rivendica la giustizia sociale e
chi pone il profitto capitalista sopra tutto.
E' solo attraveso la solidarieta' internazionalista tra
lavoratori che riusciremo a sconfiggere l'imperialismo, che
sta seminando tanti lutti e guerre nel mondo, dalla Jugoslavia
all'Afghanistan, dall'America Latina alla Palestina, dove un
popolo senza terra viene massacrato dall'imperialismo sionista,
con l'accordo degli imperialismi statunitense ed europeo.

Un abbraccio a tutti voi.

Kragujevac, 7 luglio 2002

> http://www.realitymacedonia.org.mk/web/news_page.asp?nid=1993

Former CIA Spook Promotes Legitimating of Ethnic Cleansing in Favor of
Some Balkans Peoples

Voice of America informed that Steven Meyer, former-deputy chief of
CIA's Balkans department, proclaimed that border changes in the Balkans
should not be a taboo at his lecture on the Impact of U.S. Policy on the
Balkans held on June 19 at the Woodrow Wilson International Center for
Scholars.
Meyer, who allegedly left CIA, has worked as a professor at the
Department of Political Science, Industrial College of the Armed Forces,
National Defense University for the last two years. He stated that the
errors of American foreign policy can be changed by redefinition of the
borders. He called for a new congress of Berlin, akin to the one of
1878, but now, the people of the region should take part in the changes,
alongside the Great Powers. According to VOA, Meyer favors new borders
which go alongside the "ethnic reality."
Considering the source, this comes as no surprise, since the CIA has
been quite involved in creating the new "ethnic reality" at the Balkans,
through support of ethnic cleansing committed by its proxy armies: the
refugee exodus of Serbs from Croatia in 1995, the cementing of the
internal borders of divided Bosnia & Herzegovina, forged through covert
influx of Iranian and U.S. arms, the ethnic cleansing of non-Albanians
from Kosovo by CIA-created KLA, and the same "reality" in Western
Macedonia, result of KLA's sister-organization NLA.
According to VOA, Meyer explained that "there's nothing wrong with
multiethnic communities," but only for those who like that kind of
association. For the others, comes his solution, which should take place
in the "Serbian Republic (Republika Srpska - Serbian part of Bosnia),
Serbia, Macedonia, Herceg-Bosnia (Croatian part of Bosnia) and some
other parts" of former Yugoslavia.
When VOA asked him whether his suggesting a division of Macedonia, he
answered that the borders should be rearranged, and that Macedonia's
survival should become an open question. Meyer advocates that the U.S.A.
should remain in the Balkans to deter the threat of Islamic terrorism,
citing the following examples: Bosnian passports given to Al-qaeda
members [by U.S. supported Muslim government], Trebosh massacre of
Macedonian policemen committed by [U.S. supported] NLA, Rashanski Lozja
incident where the Macedonian police shot seven South Asians, and the
Islamic influence over KLA [the main beneficiary of the NATO bombing
campaign against F.R. Yugoslavia and the subsequent occupation of
Kosovo].
The former spook overlord warned that the Balkans may become a transit
route for terrorism, so the U.S.A. should deal only with it, and stop
with actions aimed at democratization of the region. Also, some of the
former actions' main purpose was to boost NATO's credibility.

Editorial comment:

This VOA report came over their Macedonian-language e-mail bulletin, and
did not even appear in the Macedonian section of the VOA web site (the
search of the English version also does not retrieve it). Unavailable to
the U.S. public, seems more like this infomercial is someone's message,
part of preparation of the terrain for upcoming activities. Of course,
such activities are preventable. Those who desire the destruction of
democracy would not put so much effort into persuading people in the
inevitability of theirfavored outcome if it would have been so certain.

Data: 17/07/2002 23:39
Da: Vladimir Krsljanin
Oggetto: WORSENING OF MILOSEVIC'S HEALTH PRODUCES
RECESS OF THE "TRIAL"

WORSENING OF MILOSEVIC'S HEALTH PRODUCES RECESS OF THE "TRIAL"

From FREEDOM Association:

Consilium of medical experts appointed by "ICTY", in presence of the
long time personal doctor of President Milosevic, colonel Zdravko
Mijailovic, made on Tuesday afternoon a routine check-up of the
President's health.
They measured blood pressure of 120/200 mmHg!
Despite their findings, the "trial" resumed today.
After another strong appeal from the Yugoslav Committee (see below),
only today Afternoon, the "court" accepted doctors' advises and decided
that, due to the need to change the (practically unexisting) therapy and
to make additional check-ups and laboratory analyses, the "accused"
shell not appear in the "court" for at least next two days, until
further notice.
About two weeks ago, after the second break in the "trial", due to "flu"
(diagnosis of the prison doctor) which lasted this time two weeks, the
"trial chamber" issued an order to the "registry" to organize a
consilium check-up and to report the results. This decision was made
after many appeals from Yugoslavia and from abroad. After that,
additional efforts and appeals have been made to include in the
consilium at least one of Yugoslav doctors. "Tribunal" finally agreed
that consilium check-ups can be made in the presence of President's long
time personal doctor, colonel Zdravko Mijailovic, head of the
Cardio-vascular Clinic of the Military Medical Academy in Belgrade.
We still follow the developments, with lot of worry.
It is obvious that the prison conditions, lack of medical care and
inhuman conditions and length of the "trial", produced worsening of the
health of President Milosevic and increased risks.
Let us further act against this show-trial and its dangerous
consequences!

FREEDOM FOR SLOBODAN MILOSEVIC!

FREEDOM FOR YUGOSLAVIA!



Our today's message to the "Tribunal":



"FREEDOM" ASSOCIATION, BELGRADE, FR YUGOSLAVIA
July 17, 2002

- Mr. Claude Jorda, President, ICTY
- Mr. Richard May, President, Trial Chamber
- AMICUS CURIAE
- Mr. Hans Holthius, Registrar, ICTY

Most
Urgent!

State of health of President Slobodan Milosevic requires an urgent
action!

Dear Sirs,
Our information about the yesterday's medical examination of the state
of health of President Milosevic, made by the medical experts' team
appointed by ICTY Registry on the order of Trial Chamber, unfortunately
confirms our previous knowledge and our suspicions that the general
conditions in which President Milosevic is forced to live, without the
proper medical care, combined with inhuman length and conditions of the
ICTY proceedings, produce worsening of the President Milosevic's state
of health and to the dramatic level increases risks for his life.
We can not understand that the result of yesterday's examination has not
yet produced any action from your side. Our duty is to warn you once
again that denial of proper medical care for a person in such condition
is a matter of criminal responsibility.
In that respect, when a human life is at stake, no bureaucratic
negligence can be an excuse for absence of proper and urgent action.
Particularly since the Freedom Association has already been warning you
several times about this situation which is one of the worst and most
serious forms of violations of human rights. We can not avoid the
impression that this might be an intentional practice of ICTY. For this,
we refer particularly to our letter Nos. 18-21/2002 of March 27, 2002,
addressed to President of ICTY, III Trial Chamber, Chief of Prosecutors
and Amici Curiae, with whole appropriate medical documentation enclosed.
Our last warning (Letter No.45/2002) was sent to Judges Mr. Jorda and
Mr. May, as well as to the Registrar Mr. Holthius, on June 18, 2002.
We enclose this time again the same medical documentation, already sent
to you with our March 27 letter.
We appeal in strongest terms that measures to protect a human life have
to be taken without any further delay.

Yours sincerely,

Bogoljub Bjelica,
Chairman of the Citizen Association "FREEDOM"



Our March 30 appeal:


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
greater 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 MILOSEVIC



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 themorning. 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 around10/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 MILOSEVI?

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 intermittenttherapy.
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, ophthalmologyexamination, 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



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