ISLAMABAD - It appears the AFIC’s management has housed an unwilling patient (Pervez Musharraf) who does not even trust the esteemed cardiac centre’s expertise in carrying out a relatively common and a routine investigative test performed on millions of patients by the ‘state of the art facility’.This was stated by the prosecution in the preliminary objections filed in the special court on Monday on the medical report submitted Armed Force Institute of Cardiology (AFIC) on January 24 in the court.Akram Sheikh, lead prosecutor in Musharraf high treason case, said the accused is prolonging stay at hospital to evade judicial process. He prayed that court may kindly pass appropriate orders for the attendance of the accused.The new medical report says, “A coronary angiogram is required urgently to ascertain the need for further interventions like coronary artery bypass graft surgery.” Sheikh objected that medical board has come to an entirely new conclusion on the same data as before that this disease is of ‘grave concern’. He said if such a grave concern was present, why it was not shown in the first report (of January 7) and why no further diagnostic testing had been carried out.The prosecution objected the report also has not suggested any aggressive management of the disease, which suggests absence of any cardiac ailment. “The findings of the medical report are inconclusive and deliberately vague.” The report discloses no reasons why the patient needs constant hospitalisation, the prosecution maintained.The prosecution contended it is neither a rational nor a befitting reply to the court queries. The court does not gain anything from the new report; rather, the time of court has recklessly been wasted. Also, the report does not proceed on any basis suggesting of existence or occurring of the disease during all this time of hospitalisation. “Such a long hospitalisation when no diagnostic process has to be carried out is against the established norms of medical rules. Even in serious cardiovascular interventions, subject to appropriate treatment, the patients are not hospitalised for such an extended period of time,” the prosecutor maintained.Sheikh contended that the medical board comprising four senior AFIC doctors should have contained a factual analysis. However the report contains conjectures and hypothetical situations, which are inapplicable and does not deserve a serious consideration, he added. “There is no place in a medical report of reproducing statements or opinion of the accused.” The present medical report which had been submitted after 16 days of the earlier report reveals that no further tests have been carried out on the accused, he pointed out. He said the report is inconclusive and makes attempts to thwart the judicial process by urging the court to come to a decision regarding further procedures/interventions without telling if the pre-requisite tests prior to angiogram have been performed. Even if the accused needs medical supervision that does not render him unable to make attendance before the court, Sheikh said.The prosecution has almost reproduced the opinion of an internationally known cardiologist from US Dr Ismail Bokhari, MD, who reviewed the report of Musharraf and opined that “chance for serious cardiac disease is very low”.This news was published in The Nation newspaper. Read complete newspaper of 28-Jan-2014 here.