Saturday, April 28, 2007

Medical Reports Provide the Truth on the Condition of Dr. Nour's Health

Arab Republic of Egypt - Cairo
Prof.-Dr./ Ahmed Ibrahim Al-Saginy
Forensic Medicine & Forgery Research Consultant
Professor of Forensic and Poisons Medicine
Faculty of Medicine – Ain Shams University

Index of Consultancy Forensic Medicine Report
Edited on Health Condition of
Mr. / Ayman Abdel Aziz Mohamed Nour
Convicted in Case No. 184/2006 South Cairo Investigation

1 Assaying submitted documents
2 Conclusion of Assaying
18 Conclusion and medicinal consultancy Opinion
19 Final Consultancy Opinion
26 Attached:

Submitted Documents


Conclusion and medicinal consultancy Opinion

From the foregoing, Legitimate Medical Advisory Committee considers the following:

First: All medical reports and report of the Forensic Medicine headed by Head of Forensic Physicians of Prison agreed with physicians and consultants report issued by foreign bodies in different dates prior to current legal problems – which confirm its neutralism – which the convicted Ayman Abdel Aziz Nour is suffering from the following health problems:

1- The increasing number of cardiac impulses from the natural rate (60-90 / min), where number of pulses reached 95-108 / min. This leads to a lack of blood flow to the brain in the appropriateness way and to heart muscle itself.

2- Increase of sugar level in blood for many years, which leads to changes in different blood vessels.

3- Simple sugar changes in eye retina, and that means occurrence of sugar retinal separation, which threaten blindness to patient, if not prevent by regular periodical examination and organizing sugar and conducting laser for bleeding vessels or those in bleeding phase, obviously, blindness is a permanent disability never could be cure.

4- Existence of coronary thrombosis as showed the heart catheter the possibility of infraction in heart muscle as a result of clot in coronary artery which may leads to sudden death.

5- Decrease in marginal blood circle as established in Head of Forensic Physicians report "simple coolness in inferior parts and some appearance of simple thickness in their blood vessels", which leads to diabetes gangrene in feet and lop it off, and this is also a permanent disability never could be cure.

6- Increase in blood pressure which leads to brain bleeding a s a result of brain arteriosclerosis (thrombosis= precipitation of harm fats in arteries walls which leads to its sclerosis).

7- Existence of dislodge between the fifth and sixth spinal vertebras as a result of car accident on Year 1998 with existence of spondylolisthesis between the sixth and seventh vertebras, along with existence of looseness changes in neck cartilage between these two vertebras with existence of pressure upon neck spinal cord as well as on hands (lack of feeling on hands fists), its means necessity of availability of special physical medicine for long periods in experts' centers to prevent occurrence of quadriplegia.

8- Peripheral neuropathy, which should be avoided to prevent lack of feeling in feet.

9- A diagnostic hear catheter was conducted and fixture of abutment on Year 2001 and that means existence of stenosis in coronary arteries, which demands precise medical following and regular cure to prevent occurrence of infraction in heart muscle, which leads to sudden death.

10- Abrasion in knees cartilages (rudeness in knees joints) with slight ooze in them.

11- Fatty Liver – ruddy salty precipitation in kidneys – minor prostate hypertrophy.

Actually all these illnesses their reflection are increasing and their functions deteriorating by time in the absence of accurate serious continued following, and could cause permanent disability such as blindness (complete disability of seeing) or lopping off one or both inferior parts, and possibility of quadriplegia or sudden death as mentioned in report of Head of Forensic Physicians.

Second: Forensic medicine report issued by Head of Forensic Physicians stated that correlation of diabetes increase, which convicted suffers from since a long time ago; leads to changes in blood vessels as happened to convicted represented in coolness in inferior parts and diabetes changes in eye retina and changes in arteries thrombosis particularly in coronary and kidneys arteries. And maybe renal failure takes place as patient suffers due to correlation of diabetes since along time ago in the case of convicted Mr./ Ayman Nour.

Report assured that the changes in blood vessels due to correlation of diabetes increase might cause narrowing in coronary arteries, which leads to close, and followed by sudden death of convicted Mr. / Ayman Nour without any clear incident, and that correlative usually effects nervous feeding; matter that might decrease pain feeling or appearance of any incidents.

It's well known that sudden death from forensic medicine point of view it’s a quick death takes place without any alarm or clear reason to person physically appears his is in good health, but he's subject to illness he doesn’t know nor those are surrounding him (such called sudden death as all forensic medicine agreed with locally and internationally).

Sudden death occurs to all ages mostly wit men than women, and its percentage increase in fourth or fifth decade, where sickness changes exist in blood circle (heart, blood vessels, arteries, veins and capillary veins particularly brain, heart, eyes and kidneys vessels) and these sickness changes effect with external elements which help sudden death to take place such as physical efforts or psychological emotion.

It's clearly appear that all these specification are exists with the case of convicted Mr. / Ayman Nour, meaning sickness reason are already existed and fixed and wee be diagnosed and assured along with the supporting elements as well exist and took place before.

Reasons of sudden death divided into two parts:

1- Sickness reasons cause sudden death separately; such as:

a- Heart diseases, most important one is narrowing of coronary arteries and occurrence of bloc in heart coronary arteries due to existence of thrombosis in its walls.

b- Bleeding or bloc in brain resulted from blood pressure rise and its effects on thrombosis brain arteries due to long existence of high level of diabetes for a long time.

It's clear tat in the case of convicted person that he suffers from this correlation, in addition to high blood pressure and occurrence of thrombosis in walls of blood vessels, as well as the fixture of abutment previously done to patient as an evident of narrowing existence in it.

c- Sickness reasons have a relationship with respiratory system.

2- Reasons help for sudden death with external elements:
a- Psychological emotion.
b- Minor shock to sensitive physical parts such as stomach, throat or testicles…etc
c- Physical efforts.

It's assures and obvious, that availability of external elements assist to sudden death are exist in case of Dr. / Nour.

That means sickness and illness reasons for sudden death are existed and were diagnosed in patient lifetime, and external elements and reasons assist to sudden death are available in patient lifetime.

That, words of sudden death which forensic report of Head of Forensic Physicians will take place and its not assumed.

And it's well known that if cases of sudden death are diagnosed, especially with existence of eternal elements that support this type of death, thus, immediate action should be taken to end this situation under intensive medical care and traced one and offer necessary medicine for that.

Mentioned convicted is actually threaten with sudden death and not assumed, due to existence of sickness reasons that cause sudden death (correlation of high diabetes for long time and its affections in changes it make in coronary arteries) beside availability of external elements that assist sudden death.

Therefore he needs:

1- Regular accurate treatment for diabetes and follow it wit examinations to decrease it to reach normal levels.
2- Regulating blood pressure and maintain it in normal levels.
3- Maintaining blood liquidly to prevent bloc occurrence especially in coronary arteries and brain arteries.
4- Fixture of abutments in coronary arteries and possibility of conducting surgical operation to change due to several problems might take place, in addition to server price of these abutments.
5- Giving regular medication to prevent and stop occurrence of thrombosis in blood vessels, consequently preventing occurrence of narrowing in arteries particularly the coronary.
6- Conducting physical medical treatment for a long period with a correct and precise method in a specialist center for neck vertebras quadriplegia as there is a start of pressing upon spinal in neck area.
7- Injection of liquid (similar to lubricating liquid be excreted by lined membranes in joints) in both knees to stop leakage in cartilages.

And due to unavailability of treatments pervious mentioned, in particular the first five ones that make word of sudden death come in report of Head of Forensic Physicians with no doubt, it's the truth and that sudden death will take place.

It's must that opinion of Head of Forensic Physicians about aforementioned reasons which leaded by convicted suffer from it for a long time of period, correlated with high level of diabetes along with changes in coronary arteries and availability of eternal elements that assist its affections will lead to sudden death at any time which stated in all medical reports (with our reservation as consulting committee for the absence of pervious forensic medical reports prior to report of Head of Forensic Physicians, such as report of Dr. / George Barakat Nassef, the forensic physician in Forensic Medicine Department).

Thus, we as a consulting committee, see necessity of emplacing said person in a hospital where intensive medical care with different specializations includes internal medicine, diabetes, blood vessels, brain and nerves surgery, physical medicine, bones, dentist, to cure assured reasons and approved one for occurrence of sudden death; and aforementioned specializations aren’t available in prison hospitals and conditions.

Final Consultancy Opinion

As previously reported, committee sees that said patient is sick with (Accelerated high level diabetes and blood pressure since a long time) which threatens his life with danger, possibility leads to permanent disability, completely or partially, either by blindness or quadriplegia.

Members of Forensic Medical Consultant Committee
Prof.-Dr. / Magdy Mahmoud Al-Melegy
Prof.-Dr. / Mohi Kaddry Al-Masry
Prof.-Dr. / Mona Al-Qutob Mousa
Prof.-Dr. / Amir Seddky Ahmed

Head of Forensic Medical Consultant Committee
Prof.-Dr. / Ahmed Ibrahim Al-Saginy
Issued on: 21/04/2007

Consultative Forensic Medical Report
With Relation to Case 16241 of Judicial year 61 –
Postponed to the 24/04/2007 Session
Concerning the convicted claimant
Ayman Abdel-Aziz Nour

Dr. Ali Gamal Eddin Abdel-Aal
Forensic Medicine Department Head and Professor
Kasr al-Aini Medical School, Cairo University
Member of the Forensic Medicine Supreme Consultative Council

Consultative Forensic Medical Report
With Relation to Case 16241 of Judicial year 61 – Postponed to the 24/04/2007 Session concerning the convicted claimant Ayman Abdel-Aziz Nour

In response to the request submitted by Cassation Lawyer Mr. Amir Salem, given power of attorney to defend the convicted claimant Ayman Abdel-Aziz Nour with relation to the above mentioned case, I, Dr. Ali Gamal Eddin Abdel-Aal, Professor and Head of the Forensic Medicine Department at the Kasr al-Aini Medical School, Cairo University, member of the Justice Ministry's Supreme Forensic Medical Consultative Council - headed by the Prosecutor General and Forensic Medical Consultant - registered with Egypt's General Doctors' Union as a Consultant under the specialization of Forensic Medicine, hereby establish the following:

I have seen a photocopy of the Forensic medical report issued from the office of the Justice Ministry's Forensic Medicine Sector Head and prepared by the three-member committee formed in accordance with the decision of the south Cairo prosecution on 23 September 2006 headed by Dr. Mustafa Ayman Mahmoud al-Saadani, Assistant Chief Forensic Doctor, and Dr. Eid Kamel Mohamed, Brigadier Doctor at the Prison's Authority Medical Department concerning prisoner Ayman Abdel-Aziz Nour dated 25 January 2007. The Committee has approved the stated diagnosis and mentioned it in detail several times, the latest of which under the title of "Case Discussion and Opinion."

The aim of this exercise is to express scientific and technical forensic medical opinion about the content of the report and the opinion it reached.

I acknowledge the following:

I: Summary of the content of the mentioned forensic medical report diagnosing the medical condition of the claimant prisoner Ayman Abdel-Aziz Nour

The above-mentioned three-member committee which prepared the mentioned forensic medical report, performed its medical examination of the mentioned prisoner on 07 October 2006 at the Mazraat Turah prison hospital after the prisoner was summoned to the clinic. The three-member committee has also examined medical documents and the reports of some medical tests the Committee had requested. The Committee has consequently reached a conclusion represented in the following diagnosis of the medical condition of the prisoner Ayman Abdel-Aziz Nour:

A set of ailments represented in diabetes, high blood pressure, knee joint roughness, roughness and disk collapse, osteophytes in the form of protrusions in the 5th, 6th and 7th cervical vertebrae. The blood analysis requested by the Committee showed diabetic content of 307 mgm/100 ml (fasting). Thus, the Committee diagnosed the mentioned prisoner's condition as suffering from diabetes combined with high blood pressure for a long time which resulted in diabetic changes in the retina and coronary (artery) atheroma.

As exactly mentioned under point (4) of Case Discussion and Opinion, the Committee explained that it is scientifically known that diabetes takes place when there is a metabolic imbalance and is characterized by high blood sugar rates due to the imbalance of insulin secretion from the Pancreas gland or when various tissues of the body do not respond to the effect of insulin. This condition has a number of potential complications, including the effect on various blood vessels, particularly the ones in the extremities in general, and blood circulation to the two lower extremities in particular. In the long term this may result in narrowing of the mentioned blood vessels and negative impact on the circulation which may lead to diabetic gangrene. Moreover, this condition may also result in changes in the vision due to the retinal changes resulting from long-term diabetes. The condition also affects the kidneys which affects their functions. In addition, the condition affects the heart by causing narrowing of the coronary vessels which may lead to a blood clot and sudden death without apparent symptoms or signs particularly that this condition usually affects nerve supply and the nerves which reduces feeling pain or showing symptoms. Thus, the mentioned condition has a long-term impact that affects the general condition of patients suffering from it long term. This may apply to the prisoner's cases. (This is exactly what was stated in the forensic medical reports issued by the mentioned three-member committee).

II: The result reached by the mentioned forensic medical report

Despite the mentioned diagnosis, the Committee's opinion stated the following:

"Thus, the Committee has reached a consensus concerning the above and decides:

1. The condition of the prisoner Ayman Abdel-Aziz Nour, in accordance with the diagnosis, is that he suffers from diseases represented in diabetes combined with high blood pressure which did not result in congestive heart failure. He also suffers from roughness of the knee joints.

2. The condition of the mentioned prisoner's heart is balanced. He does not suffer from congestive heart failure. His general health condition seems upon examination to be within the limits that allow him to remain imprisoned as his health condition does not pose current threat to his life, particularly if he is placed under medical care through being taken to the specialized hospital in prison for follow up, treatment, observation and to provide the basic features of medical care for the condition we have mentioned.

III: Case discussion and what was stated in the Committee's report under my observation

1. We have been able to confirm that the mentioned Committee has reached, confirmed and acknowledged the actual diagnosis of the case, which is that prisoner Ayman Abdel-Aziz Nour suffers from diabetes and high blood pressure with a history of severe heart attacks and coronary insufficiency which required coronary catheterization and stinting the coronary arteries in 2002. He also suffers from roughness of the joint of the two knees and roughness and osteophytes, as well as cervical prolapse in discs 5, 6 and 7 of the neck with the beginning of actual complications in the arteries of the extremities, the retina, atheromic narrowing of the coronary arteries, residue in the right kidney with inflammation of the prostate. The latest blood analysis (fasting) have also showed a rise in the level of blood sugar reaching 307 mg/100 ml which demonstrates failure to completely control the condition as well as the beginning of complications in the eyes, extremities, kidneys and arteries.

2. It is scientifically known that diabetes and high blood pressure are directly affected by the patient's psychological and nerve condition . The occurrence of complications is directly related to the patient's psychological condition, as well as the regular medical care and accurate medical control of the level of blood sugar with the special nutrition .

3. The mentioned three-member committee did not provide a specific and direct medical reply to public prosecution's question included in the prosecution's decision to form the committee. The question was whether the continued imprisonment of the mentioned prisoner Ayman Abdel-Aziz Nour poses a threat to his life or results in total incapacitation. Rather than answer the question, the Committee mentioned again the description of the condition as diabetes combined with high blood pressure, then mentioned that it has not resulted in congestive heart failure. It is worth mentioning that congestive heart failure would have resulted in the death of the mentioned prisoner. This means that the Committee stated a condition that did not take place so far, thank God, but failed to reply to prosecution's question about the potential of this taking place, or the possibilities of death, a permanent disability or total incapacitation of the mentioned prisoner due to his remaining in prison while suffering all the mentioned serious ailments which are affected by his psychological and nervous condition, as these conditions have already started to deteriorate and cause complications which may lead to sudden death any minute, as well as permanent disability and total incapacitation due to the complications, such as loss of sight, kidney failure, etc., as mentioned by the three-member committee itself in its mentioned report, particularly with the patient's deteriorating psychological condition and the absence of complete accurate medical and treatment controls of the mentioned ailments and illnesses, the most important of which are controlling the level of blood sugar, blood pressure, heart rate, the condition of the coronary arteries and kidney functions.

V: Opinion

Based on the above, we conclude that the claimant prisoner Ayman Abdel-Aziz Nour suffers from a number of serious ailments represented in high blood sugar rates (diabetes) combined with high blood pressure and arrhythmia which resulted in initial complications in the form of changes in the coronary arteries, as well as the arteries in the eyes and extremities, in addition to fatty liver; roughness and cervical prolapse in C5, 6 and 7 of the neck; roughness of the joints of the two knees and the accumulation of residue and a stone in the right kidney. Accordingly, I decide that the mentioned illnesses threaten the patient's life and render him completely incapacitated as a result of enforcing sentence. I believe that the mentioned illnesses constitute acceptable medical cause for his medical release for fear for his life and to avoid his complete incapacitation.

22 April 2007

Dr. Ali Gamal Eddin Abdel-Aal
Forensic Medicine Professor and Department Head
Kasr al-Aini Medical School, Cairo University
Member of the Justice Ministry's Supreme Consultative Council of Forensic Medicine

13-A document from the oral medicine and teeth implanting by Dr. Bassem Samir on 2/10/2006, indicating that patient Ayman Nour suffers from corrosion in the upper and lower maxillas due to diabetics He needs maxilla bone implanting and teeth implantation.

14- Report by Dr. Fahim Abdul Azeem Ragab the director of critical cases that is referred Prof. Ashraf Hatem G. director of Cairo university hospital indicating that the patient suffers long ago from blood hypertension and glycosuria, coronary artery malfunction, frequent coma, and dyspena, Moreover, the patient needs catheterization to image the mitral arteries.

15- Ultra sonic rays on heart (patient: Ayman Nour on 6/12/2006 issued from the critical cases and concluding that the patient has impaired LV relaxation and simple recess in the mitral value.

16- Report of ultra sound abdominal x-rays and pelvis at the diagnostic radiology dept, Cairo university hospitals on 6/12/2006, patient: Ayman Nour. The report concluded that the patient suffers from simple fatty liver and prostatic swelling , and prostatic with coarse stoning.

17- Doppler colored report on vertebro-basilar-insufficiency symptom and external pressure (tension) on the bone protrusions of the cervical vertebrae. The report made and signed by Dr. Abu Al - Magd on 6/12/2006.

18- A report of vasiongraph for the patient :Ayman Abdul Aziz Nour made and signed by Dr. Fahim Ragab, Prof. of critical medicine and Dr. Ahmed Abdul Aziz, Ass. Lecturer of medical critical cases, Cairo University. The same report was issued from the hospitals of Cairo universities indicating occurrence of arteriosclerosis change in the mitral (coronary artery ).
19- MRI report for the patient: Ayman Nour on 6/12/2006, signed by Dr. Rami Edward , indicating the following.
a- Bone protrusions, simple coarseness in the cervical vertebrae.
b - Simple cartilage olisthy ( spondrlosis ) , in the cervical vertebrae 5/6, 6/7.

20- Two MRI reports,of patient Ayman Nour on 6/12/2006, indicating pathological changes and knee (two) leakage signed by Prof. Dr. Hazem Muharram issued from Kasr Il - Einy hospital , MRI unit.

Second : Legal (Forensic) Medicine :
1- Report No. 10 legal (forensic) medicine.

2- Report No. 10 forensic jails medicine on 8/2/2005 , the report proved under item 15 , page 4 , the report of senior forensic physician, that will be shown later on under item II of our consultant report.

The report No. 10 jails forensic medicine proved the following:

The above mentioned patient was referred to Al-Maial Educational / Hospital , where a medical committee was formed to examine the patient. The committee said there is so severe medical problem at present and advised appropriate medical care plus indicated treatment with insulin to avoid heart and brain disorders.
The patient proved suffering from glycosurea, high blood tension cholesterol and salts on the right kidney.

II - Legal medical report of the convict Ayman Abdul Aziz Nour in the case No. 184/2006 south Cairo investigation processing , made by a committee formed by the senior forensic doctors, Dr. Mostafa Ayman Mahmoud Fouda his assistant Dr. Kamal Al – Saadani , and Dr. Eid Kamal Mohamad (Lt- general physician in the jails medical dept. The report proved the following:

1- First page, the line before the last, "Heart arrythemia (heats & frequency).

2- Second page, (Last two lines) + first two lines in the 3rd page, the patient suffers from a chest pain, 8 yrs ago with blood high tension controlled by treatment.

The patient suffers from diabetics, and treated with insulin, and has dangerous factors leading to mitral arteries deterioration, smoking , obesity , diabetic and fatty blood.

3- The 3rd page, item 7, the patient had a car accident in 5/9/1998, cervical spondylosis (side right posterior between indicates post nervous changes ).

4- Page 3, item 9, the report proved that, with MRI, a cervical spondylosis between 6/7 cervical vertebrae.

5- Page 3: item 10. the report proved degenerative change in the cervical cartilage between vertebrae 6/7 .

6- Page 3, item 13, the report proved that the patient was admitted to the hospital in coma for 10 min. the exams showed arrythemia , and hyperglycemia .

7- Page 5, line 12, 14 the report proved on 9/11/2006 that the patient has a long case history, and made a catheterization with bracket 5 years ago, and he is under treatment of diabetics, hypertension and heart diseases.

8- Page 6 item 17: The report indicated that, after a car accident in 1998 , a simple dislocation between the cervical vertebrae 6/6 due to cutting of ties , which resulted in pressure on the spinal cord , loss of sensation in the hand fists, the patient case did not respond to neck fix at or physiotherapy.

The patient needed to travel abroad where his case improved partially but he suffered from pressure on the cervical spinal cord.

Item 17: Concluded that "the patient is recommended to specialized physiotherapy to avoid quadruple paralysis.

9- Page 8 , proved at the last paragraph tachycardia 95/ min.
10-Page 9, line 6, tachycardia 94/ min, line 24, tachycardia 94 /min .
11- Page 11, the report on 22/4/2006 , indicated that a medical committee of 6 physician was formed and presented a report stating: there is no severe medical problem at this time but the appropriated medical care is recommend so that non-compliance with insulin regular treatment may lead to disorder in blood sugar and damage both the heart and brain.
12- Page 12 , paragraph 4 , the report made by Dr. Magdi Fawzi Henaidi (British – Egyptian ) indicated that the patient upon examination was found suffering from :
1- Nervous colonists .
2- Chonic pelvic inflammations
3- severe prostatic inflammation
4- Hyperglycosuria.
5- Hyperglycocemia.
6- Sugar deficiency attacks (Fits)
7- The patient had previously heart catheterization made by Prof. Dr. Ezz El - Din al – Sawi, and needs another one.
d- The patient was recommended to be examined by cardiologist and vassalages to check his heart case and enlarge coronary arteries.
13- Page 13 , paragraph 6 , the report indicated that the legal doctor :George Barrakat Nassif , from fronsic medical staff examined the patient on 12/7/2006 and found no sign which seen by that legal doctor.
14- Page 12' paragraph 7 , the report by Prof .Dr . Amrou Ahmed Gad , Prof . of blood Vessels surgery in Cairo university hospitals indicated that the patient suffers from foot inflammated nerve ends .
15- Page 12 , last paragraph , the report by Prof .Dr . EZZ . El – Din Al – Saway , the Cardiologist indicated that the patient suffers from :
a- Hyperglycosuria .
b- Hypertension blood .
c- Mitral Malfunction .
d- The patient had diagnostic catheterization of the coronary arteries with brackets , chest pains and arrythemia .
16- Page 13, paragraph 5 , on 14/6/2006 the patient was examined by a medical committee in his jail , the medical committee in his Jail the medical committee was formed by the legal doctor and head of medical directorate upon decision of the G.A ( general attorney )
International Cooperation Bureau ,No . / 347 on 22/8/2006 . the report has been released yet . ( N.B the actual report was executed on 25/1/2007 )
17- Page 13 , the report indicated that pulse 108 / min .
18- Page 17 , item 4 : the report indicated the following .
Mr1 made on 6/12 /2006 showed that the patient suffers from 1 st class degeneration in the posterior born of the crescent cartilage joint of the two knee with a little mal in the right knee with album in reaction and little focuses from mucous degeneration in the crescent cartilage joint posterior horn with side dilation of the knee patella with other sound parts.
b- Fatty liver .
c- Coarse sediment in kidney .
c- Simple prismatic inflation ( swelling)
d- The oculist and surgeon Aymen Fawzi G 1/12/2006 Indicating that the patient suffers from simple changes in retina .
e- On 18/12/2006 a catheterization was made in heart arteries , the examination result came in CD , and suffers from theological effects and recommended for medical treatment.
19- The report indicated in page 19 , what we previously proved of cervical vertebrae, knees ,liver fats prostatic enlargement, the report indicated also that the patient suffers from hyperglycemia and blood hypertension .
The patient suffers form high sugar rate in blood with blood hypertaension syndrome that reported by medicine of critical cases Kasy – el – Eini sherif Mukhtar , Because of this cronic syndrome , the patient found to be suffering from .
- Simple changes due to diabetics in retina .
- Atheroma in metal arteries ( heart catheterization ).
- The report indicated that the patient needs : medical treatment , special food system .
20- page 20,item 3 the report indicated that , on examining the end blood vessels in the two legs , sign of limbs blood circulation deficiency appeared in a form of coldness in the lower limbs , and sign of simple thickness in their blood vessels.
21- pages 20 , 21 item 4 :
the report showed hyperglycosuria syndrome , of long effect , the case applies to the convict herein .
This syndrome has many complications effecting the various blood vessels .
a- The limbar blood circle has effects on the lower limbs that may lead to glycol foot or glycogangrene .
b- This syndrome may lead to changes in vision due to affected retina caused by hyperglycosura (cronic) .
c- This syndrome affects the heart by narrowing the heart mitral blood vessels ,
that may cause sudden death by heart attack .
This may occur without obvious sign .
This syndrome may affects sensation which lessen feeling .
22- The committee headed by the senior legal doctor concluded that the general health case of the convict upon examination allows his continuation in his jail , (confinement ) with any danger or threat of life now if he is put under medical care of the jail specialized hospital for continuous treatment and observation .

Forensic Medicine Report Warns Of:
"Sudden Death" For Ayman Nour
We Expose Lies They Published and Promoted
Secret File
To whom benefit;
Fallacy And Changing Realities Reach
Up To This Limit

The forensic medicine report edited on 25th., of January 25, the sickness condition of Dr. Ayman Nour, the report committee consisted of president of forensic medicine sector, and head of forensic medicine physicians Dr. Moustafa Ayman Fouda, and his assistant Dr. Kamal Al-Sa'adani, as well as, Brigadier Doctor Kamel Mohamed Ebeid, representative of Medical Department in Prisons Authority, report exposed the following:

· That sickness condition of Dr. Ayman Nour he suffers from it in his jail now, represents in correlation of many sickness illness leaded by illness of high level in Diabetes and blood pressure; and Complications of influence on the cardiovascular system and various heart arteries and the resultant lack of these arteries leads to the incidence of Sugar gangrene.

Report points out in its last page (page 22) under item "Condition and Opinion", the following: "in addition to Impact sick ills suffered by the kidneys, which arises failure of its functions".

· As about affection of this correlation upon heart, represents in narrowness of Coronary blood vessels of the heart, leading to the top of coronary arteries may lead to ascend coronary arteries may lead to : Sudden Death without apparent symptomatic; we repeat pervious sentence : Sudden Death without apparent symptomatic.

· Report adds, clarifying reasons that report expects in item "Condition and Opinion" about Sudden Death without apparent symptomatic; " the illnesses correlation that patient is suffering from effects nervous feeding, matter that leads to less feeling with pain – we mean heart attacks – which leads to absence of symptomatic appearance, thus, correlation of these illnesses have a long term with patients those suffer from it since a long time ago, and that what is taking place in Dr. Ayman Nour's sentenced Case.
We repeat "in Dr. Ayman Nour's sentenced Case."

· Report gave reasons in end of item four of "Condition and Opinion" about the correlation between expected result of sudden death and Dr. Nour 's case as follows:
We submit in this regard what is contained in the report of the critical care unit In Kasr El-Aini Hospital for cardiac cases of minors kind of case and sentenced his ailments long as progress in this regard what codify information network and in this regard to demonstrate forth in the attached documents from 1 to 5.
· The report dealt with the medical authorities prevented his extradition to the prison at the time parts of it were leaked to the people committing the crime of divulging secrets medical set forth in article 013 penalties are different from the seriousness of the situation sick of Dr. Ayman Nour has revealed the following :
- The report pointed to the first page by the Commission on October 7, 2006 examination of Dr. Ayman Nour in Tora Prison Farm, said the report: "We found full - heartbeat irregularity, whether in the rhythm, or hesitation".
· The report revealed through the 22 pages of the serious discrepancies between what the Prison Service and the information revealed by tests conducted at a hospital on the palace kind 6-18 last December, for example:
- Report stated in page 12 page that 27/6/2006 has been working on radiation paragraphs cervical by the Medical Department of Prisons ended safety paragraphs cervical. In the same period, in particular the page 20 that clinical examination and rumors revealed the presence of landslides Gristliness and bone deposits in the form of protrusions prominently in the distance between paragraphs cervical fifth, sixth and seventh! ..
- The report also pointed to page No. 18 that the X-held December 6, 2006, also revealed the presence of prolapse sliding rear in paragraphs cervical!
· "At the same time, the report pointed to the prisons of the report in 18/9/2006 by the editor of Colonel Mustafa Sami said that the situation of the hand bones and knees stable report also pointed to page 5, in 21/11/2006 Administration confirmed the prison medical absence of any obvious signs of changes morbid in keens»!
· While the relevant report on page 20 that on 06/12 a difference of 15 days only show the existence O-rays analyzed in the first degree bones knees and analyze Horn rear of articular arcuate crest arytenoid cartilage of braces left with kneed Yemeni and interaction Albuminous kneed and hot real decomposition product of Mucous Horn back the crest arytenoid cartilage, with a laxity in rump.
· This was indicated by the report after 15 days, which only confirmed on November 21 by Prisons Authority in the absence of any signs of morbid changes in keens. But that Prisons recognized District Attorney Maadi four joints of Dr. Ayman Nour, and refused to move him an ambulance, and its insistence on riding car transport multiple degrees rise, despite the impossibility of this with the suffering of diseases not seen after the Medical Department of Prisons did not move, on after prosecutors communications rigging reports medical violation of Article 222 Penalties Law; When will move the Attorney General?!
· Report of forensic stated that situation of Dr. Ayman Nour's arteries item "Situation & Opinion" existence of Athiroma in coronary arteries according to contents of operation CD of heart surgery conducted to Dr. Ayman Nour in the 18 December 2006.
· As for eyes situation, report referring to influences in eye retina as the report of Dr. Ayman Fawzi professor of ophthalmology in Kasr El-Aini signed on 6/12/2006; also pointed to report of Prison Doctor Magdi Hassan specialist Ophthalmology at December 17, which confirmed the presence of a eye-fly, and inflammation in conjunctiva, and rims Eyelids. Report also pointed in page 6 to report of Dr. Ahmed Hathout declaring existence of internal bleeding in the eyes could threaten situation of Dr. Ayman Nour at any moment, with a lack of backbone optical, then blindness.
· The report also pointed to item IV on page 18 results examinations carried out by Kasr Al-Aini of a slight inflation in liver, and presence of leakages and kidney deposits roughed. Report also pointed in page 19 to changes in athiroger heart's, according to contents of operation CD of heart surgery conducted to Dr. Ayman Nour in the 18 December 2006.
· Report also uncovered the existence of the parties Osima lower limbs, according to a report by Dr. Amr Gad, called knowledge in prison July 11, 2006, and confirmed that Dr. Ayman Nour is suffering from a viral inflammation of nerve terminals and a puncture wound to the right foot, the antithesis. also contrary to report prepared by Director of the Medical Department of Prisons Lance worshiper of the peace, who confirmed that there were neither apparent injuries modern nor old, neither bruises nor abrasions.
· Contrary also demonstrated by Pathologist George Barakat Nassif who conducted medical examination, which took place in July 12, 2006, and confirmed the absence of any existence of injuries resulting from the use of handcuffs.
· "What is more dangerous is revealed by the report of the involvement of medical administration in the prisons in issuance of report on liberalization of the X-regular, as well as for eyes be conduced on 27/6/2006, after the transfer of Dr. Ayman Nour to another prison to conduct examinations, which ended in a territorial completely while it's firm in Prison's documents, it did not move him or be transferred since this date, to anywhere else. Accordingly, there has been no such X-rays or examinations; never.
· The report also reviewed many of the medical reports reveal important seriousness of the situation, Dr. Ayman Nour, including report of Dr. Ezz El-Sawi, Cardiology Professor, and Vice President of Al Azhar University, which was signed disclosure on Nour in prison in August 5th., 2006, when he confirmed that Nour is suffering from hypertension and sugar inadequate coronary session and the need to install pillars in heart arteries; page 13.
· Report also pointed page 6 to report of Dr. Ihsan Abdel Salam Ashoor; Bones Professor dated October 2nd., 2006, of the existence of pressure on the spinal cord due to the increasing nature of residence in prison, which feared it if it continues to prevent polio quadruple recommending a surgery to stabilize some moving vertebrals.
· Report also pointed in same page to report of Prof. Dr. Mohsen Al-Desouky Bone Surgeon, who warned polio quadruple to rack case spine.
· The report also pointed to rays and radium lens be conducted in Misr International Hospital confirmed the existence of contagious viral stomach wall and the presence of stones in right kidney.
· In the third and fourth page, report cited references to several medical reports which deregulated before prison Ayman Nour during his introduction to some British hospitals and foreign doctors, where a report was issued by London Bridge Hospital and another hospital that Queen Squire, London; and changes Indissolubility spinal column as A report issued by the Center for heart disease, diabetes and London of August 5, 2003, the existence of the body's resistance to Insulin. As report by Dr. Diana Brock, of Cromwell Hospital, a catheter for coronary arteries and the presence of a narrow and erection of windshield in anterior artery and others.
· Forensic medicine report completed its verses with expectation of sudden death (Page 22), with words indicate that the situation of Nour's heart; did not reach the heart muscle's failure, "recently", but it did not specify what happens after hours or days or weeks or months, that particular it link between the word "recently" provided that all people are aware of its impossibility in the current conditions, and not available in these severe and blunt circumstances; where Dr. Ayman Nour; said the report and recommended towel and follow-up in light of what it called; the provision of all the elements of his medical care that is impossible in light of continued incarceration of Nour.
· "It remains the last question: Why prisons refused delivery of this report to concerned person/, and why promoted in some quarters, newspapers and in Human Rights Commission of the People's Assembly last portion where wasteful and ignoring the seriousness of the statement in full 22 pages.

In the interest of reaching the fallacy of the facts of adversity and to this extent?! And up to when the silence?