Greece. March 13. 2021. Today the physicians of choice (Thodoris Sdoukos and Katerina Douzepi) of Dimitris Koufontinas issued a statement saying that the health condition of Dimitris Koufontinas is very critical.
Hunger striker Dimitris Koufontinas is on the 65th day of hunger strike today
The ICU physicians describe his condition as unstable
He is hospitalized for the 25th day in the ICU of Lamia hospital, with total abstinence from feeding from January 8, 2021, and he is unable to take fluids through his mouth since February 11, when he was forced to accept the placement of a hydration serum.
On February 22, he voluntarily discontinued the hydration serum, which has been repositioned in the last few days after a hypovolemic etiology due to acute kidney failure, by complete fluid abstinence.
His condition is very critical due to numerous and complex accumulated disorders of organic systems, with an obvious risk of permanent damage and deficiencies but also a constant potential risk of sudden death.
A more detailed description of the disorders of the striker today is as follows:
Major weight loss with severe muscle weakness and atrophy of large muscle groups (sarcopenia) with inability to support the torso and to stand.
Sensation disorders, tendon reflexes, vertigo, dizziness. Possible permanent damage to the central and peripheral nervous system.
Disorders of the mucous membranes (gingivitis, stomatitis).
Hematopoiesis disorders – Panzytopenia with the risk of infections and bleeding.
Gastrointestinal disorders with episodes of vomiting (sometimes caffeinated) and risk of spontaneous bacteremia from bacterial infections.
Controlled (after medical intervention) hypovolemic acute renal failure.
Metabolic disorders due to ketosis, currently partially compensated.
Risk of fatal cardiac arrhythmia, multiple etiology.
Disorders of albumen (malnutrition).
Multiple disturbances at the cellular level due to chronic deprivation of nutrients and substances necessary for metabolism.
Immunosuppression as a result of prolonged abstinence from feeding (malnutrition, leukopenia) and potential risk of fatal infections, especially nosocomial.
The hospital’s medical and nursing staff strongly state that they will respect medical ethics with respect to the striker’s stated will, but point out that even if the striker decides to accept their services, attempting to recover him is a lengthy and painful process due to the boundary point that has been reached, and carries the risk of a variety of disorders (“re-feeding syndrome”).
Therefore, even if the hunger strike is stopped immediately, it can only be assumed after some time that the danger to life can be averted, while it is not possible to predict whether permanent organic damage has been prevented.
Athens March 13, 2021
The physicians of choice of the hunger striker:
Thodoris Sdoukos, General Practitioner, Director of the National Health Service
Katerina Douzepi, , Anesthesiologist-Intensive Care Specialist, Curator of the National Health Service