November 23, 1977


In re: Mr. Santo Trafficante
Watson Clinic #179243

The above-mentioned patient has been under my care since 1969. He has had chronic hypertensive vascular disease. His first evidence of organic heart disease was in August, 1974, when he had the onset in another country of pulmonary edema. The electrocardiogram changed and showed evidence of anterior wall ischemia. It was felt that he had had a myocardial infarction at that time. Be has had chronically elevated cholesterol and triglycerides, as well as temporary elevations of uric acid which have been controlled by medication. He has also had a polyp removed from his colon which was benign but required abdominal surgery in 1971. He had a retinal detachment in 1974 and rather severe and disabling osteoarthritis of the lumbosacral spine.

Currently, he is suffering from angina pectoris on either exposure to tension or to exertion. He was evaluated in the clinic by Dr. Alan Brenner, Cardiologist, who agreed with his management program which consists of Aldomet 500 mg. b.i.d., Inderal 40 rag. q.i.d., Col-Benemid - one tablet twice daily, potassium supplements, HydroDiuril 50 mg. daily, and Apresoline 10 mg. t.i.d. He recommended the addition of Isordil and he now receives 5 rag. sublingually q.i.d. For his arthritis, he has been given Tolectin, two tablets t.i.d.

In essence, Mr. Trafficante is an ill man and has significant cardiovascular disease, making him at great risk for a recurrence of myocardial infarction. His angina is brought on by stressful events, either physical or emotional.

It would seem unwise for him to be exposed to prolonged emotional or physical stress. For this reason, it would be better if his current legal difficulties could be handled by deposition rather than having to undergo the more stressful personal appearances.

John V. Verner, Jr., M.D.