In a reversal on Friday, Russian doctors have now given permission to opposition leader Alexei Navalny, who is in a coma after a suspected poisoning, permission to be transferred to Germany for medical treatment.
The announcement from senior doctors came after more than 24 hours of wrangling over Navalny’s condition and treatment.
Earlier on Friday, a plane with medical specialists from Germany arrived in Siberia to transport Navalny to a top German medical facility. But local doctors had refused to authorize the transfer.
Navalny, a 44-year-old politician and corruption investigator who is one of Russian President Vladimir Putin's fiercest critics, was admitted to an intensive care unit in a coma in the Siberian city of Omsk on Thursday, following what his supporters are calling a suspected poisoning that they believe was engineered by the Kremlin.
The plane with German specialists and all the necessary equipment landed at Omsk airport on Friday morning, prepared to take Navalny to a top clinic in Berlin. But doctors at the hospital previously said his condition was too unstable to transport him.
Navalny's supporters denounced the medical verdict as a ploy by the authorities to "stall and wait" until the suspected poison no longer is traceable in his system.
Kremlin spokesman Dmitry Peskov said he wasn't aware of any instructions to stop the transfer and that it was purely a medical decision that doctors made based on Navalny's condition.
"It may pose a threat to his health," Peskov said.
Leonid Volkov, a close associated of Navalny, said Friday that German doctors now have access to him.
"The German doctors who came on this flight, from Nuremberg, who were refused to get access to this patient finally just got access to him several minutes ago," Volkov said during a news conference in Berlin.
Navalny fell ill on a flight back to Moscow from the Siberian city of Tomsk on Thursday and was taken to the hospital after the plane made an emergency landing in Omsk. His team made arrangements to transfer him to Charité, a clinic in Berlin that has a history of treating famous foreign leaders or dissidents and insisted that the transfer is paramount to saving the politician's life.
German officials have been in contact with both Russians and a private group that sent a plane to pick Navalny up. "If Mr. Navalny wants to get treated in Berlin and if he is able to come to Berlin, the Charité hospital is obviously ready," Berlin Mayor Michael Mueller told the German news agency dpa.
Navalny's wife Yulia on Friday submitted a written request to Putin demanding to allow the transfer.
Dr. Yaroslav Ashikhmin, Navalny's physician in Moscow, told The Associated Press on Friday that there are no conditions, with the exception of severe and multiple trauma, in which patients can not be transported these days.
"Being on a plane with high-class specialists (equipped) with a ventilator and an extracorporeal membrane oxygenation machine, which (effectively) replaces the heart and the lungs can be even safer than staying in a hospital in Omsk," Ashikhmin said.
The most prominent member of Russia's opposition, Navalny campaigned to challenge Putin in the 2018 presidential election, but was barred from running. His Foundation for Fighting Corruption has been exposing graft among government officials, including some at the highest level. Last month, he had to shut the foundation after a financially devastating lawsuit from Yevgeny Prigozhin, a businessman with close ties to the Kremlin.
While his supporters and family members continue to insist that Navalny was poisoned, Omsk hospital deputy chief doctor, Anatoly Kalinichenko, said that no traces of poison were found in the politician's body and doctors didn't "believe the patient suffered from poisoning."
Kalinichenko said a diagnosis have been determined and relayed to Navalny's family. Navalny's spokesman, Kira Yarmysh, tweeted that the politician's family merely given "a range of symptoms that can be interpreted differently."
"Doctors still can't determine the cause of Alexei's condition," she said.
Omsk news outlet NGS55 published a video statement of the hospital's chief doctor, Alexander Murakhovsky, saying that a metabolic disorder was the most likely diagnosis.
"It may have been prompted by a sharp plunge in blood sugar on the plane, which caused the loss of consciousness," Murakhovsky said in the video.
Navalny's supporters angrily rejected the doctor's hypothesis.
Another doctor with ties to Navalny, Dr. Anastasia Vasilyeva, who flew to Omsk with the politician's wife on Thursday, said poisoning with a toxic substance may have caused the alleged metabolic disorder.
Ashikhmin, who's been Navalny's doctor since 2013, said the politician has always been in good health, regularly went through medical checkups and didn't have any underlying illnesses that could have triggered his condition.
European Union spokeswoman Nabila Massrali said Friday the the 27-nation bloc expects "a swift, independent, transparent investigation" into what caused Navalny's condition. The EU and urged Russian authorities to "stand by their promises to allow Mr. Navalny to be safely and speedily transferred abroad in order to receive medical treatment in line with the wishes of his family," she said.
Like many other opposition politicians in Russia, Navalny has been frequently detained by law enforcement and harassed by pro-Kremlin groups. In 2017, he was attacked by several men who threw antiseptic in his face, damaging an eye.
Last year, Navalny was rushed to a hospital from prison, where he was serving a sentence following an administrative arrest, with what his team said was suspected poisoning. Doctors said he had a severe allergic attack and discharged him back to prison the following day.
Navalny set up campaign offices across Russia and has been promoting opposition candidates in regional elections, challenging members of Russia's ruling party, United Russia. One of his associates in Khabarovsk, a city in Russia's Far East that has been engulfed in mass protests against the arrest of the region's governor, was detained last week after calling for a strike at a rally.
By Daria Litvinova/AP