Alleged Vic hospital attacker 'unstable'

Kareem Al-Salami, 48, is accused of repeatedly stabbing the doctor in the foyer of the Western Hospital in Footscray when he arrived for work on Tuesday.

The victim, 43-year-old Michael Wong, is in a serious condition but his injuries are not considered to be life-threatening.

Al-Salami, of North Sunshine, appeared in the Melbourne Magistrates Court on Tuesday afternoon charged with attempted murder and two counts each of intentionally causing serious injury and recklessly causing serious injury.

"I have concerns about his mental state... concerns about what he might do to himself," his lawyer Rainer Martini told Magistrate Duncan Reynolds.

Mr Martini said Al-Salami was using several medications and a nurse would need to visit him in custody.

He said his client spoke little English and while no Arabic interpreter was available, he said he was satisfied he was aware of the severity of the charges.

The court also heard