Lost in translation

Prime ministerial commentary on the Georgian conflict:

Medvedev branded Saakashvili a "lunatic" as he outlined tough terms to the French leader, in effect demanding Georgian capitulation to vastly superior Russian forces.
"The difference between lunatics and other people is that when they smell blood it is very difficult to stop them," Medvedev said. "So you have to use surgery."

Is that a threat?

Confusing.