Case Document 1 Filed 09/21/17 Page 1 of 18 UNITED STATES DISTRICT COURT DISTRICT OF COLUMBIA NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi a1 Iraqi, ISN 10026 Detainee, US. Naval Station, Guantanamo Bay, Petitioner, V. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, CAPTAIN DAVID CULPEPPER, Base Commander, US. Naval Station, Guantanamo Bay REAR ADMIRAL EDWARD, B. CASHMAN, Commander Joint Detention Force, US. Naval Station, Guantanamo Bay, Respondents. Case: Assigned To Sullivan, Emmet G. Assign. Date 9/21/2017 Description: Habeas Corpus/2255 Civil Action No. Related Case: Civil Action No. 09-1462 (EGS) PETITION FOR WRIT OF HABEAS CORPUS MCKOOL 1333840V6 Case Document 1 Filed 09/21/17 Page 2 of 18 PRELIMINARY STATEMENT This Petition challenges a years'-long course of unconstitutional conditions of con?nement of Petitioner by the United States through deliberate and callous withholding of medical care essential for Petitioner's life, health and ability to defend himself against criminal charges pending before the Military Commission at US. Naval Station, Guantanamo Bay (?Guantanamo?). Beginning nearly ten years ago while in US. custody Petitioner began to experience consistent and increasingly debilitating degenerative disease affecting his spine and nervous system. Over time, Petitioner has had increasing pain in his extremities and decreasing ability to sit and walk. His condition has increasingly limited his ability to participate in his own defense, and at present makes that impossible. As explained below, his degenerative condition has been exacerbated by the sometimes violent treatment he has experienced at the hands of prison guards. The United States has been deliberately indifferent to Petitioner's urgent medical needs and requests for care, and has consistently failed to provide him with medical care consistent with applicable minimum treatment standards. The United States has also refused Petitioner's requests for current medical records so that he and his counsel could accurately evaluate his medical state and needs. In the latter part of August 2017, Petitioner experienced a life-threatening cascade of worsening including loss of control of bodily functions and extremities and great pain. On September 1, supported by written submissions from civilian medical doctors, Petitioner urgently sought effective appointment of a quali?ed independent medical expert to evaluate Petitioner and recommend appropriate medical interventions from Respondent Rishikof, from whom there was no timely response. A few days later, in a sudden, implicit acknowledgement of the calamity it had imposed on Petitioner, the United States ?ew medical I - McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 3 of 18 personnel to Guantanamo in the face of the approaching Hurricane Irma to perform emergency surgery on Petitioner on September 5th. No notice of this or other communication about the surgery was provided to his counsel or to the doctors who had urged the United States to act. From the Petitioner himself counsel learned that the surgery was unsuccessful in arresting his neurological issues, loss of bodily function, and pain. Though he was initially told any further surgery would have to wait for some months while he recuperated, a second surgery was decreed within days and was to occur on September 18, 19 or 20. On September 18, counsel ?nally received Respondent Rishikofs response to Petitioner?s September 1 urgent request for the aid of an independent medical consultant: he denied the request, noting Petitioner was scheduled for more surgery during the coming week. Counsel have had no meaningful information about the second surgery other than that, as of the night of September 18, the surgery had not yet occurred. Counsel does not know Petitioner's current medical state. The United States has woodenly refused to provide Petitioner's current medical records so that his medical condition can be independently evaluated by medical professionals not tainted with a history of deliberate and callous indifference to Petitioner's health and safety. Counsel have been informed that Petitioner's medical condition will make him unavailable to meet with counsel for 4 to 6 weeks, during which he will be at risk of whatever medical care the United States chooses to give or withhold, without information or assistance to guide his decisions, including whether to give informed consent. Settled constitutional principles establish that deliberate indifference to the serious medical needs of prisoners violates the Eighth Amendment. The deliberate indifference and disregard of the United States towards Petitioner's health and safety have put him at immediate risk or permanent paralysis or worse, immediately threaten his ability to participate in his own McKool 1333 840v6 Case Document 1 Filed 09/21/17 Page 4 of 18 defense, and constitute cruel and unusual punishment in violation of the Eighth Amendment. The deplorable course of prior action of the United States towards Petitioner renders United States personnel untrustworthy and un?t to unilaterally determine his medical care and fate, and require the Court's intervention to secure appropriate medical care for Petitioner. To that end, Petitioner seeks relief by means of orders of this Court for the disclosure of medical records and information to Petitioner and his counsel, for the appointment of an independent medical expert or experts who can determine the care that Petitioner now needs to remedy past unlawful treatment and to prevent further injury, and for such other relief required to remedy Petitioner's unconstitutional conditions of con?nement. I JURISDICTION 1. The Court has jurisdiction over this petition pursuant to the United States Constitution, ArticleI ?9 (Suspension Clause), 28 U.S.C. 1331 (federal question) and 28 U.S.C. 2241(a) (Writs of Habeas Corpus). II VENUE 2. Venue is proper in this judicial district under 28 U.S.C. 1391 because: respondents are of?cers or employees of the United States; and a substantial part of the events or omissions giving rise to the Petition occurred in this judicial district. PARTIES 3. Petitioner is a male citizen of Iraq currently detained at a prison facility at Guantanamo. 4. Respondent Trump is the President and Commander-in-Chief of the military forces detaining Petitioner. He is sued in his of?cial capacity. MCKOOI 13 33 840v6 Case Document 1 Filed 09/21/17 Page 5 of 18 5. Respondent Mattis is the Secretary of Defense and supervises all United States military forces, including those detaining Petitioner. He is sued in his of?cial capacity. 6. Respondent Harvey Rishikof is a civilian who has been designated by Respondent Mattis as the Convening Authority for Military Commissions pursuant to chapter 47A of title 10, U.S.C., section 94811 and is sued in his of?cial capacity. The Convening Authority is responsible for the overall management of the military commissions process, including logistics and personnel support. The Convening Authority has authority and is responsible to provide resources to Commission defendants necessary and appropriate to enable them to participate in and to present a meaningful defense to charges brought against them. 7. Respondent Culpepper is the Commander of Guantanamo Bay Naval Station. As such he is responsible for the safety and treatment of all persons resident within that facility. He is sued in his of?cial capacity. 8. Respondent Cashman is the Commander of Joint Task Force Guantanamo. As such he functions as the warden of the prison in which Petitioner is detained. He exercises direct and immediate control over the conditions of his con?nement, including the provision or withholding of necessary medical care. He is sued in his of?cial capacity. IV STATEMENT OF FACTS 9. Petitioner has been in US. custody since 2006. He was initially kept in one or more ?black sites.? He has been detained at Guantanamo by Respondents, or their predecessors in of?ce, since April 2007. 10. Petitioner was detained without charge for more than 5 years. On August 3, 2009, counsel for Petitioner ?led a prior Petition for a Writ of Habeas Corpus, challenging the legality of Petitioner's detention without trial or due process, including a meaningful opportunity to be -4- McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 6 of 18 heard to contest the legality of his detention. In presenting that Petition, Petitioner was represented by attorneys from the Indiana Federal Community Defenders, a federally funded public defender agency. A copy of this Petition is attached as Exhibit A. 11. On June 7, 2013, criminal charges were ?rst sworn against Petitioner before the Military Commission that hears and decides criminal charges against Guantanamo detainees. Additional charges were sworn against him on August 28, 2013. Petitioner was initially charged, and at all subsequent times been prosecuted, under the name ?Abd a1 Hadi al-Iraqi,? which is not his actual name. He is identi?ed on his Iraqi citizenship card as Nashwan al-Ramer Abdulrazzaq. His family name?the name he generally uses with friends and family?is Nashwan al?Tamir, which references a family history in trading commodities. 12. Contemporaneously, federal budget sequestration effectively out off funding for further participation by federal public defender attorneys on behalf of Petitioner. 13. On December 17, 2013, at the request of Petitioner's then-counsel, this Court entered a Stipulation and Order dismissing the original Petition without prejudice, and this Court retained jurisdiction to enforce the terms of the Stipulation and Order. A copy of the Stipulation and Order is attached as Exhibit B. 14. On February 3, 2014, additional charges were sworn against Petitioner. 15. On June 2, 2014, the Convening Authority referred the February 3, 2014 charges for trial by military commission and dismissed the June 7, 2013 and August 28, 2013 charges. 16. Petitioner is currently awaiting trial on the referred charges. 17. Petitioner is detained under conditions of severe security. Whenever meetings with defense counsel are held or his attendance at Commission proceedings is required, he is McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 7 of 18 shackled by prison guards, hands and feet, and transferred to meeting locations by military vehicle. 18. As documented in his medical records, Petitioner has sought treatment for chronic and worsening back pain for many years. In 2008, a computerized tomography scan scan?) showed degenerative disc disease between the L4 and L5 vertebrae. See Exhibit at 027794, Petitioner?s recurring back pain was, at that point, deemed chronic. A May 2008 examination revealed that ?Detainee seemed unsteady while standing.? Id at HADI- 1-027780. By June of 2008, Petitioner's back pain had increased to include pain that radiated down his right leg. Id. at HADI-1-027781. By August 2008, doctors noted: ?Detainee expressed concerns about current back pain and length of time? it has taken to resolve the issue. Id. 19. Petitioner continued to seek treatment through 2008 and into 2009. In August 2009, he reported ?are-ups and pain that affected the left side of his body, to include pain radiating from his back to his left leg. See Exhibit at Medical providers performed various diagnostic tests but failed to cure the ailment or the pain. X-rays and CT scans continued to show degenerative disc disease. 20. In early 2010, a bulging mass was identi?ed on the left side of Petitioner's spine. Doctors performed a biopsy on the soft tissue mass. Pathology reports were negative. See Exhibit at The mass remains today. 21. Throughout 2010, Petitioner continued to be seen for chronic back pain. In June 2010, he again reported pain that ran down left side of his leg. Throughout 2010, he received physical therapy, traction table therapy, and regular treatments with a Transcutaneous Electrical Nerve Stimulator unit. These therapies and treatments were ineffective. McKool 13 33 840V6 Case Document 1 Filed 09/21/17 Page 8 of 18 22. In September 2010, Petitioner's medical records re?ect he was diagnosed with spinal stenosis. Spinal stenosis is an abnormal narrowing of the spinal canal. The narrowing of the spine causes a restriction to the spinal canal which, aside from pain, can result in neurological de?cits such numbness and loss of motor control. It was at this point, seven years ago, that a doctor ?rst proposed the possibility of surgery, though none was performed. 23. In November 2011, Petitioner was again diagnosed with lumbar spine disc herniation and spinal stenosis. During this timeframe, Petitioner reported pain radiating to his right buttock. See Exhibit at HADI-1-02773 8. 24. Throughout the remainder of 2011 and 2012, Petitioner was seen for chronic low back pain. In January 2012, Petitioner again reported low back pain radiating to his left thigh. See Exhibit at In September 2012, he again reported sharp pain radiating from his back toward his left knee. At this point doctors ordered further testing, but it is not clear from the medical records whether that testing was performed. 25. Petitioner's back pain persisted and his health gradually declined throughout 2012. In November 2012, he continued to report radiating pain from his low back down through his thighs, but, for the ?rst time, reported feeling ?pins and needles sensations? in his toes. See Exhibit at HADI-1-027675. 26. Petitioner's condition continued to degrade and he continued to suffer from back pain between 2013 and 2017. 27. On January 9, 2017, Petitioner was required by the Commission to be physically present at a hearing. The prison guard contingent that came to shackle him included female guards. Petitioner's religious convictions forbid him from physical contact with females who are not family members and so he objected to and resisted contact with the female guards. Petitioner McKool 1333 840v6 Case Document 1 Filed 09/21/17 Page 9 of 18 was then subjected to a ?forcible cell extraction in which no accommodation was made for his long?standing spinal and nerve disease, well-known to Guantanamo personnel, and he was violently restrained, involuntarily shackled and physically moved against his will by guards including female guards. There was no legitimate reason for requiring his physical presence at a hearing that day. This was an excruciating as well as humiliating assault, after which his lower back pain noticeably increased. 28. A January 23, 2017 lumbar CT scan of Petitioner's spine showed anterior wedging of T12 and L1 and anterolosthesis on L4 and L5, which had increased since the previous CT scan. Additionally, there were degenerative changes to It was at this time, many years into Petitioner's history of accelerating that an MRI was ?rst proposed. See Exhibit at Petitioner has been advised, and Respondent Mattis has been informed directly by independent medical experts that the January 2017 CT scan showed evidence of severe neural encroachment that, if left untreated, could cause severe and permanent neurological impairment. Guantanamo personnel left this condition untreated for approximately 9 months, by which time severe and permanent neurological impairment had either occurred or was imminent. 29. In August 2017, he began to experience an increase in the loss of sensation in both feet. The week of August 7, 2017, during attorney-client meetings in preparation for the August pretrial hearings and the direct examination of a key c00perating government witness, Petitioner began to feel tingling throughout his body. He began experiencing an increased loss of sensation in both hands and both legs, as well as an increase in his muscle weakness. During this period, Petitioner described to his defense counsel that his feet felt heavy and weighed down. He also described an increase in the level, sharpness, and frequency of his pain. McKoo] l333840v6 Case Document 1 Filed 09/21/17 Page 10 of 18 30. At an attorney-client meeting on August 9, 2017, defense counsel noticed Petitioner open and close his left hand repeatedly during the six-hour meeting. Petitioner explained that his hand was numb and he was opening and closing it in an attempt to force feeling back into it. By that evening, Petitioner's legs had become so weak that he could not stand up straight or walk. 31. On August 10, 2017, a doctor examined Petitioner at his detention location. The doctor determined that Petitioner's deteriorating condition required transportation to the hospital for additional tests. Some tests were conducted, but, apparently, a prescribed CT scan could not be performed because the hospital staff failed to properly inject intravenous contrast dye for the scan. Following this hospital visit, Petitioner was declared medically unfit for attorney?client meetings. 32. By that point, Petitioner had to use a wheelchair when moving within his detention facility. On at least one occasion, he had been denied the use of a wheelchair without explanation. He did not feel well enough to attend attorney-client meetings, which occur at a facility he must reach by transport van. Transportation to that facility is painful, and the facility is not wheelchair accessible. 33. Although his condition did not improve, Respondent Cashman's staff ?cleared? Petitioner to attend Commission pre-trial hearings on August 14-17. Due to his constant discomfort and concern over bladder control, he attended only one day of the session. 34. Unable to obtain any meaningful information or assurances from Respondents about medical intervention to relieve Petitioners' medical distress, on September 1, 2017, defense counsel addressed a memorandum to ReSpondent Rishikof, the Convening Authority of the Military Commission, entitled ?Emergency Request for Expert Assistance - Neurological McKool 1333 840v6 Case Document 1 Filed 09/21/17 Page 11 of 18 Surgery.? This memorandum is attached as Exhibit and details much of the history recounted above of the United States' callous indifference to Petitioner's painful and deteriorating physical condition. The memorandum described the inability of Petitioner to obtain urgently needed medical care, the inability of Petitioner or his counsel to obtain current medical records concerning his status or care, and requested the intervention of the Convening Authority to appoint an independent medical specialist able to diagnose Petitioner's condition and recommend treatment. 35. Defense counsel's memorandum to the Convening Authority was supported by an August 31, 2017, letter sent to Guantanamo authorities by medical doctors af?liated with Physicians for Human Rights who, informed of Petitioner's circumstances, believed that his circumstances were dire, and required immediate emergency medical care. A copy of this letter is attached as Exhibit E. 36. Defense counsel had no timely response from Respondent Rishikof or any other Respondent or subordinate or agent and so remained in the dark about Petitioner?s status. 37. From a Miami Herald news article, however, defense counsel learned that someone in the Military Commission process did become concerned that JTF-Guantanamo had put Petitioner's health at unreasonable risk through lack of medical care because, notwithstanding the approaching Hurricane Irma, a surgical team was suddenly ?own to Guantanamo to perform emergency back surgery on Petitioner on September 5. The September 7, 2017 Miami Herald account is attached at Exhibit F. 38. Defense counsel's renewed requests for current medical records and information have been ignored. Despite multiple requests for information and records, the United States has failed to provide complete medical discovery. On August 25, 2017, the counsel received a -10- McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 12 of 18 smattering of random medical records from 2007, 2013, 2014, 2016 and 2017. To date, the United States has not produced a comprehensive set of Petitioner's medical records. His counsel has not received any medical records from 2015, very few records from 2016, and only one CT scan exam result from January 2017 that was not produced until August 25, 2017. 39. The most recent medical records that have been produced are from March 2017. Many of these, however - including key records describing Petitioner's immediately prior to the January 2017 CT scan - have been marked as classi?ed. There is no basis for classi?cation of these records, and in fact they are in facial violation of Executive Order 15326 and other classi?cation authorities, because they lack the required paragraph markings. Most important, because they are classi?ed, Petitioner's counsel cannot show these records to their medical experts, who do not have security clearances. 40. Petitioner?s counsel ?led an emergency motion to compel production of medical records in the military commission proceeding on September 8, 2017. Because of the urgency of the situation, the motion requested that the military judge set an expedited brie?ng schedule followed by an order for immediate production. To date, the Government has not responded to the motion or provided additional medical records and the military judge has not set an expedited brie?ng schedule. 41. On September 8, 2017, the doctors consulted by Defense counsel who had written to Guantanamo authorities on August 3lst addressed a letter to Respondent Mattis, US. Secretary of Defense, recounting Petitioner's circumstances and recent surgery, expressing substantial concern that his treatment had not met applicable standards of care, that deviations from the standards of care could result in permanent impairment and that, absent proper -11- McKool l333840v6 Case Document 1 Filed 09/21/17 Page 13 of 18 disclosure of medical records and information, Petitioner's informed consent to further treatment could not be obtained. See Exhibit G. 42. To our knowledge, no response has ever been received by any of these medical doctors to any of their communications. 43. After the ?rst surgery, Petitioner remained in pain and largely immobilized. His became progressively worse. Despite his condition, he is always shackled to his bed by hand and foot and cannot perform minimal functions of daily living without medical assistance. 44. Counsel initially was informed indirectly that any further surgery would most likely occur some weeks or months in the future, to allow Petitioner some time to recuperate from the signi?cant surgery he had just had. By September 12th, Petitioner's condition had worsened to the point that a decision was made to ?y surgeons back and operate again, this time on his neck. 45. On September 14th, the Legal Advisor to ReSpondent Rishikof noti?ed the Deputy Chief Counsel of the Military Commission Defense Organization (the umbrella agency responsible for the defense of Military Commission defendants by detailed military personnel) that Petitioner would be having a second surgery on his neck on September 19th or 20th. The Legal Advisor also stated that Petitioner would not be permitted to meet with his counsel for four to six weeks following this second operation. 46. On September 15, 2017, a Government lawyer on the military commissions prosecution team informed defense counsel that the surgery had been moved up again, to Monday, September 18, 2017. -12- McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 14 of 18 47. Consistent with prior practice, the United States has provided counsel with no meaningful information about Petitioner's medical state or the second surgery. Petitioner was told that the second surgery would require equipment not available at Guantanamo and the participation of another kind of doctor not involved in the ?rst surgery - a ?bone specialist?. 48. Petitioner's counsel have repeatedly emailed Guantanamo authorities asking for information about his medical condition, to no avail. When counsel was ?nally told they were ?welcome to submit a special request form . . . to request arrangement of an expedited phone call with your client?, this request was submitted and it was then denied. Requests for meetings with Petitioner have also been denied. 49. On September 18th, Petitioner's counsel reiterated their need for disclosure of medical records in a written submission to the military judge, so that Petitioner?s medical condition and ?tness to participate in his defense can be evaluated by competent experts other than those responsible for his desperate current condition and those invested in his conviction and continued incarceration. See Exhibit H, 099D-Defense Notice of Mr. al-Tamir's Current Medical Status Regarding AB 099 Emergency Motion to Abate the Proceedings Until Mr. al-Tamir is Physically Competent to Stand Trial.? No action has been taken on this request as of the date of this Petition. 50. On September 18, 2017, Petitioner?s counsel received a response from Respondent Rishikof, the Convening Authority, denying counsel?s September request for the appointment of a medical expert to assist in determining his condition and ?tness for trial. A copy of this response is attached as Exhibit 1. -13- McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 15 of 18 51. On September 19, 2017, Petitioner?s counsel was informed by a member of the prosecution that no surgery had occurred on the previous day. That person did not know if any was planned for that day. 52. Petitioner's condition is medically precarious and disables him from effective participation in his defense, which next involves a scheduled Commission hearing on October 2nd. The United States' response to the effect of Petitioner's condition on further proceedings is that they will go forward regardless until and unless stopped by the military judge. See ?Alleged al-Qaida commander needs more spine surgery; next Guantanamo hearing in doubt,? Miami Herald, September 15, 2017 (attached as Exhibit J). 53. The medical record and unnecessary downward trajectory of Petitioner's deteriorated and disabling condition evidence that Petitioner's treatment at the hands of Respondents has fallen well below applicable standards of competent medical care and that Respondents collectively have been deliberately indifferent to clear and consistent facts, over many years, that demonstrated the need for medical intervention to prevent catastrophic injury to Petitioner. 54. Access to full medical records and their evaluation by a competent neutral medical expert is minimally required in order to determine: the extent to which Petitioner's medical disability is the result of Respondents' deliberate indifference and inaction; if and when Petitioner may able to participate in his own defense; and the proper course of future treatment. CLAIM FOR RELIEF 55. Relief by Writ of Habeas Corpus is appropriate to remedy unconstitutional conditions of confinement of a prisoner held by the United States, including Guantanamo detainees. Aamer v. Obama, 742 F.3d 1023 (DC. Cir. 2014). -14- McKoo] 1333 840v6 Case Document 1 Filed 09/21/17 Page 16 of 18 56. The Eighth Amendment to the United States Constitution bars the in?iction of ?cruel and unusual punishments.? This prohibition encompasses the ?wanton and unnecessary in?iction of pain.? Rhodes v. Chapman, 452 US. 337, 347 (1981). 57. ?[D]eliberate indifference to serious medical needs of prisoners constitutes the 'unnecessary and wanton in?iction of pain' . . . proscribed by the Eighth Amendment. This is true whether the indifference is manifested by prison doctors in their response to the prisoner's needs . or by prison guards in intentionally denying or delaying access to medical care or intentionally interfering with the treatment once prescribed.? Estelle v. Gamble, 429 US. 97, 104-05 (1976)(citation and footnotes omitted). 58. ?[P]rison of?cials violate the Constitution when they deprive an inmate of his 'basic human needs' such as food, clothing, medical care, and safe and sanitary living conditions.? Walker v. Schult, 717 F.3d 119, 125 (2d Cir. 2013)(citations omitted). 59. The deprivation of medical care to Petitioner necessary to prevent catastrophic health deterioration involving paralysis, pain and loss of control of bodily functions constitutes the deprivation of basic human needs and the unnecessary in?iction of punishment and pain, both physical and mental. 60. Over a period of years, Respondents were collectively and repeatedly informed of the extreme circumstances of Petitioner's health deterioration and the need for medical intervention to correct it and forestall further injury. Respondents acted with deliberate and calculated indifference to a known unreasonable risk to Petitioner's health and to his ability to participate in his own defense. 61. Respondents' course of action over the course of many years indicates that they cannot be trusted to determine fairly and in a timely way what medical treatment Petitioner needs -15- McKool 1333840v6 Case Document 1 Filed 09/21/17 Page 17 of 18 and when he should receive it, nor whether his physical condition prevents him from participating in his own defense. 62. The intervention of this Court is required in order to remedy past constitutional violations and to prevent further violations in the future. VI RELIEF REQUESTED For the foregoing reasons, Petitioner respectfully asks the Court to order that Respondents: McKee] 1333 840v6 (ii) (1V) (V) (vi) (vii) begin immediately to treat Petitioner in accordance with applicable standards of medical care as determined by a court?appointed medical expert; turn over immediately to the Court, Petitioner and his counsel complete copies of all medical records pertaining to Petitioner from the beginning of his detention by the United States to the present; provide copies of all future medical records pertaining to Petitioner contemporaneously to Petitioner and his counsel; turn over to defense counsel copies of all internal military or Department of Defense correspondence and memoranda pertaining to Petitioner's medical care; provide the Court and defense counsel with a proposed course of medical treatment of Petitioner; appoint and fund the reasonable compensation and expenses of quali?ed medical doctors independent of the United States government in the specialties of orthopedic and/or spinal neurosurgery and pain management, which are applicable to Petitioner's current medical disabilities, and provide them such access as they deem necessary to enable them to conduct such medical examinations, including but not limited to in-person medical examination(s) of Petitioner, and record reviews as they deem appropriate to prepare a report to the Court and the parties on the adequacy of Petitioner's past treatment and their recommendations as to a future course of treatment; and For such other and further relief as the evidence before the Court may warrant. -16- Case Document 1 Filed 09/21/17 Page 18 of 18 Dated: September 21, 2017. McKool 1333840v6 -17- Respectfully submitted, Tiffany Heavlin [Bar No. 1020997] theavlin@mekoolsmith.com McKool Smith 1999 Street, NW Washington, DC. 20006 Telephone: (202) 370-8300 Telecopier: (202) 370-8344 Robert L. Palmer [Bar No. 151399] palmer@mokoolsmithhennigan.com McKool Smith Hennigan, PC. 300 South Grand Avenue Suite 2900 Los Angeles, CA 90071 Telephone: (213) 694-1200 Telecopier: (213) 694-1234 Adam Military Commissions Defense Organization 1620 Defense Pentagon Washington, DC. 20301-1600 Telephone: (571) 256-9694 ATTORNEYS FOR PETITIONER Case Document 1-1 Filed 09/21/17 Page 1 of 84 Exhibit A Case Document 1-1 Filed 09/21/17 Page 2 of 84 Case Document 1 Filed 08/03/09 Page 1 of 6 FILE: E5255 EELEEIW . EE EE I. IE EI IIE Erma 51E Elia; Abdul-BEE; 7E1 ISN QGEEQQE I EEG 32999 I Qisi?i?l?l?af?fd I EEKECK GATES {If REAR ADMIRAL TQM QQL ERUQE VAEEQELE Abdi?i??g?gg aka? 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RELATEEZI (310553333, 33" 31.31331" 13" 51011- 91113113111113 am; 0112.11: 11: 11 123111013 611311., 30111111113 10101238113 0 1111111013 (23121 31111:; which 1111:; 3?11 11111123311113 E1011: she i? 3013233 (11331113. 3311011051; 123 1311 11:31:13 31?: 5151;111:101 01:13 cahzku?irzc :111'02'11'11111121'1_ 11.111 21311111313 111151011: 13101111101113: 1.1313111 91001111110111: 31101113111: 111:0: 11.151111111151111: 31:11:11 fV? Case Document 1-1 Filed 09/21/17 Page 10 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 11 of 84 Case Document 51 Filed 12/17/13 Page 1 of 3 555 '5'555: 535551555) 5:555:25: 535515155565 5:531:55? DEC I 7 2 F012. "r555: 5:15 93 "0595;: L) Ci 5% 835235551 5 5 {3535 553 5555 555 55: 135555555 05? 853551255533 NAFSHWAN AMBULRAZZAQ, 525155315533 Civil 5355;155:155 NO. {3944532 ($6383 BARACK. 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Guantaname 21:55.3 meet. 5.555515 Pmitimmr pursuant. to the ?Protective. 0151555? whenever [Eznci?ng thigh: become 55552551555315: and 1'5: 1753:3051 such 11153215515515: 5'2?55?3127591155 1.1 ling Case Document 1-1 Filed 09/21/17 Page 12 of 84 Case Document 51 Filed 12/17/13 Page 2 of 3 EREAS comma ie ?ismissai af?xig mamas peiizimz withom pmjudica and do not object to cnmimlc? access 20 counsel on Elm Emmi; pmvided beiow; IT ES HEREBY ANT) that: 1. i?eiizioaer N?as?ilzwan a?~Ranmr Abdulmzzaq?s (ISN 180263;) gjei'ii?on fer a writ of 131111333 campus, and this adieu, are hereby BISMISSED wi?mm prejudice. 2? The Amended iDreieet-ive Order for Rebeas Cases Enveiving 33:33) Secret Sensitive in?mm?ion 21ml. Freewares {by (301111361 {@0333 {Detz'z?neeg at me Uni?ed Staiez?; Naval Base is Guantanamo Bay; Cuba, in Helmet; {3:13:35 E?a'woiving "Yep Seem: Compamnemed inferring-mom issued by. Judge Hogan an jammy 93 29W in In re: Guaniwmmu Ba}; Dag/2mg brig/Idem Nu, (El/11(1) (?3141. Nee and esniereci in 13133; case via migzute :31"er er: Augie: (rim "'?f?z'eicctive Greer?), 23132233 {31113531 in effect am?i ?teatime it: gavem .Pezitienefs access ?9 counsei whim he magmas {mn?zmi a: (hzaz'n?nmm Bay ami has {he right: to seek 111mm: rcl'iefby 3121563213 (20mm, wheihef 01' mi? he. actuaiiy continues {0 have a petition wading bei?bre {he (Tenn. This Siipulatim?i and Order is: wii?hmzi prejuciiee is the pamiezs? fights to seek an sci aside, nmdify; er {ntimzwiee ehtain relief From any pmvigien herein or of the E3micctivc Order an my gleam} {hm be 03* can-E6 have been raised at any time. 4, The Cami Sinai} t0 mimics the Emma mfthis and (Elder. Case Document 1-1 Filed 09/21/17 Page 13 of 84 Case Document 51 Filed 12/17/13 Page 3 of 3 AGREED T0: STUART i3. Assistant Niamey Genera} f?3??E?W?i Direeim TERRY 2V1 HEN RY Branch Dimmer xiv" Rab/art J. Prince- WARDEN j. WRENCE zitk1m?y3 [inked States (if Just?ce Civil i?iviaien, geclemi. Pregmmg Batman :33 Massachusetts Avemm Was-hingmm EEC ZGSEQ ?i?ei: {262) 3ii?5+3654 192112;: (202) 616?8471? mimrnp?nc 0&2le edgy} gm? xi ?ew-2mm fer Eli) Dz??i/z?gk/ ADRA MER By {3:32:93er 53/ 12/. {fix/(711w If}; Indie?um Federaf. Cemmuniiy mamas/rs Suite- ?3:52 I I i Mmemeat Circle. im?anage?is, EN 436204 (3'17) Xi Peri/imzw? The Hemm'i?f: Enu?ci 3 Sn] ii?vzm Uniic? States ?igiriei lu?ge Case Document 1-1 Filed 09/21/17 Page 14 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 15 of 84 mm imwwm . 1mm ma LGCAL Rizmamicriow i RECQRD OF MEDICAL CARE BATE TREATMENT TREATEMG ORGAMZATION (Sign each eniw) J73: Medicai Deparimam, Guantanamo Bay, Cuba 8MB Programs Nata Subjective: Me: with detainee: in tie-airmen: mam for 20 5111;111:2510 discuss mu?ipie issucss. Firm and must. impariani in tower bacic gain. Has izistary (if noted in 2610. Nmics {his is a little: diffsrent. Had been pain {me for sometime bi? ever gast 14 days pain has deveiopcd again. N0 known injmy or trauma that occurred Witi?ii. past 14 days. News pain Games amt} goes on. sieeping positim. and aciiviiy {eve}. Pain is located iefi side in area of P81 joint. News occasimial radiating} dam: t9 pcastarior 1h} gig but :19: beiuw the knee. Has Qccasimai pins and needles sansa?iians in left 3?1 tee ami right 5"1 me but intemittent and random in occurrence. Pain inure-arses with sitting, especiaiiy when 51231171.ping ibnvaid, and improves when he sits 129 straight so he thinks a back; support weuici bi: bene?ciai, ivie mix-:5 basciine pain 017263118 with intemitient spikes of din-5110 at iis waist. Has not yet started affecting his activities but is getting graduaily warm. Denies waakness in 31,;Ei Denies Saddle mesmegim; {3r incontinence. Bern?s-s He {1923 11m want medicatim for this bu: treatments. Aimi he askcd in foiicw? up aim: the status 0f ihc to sea a giesthedoniist far his hridge. Lastly, he mics same: day; red are-as on his upper and iowar ii; that have eccmm?i 4?5 ?rm-is (we: the past 5 man'tias. When he swatches them, they can bleed? This is. naw t0 him. He denies them ever lacking; like a Mister. Physical Gen in NAB, AOXB Exam BRENT {cw 5maii my?mma?ims patches or; lips, one or; upper right ami 0:32 on lime: Left no vesicles gr pustules Back to 6G d?grees before {mim extension full with. miid pain on extreme extensian, gain siigh?y warm with extension than ficxian, le?. joint, miid 3in iambar garagpinai spasm, ?xatinn of left 2?33 with fomani figxion L33 strength __5f_5 thmughaui, sensatien intact ta light much, gait W'Nii, 1, Law 836k I?ain iikeiy ?381 in erigin with SI joint dysfunc-tien based on exami Discussed him the medication thiims 9f NSAIDS and muscit: miaxms which in: dcciineg at this ?rm-rs. Damonstraied same stretches that hi: can work an and advised gm rehab promct? PT for his 20w 'backai jaini. Wit! also work. ti} gei a basis: suppo? fer him if; use :0 his-3p with this, give tried (if rehab for 2 weeks and if not better wit} consi?er c-stim or fair mm imminent. vcrhaiized understanding anti had ?mhm quastians. 2. Emmi bridge Advised him that 13311231 and i are waking, :0 get Presthedbniizsi here to werk 03"} his bridgi: which is past its exggciancyi Do not have salid dates at this time but am time came within next. 3 mantras. 3: Lip Appaars an exam be possible: cimmaiitis $3 Offered chap stick as treatment far maistw?zaiim but he (ieciin?si stating this has no: worked in the past. try Zisvirax far treatment which in art be: diagnostic as wei]. SMO DEMINEE NUMBER: mamas} MEWCAL mama: 1&926 MEBECAL meow: mam 6m} (rest 9:05) Case Document 1-1 Filed 09/21/17 Page 16 of 84 NSN ?35434534344576 Rm FOR LGCAL MEDICAL '1 CHRONGLUGICAL (515' MEIHCAL CARE 83 NOV 3 i 3.65.1.5 TREATMENT TREATWNG GRGAHWZATWUN (Sign we: My) Media? 83me Guenianaem 833561: 3: Patient paeseeis We the {remnant mom to deems severe-3 issues First he queet?ms ifhis new Re :56ng gl asses hate come in {is discussed irritation secondary t0 eumnt snap Fieaify, he ?iecm? 93M back pain. Patient. has known: 1mm Spine disc: ma?a?) and. spinal (Weeks numbness: or tingiing. He denies weakness- ?e mmiene?y gets. Wight inner thigh pain. Pain m?i?ates into Wis. right bu?uck?- matinee-s. We exercise- ?agrantly. He ?5253 (med Ranting in the Pastwiih sear-55:5 Last used a year age. Has used but (Wises ?es. desire a: this, Time. He would like 10 try .gimsamine age?n as $.15 heipeii in the pest. ROS .etherwise nega?iye .0: W?WNmaie m5). Alert and oriented. Bee-kw Negative Ste, 555%: "N's/51. Motor 515. gammy "intact. A: (1) Knew; 1mm? diet: dieease and spine} slenesis. Discussed egtimzs 555: teamem that ate Gummy Patient ?redid consider (wing 9.3313951 again, get edueete? use of Wiee?en PT. getwm. (We. t3. :3me gmxe Mm W3 WW Wham weeWe 37335011 5:2th with NH {Eff gimme Imiatiee ?eet mapm win a?mngt to get ceiaphi J??rdeu (m i: 33 Iii-r: am In HA3 5:5wa .47" gym? pm; 055? gm" is"; "i?pbf-?MA?W? if?? ?"ng Bur: W2 M?m? as! 3313(3&5 MW WW. (7:35.353 (rev. 43195) 3 Case Document 1-1 Filed 09/21/17 Page 17 of 84 UNQLASSIFIEDIIFOUO ?3 yw?rr}? #3 ?135! 4?44 {9 7'1; g. *3 Ch?, g" 1' 3 f. 91 {win If 63? (L Kc font;- a: me, a ?:31 Ma. a? 4- .. .. e-v? 4 5 . ?7 ??yv?i 941'!? 3' two?!" xvi/J" :31; La? Ay ?fz?raef? ?(7451/ ?mad. mm may taffeta 2" 1:335?; ft?nltb r? 3% I: a: :22, a, a r' f'vg' . ?Mi? mg! (L. i i a: Liar a . 77: ?a 2? ., L..6 - ,w If} :2?ch ?rm. c; fat: 4' Purim . 4 .7 ?k $24911 (Kid??3 ?L/flirihvvz 27" f9!? .. (If ?9"ng ?Li30:43? #54 5 in34.) r, gay/?5' 957* UN 2? 0925} if}? 4; 1(1; ?mm? 1?3 y? 61.43;; {.th ,1 1 ans)? {Cf r? awe." i? mm? cy.? f; u' mv?r?q ?w?s Maui: a" ?gur?f.w?h Juryww. r- m. i Ar?- 91Case Document 1-1 Filed 09/21/17 Page 18 of 84 mm BATE 5 .- trif? aw: i Q: n'WA?t?uu?b??in J. mi W?f 1' - ?kWh-?.2?th ft? pm;- .J #5 ?59 511? 15c. g4; #51" ?2 '424:2?th Mad o?tw a? mg; z? ?fawn if gr 9* 6?9"?ng cu? a ?f?gfw I 7" 32, we! ??51 . Maw? ?1 1 :41. f?bf ~41 Mm Case Document 1-1 Filed 09/21/17 Page Case Document 1-1 Filed 09/21/17 Page 20 of 84 .. . .. Case Document 1-1 Filed 09/21/17 Page 21 of 84 -- Case Document 1-1 Filed 09/21/17 Page 22 of 84 Medical Summary Date of summary: 20111uiy Beak-see Name: Hadi Madica! mam: 1} Latent T8 3) Campieted {3 manths 2} {laminar ?egenerative disc disease a) ?445 (m (31/2010 Ortho eve? {Bl/261$ and 13/2616 Tramia? 2% per week with gnaw} tasuitg Resaimd Tens unit pr?wResoived We: media use Saw jar: 2811 fer axemisea g] [33in Asia 3) knees 3) Saw artho a3 abave b) Synvisg injectian (33/3313; may {epeat c} Stemid injec?ar? my twig; 4} Hypar?pidemia 3) Lil 156 in 3m 2916 125.8 May 3311 h) Bec-?inm at; me?s meant ASA (mse? an Fram?ngham risk) 5) intermittent nan-traumatic rib pain 23) Eva; negative? 5) His: in 198051?01' liver Eat: Sewndary to Soccer ?njury Mass rammed from back Sec 2010 gatheiogy negative 3} Cardiac strass test (May 2311} Negative 9} Sinus Bradyeardia agaa 4221 Aiiergies; r?xw. Suicide A?emms: ?ame Recast Hung?r Strikes: {Surrent 53mg March 26:13. Kasai-wed 23?March 26:11 Examine Annuai Heath Maintenance: Exam Camptated Way {36-3311 l002 Case Document 1-1 Filed 09/21/17 Page 23 of 84 3333 ?2333 333 3333 ?3333 3333.: 33 3333333333 if 3333 333% $3533 3% 3339333313333 333% 3333333333 3333373333333 222; 3Ww?3?i? 333333333 . 333 3333 33 3333333333 33333333333533333: 3 i9} $372333 3533133313333 333 33:33:33 .. it Ef?gy: 3:35? 333313333 '33 3: 33 33 1-7: 33333713333333 33133335333333 332333333 3331333313313; Case 1: 17- c?v- -O-1928 EGS Document 1- 1 Filed 09/21/17 Page 24 of 84 OFFEIAL USE ONLY N04 Re1easab1e to Detainee or Public 13mm 14444444445 .1441: 1113111114126 1?444'14'444' 11311141132 #5 20480341741427 1?444443444? 1303: 2110704237 1.444444110424443144344 41.1 131114413. SFWF 1 W441.) {111141144181 14343444451444: 11: 01241141432132: H.444. 4311.an 20171111.: Ref?rri?g 11144444444441: QUTSE DE FRO VIDBR puma-unnu- 11191.41. CT, 1111154184111 SPIN EQNTRAST MATERIAL 1951' 1110111151 411444444151 4444114 421441443441 44444 4.1444444! 44114433444444 1.0111931111131111 Lumbar 44444443 1-831-11121114 1115121111? - 1111911411412: 11443434: 45' 4414444444441'344114'4'4444 4414.4144441g141 1 12: 444441 L1 44414431311434.4141: 41: 211114 7151443 L2 4441444441444 43444144143443 51431444144414 44.444143. . .. 7 . 44344 4411443444: 4543. 34.444414434443414" 144314: 141 4444;444:44444441914' 4 444.444 .44414'44414411443444 L4 4443 - 441414411 14-443 4144.14414- 44411434454341 14444444441444:- 41144444448444? 431.1444; 4.44.5.4: 4144441444144: 1144444: - '15 4443141 (1154:: 344444.44: 44.44'4'444nng 441' 444141LS 13. 44441144443431 94144444444: 4.44413313441: "4114243444: 44444443 3143440424 :44 44441424'1444 04444444414444: 41444441444441 44444444. 1134:- 14444414444 .4. 444113144444: 4444.: 414444441. .1414434'14531444 44414 4.4414444443444041: are: 144414341144'41443 44444444 4444.41 41i444: arm-H4343. etherwis? 1144: 3344444443: 444144441 543142? 4434144444; 4441': 441.1 I 44444'4'443.4rk44141u - shows 41443144114444.144441. . {1.44 1.414;: 54443114441 14444444434: 44:41:44 114N444: Iigamenmm' 1144444114 4:314:41'4134444'1444 1344444544444 4441141 14311441164341 1313144: .44; 4114 54444141444444 1444414'543144441 4:44-44:41 4.1444 4944'4143' - - - 14439444444444: 1144444444414414411433144?: 44.4441 31311441434 441. 1443444441 10444444144441. 44444143442444}. N44 444.444141'34431130413 . 1.1.1.2; 1144444: 454 44;;4444444144414 4144444414 4.414414434414444 344441 1444434443441414: 1:44:43413144444g425 - 444445441444 43434 434143 1344444 14:11 4443444 :41 1444' 44444444441 44444444444444: 444441 441i141 $444,144: 4443444411- 44431444441414.4443: 41.44'm44444g: L2 L3: '1?14444'4: is 1ig444441344144?444 11444444144 41441441114444.1434: 44444! 13334344441344.4144: 14441441 4214444434; 4444:: 125.444.4444 3:15:34: 4 4 4:22:44; 4:44; Not 11914444831314: 443 Detainee 434 P4413140 H44314-036783 USE ONLY Case 1: 17- c?v- -O-1928 EGS Document 1- 1 Filed 09/21/17 Page 25 of 84 OFFICIAL USE ONLY Neat Reteasable I0 Detainee or Pubiic Exam Ream-s 33:23:15ng ?at 193's? are zighi?' mm. mader a?te' I'ei?t' area; a} bong; I?m mama-I.- BalI?D?Wl?g szgm?mnt 1343113 spinal mm} 11:31; mung - - - Them 33' hvamemmn ?avum thukem?g, caka?mtmu 312:3 113119?; 99331,: i . '1 - .- fati? {11331395 Iml?- mm; a! 13033 neural} fmammai hm no "lg?i?f?m spinal {immi- naimwang . . . CLALC Them me izgamenimn ?aVzIml mitifcatmns 3116 seven: :13 pm hophn? facet f3 Mamie} 'eI (19391263 awe change?; 33' Iumba; 31113:? mi}: militia 9} 3' 21131123 1f?zieviees 9mm}? Imam] Imamm?ii naimmng as dammed . .3 . . j; 3; "?525Tamagrapfm Smdy Repmi ?Summam Bag? Statemmt I Tim ?Iota! Cf??m?mil?v {Bid mi; 34.311 faimhied {01? ?33.13 Hex-?I?mmamn . . .. 2433133133 . "Biff: 731112433 4:111] CRI: PI) (II). and ENG: zeal Erie: mm 13125111163 A 990123433411: {2 best 3: 25112183 if 7119331133 411': ?Pedmn If Ah?amen - 1? 3:311:11; 33m fusinn 5138113ny TEE .. W?wiez. Kitii?ple phase 1mm; 9(3 33.} 303.119 31:13 IESHH in a ten! am} mm; that exwad the singie a?eferwce Siamim (ls iigied ?beVe. - I?i?ans?riiy?d Date and Dimmer} and. Si "Bed by: Appa?weii by: 3:22:09 Nat Releasable to Detainee or Pubiic UNCLASSIFIEDHFOR OFFICIAL USE ONLY Case Document 1-1 Filed 09/21/17 Page 26 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 27 of 84 DEPARTMENT OF DEFENSE MILITARY COMMISSIONS DEFENSE ORGANIZATION 1620 DEFENSE PENTAGON WASHINGTON, DC 20301-1620 1 September 2017 MEMORANDUM FOR THE CONVENING AUTHORITY SUBJECT: Emergency Request for Expert Assistance Neurological Surgery Mr. Nashwan al?Tamir (ISN 10026), the Accused in the case of United States v. AbdAl Hadz' AZ Iraqi, by and through counsel, respectfully requests the Convening Authority appoint and fund James C. Cobey, MD, MPH, an expert consultant in the field of orthopedic surgery, to ensure Mr. al?Tamir can participate in his defense and is physically ?t to stand trial. Overview This is an emergency request. Mr. al-Tamir must prepare for scheduled 2?6 October 2017 pretrial hearings, but is experiencing debilitating back pain and other emergent that are preventing him from focusing on his case or engaging in meaningful communication his defense counsel. His defense counsel have been aware of Mr. al-Tamir?s chronic back ailment for some time, as have the Prosecution and the Commission. Defense counsel have witnessed, however, a steady deterioration in Mr. al?Tamir?s health over the past two months and now face what appears to be a medical emergency. Yesterday, defense counsel consulted with several experts and learned for the ?rst time that Mr. aluTamir?s requires immediate attention and that, if he is not treated properly and immediately, he could suffer irreparable harm including paralysis. Immediately before the August 2017 pretrial hearings, declared Mr. al-Tamir medically unfit to attend attorney?client meetings. Although he was later cleared to meet with his defense counsel, his pain has consistently prevented him from participating in his defense since before the August hearings. Since the August hearings, the situation has become dire. Mr. a1- Tamir is losing sensation in his legs and is experiencing the loss ofmuscle control/motor skills. He periodically loses control of his bladder. The Defense has sought the preliminary opinion of Dr. Cobey, an orthopedic surgeon. In Dr. Cobey?s opinion, this rapid decline in health and associated demands immediate action. He has informed us: These suggest compression of the spinal cord and/or spinal nerves and require immediate diagnostic imaging and surgical intervention by an experienced neurosurgeon or orthopedic surgeon. Based on these there is an urgent need for diagnostic testing and surgical intervention. While MRI is the preferred imaging technique, a CAT scan can also be performed in conjunction with a myelogram to ascertain the nature and extent of compression. High dose corticosteroids should also be considered to reduce inflammation associated with presumed spinal compression. Case Document 1-1 Filed 09/21/17 Page 28 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery The current treatment plan as reported, consisting of an anesthesiologist visiting in September and a neurosurgeon visiting in October, is unacceptable, inconsistent with the standard of care, and likely to result in permanent neurologic damage. I would not expect a simple epidural injection with steroids to have any real effect on a compression problem.1 Dr. Cobey concludes, urge you in no uncertain terms to take immediate action to effectively diagnose and treat the detainee?s medical emergency.?2 Because Mr. al-Tamir is unable to participate in his defense and may be physically unfit to stand trial, the Convening Authority must appoint and fund Dr. Cobey to consult with the Defense. If the United States is unable to render due medical care to Mr. al?Tamir in Guantanamo Bay, the Convening Authority and TF-GTMO should be prepared to transfer Mr. al-Tamir to a location where he may receive the medical attention required for him to continue to participate in his defense. Because time is of the essence, the Defense intends to file a motion for emergency relief from the Commission at the earliest opportunity. Case Posture Mr. al-Tamir?s case is in the pretrial phase. During this phase and throughout the case, Mr. al?Tamir has a right to participate in in the preparation of his defense. Issues currently pending before the Commission include a variety of areas in which Mr. al-Tamir?s participation is critical. Similarly, outside of court, Mr. al?Tamir must be well enough to participate in attorney? client meetings. The Defense is in the early stages of conducting merits and mitigation investigations, both of which require signi?cant consultation between Mr. al?Tamir and members of his defense team. Pretrial hearings in the case are scheduled for 2?6 October 2017. Among other issues, these hearings will focus on the remaining procedural steps required before a cross-examination of Ahmed al?Darbi, a Prosecution witness who recently gave deposition testimony under direct- examination. The prerequisites to the cross-examination, and the cross-examination itself, must occur as soon as possible, as the Convening Authority has entered into a contract to release Mr. al-Darbi from Guantanamo Bay in February 2018, at which point, according to the Prosecution, Mr. al-Darbi will no longer be an available witness. If the Convening Authority refuses to appoint and fund Dr. Cobey, Mr. al-Tamir will be unable to assist Defense counsel in preparing for cross?examination of Mr. al-Darbi and is likely to be medically unable to attend the cross?examination, resulting in a delay in the proceedings. Such a delay could deny Mr. al?Tamir the ability to cross-examine Mr. al?Darbi altogether. Time is ofthe essence. Enclosure A (Letter from Dr. James Cobey dated 1 September 2017). 3 Id. 2 Case Document 1-1 Filed 09/21/17 Page 29 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery Mr. al-Tamir?s Medical Status As documented in his medical records, Mr. al~Tamir has sought treatment for chronic and worsening back pain since 2006.3 In 2007, Mr. al-Tamir presented low back pain and right side sciatica, resulting in a diagnosis of degenerative disc disease between the L4 and L5 vertebrae.4 A computerized tomography scan scan?) con?rmed the diagnosis.5 In 2008, Mr. al~Tamir was seen for recurring back pain that was, at that point, deemed chronic. Doctors noted in medical records: ?Detainee seemed unsteady while standing.?6 By June of 2008, Mr. al-Tamir?s back pain had increased to include pain that radiated down his left thigh. 7 By August 2008, doctors noted: ?Detainee expressed concern about current back pain and length of time? it has taken to resolve the issue.8 Mr. al-Tamir continued to seek treatment through 2008 and into 2009. In August 2009, he reported flare-ups and pain that affected the left side of his body, to include pain radiating from his back to his thighs. Medical providers performed various diagnostic tests but failed to cure the ailment or the pain. X?rays and CT scans continued to show degenerative disc disease.9 In early 2010, a bulging mass was identi?ed on the left side of Mr. al-Tamir?s spine. 10 Doctors performed a biopsy on the soft tissue mass. Pathoiogy reports were negative. 11 The mass remains today. Throughout 2010, Mr. al-Tamir continued to be seen for chronic back pain. In June 2010, he again reported pain that ran down Ieft side of his leg.12 Throughout 2010, he received physical therapy, traction table therapy, and regular treatments with a Transcutaneous Electrical Nerve Stimulator unit.13 These therapies and treatments were ineffective. In September 2010, Mr. al-Tamir?s medical records re?ect he was diagnosed with spinal stenosis. Spinal stenosis is an abnormai narrowing of the spinai canal. The narrowing of the spine causes a restriction to the spinal canal which, aside from pain, can result in neuroiogical deficits such numbness and loss of motor control. 14 It was at this point, seven years ago, that a doctor first proposed the possibility of surgery. 15 3 Enclosure at 4 Enclosure at 5 Enclosure at 6 Enclosure at 7 Enclosure at 8 1d. 9 Enclosure at '0 Enclosure at Enclosure at '2 Enclosure at ?3 Enclosui?e at 5 Enclosure at 3 Case Document 1-1 Filed 09/21/17 Page 30 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery In November 2011, Mr. al?Tamir was again diagnosed with lumbar spine disc herniation and spinal stenosis. During this timeframe, Mr. al?Tamir reported pain radiating to his right buttock.l6 Throughout the remainder of 2011 and 2012, Mr. al-Tamir was seen for chronic low back pain. In January 2012, Mr. al~Tamir again reported low back pain radiating to his left knee.? In September 2012, he again reported sharp pain radiating from his back toward his left knee. 18 At this point doctors ordered further testing, but it is not clear from the medical records whether that testing was performed. '9 Mr. al~Tamir?s back pain persisted and his health gradually declined throughout 2012. In November 2012, he continued to report radiating pain from his low back down through his thighs, but, for the ?rst time, reported feeling ?pins and needles sensations? in his toes.?20 Mr. al?Tamir continued to suffer from back pain between 2013 and 2017, but, despite multiple requests for information and records, the Prosecution has failed to provide complete medical discovery?ma failure that has contributed to the Defense not understanding the severity of Mr. al-Tamir?s situation until recently. Last week, on August 25, 2017, the Defense received a smattering of random medical records from 2007, 2013, 2014, 2016 and 2017. To date, the Prosecution has not produced a comprehensive set of Mr. al~Tamir?s medical records. The Defense has not received any medical records from 2015, very few records from 2016, and one CT scan exam result from January 2017 that was not produced until August 25, 2017. A January 2017 lumbar CT scan (without contrast) of Mr. al-Tamir?s spine showed anterior wedging of T12 and Li and anterolosthesis on L4 and L5, which had increased since the previous CT scan. Additionally, there were degenerative changes to It was at this time, a decade into Mr. al-Tamir?s ordeal, that an MRI was first proposed.? Mr. al?Tamir?s declining health continued to degrade. In August 2017, he began to experience an increase in the loss of sensation in both feet. The week of August 7, 2017, during attorney~client meetings in preparation for the August pretrial hearings, Mr. al?Tamir began to feel tingling throughout his body.. He began experiencing an increased loss of sensation in both hands and both legs, as well as an increase in his muscle weakness. During this period, Mr. al? Tamir described to his defense counsel that his feet felt heavy and weighed down. He also described an increase in the level, sharpness, and frequency of his pain. At an attorney?client meeting on August 9, 2017, defense counsel noticed Mr. al-Tamir open and close his left hand repeatedly during the six-hour meeting. Mr. al?Tamir explained that his hand was numb and he was opening and closing it in an attempt to force feeling back into it. By that evening, Mr. al-Tamir?s legs had become so weak that he could not stand up straight or walk. ?6 Enclosure at ?7 Enclosure at 18 Enclosure at 19 Enclosure at 2? Enclosure at 2' Enclosure at Case Document 1-1 Filed 09/21/17 Page 31 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery On August 10, 2017, a doctor examined Mr. al?Tamir at his detention location. The doctor determined that Mr. ai-Tamir?s deteriorating condition required transportation to the hospital for additional tests. Some tests were conducted, but, apparently, a prescribed CT scan could not be performed because the hospital staff failed to properly inject intravenous contrast dye for the scan. Following this hospital visit, Mr. ai?Tamir was declared medically un?t for attorney-client meetings. Although his condition did not improve, JTF-GTMO cleared Mr. al-Tamir to attend the 14-17 August pretrial hearings. Due to his constant discomfort and concern over bladder control, he attended only one day of the session?a day his presence was required by the militaryjudge. When permitted, Mr. al-Tamir now uses a wheelchair when necessary to move within his detention facility. On at least one occasion, he has been denied the use of a wheelchair without explanation. He does not feel well enough to attend attorney?client meetings, which occur at Echo H, a facility he must reach by car. Transportation to Echo II?or anywhere?is painful, and the facility is not wheelchair accessible. As of the date of this request, Mr. al?Tamir?s condition has not improved and his health continues to decline daily. His condition has compromised his ability to participate in his own defense. If his pain is not suf?ciently relieved before the scheduled October pretrial hearings, the Defense will file a motion to abate. staff have indicated to Mr. aI-Tamir that he will be offered two forms of treatment in the coming months: on September 12, he will receive steroid injections into his back; and on October 2, a neurosurgeon will conduct an examination. Expert Assistance is Necessary Expert assistance is necessary because Mr. al-Tamir?s pain denies him from participating in his defense, and JTF-GTMO has demonstrated itself incapable of treating Mr. ai-Tamir?s condition. Dr. Cobey must be appointed to consult with the Defense regarding why Mr. al-Tamir is suffering his pain and other and whether a remedy exists that would permit him to resume participation in his case. No member of the Defense is qualified to assess Mr. al-Tamir?s medical condition. It goes Without saying that spinal problems require assessment and treatment by medical specialists. The urgency of Mr. al?Tamir?s condition, however, was not apparent to defense counsel until a consultation with independent experts. According to an independent assessment of Mr. al? Tamir?s by Dr. Homer Vinters and Dr. Vince Iacopino of Physicians for Human Rights, Mr. al~Tamir?s condition could result in permanent neurologic damage and/or paralysis if not diagnosed and treated immediately.22 medical staff have failed to eliminate Mr. al?Tamir?s ailment or leaving him facing a trial in which he cannot participate. Whatever the reason for failure, no member of the Defense can sufficiently comprehend Mr. al-Tamir?s medical status and, ifnecessary, explain it to the Commission. Therefore, expert assistance is required. 22 Enclosure (Letter from PHR dated 31 August 2017). 5 Case Document 1-1 Filed 09/21/17 Page 32 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery Although not medical experts, in addition to consulting with Drs. Vinters and lacopino, defense counsel have conducted sufficient research to establish that past treatment (conservative, non-surgical treatment) and proposed course of action (a steroid injection later in September, followed by a consultation with a neurosurgeon in October) have been and will be insufficient, if not harmful. A conservative treatment regimen including pain relievers, anti-in?ammatories, steroid injections, physical therapy, stretching exercises and decompression procedures are appropriate initial responses to chronic back pain.23 When patients fail to respond to conservative treatment within six weeks of presenting however, current medical literature supports surgical intervention as an appropriate treatment option to relieve and restore function.24 Moreover, patients who initially present with an acute episode of lumbar radiculopathy can generally be managed by a primary care practitioner. However, once a patient exhibits certain red flags, such as sensory or motor deficits, progressive neurologic deterioration or saddle anesthesia with bowel and bladder incontinence, a patient must be referred to a spinal surgeon. Patients with severe or progressive neurologic deficits require a referral for surgery.25 Sensory abnormalities in the genitals coupled with loss of bladder control and progressive loss of sensation or motor function in the legs are ominous signs that warrant urgent evaluation and treatment. Mr. al-Tamir has complained of sensory abnormalities in the genitals and loss of bladder control. Mr. al-Tamir has received years of conservative and ineffective treatments. In addition to physical therapies, Mr. al-Tamir has been prescribed a multitude of medications. After ten years and the myriad conservative treatments attempted, it is clear even to lay attorneys capable of reading medical journals that conservative treatment options have been exhausted. During this period, the Government has allowed Mr. al?Tamir?s condition to degenerate to the point where he now has sensory abnormalities in the genitals coupled with loss of bladder control and progressive loss of sensation and motor function in his legs. Dr. Cobey has reviewed the above information and formed an initial assessment that (1) Mr. al-Tamir cannot currently engage in the activities required to meaningfully participate in his defense; (2) the standard of care requires an immediate (3) the delay to an examination by a neurosurgeon is below the standard of care; and (4) the proposed steroid injection may be contraindicated. Dr. Cobey requires more information and an opportunity to assess it before forming a full medical opinion and advising the Defense regarding a proper course of treatment and Mr. al?Tamir?s ability to participate in his defense and physical fitness to stand trial.26 33 Enclosure C. 24 1d. 25 Id. 36 Enclosure A. Case Document 1-1 Filed 09/21/17 Page 33 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery Expert Quali?cations, Contact Information and Rate Dr. Cobey is an orthopedic surgeon with extensive experience performing spine surgery for over 30 years. He received his medical degree from the Johns Hopkins School of Medicine, and his master of public health at the Johns Hopkins Bloomberg School of Public Health, focusing on international health. Dr. Cobey served in the U.S. Army as chief of the Preventive Medicine Service at Fort Lewis, Washington (I 971 1973), attaining the rank of Major and receiving the Meritorious Service Medal. He completed his orthopedic residency in 1976 at Yale University. Dr. Cobey shared in the Nobel Peace Prize in 1997 for his role in the International Campaign to Ban Land Mines and has extensive experience consulting on health issues with international refugee and human rights agencies.27 Dr. Cobey?s contact information is: James C. Cobey, MD, MPH, FACS Johns Hopkins Bloomberg School of Public Health 4440 Gar?eld Street Washington, DC 20007 cobey@att.net The Defense estimates Dr. Cobey will require a maximum of 30 hours to consult on Mr. al-Tamir?s case. The Defense has not yet had the chance to discuss Dr. Cobey?s hourly rate with him but, will supply that information at the earliest possible time. We anticipate that it will be consistent with the hourly rates previously approved by the Convening Authority or military commissions for expert medical consultation. This request is not a request for expert testimony. If Dr. Comey is required to testify, Mr. al-Tamir will submit an additional request. Conclusion Mr. al?Tamir has a constitutional right to participate in his defense. His current severe back pain and other debilitating deny him the ability to do so. The Defense requires an expert consultant to assess Mr. al-Tamir?s medical status, something the Defense is not capable doing of without expert assistance. Additionally, failure to provide Mr. al-Tamir adequate medical care is a violation of the Eighth Amendment. The Government, as the detaining authority, is obliged to provide medical care for those it detains.28 A detainee is completely dependent on detention facility medical of?cials for any and all medical care.29 Denial ofmedical care that results in pain and suffering that does not serve any penological purpose amounts to cruel and unusual punishment under the Eighth Amendment.30 37 Because of the sudden emergency situation from which this request arises and the holiday weekend, we have not yet been able to obtain a curriculum vitae for Dr. Cobey, but will supply one as soon as we receive it. 2? See Estelle v. Gamble, 429 U.S. 97, 103 (1976). 29 Id. 30 Gregg v. Georgia, 428 US. 153, 183 (1976). Case Document 1-1 Filed 09/21/17 Page 34 of 84 SUBJECT: Emergency Request for Expert Assistance Neurological Surgery If any additional information is required to process this request, please contact the undersigned at (703) 695?4882 or aimee.cooper@osd.mil. Respectfully submitted, Aimee M. Cooper CDR, JAGC, U.S. Navy Defense Counsel Military Commissions Defense Organization Enclosures: Letter from James C. Cobey, MD, MPH, FACS, dated 1 September 2017. Letter from Drs. Homer Venters and Vincent Iacopino, dated 31 August 2017. Articles from Medical Journals and Medically sponsored websites Excepts of Mr. al-Tamir?s medical record com? Case Document 1-1 Filed 09/21/17 Page 35 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 36 of 84 Through evidence, Physiciaqsfor - . Human Rights change IS possuble. 256 West 38th Street 9th Fioor New York, NY 10018 +1 .646.564.3720 August 31, 2017 To Whom It May Concern: Physicians for Human Rights has learned from the Military Commissions Defense Organization that a detainee at Guantanamo Bay Detention Center complains of progressive back pain, bladder incontinence, and loss of motor and sensory function in his legs which has recently resulted in an inability to walk. The following description was shared with us today: He '3 had back problems for years, but it has gotten dramatically worse over the past few months. He sometimes losesfeeling in both ofhis legs; he has lost 90% ofthefeeling in left leg; his motor control is deteriorating; and he periodically loses control of his bladder. Last week, he was ?nally given a walker, but he is now unable to use it due to the loss of sensation in his legs. These if accurate, are consistent with serious neurologic impairment that may be permanent if not diagnosed and treated Based on the reported there is a possibility of cauda equina which could result in permanent neurologic damage and/ or paralysis if not diagnosed and treated immediately. Cauda equina requires emergency diagnosis and MRI, and evaluation by a neurosurgeon for therapeutic intervention, which typically consists of high?dose corticosteroids and surgery. We urge the authorities to be in immediate contact with medical staff so they can act in a timely manner consistent with the standard of care. Sincerely, Homer Venters, MD, MS Director of Programs Physicians for Human Rights Vincent Iacopino, MD, Senior Medical Adviser Physicians for Human Rights Case Document 1-1 Filed 09/21/17 Page 37 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 38 of 84 Hurricane Irma: Pentagon medical team beats storm to Gitmo Miami Herald Guantanamo prisoner Abd ai Hadi al Iraqi, who says his true name is Nashwan al Tamir, poses for the Internationai Committee of the Red Cross in a 2014 photo taken for his family. and provided by his attorneys. GUANTANAMD Doctors beat Irma to Guantanamo to operate on alleged war criminal?s spine BY CAROL ROSENBERG crosenberg@miamiherald com PM With Hurricane Irma aimed at the Caribbean, the Pentagon al?Qaida army in Afghanistan after the Sept. 11 attacks, has been using a Abd a1 Hadi a1 Iraqi, awaiting trial on charges he led the wheelchair and experiencing pain with a bulging lower?back disc from a decade-long degenerative disease, according to his lawyers, who blamed years of ?useless treatment? at Guantanamo for the situation. But U.S. military officials described the same episode differently as a demonstration of Department of Defense determination to provide their captives with top?notch healthcare at the isolated outpost. At the heart of the crisis is a law forbidding any of Guantanamo?s 41 captives to come to the United States for any reason. That means the small base hospital has to import expertise to address medical care rather than med?evac captives to treatment, like any of the other 5,500 residents of the base in southeast Cuba. RELATED: Cable casts doubt on Guantanamo medical care 1 Case Document 1-1 Filed 09/21/17 Page 39 of 84 Hurricane Irma: Pentagon medical team beats storm to Gitmo 1 Miami Herald 9/17/17,10154 AM Hurricane Alerts and Breaking News Get the latest alerts by email . Enter-Emali Address Hadi?s lawyer, Navy Cmdr. Aimee Cooper, said the healthcare crisis was long in coming. Doctors consulted by his Pentagon defense team concluded that, based on Navy base CT scans, the Iraqi was at risk of paralysis and needed the surgery since January. Two doctors with Physicians for Human Rights, who made their diagnoses based on descriptions by the Iraqi?s defense lawyers, concurred. Cooper said the situation turned dire over Labor Day weekend, according to Hadi, who wrote in a letter Sunday that he had lost feeling below the waist, became bladder incontinent in his cell and was bought to the base hospital. At the Pentagon, spokesman Air Force Maj. Ben Sakrisson refused to confirm that Hadi was the patient but described the base as handling a health challenge involving an unidenti?ed detainee in parailel terms. The medical facility at Guantanamo Bay noti?ed higher headquarters on Sunday that a detainee needed urgent medical care within 24- to 48 hours. The surgery took place early Tuesday, and doctors were still at the base Thursday monitoring the man's recovery as Irma approached. ?Obviously there?s a general expectation that the Department of Defense moves slowly,? Sakrisson said. ?But in this case, in a 36- hour window starting with a request for Specialized medical care, an aircraft was rerouted, a medical team was assembled and ?own to Cuba. They diagnosed the situation, performed a surgery and the patient was in recovery all those things happened in 36 hours, as everyone was spinning up for landfall of a potential hurricane later in the week.? RELATED: U.S. Navy opts not to evacuate residents from Guantanamo Bay The team included a neurosurgeon, a neuroradiologist, an operating room nurse and a pair of neurosurgical technicians. They arrived on a Navy 0-40 jet with a K?couple of pallets? of equipment, Salcrisson said. They handled the case without bene?t of an MRI that is being leased by the US. military to study the brains of other former CIA captives held with Hadi. It was still in the United States, expected to be shipped later in the month, after the hurricanes clear. But as of Thursday, the patient Sakrisson didn?t identify was ?recovering at this point and things loolt good. Where do you draw the line on a full recovery? I wouldn?t speculate on that 2 Case Document 1-1 Filed 09/21/17 Page 40 of 84 Hurricane lrma: Pentagon medical team beats storm to Gitmo Miami Herald AM one.? Hadi?s lawyers, meantime, are bitter. They said even after the surgery, the military from the U.S. Southern Command to Guantanamo have refused to provide details, despite their receipt on Tuesday of a letter Hadi wrote Sunday before the surgery authorizing his Pentagon-paid lawyers to consult with his doctors. ?The surgery was needed since January; they wouidn?t have needed to scramble to do it had they done it when it became emergent in january of 2017,? Cooper said. ?I?m glad they got it done; the only thing I?m concerned about is the client?s health.? Moreover, she added that on Tuesday after failing to get any health information the lawyers ?led a pleading at the war court seeking suspension of pretrial proceedings on grounds Hadi could not participate in his defense. don?t know that they?ll abate the proceedings. But it?s the only stick I have to get the judge?s attention.? Pentagon spokesman Sakrisson framed it differently. couple members of the surgical team stayed behind to monitor the patient?s progress knowing that there is potentially a hurricane inbound,? he said. ?It was everybody coming together and looking at this individual as a human being and providing high-quality care in a short time under an obviously stressful situation for everybody involved.? Hadi, 56, allegedly directed and paid insurgents to carry out attacks on U.S. and allied troops and in the post 9/11 invasion of Afghanistan to hunt down Osama bin Laden and dismantle the Taiiban. Hadi was captured a decade ago, in Turkey, and in April 2007 was brought to Guant?namo?s clandestine Camp 7 prison for former CIA captives. He was charged at the war court in June 2014, and subsequently announced that his true name is Nashwan a] Tamir. MORE READING: About the war crimes trial of the alleged al?Qaida commander Never miss a local story. Sign up today for a free 30 day free trial of unlimited digital access. SUBSCRIBE NOW IN OT EWS The Pentagon Admits There Are a Lot More U.S. Troops in Afghanistan Than We Thought 3 Case Document 1-1 Filed 09/21/17 Page 41 of 84 Hurricane lrma: Pentagon medical team beats storm to Gitmo Miami Herald AM 0 COMMENTS SUBSCRIPTIONS Start a Subscription Customer Service eEdition Vacation Hold Pay Your Bil! Rewards INFORMATION About Us Contact Us Newsletters News in Education Public Insight Network Reader Pane! SOCIAL, MOBILES: MORE 4 Case Document 1-1 Filed 09/21/17 Page 42 of 84 Hurricane lrma: Pentagon medical team beats storm to Gitmo Miami Herald 9/17/17, 10:54 AM Text News Alerts Mobile&Apps Facebook Twitter Google+ Newsletters ADVERTISING Place a Classified Media Kit Commercial Printing Public Notices Shopping MORE Copyright Commenting Policy Privacy Poiicy Terms of Service 5 Case Document 1-1 Filed 09/21/17 Page 43 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 44 of 84 Through evidence, Physiciaqsfor - . Human Rights change is possuble. 256 West 38th Street 9th Floor New York, NY 10018 +1 .646.564.3720 September 8, 2017 phr.org The Honorable James N. Mattis Secretary of Defense 1100 Defense Pentagon Washington, DC 20301 Dear Secretary Mattis, Physicians for Human Rights has learned from news reports that the detainee at Guantanamo Bay Detention Center, the subject of our August 31 and September '7 letters, received spine surgery on September 5, 2017, presumably for spinal cord/ nerve decompression. We are pleased to hear this and hope that the patient regains full neurological function in his lower extremities and urinary bladder. We also read with interest the assertion of Department of Defense (DOD) spokesperson Air Force Maj. Ben Sakrisson that timely emergency medical action was taken in this patient?s case, following a recommendation for ?urgent medical care? within 24-48 hours, and that this is an example of the capacity to effectively diagnose and treat emergency medical conditions at Guantanamo Bay Detention Center. (Carol Rosenberg, ?Doctors beat Irma to Guantanamo to operate on alleged war criminal?s spine,? Miami Herald, Sept. 7, 2017) We are deeply concerned that the facts of this case do not support the public claim of appropriate, high-quality, and timely medical/ surgical care. With all due respect to the medical personnel who traveled on short notice to Guantanamo and performed the therapeutic intervention, especially with Hurricane Irma approaching, this case exemplifies serious problems in the accurate and timely diagnosis of emergency medical/ surgical conditions. As you know, the patient had a history of back pain and a anuaiy 2017 CAT scan showed evidence of severe neural encroachment that could easily progress to spinal stenosis. (Dr. James Cobey, Letter to Defense Counsel, Sept. 5, 2017) This condition, if untreated, can result in spinal cord and/ or nerve compression leading to permanent neurologic disabilities. We know from the patient?s extensive communications with his attorneys that he reported to Guantanamo medical personnel having of progressive lower extremity weakness during the past several months. A CAT scan myelogram was reportedly conducted in July 2017, but the results of that diagnostic imaging study have not been shared with the patient?s legal team, nor have any medical records from January 23 2017 until the present. In addition, we understand that the patient reportedly experienced of urinary incontinence during the past several weeks. This is a medical surgical emergency that should have prompted immediate diagnosis with an MRI or CAT scan myelogram and treatment with surgical decompression within 24-48 hours. It is common medical knowledge, at the most basic level, that spinal stenosis associated with increasing motor weakness requires urgent diagnosis and surgical treatment. When this patient experienced of urinary incontinence weeks ago, in addition to motor weakness, the medical staff should have acted immediately, but did not. Instead, we understand that the medical plan was to have an anesthesiologist travel to Guantanamo on September 12, 2017 for steroid injections and for a neurosurgeon to travel to Guantanamo on October 2, 2017. If true, this plan is a stunning example of inappropriate diagnosis and treatment for a true medical emergency. PHR medical staff were contacted by the patient?s legal counsel on August 31, 2017, verbally reviewed the patient?s clinical status, and provided a medical opinion on a course of action based on the reported Recognizing the urgency of the circumstances, PHR clinicians immediately wrote a letter dated August 31, 2017 to camp authorities expressing concerns that the patient receive immediate Case Document 1-1 Filed 09/21/17 Page 45 of 84 diagnostic and therapeutic intervention for presumed spinal cord nerve compression within 24?48 hours, including transfer to an appropriate medical facility if necessary. We understand that, after the patient?s iegal counsel relayed letter, Guantanamo administration and medical personnel attended to this matter and arranged for urgent care. Surgery was reportedly conducted on September four days after the PHR recommendation was transmitted to the administration. We have not yet heard what the surgery entailed or what the patient?s condition is and would very much like to be updated. As you may know, it is common for such patients to experience significant neurological function immediately after spinal cord nerve decompression and in subsequent weeks, but we do not know this to be the case thus far. The patient?s post?operative course will reveal the extent to which deviations from the standard of care may have permanently affected his neurological function. Suf?ce it to say, the significant delay in diagnosis and surgical intervention should not be considered acceptable by any medical personnel. We understand that the patient?s legal team has not been able to obtain the patient?s medical records beyond January 2017, the relevant period of time for the patient?s current clinical condition. All medical records should be shared with the patient?s legal counsel to ensure adequate medical care. Health professionals cannot provide meaningful care or obtain legitimate consent when their patients are denied access to their own records. We urge our Guantanamo medical colleagues to review this case in detai} with camp administrators. In addition to the quality of care issues in this case, we urge them to address the need for timely and urgent access/ transfer to tertiary medical care facilities. We know that there are many emergency medical conditions that require immediate medical and/ or surgical intervention at a tertiary facility, for example: acute myocardial infarction, hemorrhagic stroke, ruptured aortic aneurysm, etc. Relying on limited medical and surgical capacities at Guantanamo in combination with a prohibition for transfer to the United States, including for emergency medical care, is a policy that will undoubtedly result in medical negligence. This is unfair to the medical personnel at Guantanamo and exposes them and the facility to serious legal and professional liability. Most importantly, it subjects detainees to the risk of substandard care and its health consequences. We stand ready to support efforts by Guantanamo medical personnel to effect policy changes that are commensurate with medical and surgical imperatives and the standard of care. Thank you for your consideration. Sincerely, Homer Venters, MD, MS Director of Programs Physicians for Human Rights Vincent lacopino, MD, Senior Medical Advisor Physicians for Human Rights CC: Admiral Kurt W. Tidd Commander, United States Southern Command Rear Admiral Edward B. Cashman Commander, Joint Task Force Guantanamo, United States Southern Command Case Document 1-1 Filed 09/21/17 Page 46 of 84 Exhibit Case Document 1-1 Filed 09/21/17 Page 47 of 84 MILITARY COMMISSIONS TRIAL JUDICIARY GUANTANAMO BAY, CUBA AE 099D UNITED STATES OF AMERICA Defense Notice v. of Mr. al?Tamir?s Current Medical Status Regarding AB 099 Emergency Motion to ABD AL HADI AL IRAQI Abate the Proceedings Until Mr. al?Tamir is Physically Competent to Stand Trial 18 September 2017 1. Timeliness. This Notice is ?led timely pursuant to Military Commissions Trial Judiciary Rule of Court It is ?led subsequent to AE O99C Order, but is not the Defense?s Response to that Order.1 2. Notice of Current Medical Condition. 1. It appears that Mr. al?Tamir?s physical condition has either deteriorated signi?cantly since the ?ling of AE 099(Sup)2 or was worse than was understood at the time ofthe ?ling. 2. In his letter received on 12 September 2017, Mr. al?Tamir stated that the surgeon informed him that he would have another operation in six to ten weeks time to address his upper? body neurological problems.3 This Notice of Current Medical Condition is not the Defense response to AE 099C Order. The Defense will respond to that Order in a timely fashion after it learns as much as possible about Mr. al-Tamir?s next surgery, which per the facts set forth below may be happening today, 18 September 2017. 2 AE 099(Sup) Defense Supplement to Emergency Motion to Abate the Proceedings Until Mr. al-Tamir is Physically Competent to Stand Trial. 3 AE 099(Sup) at 2-3. Case Document 1-1 Filed 09/21/17 Page 48 of 84 3. On 14 September 2017, the Defense was informed that instead of waiting the six to eight weeks his doctors originally prescribed, Mr. al-Tamir will undergo a second operation on Tuesday or Wednesday, 19 or 20 September. The Defense learned of this apparent change in plans solely because the Legal Advisor to the Convening Authority reached out to the Military Commissions Defense Organization?s Deputy Chief Defense Counsel (DCDC) to inform him of it. In addition to the surgery being moved up, the Legal Advisor informed the DCDC that Mr. al-Tamir would be unable to meet with his counsel for four to six weeks following the operation.?4 4. Late in the afternoon of 15 September 2017, the Defense was informed by Government counsel in a phone call that the operation might in fact be performed on Monday, 18 September. Government counsel con?rmed that Mr. al?Tamir would be unable to meet with Defense counsel for four to six weeks following the impending operation, but did not otherwise provide any additional information about Mr. al-Tamir?s medical condition. 5. On the evening of 15 September 2017, the Defense received another letter from Mr. al-Tamir. Based on a preliminary translation, the Defense understands the following: a. Mr. al-Tamir?s have become progressively worse since the first operation. Mr. alnTamir describes worsening in both lower- and upper?body b. By 12 September 2017, the Camp Doctor had become sufficiently concerned that he contacted the surgical team. On that date the decision was made to fly the surgeons back to Guantanamo on Sunday or Monday, 17 or 18 September, for another surgery on Mr. al?Tamir?s cervical spine. 4 Email from COL Wayne Aaron to BGen John Baker dated 14 September 2017 (redacted) (Attachment hereto). 2 Case Document 1-1 Filed 09/21/17 Page 49 of 84 c. The medical staff informed Mr. al?Tamir that the new surgery would require a special bed not available in Guantanamo Bay, and that there has been difficulty locating ?metal? to be placed into his spine as part of the operation. d. The medical staff also informed him that the surgical team will include an additional medical expert for this surgery, a ?bone specialist.? e. Mr. al-Tamir continues to require steroids for pain and his other up to three times per day. He continues to experience incontinence. 6. As explained in previous ?lings, since the onset of Mr. al-Tamir?s medical emergency, Joint Task Force has denied the Defense all information and access to their client (with the exception of two letters he has been able to write when steroids have made it possible). Defense counsel have emailed JTF repeatedly attempting to obtain any information at all about Mr. al?Tamir?s condition since his operation, to no avail.5 When Defense counsel were finally told they were ?welcome to submit a special request form . . . to request arrangement of an expedited phone call with your client?6 and did so, the request was denied.7 So was Defense counsel?s special request for a meeting with Mr. al?Tamir.8 So was their routine request for meetings with him.9 7. Compounding virtual cut?off of information about Mr. aI?Tamir, the Government?s production of medical records to the Defense remains incomplete and, more important, virtually useless to the need at hand, which is determination of Mr. al?Tamir?s current fitness to stand trial. Even though Mr. al?Tamir has now had at least two CT scans since July 5 See Email chain between Defense counsel and SOUTHCOM (Attachment hereto). 6 Att. at l. 7 Email from SOUTHCOM to Defense counsel dated 14 September 2017 (Attachment hereto). 8 Email from SOUTHCOM to Defense counsel dated 14 September 20} 7 (Attachment hereto). 9 Email from SOUTHCOM to Defense counsel dated 15 September 2017 (Attachment hereto). 3 Case Document 1-1 Filed 09/21/17 Page 50 of 84 (the most recent reportedly conducted in connection with his ?rst operation), the Defense has received neither of them. The most recent medical records produced date from March 2017. Without the most current medical information, the Defense cannot protect Mr. al?Tamir?s right to fair proceedings or his health. 8. Worse yet, many of these records including some of the most important, relating to information taken from Mr. al-Tamir around the time of his January 2017 CT scan have been classi?ed at the SECRET level. There is no conceivable national security aspect to these records (and indeed they are in facial violation of the classi?cation rules because none of them are paragraph marked). Because these records have been marked as classi?ed, the Defense cannot show them to its experts nor question them about their contents. The Defense has submitted the most important of these records for expedited classification review, but that is no substitute for receipt of properly marked as unclassi?ed discovery in the ?rst place, especially in light of the critically time?sensitive nature of Mr. al-Tamir?s evolving medical ordeal. 9. For all of these reasons, the Commission?s sole source of information to date about Mr. al-Tamir?s medical condition has evidently come from the letters that he has been able to write to Defense counsel. That is inexcusable, given that his condition has become more and more critical to the continued viability of these proceedings and given that it is the Government, not the Defense, that is immediately privy to all of the information about his treatment and medical condition. 10. The Defense will respond to AE 099C Order with additional information and a request for appropriate relief. Case Document 1-1 Filed 09/21/17 Page 51 of 84 3. Attachments. A. Certi?cate of Service dated 18 September 2017. 13. Email from COL Wayne Aaron to BGen John Baker dated 14 September 2017 (redacted). C. Email from SOUTHCOM to Defense counsel dated 15 September 2017. D. Email chain between Defense counsel and SOUTHCOM. E. Email from SOUTHCOM to Defense counsel dated 14 September 2017. F. Email from SOUTHCOM to Defense counsel dated 14 September 2017. Respectfully Submitted, BRENT RUSHFORTH JEFFREY A. FISCHER Pro Bono Counsel CAPT, JAGC, USN Detailed Defense Counsel AIMEE COOPER ADAM CDR, JAGC, USN Assistant Defense Counsel Detailed Defense Counsel Case Document 1-1 Filed 09/21/17 Page 52 of 84 ATTACHMENT A Case Document 1-1 Filed 09/21/17 Page 53 of 84 CERTIFICATE OF SERVICE I certify that on 18 September 2017, I ?led AE 099D Defense Notice of Mr. al-Tamir?s Current Medical Status Regarding AB 099 Emergency Defense Motion to Abate the Proceedings Until Mr. al-Tamir is Physically Competent to Stand Trial, with the Office of Military Commissions Trial Judiciary and served on Government counsel ofrecord. ADAM Assistant Defense Counsel Case Document 1-1 Filed 09/21/17 Page 54 of 84 ATTACHMENT Case Document 1-1 Filed 09/21/17 Page 55 of 84 ?fiaumchweii, Adam Mr (359 OMC Qefense 5mm: ?gag'mz .3 ?Wa -j Sent: ?fi?zargigkiyg S?g?tember 33%, SAM @223 Tao: mm {3511? (ER/ii: Cc: ?unwge?fhwe?if 53mm PM (333123 {ka?fes?msg {Ragga Mum? EVE {352?} ifEMif?, A KW $313k?: Nm?zwa? 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Be a?viSe?, due weaihei; no detainee caiis are curatemly au?mrized and the em?i?esi may wi? be amhmrized, Sul?ect in} change based on the iatesst waafher projectiena is cad}: Rex; week. Yen are. aim weicmne 10 with 3mm client though {he 2101111322 mail process. All}? (:onespou?euce you submit will be couriered ?11 the mammal course to your alien? as; weather conciizions anew. S?m?ia?y, if ymir ciiem genez'ates my mail, YEWILGTR10 SEA will princess that Outgoing mm} in the 119mm} course. X3251. LSS Message 3710111: C00 ezfAimee 055E.) (2313416 i'lafanse 15 Case Document 1-1 Filed 09/21/17 Page 62 of 84 55:32:31: Friday, Seyfen1heri?383. 2.03 2:49 FM Ta: NS Guanianama Bax! GTEVIQ 33A Maiibax SQUTZKTOM. ENS SJA Mai, 39:; LSS 32?; SQUTHCQEV {itmz'ztaIa-anm .33? 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E?ie?ge con?rm Sim? yet; are Kunming {m i?eqzxeism 20 can? and lei us Eim iclepbmse mi? is; ta be zas'z?msgeii, 16 Case Document 1-1 Filed 09/21/17 Page 63 of 84 CDR Cooper Aimee Cooper CDR, IAGC, USN Militari Commissions Defense Organization Caution: This communication may be privileged as attorney work product and/or attorney-client communication or may be protected by another privilege recognized under the law. Do not distribute, forward, or release without the prior approval of the sender or Military Commissions Defense Organization, Of?ce of the Chief Defense Counsel. In addition, this communication may contain individually identifiable information the disclosure of which, to any person or agency not entitled to receive it, is or may be prohibited by the Privacy Act, 5 U.S.C. ?552a. Improper disclosure of protected information could result in civil action or criminal prosecution. Original From: SOUTHCOM NS Guantanamo Ba JTF GTMO SJA Mailbox LSS Sent: Friday, September 08, 2017 2:07 PM To: Cooper, Aimee CDR OSD OMC Defense; SOUTHCOM NS Guantanamo Bay ITF GTMO SJA Mailbox SOUTHCOM NS Guantanamo Bay JTF GTMO SJA Mailbox LSS Cc: 'Adam Fischer, Jeffrey A CAPT OSD OMC Defense; Schwartz, Michael A CIV OMC DEFENSE Subject: RE: 10026 (UNCLASSIFIED) CLASSIFICATION: UNCLASSIFIED CDR Cooper, JTF-GTMO SJA advises the ITF Commander on all legal matters related to the ITF mission to support litigation including the litigation occurring in the Military Commissions. The JTF-GTMO SJA also advises the ITF Commander on all legal matters related to the JTF mission to provide safe and humane treatment for all detainees, including your client. For routine information, as you are already aware, SJA supports all the regularly recurring discovery requirements for Commissions litigation by, among other things, coordinating the copying and dissemination of medical records, etc. Regarding proper channels for disseminating relevant emergent information to parties in litigation, GTMO SJA will continue to work through and with its chain of command to provide information to the Combatant Commander (in this case Commander SOUTHCOM) to decide what information is reasonably required for litigation and how/when to disseminate that information to the Office ofMilitary Commissions (OMC). Case Document 1-1 Filed 09/21/17 Page 64 of 84 33A, :13 are 3333 aware, ?asi?imies 1122221152213 comdinating immings am! phone. 432135; am?? 2.113222% (Miami; in supp-(m of Yam remain abie i0 miemci? wi?L meeiingg with, year aiie?i? zimmgh stimzase ciaamieis. Yam ciiem ig aim (<32 22122? "has? grained 602139231? 1hr afiais <11<2ÿ ÿ "%8 ÿ ÿ 8 > ÿ ?ÿ >?%""8>ÿ ÿ "#8 @% 8ÿ "# %A8>ÿ" ÿ "% 8ÿ% ÿ"#% ÿ "Bÿ >ÿ ÿ 8 ÿ% ÿ"#% ÿ 8ÿ ÿ 8 ÿ < defghedÿejklemnlÿeopqjlerrest &'()*+),, defghedÿejklemnlÿeopqjlerrestÿƒƒÿe‘}’„ÿgƒ}“ÿƒ„ÿ”zƒ•“tÿ”fdÿ…––‹—tÿp{ƒ“~{{tÿŽ’ƒ~ƒ~ƒ˜€ÿoƒ™ "8< –Šš‹‹š‹–…‡ š šC+ ÿoz {~ÿdwÿl’ ‚€z‚ +DE*.FGHÿH)J*(+KE. oz{~ÿ&E dw)*ÿl’ ‚€z‚ÿ›oƒzÿd€wÿœœ…–‡ž +./ÿ*(L.ÿ(*/ÿM(Eÿ*KLM.E mˆŸ€€„ÿf˜“‚ …ŠŠŠÿŸÿfz{{tÿdhtÿf’“{ÿ—–– hƒ ‚“~ €~tÿpw¡wÿ‹–––— C//E.HH ‘z’ ‚€z‚¢˜ˆ€€„ ˜“‚wˆ€˜ NOL()'ÿ(//E.HH ‹–‹ÿœ‡–kŒœ– P.'.QRD*.ÿ*KLM.E ‹–‹ÿœ‡–kŒœ SCTÿ*KLM.E Case 1:17-cv-01928-EGS Document 4 Filed 09/22/17 Page 1 of 5 UNITED STATES DISTRICT COURT DISTRICT OF COLUMBIA NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026, Detainee, U.S. Naval Station, Guantanamo Bay, Cuba, Petitioner, v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, CAPTAIN DAVID CULPEPPER, Naval Station Commander, U.S. Naval Station, Guantanamo Bay REAR ADMIRAL EDWARD, B. CASHMAN, Commander, Joint Task Force – Guantanamo, U.S. Naval Station, Guantanamo Bay, Civil Action No. 17-01928 (EGS) Respondents. NOTICE OF ERRATA Petitioner respectfully notifies the Court that the document filed on September 21, 2017 entitled Petition for Writ of Habeas Corpus (Dkt. No. 1) contained a case caption that did not contain the addresses of all of the parties pursuant to Local Civil Rules 5.1(c) and 11.1. To correct this error, Petitioner hereby provides a corrected version of the case caption attached hereto, as well as the addresses for the named Respondents, sued in their official capacities, as follows: Donald J. Trump President of the United States of America The White House 1600 Pennsylvania Ave NW Washington, DC 20006 1 Case 1:17-cv-01928-EGS Document 4 Filed 09/22/17 Page 2 of 5 James N. Mattis, Secretary Department of Defense 1400 Defense Pentagon Washington, DC 20301 Harvey Rishikof, Convening Authority Office of Military Commissions 4800 Mark Center Drive, Suite 11F09-02 Alexandria, VA 22350-2100 Captain David Culpepper Naval Station Commander U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 Real Admiral Edward B. Cashman Commander, Joint Task Force – Guantanamo U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 Dated: September 22, 2017. Respectfully submitted, /s/ Tiffany Heavlin Brent N. Rushforth [Bar No. 331074] brushforth@mckoolsmith.com Tiffany Heavlin [Bar No. 1020997] theavlin@mckoolsmith.com McKool Smith 1999 K Street, NW Washington, D.C. 20006 Telephone: (202) 370-8300 Telecopier: (202) 370-8344 Robert L. Palmer [Bar No. 151399] palmer@mckoolsmithhennigan.com McKool Smith Hennigan, P.C. 300 South Grand Avenue Suite 2900 Los Angeles, CA 90071 Telephone: (213) 694-1200 Telecopier: (213) 694-1234 2 Case 1:17-cv-01928-EGS Document 4 Filed 09/22/17 Page 3 of 5 Adam Thurschwell Adam.Thurschwell@osd.mil Military Commissions Defense Organization 1620 Defense Pentagon Washington, D.C. 20301-1600 Telephone: (571) 256-9694 ATTORNEYS FOR PETITIONER 3 Case 1:17-cv-01928-EGS Document 4 Filed 09/22/17 Page 4 of 5 UNITED STATES DISTRICT COURT DISTRICT OF COLUMBIA NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba, Petitioner, Civil Action No. 17-01928 (EGS) v. DONALD J. TRUMP, President of the United States of America The White House 1600 Pennsylvania Ave NW Washington, DC 20006 JAMES N. MATTIS, Secretary Department of Defense 1400 Defense Pentagon Washington, DC 20301 HARVEY RISHIKOF, Convening Authority Office of Military Commissions 4800 Mark Center Drive, Suite 11F09-02 Alexandria, VA 22350-2100 CAPTAIN DAVID CULPEPPER, Naval Station Commander U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 REAR ADMIRAL EDWARD, B. CASHMAN, Commander, Joint Task Force – Guantanamo U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 Related Case: Civil Action No. 09-1462 (EGS) Respondents. PETITION FOR WRIT OF HABEAS CORPUS Case 1:17-cv-01928-EGS Document 4 Filed 09/22/17 Page 5 of 5 CERTIFICATE OF SERVICE I hereby certify that on September 22, 2017, I electronically filed the foregoing NOTICE OF ERRATA with the United States District Court for the District of Columbia by using the CM/ECF system. I certify that the following parties or their counsel of record are registered as ECF Filers and that they will be served by the CM/ECF system: I further certify that I served a copy of the foregoing document on the following parties or their counsel of records by U.S. mail: Donald J. Trump President of the United States The White House 1600 Pennsylvania Ave NW Washington, DC 20006 James N. Mattis, Secretary Department of Defense 1400 Defense Pentagon Washington, DC 20301 Harvey Rishikof, Convening Authority Office of Military Commissions 4800 Mark Center Drive, Suite 11F09-02 Alexandria, VA 22350-2100 Captain David Culpepper Naval Station Commander U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 Real Admiral Edward B. Cashman Commander, Joint Task Force – Guantanamo U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 /s/ Tiffany Heavlin Tiffany Heavlin [Bar No. 1020997] theavlin@mckoolsmith.com McKool Smith 1999 K Street, NW Washington, D.C. 20006 Telephone: (202) 370-8300 Telecopier: (202) 370-8344 Attorney for Petitioner Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 1 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the District of Columbia __________ District of __________ NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba Plaintiff(s) v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, et al., Defendant(s) ) ) ) ) ) ) ) ) ) ) ) ) Civil Action No. 1:17-cv-01928 (EGS) SUMMONS IN A CIVIL ACTION To: (Defendant’s name and address) Channing D. Phillips U.S. Attorney for the District of Columbia United States Attorney's Office 555 4th Street, NW Washington, DC 20530 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney, whose name and address are: Brent N. Rushforth McKool Smith 1999 K Street, NW, Suite 600 Washington, D.C. 20006 Telephone: (202) 370-8300 Email: brushforth@mckoolsmith.com If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. CLERK OF COURT Date: 9/25/2017 /s/ Nicole M. Wilkens Signature of Clerk or Deputy Clerk Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 2 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. 1:17-cv-01928 (EGS) PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) ; or u I left the summons at the individual’s residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual’s last known address; or , who is u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) ; or u I returned the summons unexecuted because ; or u Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: 0.00 . Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 3 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the District of Columbia __________ District of __________ NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba Plaintiff(s) v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, et al., Defendant(s) ) ) ) ) ) ) ) ) ) ) ) ) Civil Action No. 1:17-cv-01928 (EGS) SUMMONS IN A CIVIL ACTION To: (Defendant’s name and address) Donald J. Trump President of the United States of America The White House 1600 Pennsylvania Ave NW Washington, DC 20006 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney, whose name and address are: Brent N. Rushforth McKool Smith 1999 K Street, NW, Suite 600 Washington, D.C. 20006 Telephone: (202) 370-8300 Email: brushforth@mckoolsmith.com If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. CLERK OF COURT Date: 9/25/2017 /s/ Nicole M. Wilkens Signature of Clerk or Deputy Clerk Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 4 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. 1:17-cv-01928 (EGS) PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) ; or u I left the summons at the individual’s residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual’s last known address; or , who is u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) ; or u I returned the summons unexecuted because ; or u Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: 0.00 . Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 5 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the District of Columbia __________ District of __________ NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba Plaintiff(s) v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, et al., Defendant(s) ) ) ) ) ) ) ) ) ) ) ) ) Civil Action No. 1:17-cv-01928 (EGS) SUMMONS IN A CIVIL ACTION To: (Defendant’s name and address) James N. Mattis, Secretary Department of Defense 1400 Defense Pentagon Washington, DC 20301 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney, whose name and address are: Brent N. Rushforth McKool Smith 1999 K Street, NW, Suite 600 Washington, D.C. 20006 Telephone: (202) 370-8300 Email: brushforth@mckoolsmith.com If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. CLERK OF COURT Date: 9/25/2017 /s/ Nicole M. Wilkens Signature of Clerk or Deputy Clerk Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 6 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. 1:17-cv-01928 (EGS) PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) ; or u I left the summons at the individual’s residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual’s last known address; or , who is u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) ; or u I returned the summons unexecuted because ; or u Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: 0.00 . Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 7 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the District of Columbia __________ District of __________ NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba Plaintiff(s) v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, et al., Defendant(s) ) ) ) ) ) ) ) ) ) ) ) ) Civil Action No. 1:17-cv-01928 (EGS) SUMMONS IN A CIVIL ACTION To: (Defendant’s name and address) Harvey Rishikof Convening Authority Office of Military Commissions 4800 Mark Center Drive Suite 11F09-02 Alexandria, VA 22350-2100 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney, whose name and address are: Brent N. Rushforth McKool Smith 1999 K Street, NW, Suite 600 Washington, D.C. 20006 Telephone: (202) 370-8300 Email: brushforth@mckoolsmith.com If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. CLERK OF COURT Date: 9/25/2017 /s/ Nicole M. Wilkens Signature of Clerk or Deputy Clerk Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 8 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. 1:17-cv-01928 (EGS) PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) ; or u I left the summons at the individual’s residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual’s last known address; or , who is u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) ; or u I returned the summons unexecuted because ; or u Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: 0.00 . Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 9 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the District of Columbia __________ District of __________ NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba Plaintiff(s) v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, et al., Defendant(s) ) ) ) ) ) ) ) ) ) ) ) ) Civil Action No. 1:17-cv-01928 (EGS) SUMMONS IN A CIVIL ACTION To: (Defendant’s name and address) Captain David Culpepper Naval Station Commander U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney, whose name and address are: Brent N. Rushforth McKool Smith 1999 K Street, NW, Suite 600 Washington, D.C. 20006 Telephone: (202) 370-8300 Email: brushforth@mckoolsmith.com If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. CLERK OF COURT Date: 9/25/2017 /s/ Nicole M. Wilkens Signature of Clerk or Deputy Clerk Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 10 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. 1:17-cv-01928 (EGS) PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) ; or u I left the summons at the individual’s residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual’s last known address; or , who is u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) ; or u I returned the summons unexecuted because ; or u Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: 0.00 . Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 11 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action UNITED STATES DISTRICT COURT for the District of Columbia __________ District of __________ NASHWAN AL-RAMER ABDULRAZZAQ, aka Abdul Hadi al Iraqi, ISN 10026 Detainee, U.S. Naval Station, Guantanamo Bay, Cuba Plaintiff(s) v. DONALD J. TRUMP, President, JAMES N. MATTIS, Secretary of Defense, HARVEY RISHIKOF, Convening Authority For Military Commissions, et al., Defendant(s) ) ) ) ) ) ) ) ) ) ) ) ) Civil Action No. 1:17-cv-01928 (EGS) SUMMONS IN A CIVIL ACTION To: (Defendant’s name and address) Real Admiral Edward B. Cashman Commander, Joint Task Force – Guantanamo U.S. Naval Station Guantanamo Bay, Cuba PSC 1005 Box 25 FPO AE 09593 A lawsuit has been filed against you. Within 21 days after service of this summons on you (not counting the day you received it) — or 60 days if you are the United States or a United States agency, or an officer or employee of the United States described in Fed. R. Civ. P. 12 (a)(2) or (3) — you must serve on the plaintiff an answer to the attached complaint or a motion under Rule 12 of the Federal Rules of Civil Procedure. The answer or motion must be served on the plaintiff or plaintiff’s attorney, whose name and address are: Brent N. Rushforth McKool Smith 1999 K Street, NW, Suite 600 Washington, D.C. 20006 Telephone: (202) 370-8300 Email: brushforth@mckoolsmith.com If you fail to respond, judgment by default will be entered against you for the relief demanded in the complaint. You also must file your answer or motion with the court. CLERK OF COURT Date: 9/25/2017 /s/ Nicole M. Wilkens Signature of Clerk or Deputy Clerk Case 1:17-cv-01928-EGS Document 7 Filed 09/25/17 Page 12 of 12 AO 440 (Rev. 06/12) Summons in a Civil Action (Page 2) Civil Action No. 1:17-cv-01928 (EGS) PROOF OF SERVICE (This section should not be filed with the court unless required by Fed. R. Civ. P. 4 (l)) This summons for (name of individual and title, if any) was received by me on (date) . u I personally served the summons on the individual at (place) on (date) ; or u I left the summons at the individual’s residence or usual place of abode with (name) , a person of suitable age and discretion who resides there, on (date) , and mailed a copy to the individual’s last known address; or , who is u I served the summons on (name of individual) designated by law to accept service of process on behalf of (name of organization) on (date) ; or u I returned the summons unexecuted because ; or u Other (specify): . My fees are $ for travel and $ for services, for a total of $ I declare under penalty of perjury that this information is true. Date: Server’s signature Printed name and title Server’s address Additional information regarding attempted service, etc: 0.00 .