52 90.51. While he was in prison, Daniel Tibi was examined twice by Ecuadorian physicians appointed by the State. They verified that he had suffered wounds and traumatism,111 but he never received medical treatment and the cause of his ailing was never investigated. Furthermore, he was never thoroughly examined.112 After his return from France, Mr. Tibi was examined by French physicians, who verified the injuries that he had suffered.113 90.52. Mr. Tibi has suffered severe physical damage, including: loss of hearing in one ear, eyesight problems in the left eye, a broken nasal septum, injury of the left cheek bone, scars from burns on his body, broken ribs, broken and deteriorated teeth, blood problems, disk and inguinal hernias, maxillary displacement, he either contracted hepatitis C or this condition worsened, and cancer, called digestive lymphoma.114 111 See report prepared by doctor Jorge Vivas Tobar, third physician of the Centro de Rehabilitación Social de Varones of Guayaquil on November 13, 1996 (file with appendixes to the brief with arguments and motions, appendix 12, leaf 701; and file with appendixes to the brief with preliminary objections, reply to the application and comments on the arguments and motions, leaf 1093); forensic medical examination conducted by the physicians appointed by the Eighteenth Criminal Judge of the Guayas (Durán), doctors Juan Montenegro and Jorge Salvatierra on September 19, 1997 (file with appendixes to the brief with arguments and motions, appendix 32, leaf 1043); and official letter N° 389 DNRS-SG addressed by the Supervisor General, attorney for the Dirección Nacional de Rehabilitación Social, to the Director Nacional de Rehabilitación Social on August 8, 2000 (file with appendixes to the brief with arguments and motions, appendix 11, leaf 698). 112 See testimony of Daniel Tibi rendered before the Inter-American Court during the public hearing held on July 7, 2004; expert opinion of Carlos Martín Beristain rendered before the Inter-American Court during the public hearing held on July 7, 2004; and testimony of Juan Montenegro rendered before the Inter-American Court during the public hearing held on July 7, 2004. 113 See medical certificate prepared by doctor Philippe Lesprit, Head clinical assistant at the Henri Mondor hospital dated January 26, 1998 (file with appendixes to the application, volume I, appendix 2, leaf 73); medical certificate prepared by doctor Pascale Barre of the Centre Hospitalier Universitaire de Dijon on March 28, 1998 (file with appendixes to the application, volume I, appendix 2, leaves 76 and 77); documentation regarding the septorinoplasty (file with appendixes to the application, volume I, appendix 2, leaves 79 and 80); medical certificate prepared by doctor Christian Rat, of the Centre Hospitalier Universitaire de Dijon on February 16, 1998 (file with appendixes to the brief with arguments and motions, appendix 33, leaf 1045); medical certificate prepared by doctor Philippe Blanche, of the Groupe Hospitalier Cochin,- Saint Vicent De Paul-La Roche-Guyon (file with appendixes to the brief with arguments and motions, appendix 36, leaf 1059; and file with evidence to facilitate adjudication of the case submitted by the Inter-American Commission, single volume, leaves 1058 to 1063); and medical certificate prepared by doctor Gèrard Benayoun, expert pres la Court D´Appel de Paris, on November 8, 2001 (file with appendixes to the brief with arguments and motions, single volume, appendix 35, leaves 1050 to 1057). 114 See expert opinion of Carlos Martín Beristain rendered before the Inter-American Court during the public hearing held on July 7, 2004; medical certificate prepared by doctor Virginia Miranda and clinical analyses by the Centro Clínico y Dermatológico San Luis of Ecuador on January 22, 1998 (file with appendixes to the application, volume I, appendix 2, leaves 066 to 071); medical certificate prepared by doctor Philippe Lesprit, Head clinical assistant at the Henri Mondor hospital dated January 26, 1998 (file with appendixes to the application, volume I, appendix 2, leaves 73 and 74); medical certificate prepared by doctor Pascale Barre of the Centre Hospitalier Universitaire de Dijon on March 28, 1998 (file with appendixes to the application, volume I, appendix 2, leaves 76 and 77); documentation regarding the septorinoplasty (file with appendixes to the application, volume I, appendix 2, leaves 79 and 80); medical certificate prepared by doctor Christian Rat, of the Centre Hospitalier Universitaire de Dijon on February 16, 1998 (file with appendixes to the brief with arguments and motions, appendix 33, leaf 1045); report prepared by doctor Jorge Vivas Tobar, third physician of the Centro de Rehabilitación Social de Varones of Guayaquil, on November 13, 1996 (file with appendixes to the brief with arguments and motions, appendix 12, leaf 701; file with appendixes to the brief with preliminary objections, reply to the application and comments on the arguments and motions, leaf 1093); forensic medical examination conducted by physicians appointed by the Eighteenth Criminal Judge of the Guayas (Durán), doctors Juan Montenegro and Jorge Salvatierra on September 19, 1997, (file with appendixes to the brief with arguments and motions, appendix 32, leaf 1043); laboratory report by the Laboratoire de Biologie Lé-