KIRILL KUDRYAVTSEVMOSCOW–Paul Whelan, a U.S. citizen held in Russia on suspicion of spying, looked pale and sick when his prison guards brought him to Lefortovo court on Friday. He said he had been beaten and is suffering from a hernia, but his condition is hardly a surprise after eight months in Moscow’s Lefortovo, a prison run but the Russian Federal Security Service, FSB, and it looks like Whelan has learned only too well how incarceration there operates.Whelan is facing 20 years in Russian prison for spying, after accepting a flashcard that allegedly contains some sensitive information. His family is far away, he does not speak the Russian language, and on top of everything the 49-year-old security manager for a Michigan-based auto parts company is suffering from a painful inguinal hernia, with part of his intestine having ruptured the abdominal wall.Paul Whelan, Accused U.S. Spy Held in Moscow, Says a Russian Investigator Threatened His LifeWhen the judge suggested calling an ambulance in the middle of the hearing on Friday morning, Whelan rejected the idea, as a useless waste of time: “The nurses won’t take me to a hospital, they will only check my blood pressure, temperature, and say, ‘You are fine,’” he told the court.By now Whelan must have learned the rules and brutal methods in Russian prisons. “No ordinary ambulance can take a prisoner who is under FSB investigation to the hospital,” Alexander Cherkasov, chair of the Memorial Human Rights Center told The Daily Beast. “There is a specialized hospital 20 where they normally take sick prisoners, after a certain bureaucratic procedure.”Also, no Russian nurse working for an ambulance carries strong painkillers. (Russian doctors are not allowed to prescribe strong drugs even for people dying in agonizing pain, so Russians suffer from pain all over the country, many committing suicide.)Whelan looked and sounded doomed. He said that his health condition worsened after his prison guard beat him. The incident happened earlier this month, when Whelan was being moved from one cell to another. Whelan’s lawyer, Vladimir Zherebenkov, told The Daily Beast, “I have checked: prison guards did not know that my client had a hernia, they made him carry all his stuff himself to a different cell. The treatment in Lefortovo is inhuman.” On Friday, Whelan told the judge, “If you call for a doctor who would hospitalize me, I don’t mind calling for the ambulance.” But just as he predicted, the nurses on call checked him right at Lefortovo Court and decided against his hospitalization.Whelan, who holds U.S., Canadian, British, and Irish passports, was arrested on December 28 in his hotel room a few steps away from the Kremlin. His lawyer Zherebenkov predicted early on the way the case was likely to develop: “They will pickle Paul for a year or more, as he is clearly just a pawn; and then they will swap him for some important Russian kept in American prison,” the lawyer told The Daily Beast in January.Almost eight months later Zherebenkov still has not seen any solid evidence establishing his client’s guilt. “The FSB investigation has not presented us with a single solid piece of material, so our truth in this case is even stronger than half a year ago–that’s why FSB want more time,” the lawyer said.Meet Putin’s American Prisoner, Paul WhelanAccording to Media Zona, a group of journalists reporting on news about Russian prisons and court cases, at least 99 detainees died in detention centers and prisons used by investigators in 2016. Many more died in prison camps. “It is hard for us to find out what causes the deaths of prisoners—when prison guards crack somebody’s head open, they say that the detainee fell down and died in an accident,” Dmitry Shvets, a Media Zona reporter told The Daily Beast. But the problem is not just physical violence. “Lefortovo prison is famous for psychological torture by isolation. The inmates cannot communicate with each other, no prisoner has a chance to use a phone.”Whelan’s family was aware that the FSB wanted to extend the time for investigation for two more months. ”This morning’s hearing was more theatrical than his previous hearings—ejecting the media, calling an ambulance—but we were not surprised by the result,” Whelan’s twin brother, David, told The Daily Beast.Read more at The Daily Beast.Got a tip? Send it to The Daily Beast hereGet our top stories in your inbox every day. Sign up now!Daily Beast Membership: Beast Inside goes deeper on the stories that matter to you. Learn more.