ORDER AND REASONS
This matter is before the Court on the Magistrate’s Findings and Recommendation and on Greer’s objections thereto. For the following reasons, the Court adopts in part and rejects in part the Magistrate’s recommendation, sustains in part and overrules in part Greer’s objections thereto, and rules as follows.
I.
On July 18, 1988, plaintiff (James Edward Greer) filed pro se a complaint on the standardized “form to be used by a prisoner in filing a complaint under the Civil Rights Act, 42 U.S.C. 1983.” Named as sole defendant is the St. Tammany Parish Jail.1 Part IV of the form, Statement of Claim, reads in full as follows:
I have been [in] jail over 7 months awaiting trial.
They have withheld medication as punishment.
[I was] refused emergency treatment, after having been knocked out by another inmate. I was bleeding from two cuts on the back of my head, requested to see a doctor, [and] was told I would have to wait until the nurse came in the next day.
The warden stopped my medication for a skin disease saying the jail would not supply over-the-counter medication. It was two weeks before I was allowed to see a dermatologist who prescribed a prescription medication.
Part V of the form, Relief, reads in full as follows:
Grant a writ of habeas corpus.
Put a stop to the cruel and unusual punishments at St. Tammany Parish Jail.
On July 18, 1988, the Magistrate granted Greer’s application to proceed in forma pauperis.
A week later, on July 25, 1988, prior to any answer being filed or other appearance by defendants being made, the Magistrate issued a Findings and Recommendation. Suggesting that the complaint “contains a mixed petition for habeas relief and civil rights relief,” the Magistrate states that Greer “must first exhaust his habeas claims in the state courts.” The Magistrate recommends that the entire matter be dismissed without prejudice.
Three days later, on July 28, 1988, Greer filed timely, verified objections to the Magistrate’s Findings and Recommendation. The objections make no reference to the claim for improper medical attention, but expound in detail upon the habeas claim.
In his objections, Greer states the following: He has been in jail since about September 19872 and has not yet been tried for the crime of which he has been ac*504cused.3 Between October 7, 1987 and May 11, 1988, Greer wrote 17 letters to his assigned public defender but has not received one single written response. Among these was one dated April 6, 1988, wherein he asked his counsel to file a speedy trial motion under La.C.Cr.P. art. 701 in order to have him released from jail pending his criminal trial.
In his objections, Greer further stated the following: He saw his counsel in person on April 7, 1988,4 April 11, 1988,5 and May 16,1988;6 his counsel refused to file a speedy trial motion or otherwise to assist in Greer’s criminal defense. By letter dated April 11, 1988, Greer asked the state court judge to fire his assigned counsel and to appoint other counsel for him. On April 19, 1988, Greer received from the Clerk of Court a certified letter stating that his “letter had been denied.”
Finally, Greer states that the only telephone calls a prisoner in the St. Tammany Parish Jail is permitted to make are collect calls, but that the St. Tammany public defender’s office does not accept collect calls.
Greer explains three reasons for his failure to exhaust his state court remedies for his habeas claim: (1) ignorance of the law, (2) inadequate counsel for his criminal defense, and (3) inadequate access to counsel for his criminal defense.
Nowhere does the record reveal whether Greer sought habeas relief from either of the applicable state appellate courts (namely, the Louisiana Supreme Court and the Louisiana Court of Appeal for the First Circuit). Nor it is even clear whether Greer or his counsel has specifically demanded of the state trial court a speedy trial.
II.
The first task for the Court is to determine what claims Greer is actually making. As the Fifth Circuit has explained in Jackson v. Torres:7
The rule in this Circuit is that any challenge to the fact or duration of a prisoner’s confinement is properly treated as a habeas corpus matter, whereas challenges to conditions of confinement may proceed under Section 1983. The relief sought by the prisoner or the label he places upon the action is not the governing factor.8
The Court must conclude that Greer is pursuing two distinct claims, or causes of action: (1) a claim challenging the fact or duration of imprisonment (viz., a § 2241 claim for habeas relief from an alleged excessive detention before trial), and (2) a claim challenging the physical conditions of that imprisonment (viz., a § 1983 claim for improper medical attention).
*505Concluding that Greer’s complaint is an impermissible “mixed petition”9 by raising both habeas and non-habeas claims, the Magistrate recommends that Greer’s entire complaint be dismissed, without prejudice to re-urge his two claims in this Court after he has exhausted his state court remedies on the habeas claim. Binding authority, however, rejects this analysis.
At times, a single complaint by a prisoner may raise both claims that should be properly treated initially as a habeas matter and claims that may be properly treated initially as a § 1983 matter.10 In these cases, the Fifth Circuit has instructed the following:
[I]n instances in which a petition combines claims that should be asserted [as an initial matter] in habeas with claims that properly may be pursued as an initial matter under § 1983, and the claims can be so separated, federal courts should do so, entertaining the § 1983 claims.11
In short, it is improper to dismiss an entire complaint on grounds of non-exhaustion merely because the complaint raises both habeas and non-habeas claims.
The two claims Greer makes are wholly independent. Unlike the § 1983 claims in the cases cited by the Magistrate,12 Greer’s claim for improper medical attention in no way turns on whether he is convicted or acquitted or on whether he is ultimately successful or unsuccessful on his habeas claim. Even if Greer is acquitted, he may still have a viable claim for monetary damages from the improper medical attention he allegedly received in jail.13 Thus, whether or not plaintiff’s habeas claim is ripe for federal review at this time, his § 1983 claim for improper medical attention is properly before this Court.
For these reasons, as to the claim for improper medical attention, the Court rejects the Magistrate’s recommendation, sustains Greer’s objections thereto, and holds that this claim should not be dis*506missed for any alleged failure by Greer to exhaust his state habeas remedies. As to this claim, then, the Court hereby directs defendants to file an answer or other responsive pleading within 20 days of the entry of this order and hereby directs the Magistrate to proceed accordingly, with an evidentiary hearing if necessary or appropriate.14
III.
Having retained in all events the claim for improper medical attention, the Court must separately address various issues concerning the habeas claim.
A.
Where a prisoner in a state prison is not “in custody pursuant to the judgment of a state court” (in other words, where the prisoner has not yet been convicted by a state court), a habeas corpus petition by such a prisoner is properly brought not under 28 U.S.C. § 2254, but rather under 28 U.S.C. § 2241(c)(3).15
Greer’s pro se complaint does not explicitly refer to 28 U.S.C. § 2241(c)(3); the sole statutory reference in his complaint is the pre-printed reference to 42 U.S.C. § 1983. Under these circumstances, however, the Court construes his habeas claim as seeking relief under 28 U.S.C. § 2241(c)(3).16
B.
Being a “fundamental” right “incorporated” into the due process clause of the Fourteenth Amendment, the Sixth Amendment 17 guarantee to a speedy trial applies equally to criminal prosecutions brought in state courts.18 The right attaches to an accused person upon arrest, indictment, or information, whichever occurs first.19
To determine whether the right has been violated, a court must undergo on an ad hoc basis the flexible20 balancing test announced in Barker v. Wingo,21 which iden*507tified four factors for this balancing: length of delay, the reasons for the delay, the defendant’s assertion of his right, and prejudice to the defendant.22 As to the last factor, prejudice, the Supreme Court has generally identified three interests: to prevent oppressive pretrial incarceration, to minimize anxiety and concern of the accused, and to limit the possibility that the defense will be impaired.23
in the vast majority of federal opinions addressing an accused’s right to a speedy trial, the court was considering the issue only after the accused had been convicted.24 Rare has been the case addressing the issue before an accused is convicted.25
*508There are generally two types of relief sought by an accused who asserts a pre-trial habeas petition:
[A]n attempt to dismiss an indictment or otherwise prevent a prosecution is of the first type, while an attempt to force the state to go to trial is of the second. While the former objective is normally not attainable through federal habeas corpus, the latter is, although the requirement of exhaustion of state remedies still must be met.26
The former challenges the validity of the delay, while the latter challenges the present effects of the delay.27 In other words, a federal court may generally consider a habeas petition for pretrial relief from a state court only when the accused does not seek a dismissal of the state court charges pending against him.28
While Greer’s complaint is largely silent on the exact nature of relief he seeks, this Court must presume that he is not seeking at this time to have this Court dismiss the state charges pending against him.29 The sole claim the Court presumes Greer to be making at this time is one to mitigate the present effects of the trial delay — by forcing the state either to bring him to trial forthwith or to release him from incarceration pending the trial.
C.
The Court now considers on its own initiative 30 whether Greer is entitled to raise his speedy trial claim in a federal habeas proceeding at this time.
While there is no statutory requirement that a person seeking habeas relief under § 2241 must first exhaust state court remedies before he is permitted to seek federal habeas relief, the Fifth Circuit (along with other courts) has, through case law, nonetheless required that such a person, like persons seeking relief under § 2254, must first exhaust his state court remedies before seeking federal habeas relief.31 In other words, although federal courts have the power to address habeas petitions by state prisoners before their state trials,32 these prisoners must still fulfill the state exhaustion requirement.
*509Turning to Greer’s petition, the Court finds nothing to suggest that he has fully exhausted his possible state court remedies.33 Thus, this Court cannot consider the merits of whether Greer is entitled or not to any federal habeas relief. Greer may seek relief from federal court if and only if he is unsuccessful in his request for habeas relief from the state trial judge and the two state appellate courts. Because Greer has not shown that he has been unsuccessful in obtaining relief from both the Louisiana Supreme Court and the Louisiana Court of Appeal for the First Circuit (and because it is not even clear that Greer or his counsel has specifically sought such relief from the state trial court),34 this Court must dismiss Greer’s request for federal habeas relief at this time.
If after making reasonable efforts35 at seeking such relief in the state courts, Greer is still denied habeas relief from the state courts or if “the state unreasonably delays acting on his efforts to evoke state remedies,”36 then and only then may he return to this Court with a subsequent application for habeas relief, at which time this Court may properly decide the merits of his habeas complaint.37
The Court does not have a full record before it-and, particularly, is unaware of the nature or complexity of the charge against Greer 38-necessary to consider the Barker four-factor speedy trial analysis. Thus, the Court is not in the position, even if it were appropriate for it to do so, to suggest a time period within which the state must bring Greer to trial. The Court merely notes that a period as short as nine months (which is already longer than the period Greer has now been incarcerated) has been found presumptively prejudicial39 and that the prejudice to the accused to be avoided40 is particularly relevant and carries perhaps added significance at the pre-trial stage, when the law must presume an accused person to be innocent of the charges against him. In concluding, the Court is confident that the state, now fully aware of Greer's assertion of his speedy trial right and of the constitutional man~ date therefor, will act most promptly so as wholly to avoid the need for Greer to peti. tion this Court (or even the state appellate courts) for another habeas petition and fox the federal courts to intervene in state criminal proceedings.
Accordingly, as to this claim, the Court overrules Greer’s objections on the Magistrate’s recommendation and adopts the Magistrate’s recommendation. Thus, the Court dismisses Greer’s habeas claim without prejudice for failure to exhaust state court remedies.41
*510Expressly determining that there is no just reason for delay in the entry of judgment as to this claim, the Court hereby directs the Clerk of Court to enter judgment under F.R.Civ.P. 54(b) on this one claim only.
IV.
For these reasons, IT IS ORDERED that Greer’s claim for habeas corpus relief pursuant to 28 U.S.C. § 2241 is DISMISSED WITHOUT PREJUDICE. The Clerk of Court is directed to enter final judgment on this claim pursuant to Rule 54(b).
The Court does not dismiss Greer’s § 1983 claim for inadequate medical attention at this time. As to this claim, IT IS ORDERED that the Clerk of Court prepare, and the U.S. Marshal serve, process on the warden of the St. Tammany Parish Jail forthwith, that defendants file an answer or other responsive pleading as to this claim within 20 days of the entry of this order, and that this matter be again referred to the Magistrate for further proceedings on this one claim in accordance with this order.