to bring a motion to determine the defendant’s competency and when and if a court must grant the motion for incompetency. 18 U.S.C. § 4241(a). Subsection (a) identifies two definitions of mental disease or defect as grounds for the motion. Id. Subsection (a) also establishes the right to a judicial hearing to determine a defendant’s mental status, and subsection (b) provides for a psychiatric examination and report prior to any such hearing. Id. § 4241(b). If after the hearing, the court finds the defendant incompetent to stand trial, section 4241(d) mandates hospitalization of defendants suffering from mental disease or defect and removes district courts’ discretion in this determination. See id. § 4241(d); see also United States v. Donofrio, 896 F.2d 1301, 1302 (11th Cir. 1990) (<HOLDING>). If a defendant is hospitalized, under the
holding that district courts do not have appellate jurisdiction over state courts holding that hospitalization is mandatory and district courts have no power to circumvent hospitalization under  4241d holding that the statute is mandatory holding that exhaustion is mandatory and jurisdictional holding that venue in the district identified in  9 was mandatory