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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: FEO OT VD Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: PEXOOO I vp Chief Complaint: Other Problem Subjective: PATIENT REFERRED BY THE WARDEN FOR EVALUATION. RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DEN SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY OWING HE REPORT IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. | INFORME DHIM THAT WE E HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDI ES. STATES HE FEELS OTHERWISE FIN Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, OBJECTIVE: Pulse: Date Time Rate Per Minute Location 07/30/2019 13:02 94 07/30/2019 09:40 88 Via Machine 07/30/2019 09:30 87 Via Machine Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 Pen Mc Blood Pressure: Date Time Value Locatio Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing 07/30/2019 09:40 NYM 125/60 — Right Arm Standing 07/30/2019 09:30 NYM_ 108/86 Left Arm Sitting SaQ2: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air Pe OME MD Weight: Date Time Lbs Kg Waist Circum. Provider Generated 07/30/2019 14:05 bf OTE) |v Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR- 00024096