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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: 07/12/2019 13:10 Provider: MD Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: oS ao Chief Complaint: ENDO/LIPID Subjective: 66 YRO HITE MALE WITH HX OF HYPER CERIDEMIA xX 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , » STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE LOWER EXTREMITMES. SURGICAL HX: NONE MENTAL HEALTH Hx: SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Q Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Y Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Q Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK lal Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/12/2019 14:20 bsfOX@) OXNE) Jo Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024117