DOJ-OGR-00026203.jpg
Extracted Text (OCR)
Page 2543
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; [O\8! @) D Unit: Z01
Chronic Care - Chronic Care Clinic encounter performed at Health Services.
SUBJECTIVE:
COMPLAINT 1 Provider:
Chief Complaint: Other Problem
Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION.
PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE
ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO.
STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING.
HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY
SPEAKING OR SWALLOWING.
HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA.
HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING
TOPROL.
HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS
ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. |
INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO
HIM TONIGHT..
HE REPORT OTHER NON-MEDICAL ISSUES.
STATES HE FEELS OTHERWISE FINE.
Pain: Not Applicable
(bW6} (bi? MC)
Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory
OBJECTIVE:
Pulse:
Date Time Rate Per Minute = Location Rhythm Provider
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 ial
Blood Pressure:
Date Time Value Locatio Position ff Siz Provider
07/30/2019 13:02NYM 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 hikaniaieiie
Weight:
Date Time Lbs Kg Waist Circum. Provider
Generated 07/30/2019 14:05 bypb'e) (bxric) Bureau of Prisons - NYM Page 1 of 3
DOJ-OGR-00026203
Extracted Information
Document Details
| Filename | DOJ-OGR-00026203.jpg |
| File Size | 671.9 KB |
| OCR Confidence | 92.0% |
| Has Readable Text | Yes |
| Text Length | 1,952 characters |
| Indexed | 2026-02-03 21:03:25.597946 |