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Page 2574 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: f Race: Facility: © NYM Note Date: 07/12/2019 09:06 Provider; [P(r MD Unit: Z05 Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: /°'°°°""" PATIENT REQUESTED TO HAVE ACOLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medication Order Date Prescriber Order Docusate Sodium Capsule 07/12/2019 09:06 TAKE ONE 100 MG CAP Orally - Two Times a Day x 30 day(s) Indication: Constipation, unspecified Discontinued Medication Orders: Rx# Medication Order Date Prescriber Order 121757-NYM Bisacodyl E.C. 5 MG TAB 07/12/2019 09:06 Take one tablet (6 MG) by mouth at bedtime AS NEEDED for 10 days Discontinue Type: When Pharmacy Processes Discontinue Reason: discontinue Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No MD on 07/12/2019 09:10 Generated 07/12/2019 09:10 bj — Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR- 00026234