EFTA00105002.pdf

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Race: WHITE Reg #: 76318-054 Facility: NYM Unit: HO Thorax: Contour Normal:Yes Increased AP Diameter: No Asymmetrical Expansion:No Lungs Clear: Yes Wheezes: No Crackles:No Rhonchl: No Rates: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tenderness:No Comments: Cardiovascular: RRR: Yes Normal S1/S2: Yos Murmurs: No Carotid Bruits:No JVD: No Arteries: Right Left Radial: Femoral: Dorsalis Pedis: Post. Tiblalls: Comments: Generated 07/09/2019 13:03 by Bureau of Prisons • NYM Page 10 of 13 EFTA00105002 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/201912:35 Provider: Unit 18-054 1 Abdomen: Normal Contour:Yes Scaphold: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scars: No Tenderness: No Organomogaly: No Active Bowel Sounds: Yes Comments: Extremities: Nails Clubbing: No Nails Cyanosis: No Lower Extremity Edema - Right: None Lower Extremity Edema - Left: None Atrophy: No Amputations: No Other Deformities: No Varicosities:No Calf Tenderness: No Pulse Deficit: No Strength: Fight Sift Arm: Log: Full ROM: Right Arm: Yes Yee Leg: Yes Yes Comments: Gene:rood 07/0912019 13:03 by Etwoau of Prisons Pogo 11 of 13 EFTA00105003 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg it: 78-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider. Unit: Reflexes: flight ken Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal:Yes Rash: No Redness:No Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: I1m Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Administration Not Performed Comments: Patient has a history of constipation. Generated 07/09/2010 13:03 by Bureau of Prisms - NYM Page 12 of 13 EFTA00105004 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: ITE Encounter Date: 07/09/2019 12:35 Provider. Reg #: 76318-054 Facility: NYM Unit: H01 Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - Now Medication Orders: Palt Medication. Bisacodyln. Tablet Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed Order Pate 07/09/2019 12:35 5 mg Ordy et bedtime PFtN x 10 day(s) Instructed inmate how to obtain medical, dental, and mental health care. Copay Requlred:No Cosign Required: Yes TelophoneNerbal Order: No Completed by on 07/09/2019 13:03 Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 07/09/2019 13:03 by Bureau of Prisons • NYM P40134 13 EFTA00105005 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Facility: N M Cosigned by on 07/11/2019 22:41. Burew W ftilscm - WM EFTA00105006 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem Hyperlipldemia, unspecified HYPERTRIGLYCERIDEMIA Sleep apnea Essential (primary) hypertension BY HX. Constipation, unspecified Low back pain Neuralgia and neuritis, unspecified No Diagnosis Prediabetes Injury, unspecified R/O self Inflicted injuries. Body mass index (BMI) 27.0-27.9, adult atatua Current Current Current Current Current Current Current Current Current Current Medications: All medications to be continued until evaluated by a physician unless otherwise In Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10mI by daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments lorded. ily for 30 days th with plenty th twice uth with food Dale lima Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order Order Date Frequency EKG 07/06/2019 One Time Focal Occult Blood 07/06/2019 One Time TB Clearance: Yes Last PPD Date: 07/09/2019 Last Chest X-Ray Date: TB Treatment TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Dualism Retails 66 y/o male 3 different stools Induration: 0mm Results: Sx free for 30 days: Yes Generated 08/10/2019 07:00 by Bureau of Prisons - NYPA Page 1 of 2 EFTA00105007 Reg U: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information Is confidential and must be appropriately safeguard d. Limitations/Restrictions/Diets: Cell: lower bunk — 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. — 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number. 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Namerfitle of Person Completing Form: Dal 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Generated 08/10/2019 07:00 by Bureau of Prisons - NYM Page 2 or 2 EFTA00105008 Bureau of Prisons Health Services Vitals All Begin Date: 07/07/2019 Rog #: 76318-054 Temperature: End Date: 08/10/2019 Inmate Name: EPSTEIN. JEFFREY EDWARD Data lima Fahrenheit Celsius Location EIPMItiet 07/24/2019 13:12 NYM 97.8 36.6 Oral Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 97.3 36.3 Oral Orig Entered: 07/09/2019 12:51 EST Pulse: Date It= Rate Per Minute I ()cation &Aim Provider 07/30/2019 13:02 94 Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 87 Vla Machine /2019 13:04 EST = 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30 Orly Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 83 Via Machine Regular Ong Entered: 07/24/2019 13:14 EST MIMI 07/23/2019 06:30 92 Via Machine Regular Orig Entered: 07/23/2019 08:33 EST /2019 12:51 EST IIIMI7. 07/09/2019 12:49 82 Via Machine Regular Orig Entered: 07M Respirations: Rata Time 07/30/2019 09:30 NYM Rate Per Minute Provider 12 Orly Entered: 07/30/2019 12:59 EST a 07/28/2019 20:28 NYM Orig Entered: 07/28/2019 20:29 EST a 07/28/2019 06:57 NYM Orly Entered: 07/28/2019 06:58 EST NMI 07/23/2019 06:30 NYM Oily Entered: 07/23/2019 08:33 EST MM . 07/09/2019 12:49 NYM Orig Entered: 07/09/2019 12:51 EST Generated O8V10/2019 11:02 by Bureau of Prisons - NYM Pogo 1 or 3 EFTA00105009 Begin Date: 07/07/2019 Reg #: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: Oats Time 07/30/2019 13:02 NYM Orig Entered: 07/30/2019 09:40 NYM Orig Entered: 07/30/2019 09:30 NYM Orig Entered: 07/28/2019 20:28 NYM Orig Entered: 07/28/2019 06:57 NYM Orig Entered: 07/24/2019 13:12 NYM Orig Entered: 07/23/2019 06:30 NYM Orig Entered: 07/09/2019 12:49 NYM Orig Entered: Value I °cation 114/84 Left Arm 07/30/2019 13:04 EST 125/60 Right Ann 07/30/2019 13:04 EST 108/86 Left Ann 07/30/201912:59 EST 157/91 07/28/2019 20:29 EST 138/80 07/28/2019 06:58 EST 132/89 Right Arm 07/24/2019 13:14 EST 140/85 Right Arm 07/23/2019 08:33 EST 117/66 Right Arm 07/09/2019 12:51 EST Position Cuff Size provider Standing Standing Sitting Sitting Sitting Sitting Blood Glucose: Date Time Value Imaldll Tyoe 08/04/2019 08:30 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST 08022019 06:30 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST 07/31/2019 06:15 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST Sa02: Time Value/IA' Air 07/30/2019 09:30 NYM 98 Room Air Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM 98 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 98 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 NMI 96 Room Air Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 NYM 96 Room Air Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 97 Room Air Orig Entered: 07/09/2019 12:51 EST Height Concealed Ob/10/2019 11:02 by ■ Adult-regular MIS Adult-regular Adult-regular Regular Insulin provider Provider Bureau of Prisons NYM Pepe 2 of 3 EFTA00105010 Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Data Emil Inches cm Provider 07/09/2019 12:49 NYM 70.0 * 177.8 Orig Entered: 07/09/201912:51 EST Weight: Data EMS Lin Kg Waist rtimuns Provider 07/30/2019 09:30 NYM 194.2 88.1 Orig Entered: 07/30/2019 12:59 EST 07/09/2019 12:49 NYM 194.4 88.2 Orig Entered: 07/09/2019 12:51 EST Generaled 08/10/2019 11:02 by Bureau of Prisons - NYM Pass Set 3 EFTA00105011 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD j,ocation 07/06/2019 21:39 Right Forearm Orig Entered: 07/06/2019 21:43 EST Total: 1 Provider Reading' Induration 07/09/2019 12:47 0 mm Odg Entered: 07/09/2019 12:47 EST lnOP/IDC Bureau of Prisons - NYM Generated 08/10/2019 11:02 by Page I 011 EFTA00105012 76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 07/10/19 1421 Exp. Dab 07/31419 1001 NYM 122146- NYA4 Wort nqutc. Insulin st Pcutrrtoousty per acting 44,4J: Nrka (14'4 —•44:1 Ilnr for 7 days tni.0 Rog (10 It.)1 00 UNITSR4I. PRN • Ceti. Date 07f31119 1000 bjaa isgut& trautri Pubcutariernaly par Ey. Data OREN; scale: each morning /or 7 days "'PM 08/07/19 Ono — 09S9 WWI 122160- NYM Lnu:n Rog (10141—)10011NiTS/ML Lnj PFtN -Provide Occimereatien Codes: ORO = Order I NI = Dose Not InCficated Regsslrabon St 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 0112049 Report Inform lion Is current as of Uhl) 0480 MCI tune of printing: 08/100019 11:02 EST EFTA00105013 76318-054 EPSTEIN. JEFFREY Medication Orders Medication Administration Record AUGUST 2019 Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Orti Oslo 07/31119 1899 Exp. CRCs 0247119 0939 NYM 122160- ?NM Ir*A regular Ins u5n subcutaneously per •Cdlag scale: 0OO ITINTI1219 for 7 days "'dm tae-rh Reg (10 ML) 100 UNITSN L L' PRN Providers Documentation Codes: ORD n Order I NI r: Dose Not Indicated RegStratton 0: 76318-054 Pt. Name: EPSTEIN. JEFFREY DOB: 01/20/53 Roped Infcanotion Is current as of the date and limo of printing- 08/10/2019 11:02 EST EFTA00105014 Bureau of Prisons Health Services Devices and Equipment Start Date: 07/07/2019 Stop Date: owl012019 Reg #: 76315-054 Inmato Name: EPSTEIN, JEFFREY EDWARD Peeks'Equipment 1 -Pap 07/30/2019 14:05 EST Total: 1 Start Date Stop Date Pate Returned Obtained From Comments 07/3012019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Generated 0811012019 11:02 by-SOP/1OC Bureau of Prisons - NYM Page 1 of 1 EFTA00105015 Bureau of Prisons Health Services Pain Management Begin Date: 07/07/2019 Reg #: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD gaig intervention 07/12/2019 13:25 MEDROL DOSE PACK Orig Entered: 07/1212019 13:28 EST Pain Quality Shooting Location Ea Post Provider Back-Middle 5 Generated O9/102019 11:02 by EVIONOC Bureau of Prisons - NYM Page 1 of 1 EFTA00105016 Bureau of Prisons Health Services Modified Diet Re uest Types of Diets: Clear Liquid Exp Date: Low Fat Exp Date: Mechanical Soft Exp Date: Low Cholesterol Exp Date: Low Triglyceride Exp Date: Renal Exp Date: Full Liquid Exp Date: Sodium Controlled Exp Date: Snack Exp Date: Diabetic Exp Date: Calorie Controlled Exp Date: X Other. FISH ALLERGIES. Exp Date: 07/30/2020 Comments: EPSTEIN, JEFFREY EDWARD Inmate Name Health Service Staff 76318-054 07/30/2019 Reg# Date Generated 07/3012019 14:57 by Bureau of Prisons - NYM Paget°, 1 EFTA00105017 Bureau of Prisons Health Services Allergies Reg #: 78318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Pate Noted Reactlog No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST Total: 1 Generated 08/10/2019 11:02 by Bureau of Prisons • NYM Page 1 of 1 EFTA00105018 Bureau of Prisons Health Services Patient Education Assessments & Topics Reg IS: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Rest Ay primary I anguage Years of Education Fistatersagittucatig0 07/09/2019 Speaking/Listening English 12 None 0rig Entered: 071091201912:52 EST MfM Total: 1 pate Initiated Format Nandout/Toplq 07/3012019 Counseling Access to Care Orig Entered: 07/30/2019 13:33 EST a 07/30/2019 Counseling Plan of Care Orig Entered: 07/30/2019 13:34 EST a 07/28/2019 Counseling Plan of Care Orig Entered: 07/28/2019 07:22 EST 07/28/2019 Counseling Plan of Care Ong Entered: 07/28/2019 20:30 EST a 07/24/2019 Counseling Access to Care Orig Entered: 07/24/2019 13:23 EST MI I 07/24/2019 Counseling Preventive Health Ong Entered: 07/24/2019 13:23 EST =I. I 07/23/2019 Counseling Access to Care Ong Entered: 07/23/2019 09:04 EST -07423/2O1S— Counseling Plan of Care Ong Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling . Diagnosis Ong Entered: 07/14/2019 18:11 EST 07/12/2019 Counseling Diagnosis I. Topics Outcome Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Provider Provider Generated 09110/201911:02 by MAGID/IBC Bureau of Prisons - NYM Page 1 of 2 EFTA00105019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Pate Initiated Format Handoutifooic Outcome Provider olio Entered: 07/12/2019 13:33 EST Total: 10 Generated 09/10!201911:02 by Bureau of Pitons - PPM Page 2 e12 EFTA00105020 Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Dato: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Data lama Yalua Than 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST 08/02/2019 08:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST 07/31/2019 06:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST Total: 4 Generated 08/10/2019 11:02 by Comments MilOPAIDC Bureau of Prisons - NYM Page 1 of 1 EFTA00105021 Bureau of Prisons Health Services Health Problems Reg 01: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Descriotlon Hyperilpidemla, unspecified 07/12/2019 13:48 EST HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST Essential (primary) hypertension 07/30/2019 13:13 EST BY HX. Constipation, unspecified 07/09/2019 12:58 EST Low back pain 07/12/2019 13:30 EST Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST No Diagnosis 07/09/2019 10:28 EST Prediabetes 07/30/201913:26 EST ME Injury, unspecified 07/23/2019 09:04 EST R/O self inflicted injuries. Body mass Index (BM) 27.0-27.9, adult 07/30/2019 13:14 EST Total: 10 Mt Code Tyon Code Diagialta Status. .Stalust2010. Current ICD-10 E785 07/12/2019 Current ICD-10 64730 07/12/2019 Current ICD-10 110 07/30/2019 Current ICD-10 K5900 07/09/2019 Current ICD-10 M545 07/12/2019 Current ICD-10 M792 07/12/2019 Current I DSM-IV No Dx 07/09/2019 Current ICD-10 R7303 07/30/2019 Current ICD-10 T1490 07/23/2019 Current ICD-10 Z6827 07/30/2019 Current Generated 08/1O201911:02 by EACH= Bureau of Prisons - NYM Pa;o 1 or 1 EFTA00105022 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Binh: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: Reg Sr: 76318-054 Facility: NYM Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HYPERT 800 . MEDS HX OF O MACHINE. STATES THE L4 -1.5 SEVERE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: Location: Quality of Pain: Pain Scale: Intervention: Trauma Date/Year: Injury: Mechanism: Onset: Duration: Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: HITE MALE WITH HX OF CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE EIR GI SIDE EFFECTS. UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. Y HAS SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE 07/12/2019 13:25 Back-Middle Shooting 5 MEDROL DOSE PACK 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK 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 III Nutrition Not Appears Obese Generated 07/12/2019 14,20 by Bureau of Prisons • NYM Page I of 3 EFTA00105023 Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: Reg #: 76318.054 Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal Si and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active B Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness ithi Neurologic 41) Cranial Nerves (CN) Yes: W ASSESSMENT: Constipation, unspecified. K5900 - Current 0: 4 0,120 Motor Systemn Normal Limits -General Yes: Normal Exam Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current 0 le t Sleep apnea, G4730 - Current PLAN: New Medication Orders: Bra Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally • Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by Bureau of Prisons • NYM Page 2 of 3 EFTA00105024 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM I Encounter Date: 07/12/2019 13:10 Provider: Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Formal 07/12/2019 Counseling Copay Required:No TelephoneNerbal Order: Completed by Handout/Topic Diagnosis Cosign Required: No n 07/12/2019 14:20 Provider Outcome Verbalizes Understanding Generated 07/12/2019 14:20 by Bureau of Prisons NYM Page 3 of 3 EFTA00105025 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: Unit: Z05 Chronic Care -14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HITE MALE WITH HX OF HYPERT CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS 9, EIR GI SIDE EFFECTS. HX OF O iS)14ii LIVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. '•1 q? HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMI S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK 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 III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by Bureau of Prisons • NYM Page 1 or 3 EFTA00105026 Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01)20/1953 Sex: Encounter Date: 07/12/2019 13:10 Provider Reg #: 76318-054 M Race: WHITE Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat d.Rhythm (RRR). Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active 8 Palpation Yes: Within Normal Limits MUSCUloskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified. K5900 - Current Hyperlipidemia, unspecified, E785 Current Low back pain, M545 - Current Neuralgia and neuritis. unspecified, M792 • Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: EK.# Ke_dkation Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Disposition: Prescriber Order 30 CC Orally - T o Times a Day PRN x 2 day( ) Indication: Constipation, unspecified MethylPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified ly - daily x Generated 07/12/2019 1420 by Bureau of Prisons • NYM Page 2 of 3 EFTA00105027 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg It: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format 07/12/2019 Counseling Handout/Toeic Diagnosis Copay Required: No i Cosign Required: No TelephoneNerbal Order: Completed by 07/12/2019 14:20 Pr_oytdel el, Outcome Verbalizes Understanding Generated 07/12/2019 14:20 by Bureau of Prisons • NYM Page 3 of 3 EFTA00105028 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 71 Date of Birth: 01/20/1953 Sox: A4 Race: Encounter Date: 07/14/2019 17:36 Facility N 8-054 Amendment mado to this note by on 07/14/2019 18:11. Bureau of Prrsons - NYM EFTA00105029 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Note Date: 07/12/2019 09:08 Sex: Provider. Reg /t: Facility: Unit: 76318-054 NYM ZO5 Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider PATIENT REQUESTED TO HAVE A COLACE FtX INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medication Dccusate Sodium Capsule Indication: Constipation, unspecified Discontinued Medication Orders: adt Medication 121757-NYM Bisacodyl.. 5 MG TAB Order Date 07/12/2019 09:C6 Order Date 07/1212019 09:06 Discontinue Type: When Pharmacy Processes Discontinue Roason:discontinue Indication: Copay Required: No TelephoneNerbal Order No Completed by Cosign Required: No on 07/12/2019 09:10 prescriber Order TAKE ONE 1 r t MG CAP Orally - Two Times Day x 30 day(s) c ibe Take one tatAit (5 MG) by mouth at bedtime AS NEEDED for 10 days Generated 07/12/2019 09:10 by Bureau of Prisons - NYM Page 1 of 1 EFTA00105030 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Note Date: 07/07/2019 00:17 Provider. Reg #: 76318-054 Facility: NYM Unit: E06 Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. =MM. MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin AlC One Time Lab Testsi-CBC w/diff Lab Tests-L-Lipld Profile Lab Tests,Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Rellex to Microscopic Additional Information: 64/o male, elevated BP Labs requested to be reviewed by: New Laboratory Requests: DataIle Chronic Care Clinics-Diabetic-CBC w/diff Chronic Care Clinics-Diabetic-Lipid Profile = Chronic Care Clinics-Diabetic-Hemoglobin Ai Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End aan Due Pate General Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX REFERRED FOR ROUITNE CXR. Copay Requlrod:No TelephoneNerbal Order: No Completed by Cosign Required: No on 07/07/2019 00:30 Due Date 08/05/201900:00 R Frequency Rue Date Priority One Time 07/25/2019 00:00 Routine Edit Ftouline Generated 07/072019 00:30 by Bureau of Prisons . NYM Panto% 1 EFTA00105031 Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Dale: 07/09/2019 12:35 Provider- Reg #: 78318464 M Race: WHITE Facility: NYM Unit 1 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough:No Comments: infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10-i- Mate Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Soxual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by Bureau of Prisons - NYM 1 of 13 EFTA00105032 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M Race WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider. Unit 7; 18-054 HIV History: When Tested: 2019 Test Result: Negative Whon Diagnosod AIDS: Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Gantt-aux' 07/022019 13:03 by Bureau of Prisons NY1A 2 of 13 EFTA00105033 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider M Race: WHITE Reg W. 76318-054 Facility: NYM Unit Mental Health: Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Hx of Mental Health Treatment: None Hx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint: No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention Initiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health Issues: Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Condition: Denied Generated 0710W2019 13:03 AM= Bumau of Prisons-NYM Page 3 ad 13 EFTA00105034 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Reg #: 76318-054 Facility: NYM Unit 1101 Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 07,09/2019 13:03 by Bureau of Prisons - NYM Page 4 of 13 EFTA00105035 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Reg #: 7631806 M Race: WHITE Facility: NYM Unit: H01 Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Routo: Exp Dt: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09/2019 13.03 by Bureau of Prisons - NYM Paae5df 13 EFTA00105036 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider. Reg e: 76318-054 HITS Facility: NYM Unit: F01 Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/201912:51 EST Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: pa a Time Fahrenheit .gpipilla 1,0cation 07/09/2019 12:49 NYM 97.3 36.3 Oral Pulse: Kate I1m Rate Per Minute Location fl ivthro Provider 07/09/2019 12:49 82 Via Machine Regular Respirations: a Time Rate Per Minute Provider 07/09/2019 12:49 NYM 16 Blood Pressure: Malkin Location Position Cuff Size Provider 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Adult-regular SaO2: te Time Yalue{%} Air Provider 07/09/2019 12:49 NYM 97 Room Air Height: Da& Time Inches CM Provider 07/09/2019 12:49 NYM 70.0 177.8 Generated 07/092019 11.03 by Bureau of Prisons - NYM Pal3 6 of 13 EFTA00105037 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: HITE Facility: NYM Encounter Dale: 07/09/2019 12:35 Provider: Unit: H01 Date Time in_cheS _Ca Provider Weight: !lats. Time 1.bs Kg Waist Circum Er_osider 07/09/2019 12:49 NYM 194.4 88.2 MEM Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Pate gd Yrs Occti0ation Learns Best By Primary qa if 07/09/2019 12 Balker Family History - Father. Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Numbor of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: on Speaking/Listening English None Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Ger-waled 07/C9/2019 13.03 by Bureau of Prisons • NYM Page 7 of 13 EFTA00105038 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 8: ;318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: Unit 1 Eyes: EOMI: Yes Icterus:No Conjunctival Inflammation: No Pupils PERRLA: Yes Pupil Size Rt: Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fundi Vessels Discs Sharp Margins:Yes Fundi Vessels Grounds Abnormal: No Eyes Comments: Vision Screen 07/09/2019 12:52 Blindness: With Corrective Distance Vision: OD: 100 OS: 70 OU: OD: OS Near Vision: OD: OS: OU: OD: OS: Ishihara Color Test: Tonometry: L: R: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midlino:yes Septum Intact: Yes Drainage/Discharge: No Polyps: No Nose Comments: Geteratod 07/09/2019 13:03 by Bureau of Prisms - NYM Page 6 of 13 EFTA00105039 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01120/1953 Sex: Encounter Date: 07/09/201912:35 Provider: M Race: WHITE Reg tr: 76318-054 Facility: NYM Unit: r 1 Mouth Lesions:No Oral/Buccal Mucosa:Yes Gums Normal: Yes Tonsils Present:Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact II-Xll: Yes Cranial Nerves Comments: Neck: Full ROM:Yes Masses/Nodes: No Trachea: Midline Thyroid: Nomial Size Comments: Breasts: Normal: Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction:No Instructions for Self Breast Exam Given: Comments: No Goneraled 07/09/2019 13.03 by Bureau of Pitons - NYM Page 9 of 13 EFTA00105040 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD Vision Screen on Blindness: 07/09/2019 12:52 Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis R: R: L: L: Color Test Tonomotry: R: L: Comments: Needs evaluation with optometrist. OrIg Entorod: 07/09/2019 12:54 EST Generated 08110/2019 11:02 by Bureau of Prisons - NYM Pap 1 el I EFTA00105041 Bureau of Prisons Health Services Immunizations Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Immunizathanato Administered Location Dosage Drug Mf cis Wit Txp Date Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST Measles/Mumps/Rubella Series Orig Entered: 07/09/2019 1a51 EST Smallpox Series Orly Entered: 07/09/2019 12:51 EST Tetanus Orig Entered: 07/09/2019 12:51 EST Varicella Series Total: 5 Orig Entered: 07/09/2019 12:51 EST History Unknown History Unknown History Unknown History Unknown Generated 08/10/2019 11:02 by EfloPnoc Bureau of Prisons - NYM Page 1 of 1 EFTA00105042 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD ?Tr , • Houslog•Stattle: tt" tr - •• • a. confined to the living quarters except _meals pill line _treatments Exp. Date: Exp. Date: Exp. Date: Exp. Date: Ptikka til;g4Dnetri.3 e11 /2 : :' 7•fa';'s; all sporli.:- Exp. Date: - •-_‘• weightlifting: _upper body lower body Exp. Date: ...etinchavascular exercise: _running _fogging _walking softball Exp.. Date: on complete bed rest:.. .. bathroom privileges only X cell: eeN on fret floor single cell X lower bunk airborne infection isolation other ' 'other: _football _basketball _handball stationary equipment • falergiffinagra urS areigiga nieig (Mif; •';' Equipment Start Date End Date Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff • Exp. Date: 07/30/2019 10/09/2019 elum Date Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Quarters: Z04 ALL EXPIRATION DATES' RE AT 24:00 • Generated 0811012019 11:02 by Bureau d Prisons - NYM Page loll EFTA00105043 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD confined to the living quarters except _meals _pill line treatments Exp. Date: on complete bed bathroom privileges only Exp. Date: X cell: cell on fi t floor. single cell X lower bunk airborne infection isolation Exp. Date: Exp. Date: other. egfearricallo it e:drictliingfrnicag,T4it:FL . 5?.i.t:' all sports„;:' weigtitfifting: upper body lower body -cardioyascular exercise: running _jogging _walking softball football basketball _handball _stationary equipment Exp. Data: Exp. Date: Exp. Date: Exp. Date: 10/09/2019 1.1. WI :a '.•••••;:' haverkgfcMirgaa61PIAglirfirOWerplass'esstoliyak&itaiW: ti Wk.,..124satta ki atatjaitaterfa:r 3/47rt,WA Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff 07/09/2019 Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 33: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by BUIVIU or Prisons • NYM Page 1 of 1 EFTA00105044 Bureau of Prisons Health Services Medication Summary Historical Complex: NYM—NEW YORK MCC inmate: EPSTEIN, JEFFREY EDWARD Begin Date: 07/07/2019 End Date: 08/10/2019 Reg tt: 76318-054 Quarter: Z04-206LAD Medications listed reflect prescribed medications from the begin date to end date on this report. Allergies: Denied Active Prescriptions Bisacodyl II 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rx#: 121757-NYM Doctor. Start 07/09/19 Exp: 07/19/19 DIC: 07/12/19 Pharmacy Dispensings: 10 TAB 1 32 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice dail for 30 days Rx#: 121823-NYM Doctor. Start 07/12/19 Exp: 08/11/19 Pharmacy Dispensings: 60 CAP in 29 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice dail b mouth with lenty of water Rx#: 122084-NYM Doctor. Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP In 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice dal b mouth Rx#: 121835-NYM Doctor. Start: 07/12/19 Exp: 07/14/19 Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 10ml by mouth twice daft AS NEEDED Rx#: 122150-NYM Doctor. Start 07/30/19 Exp: 10/28/19 methyiPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 121836-NYM Doctor. Start: 07/12/19 Exp: 07/18/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 122149-NYM Doctor: Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 473 ML In 29 days Pharmacy Dispensings: 473 ML in 11 days Pharmacy Dispensings: 21 tab in 29 days Pharmacy Dispensings: 21 tab In 11 days Generated 08110/2019 11:02 by Bureau of Prisons - NYM Page 1 of 2 EFTA00105045 Complex: NYM—NEW YORK MCC Begin Date: 07/07/2019 Inmate: EPSTEIN. JEFFREY EDWARD Reg #: 76318-054 End Date: 08/10/2019 Quarter 204-206LAD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily b mouth with food Rx#: 121885-NYM Doctor: Start: 07/17/19 Exp: 01/13/20 Pharmacy DispensIngs: 180 Cap in 24 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular Insulin subcutaneous/ er slidin scale: twice daily "'pill line*" for 7 days morn line*" Rx#: 122148-NYM Doctor: Start: 07/30/19 Exp: 08/06/19 D : 07/31/19 Pharmacy DispensIngs: 0 ML in 11 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneous) er sliding scale: each rooming for 7 days —*pill lino*" "'pill line Rx#: 122160-NYM Doctor: Start: 07/31/19 Exp: 08/07/19 Generated 06/10/2019 11:02 by Pharmacy DIspensings: 0 ML in 1 days Bureau of Prisons - NYM Par 2 at 2 EFTA00105046 Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider. Unit H01 54 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem 5181O. Hypertipiderrda, unspecified Current HYPERTRIGLYCERIDEMIA Steep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified Current R/0 self inflicted injuries. Medical History as of Dental Health History Encounter date: Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied 07/26/2019 07:54 Gorarated 07/26,2019 07:59 by Bureau of Prisons • NYM Page 1 of 3 EFTA00105047 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01120/1953 Sex: Ivi Encounter Date: 07/26/2019 07:54 Provider. Reg #: 7631 Facility: NYM Unit: H01 Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia In 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Treatmont:sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: No Methamphotamine: No Tobacco products: No Other drugs: No Sensitive tooth: No Bleeding gums: Yes Food impaction: Yes Pain around ear: No Toothache: No Wear partial dentures: No Unusual sounds while eating: No Snoring: Yes Blisters on lips or mouth: No Clenching or grinding: Yes Swelling or lumps In mouth/throat: No Burning tongue: No Bad breath: No Decayed teeth: No Loose teeth: No Wear dentures: No None: No Comments: Gertousad 07262019 07.59 by NM EIMM Eturuau of Prison, • NYM Pan 2 of 3 EFTA00105048 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider. Unit: H01 Cardiac Condition Requiring Prophylaxis: No Prosthetic JoInt(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice dallr for 30 days Omega 3 (Vascopa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No TelephoneNerbal Order No Completed by Cosign Required: No on 07/26/2019 07:59 Generated 07126/2019 07:59 by Bureau of Prison,. NYM sae 3 cif 3 EFTA00105049 Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #:. 76318-054 Date of Birth: 01/20/1953 Se lity: NYM Encounter Date: 07/26/2019 07:47 Provider. M Fac Provider. Unit H0t Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair CPITN: 3 2 1 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 1 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions Ivan: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by 07/26/2019 07:47. Generated 07/2612019 08:00 by Bureau of Prisons NYM EFTA00105050 Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN. JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/18/2019 13:48 Provider: Reg #: Facility: Unit: 76318-054 NYM Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A & 0 screening but has not been escorted to Cosign Required: No Completed by n 07/19/2019 13:49. e dental clinic. Generated 07/19/201913:49 by Bureau of Prisons • NYM Page 1 of 1 EFTA00105051 Federal Bureau of Prisons U.S. Medi I Prisons "' Sensitive But Unclassified "' Name EPSTEIN. JEFFREY Reg U 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unlairia in Provider S Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 CHEMISTRY Sodium Potassium Chloride CO2 BUN Creatinine eGFR (IDMS) 137 4.7 99 27 17 1.05 >60 GFR units measured as mL/min/1.73 m"2. If African American mulliply by 1.210. A calculated GFR <80 suggests chronic kidney disease if found over a 3 month period. Calcium Glucose AST ALT Alkaline Phosphatase Blirubin, Total Total Protein Albumin Globulin Alb/Glob Ratio Anion Gap BUN/Creat Ratio Cholesterol Triglycerides Calculation cf LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dL Choi/HDL Ratio H 6.9 0.0-4.0 H H H 9.8 102 57 62 64 1.1 7.3 4.4 2.9 1.50 10.2 16.1 216 413 137-148 3.5-5.0 99-114 22-30 7-22 0.66-1.25 8.5-10.9 70-110 11-55 11-66 41-133 0.2-1.3 6.0-8.2 3.6-5.1 2.0-3.7 1.00-2.30 9.0-19.0 5.0-30.0 <200 10-150 mmol/L mmoUL mmol/L mmoUL mg/dL mg/dL mg/dL mg/dL U/L U/L U/L mg/dL g/dL g/dL g/dL mg/dL mg/dL HEMATOLOGY WBC NRBC% RBC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet L 7.6 0.0 5.42 15.6 47.8 88.2 28.8 32.6 12.8 338 4.3-11.1 4.46-5.78 13.6-17.6 40.2-51.4 82.5-96.5 27.1-34.9 33.0-37.0 12.0-14.0 130-374 KfuL MbA IL P9 g/dL K/uL FLAG LEGEND L=Low Lt=Low Critical H=I-figh Cntical A=Abnorrnal Al =Abno al Critical Page 1 of 13 EFTA00105052 Federal Bureau of Prisons U.S. Med al Prisons ••• Sensitive But Unclassified ••• Name EPSTEIN, JEFFREY Reg ti 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order tinisL2k547U Provider HEMATOLOGY MPV Neutrophils % Therapeutic decision making should be based on absolute values. rasher than percentages Lymphocytes % Monocytes % Eosinophils % Basophils Immature Granulocytes % Neutrcphlts # Lymphocytes # Monocytes # Eosinophits # Basophils # Immature Granulocytes # 10.4 58.7 25.0 11.1 4.1 0.8 0.3 4.4 1.9 0.8 0.3 0.1 0.02 HEMOGLOBIN Al C Hemoglobin A1C 5.7 - 6.4 Increased Risk > 6.4 Diabetes 6.3 Collected 07/09/2019 13:34 Received 07/1012019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 6.9-10.6 IL 0.0-5.0 1.9-6.7 K/uL 1.3-3.7 K/uL 0.3-1.1 K/uL 0.0-0.5 K/uL 0.0-0.1 K/u L 0.00-0.50 10"3/uL <5.7 SEROLOGY RPR Non-Reactive Results may be affected In patients with severely advanced immunosuppression. Non-Reactive FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnorrnal Al =Abnormal Critical Page 2 or' 3 EFTA00105053 Federal Bureau of Prisons U.S. Medi I Prisons ***Sensitive But Unclassified "' Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider N Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 HIV HIV 1/2 Negative Screening test - Soo confirmatory tostIng for Reactive results Neaten FLAG LEGEND L=Low L!=Low Critical H=High HI=High Critical A=Abnormal Al =Abnormal Critical Page 3 of EFTA00105054 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg /!: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider. Lab Result Receive Facility: NYM CosIgnod by on 07/14/2019 18:12. Bureau of Prisons • NYM EFTA00105055 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP CS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24.2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental CO Won, and release the Buroau of Prisons and Its employees from any and all liability for respecting and f• owing my expressed wishes and directions. 7-24-2019 Counseled by Date a** si .nature of Witne s Date a is Sign NYM -N EW YORK MCC Date EFTA00105056 BP-A0618 A&O DENTAL EXAMINATION JUN 18 (initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: 1 2 3 4 5 — 7 8 9 10 11 12 13 11 15 18 32 31 30 28 28 27 28 25 21 23 22 21 20 19 18 17 0 re Oral Hygiene: Good Fair , 00, CPITN: 3 3 2- 9 Head & Nock / Soft natio: D: apt I F: ltd Classiftcatiom CL, Pain Scale: Scale: /10 Dental Prostheses; at Intake: Yes Type. le ) Age: on ?l ir r MI 42 Russ, C--• Ztt W - i /L5 /Ilea on Di:. SWI2- Ace) or Car-011/15 Cili'Sdute4 Intra-cral Photos Taken: Yes 0 Radlog:aphs Taken: (Document Wings on MO endounter) Yes 9 Instructed how to obtain urgent and non-urgent dental care Yes: 1 Noc Treatment Primites: None: Non-urgent non-urgent Urgent Referred to Sick Cat Radiographs authorized: PM: Po:phyla-vitt authorized: Yes i No (Approval wird 18 months from examination date) SW5: Panorex Pa t Name: s4t4n ,±5:61ch E 0 -/ Q. 76 'n i - 3 !sr- os-m --1 Ins-Motion: MCC NEW YORK Date: 7- - Za nature Etio• _tamp: . . PDF Ghlet uental r MCC New York Presorted by P64O) Replaces SP-A081! of JUN 10 EFTA00105057 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318 Date of Birth: 01/20/1953 Facility: NYM Encounter Date: 07/28/2019 20:25 SProv:ider: Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stets ° My R hand still has pins and needles sometimes' No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Data lime Rate Per alinuto kocatiort Rhythm Provider 07/28/2019 20:28 81 Respirations: Rata Bute Rate Per Provider 07/28/2019 20:28 NYM 14 Blood Pressure: DADI Time Value Dealt= Position Cuff Sin provider 07/28/2019 20:28 NYM 157/91 SaO2: Date. Time ValuerAl Air Provider 07/28/2019 20:28 NYM 98 Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Generated 07/28/2019 20:30 by Bureau of Prisons NYM Page 1 of 2 EFTA00105058 Inmate Name; EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Encounter Date: 07/28/2019 20:25 Provider. Unit H01 Forow-up in 12-24 Hours Patient Education Topics: Pate Initiated. Format Handout/Topic Outcome 07/28/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by on 07/28/2019 20:30 Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 07/2812019 20:30 by • Ouroau of Prisons - NYM Pan 2d 2 EFTA00105059 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Dale: 07/28/2019 20:25 Provider: Reg #: 76318.054 Race: WHITE Facility: NYM Cosigned by on 07/28/2019 20:50. Bureau of Prisons - NYM EFTA00105060 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: Facility: NYM Encounter Date: 07/28/2019 06:51 Provider. Unit: H01 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: ' I woke up and I had no control over my Right arm for a few minutes it was just doing what it wanted to dos Pain: No OBJECTIVE: Pulse: Pita Ilma RAW Per Minute I-ocation 07/28/2019 06:57 82 Respirations: Pato DM2. 07/28/2019 06:57 NYM Rate Per Minute. Provider 14 Rhythm Provider Elligi Blood Pressure: PAUL knit Value Location Position Cuff Slut Provider 07/28/2019 06:57 NYM 138/80 SaO2: Data Time Valuef%). Air 07/28/2019 06:57 NYM 98 Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Provider Head General Yes: Symmetry of Motor Function, Atraumatic/Norrnocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Generated 07/28/2019 07:22 by Bureau or Prisons - NYM Pegs 1 of 3 EFTA00105061 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M R o siaarrE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Unit 1101 Exam: No: Ecchymosls, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(a) Contusion(s) R ROS Comments Received inmate AAOX3 In no acute distress, speaking in full sentenced ambulating independently C/ Right arm numbness after waking up from 'sleeping on my side' that has since subsided. Inmate interviewed in psyc obs through the slot V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchyrnosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Pate Initiated format Handout/Tonic 07/28/2019 Counseling Plan of Care Generated 07/28/2019 07:22 by Bureau of Prisons • NYM Outcome Verbalizes Understanding Page 2 of 3 EFTA00105062 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Bldh: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Unit: H01 Date Initiated Esimat Handout/Tonic Copay Required: No Cosign Required: Yes TelophoneNerbal Order: No Completed by on 07/2812019 07:22 Requested to be cosigned by Cosign documentation will be displayed on the following page. Provider outcome Generated 07128/2019 07:22 by Bureau or Prisons - NYM Pie 3 of 3 EFTA00105063 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg N: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: Facility: NY11 Cosigned by on 07/2812019 20:51. Bureau of Prisons - NYM EFTA00105064 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: TE 07/26/2019 08:57 Provider-. Reg #: Facility: Unit: 76318-054 NYM HO Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders: Siff. Medication Docusato Sodium Capsule Indication: Copay Required:No TelephoneNerbal Order No Completed by Garroted 07/262019 OB:58 by Constipation, unspecified Cosign Required: No on 07/26/2019 08:58 Order Date 07/26/2019 08:57 Sweat ol Prisons - NYM Prescriber Order TAKE ONE 10 MG CAP Orally - Two Times a Day x 180 day(s) Page 1 al I EFTA00105065 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN. JEFFREY EDWARD Reg 76318.054 Date of Birth: 01/20/1953 Sex: Facility: NYM Provider: Note Date: 07/24/2019 16:10 Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: THE MLP NOTIFJED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO Copay Required:No TelephoneNerbal Order: No Completed by Cosign Required: No 24/2019 16:12 Generated 07/2412019 16:12 by Bureau of Prisons - NYM Page 1 of I EFTA00105066 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Namo: EPSTEIN. JEFFREY EDWARD Reg ft 16318-054 Date of Birth: 01/20/1953 Sex: Note Date: 07/24/2019 16:10 Provider. NYM ide Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required: No TelephoneNerbal Order: Completed by Cosign Required: No 24/2019 16:12 Generated 07/24/2019 16.12 by Bureau of Prisons - NYM Page 1 of 1 EFTA00105067 Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: NYM Amendment made to this note b on 07/26/2019 08:58. SHOW Or em.NYM - EFTA00105068 Bureau of Prisons Health Services Clinical Encounter • Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/24/2019 15:10 Provider: Unit: H01 Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. FtEFS.ISAL FORM SIGNED. Copay Required:No TelephoneNerbal Order No Completed by Cosign Required: No on 07/24/2019 15:17 Generated 071242019 15:17 by Bureau of Prisons • NYM Pago 1 of 1 EFTA00105069 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg 1$: 76318.054 Date of Birth: 01/20/1953 Sex: TE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider. Unit: H01 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem Subjective: I still do not want to talk about. But, between you and me. I think my room mate had to do with what happened to me. Do not ask me. I am not going to say anything. Pain: No OBJECTIVE: Temperature: Data lima Fahrenheit Celsius Location 07/24/2019 13:12 NYM 97.8 36.6 Oral Provider Pulse: Data Time Rate Per Minute Location Rhythm Emaldar 07/24/2019 13:12 83 Via Machine Regular Blood Pressure: Data Time Value Location Position Cuff ke ai m 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular SaO2: Rata lima Value(%) Alr Provider 07/24/2019 13:12 NYM 96 Room Air Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look In any pain or distress. He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient do of any respiratory problem or distress. He still does not want to explain how the skin injury on his neck insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: s not complaint gipped. he Injury, unspecified, T1490 - Current PLAN: Disposition: Groomed 07/24/2019 13:24 by Bureau of Prisms - NYM Page 1 of 2 EFTA00105070 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: ITE Facility: NYM Encounter Date: 07124/2019 13:08 Provider: Unit 1401 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Toptc, 07/24/2019 Counseling Access to Care 07/24/2019 Counseling Preventive Health Copay Roqulred:No Cosign Required: Yes TolophoneNerbal Order: No Completed by on 07/24/2019 13:24 Requested to be cosigned by Cosign documentation will be displayed on the following page. Outcomt Verbalizes Understanding Verbalizes Understanding Gcnorulod 07/24/2019 13:24 by Eluroau of Prisons • NYM Peg' 2 d 2 EFTA00105071 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/24/2019 13:08 Provider: Nom Reg 76318-054 Race: WHITE Facility: NYM Cosigned with New Encounter Note by IMMIllan 07/24/2019 16:10. Bureau of Prisons • NYM EFTA00105072 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: ITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider. Unit: H01 Injury Assessment • Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Date of Injury: 07/23/2019 01:27 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: Pain Qualities: Where Did Injury Happen (Bo specific as to location): Special Housing Unit 205-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): 'I do not know. Just went to drink a little water and wake up snorting'. Symptoms (as reported by Inmate): None Date Reported for Treatment: 07/23/2019 08:25 OBJECTIVE: Temperature: Rain lima Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 973 36.4 Oral Pulse: Data Time Rate Per Minute .1.ocation. Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular Respirations: Pitt Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Blood Pressure: Data Time yams bocation Position Cuff Size ErciVid_er 07/23/2019 06:30 NYM 140/85 Right Ann Sitting Adult-regular SaO2: Data Time Valuer/01 Air 07/23/2019 06:30 NYM 96 Room Air Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor. Cyanotic, Diaphoretic, Disheveled, Ger,enT.od 07/23/2019 01.05 by Bureau of Prisons • NYM Page 1 of 2 EFTA00105073 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: ITE Encounter Date: 07/23/2019 06:20 Provider. Reg #: 76318-054 Facility: NYM Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Fthonchi, Wheezing Fxam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: I don't know°. He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inch wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in dlameler(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck a sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self Mflicted injuries. PLAN: Disposition: Folow-up at Sick Call as Needed Placed on Suicide Watch Fellow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: natiunitiatad Format Handout/Topic 07/23/2019 Counseling Access to Care 07/23/2019 Counseling Plan of Care Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by on 07/23/2019 09:05 Requested to be cosigned by Cosign documentation will be displayed on the following page. Outcome Verbalizes Understanding Verbalizes Understanding Generated 07/23/2019 09:05 by Bureau of Prisons NYM PageSol 2 EFTA00105074 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg tt: 76318-054 Date of Birth: 01/20/1953 Sex: Race: WHITE Encounter ()ate: 07/23/2019 06:20 Provider. Facility: NYM Cosigned by n 07/23/2019 15:44. Bureau of Prisms • NYM EFTA00105075 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07114/2019 17:36 Sex: Provider: Reg 1$: 76318 M Race: WHITE Facility: NYM Unit: Z05 54 Chronic Care -14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRI L WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERID MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTE STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Dato: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: Reason Not Done: Comments: MEDROL DOSE PACK Soon for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinIc(s): OrthopedldRheumatology, Pulmonary/Respiratory, Endocrine/Lipid 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 III Nutrition No: Appears Obese Generated 07/14/2019 18:11 by Bureau of Prisons • NYM Page 1d 3 EFTA00105076 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sox: M Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Norma-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Brit Medication Order Date Omega 3 ( Vascepa) 1 GM Capsule 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequen Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: Gonoralad 07/10/2019 18:11 D Buroau of Prisons - NYM AtteDate 10/10/2019 00:00 Routine Prescriber Ord?c TAKE 2 CAPS Qrally - Two Times a Day x 1 day(s)— TAKE WITH F Page 2 of 3 EFTA00105077 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/14/2019 17:36 Provider: Reg N: 76318-054 Facility: NYM Unit: Z05 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Date Scheduled. Scheduled Provider Clinical Encounter 07/24/2019 00:00 Optometrist 66 YR OLD MALE FOR ROUTINE SCREENING. Chronic Care Visit 01/07/2020 00:00 Mid-Level Provider 6 MONTH F/U. Chronic Care Visit 07/01/2020 00:00 Physician 01 Other: One Time 08/08/2019 00:00 Routine PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated format flandoutiTopIG DAM! 07/14/2019 Counseling Diagnosis Vimbeltzes Understancing Copay Required:No TeiephoneNerbal Order: No Completed by Cosign Required: No on 07/14/2019 18:11 Generated 07/1O2019 1811 by Bureau of Prisons - NYM P0003013 EFTA00105078 BP-S358.060 SEP 05 MEDICAL TREATMENT REFUSAL C DERN U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Fe eral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment l hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expresso• • -rectlons. Counseled by 7-24-2019 Date Siffiature of Wtne s Date NYM—NEW YORK MCC EFTA00105079 BP-S358.C60 MEDICAL TREATMENT REFUSAL CDFRbf SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMI-IX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY • Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS • • I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. Counseled by Signature of Witness 7-10-2019 Date Patien Date NYM-NEW YORK MCC EFTA00105080 BP.S358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF RISONS 7-24-2016 Date I, JEFFREY EPSTEIN 76318.054 , refuse treatment recommended by the Fe Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. CDFRM eral Federal Bureau of Prisons Medical staff members have carefully explained to me that the folio' ng possible consequences and/or complications may result because of my refusal to accept trea ent: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental c' ndition, and release the Bureau of Prisons and its employees from any and all liability for respecting and flowing my expressed wishes and directions. 7-24-2019 Counseled by Date ,f e Signature of Witness Date a is Sign NYM-NEW YORK MCC Date EFTA00105081 BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS 1 2 3 4 5 8 7 8 9 1011 1213 14. 15 16 O 32 31 30 29 28 27 26 25 24 23 22 21 20 19 - 18 • I? 4 It Occlusion: Oral Hygiene: Good Fe CP;TN: 3 2 3 3 2- 3 Mead & Neck / Soft Tissirre D; Classification: CLIC. Pain Scale: Dental Prostheses at Intake: Yes No Typo: Ase: Cenci:lion: Conlin 40 CC.Ci2 SS, 1 Ie C^ i Ci eotl 4tV411 , in nica on Di, Seili-e- -V- 1 at CaratsliAc 0.109-P-14 infra-cm1 Photos Takerr. . Yes 0 Radiographs Taken: (Document findings cn A&O encounter) Yes No • instructed hcev to obben urgent and non-urgant dental care: Yes: I No: Treatment Priorities: None: Non-urgent non-urgent Urgent Refistrred to Sick Cat Radiographs authorized; PM: Prophylaxis authorized: Yes I No (Approval veal 18 months from examination date) I BY& Panorex Pap nt s Name: s-QO . 1 —3--e_c-R•fe_y E Den I I ...: 47Etergurnber: -7 4,3is: OS-1/41 Institution: / MCC NEW YORK Date: 7- zo. -I 9. B Stamp: PDF Prescribed by P6403 e7 Dental cer MCC New York Replaces BP-A0B18 of JUN 10 EFTA00105082 BP4,0618 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Ocduslon: ■ 1 2 3 4 6 6 7 8 0 10 11 12 13 14 16 16 -2 t9 32 31 38 29 25 27 2825 24 23 22 21 20 10. 18 17 (AL fy Nt I F: Li Pain Scale: Oral Hygiene: Good CPITN: 3 2- 3 Head & Neck Soft. Tissue: 0 Cla ificatLOn: CL- -T- /10 Dental Prostheses of Intake: Yes No Typo: Aga: Contrition: Crcrirnre iontl 4 2 it 02 SS / 1.4-..ler r...-%-ci ht (tercV ' )/25/114.1 on C4r) SeiV-e- c3/ Cayi4inc O.lezSe-Ne4 Inaa-oral Photos Taken: Yes 0 Radiographs Taken: (Document findings on A&O encounter) Yes 9 . Instructed how to cbtaLn urgent and non-urgent dental care: Yes: I No: Treatment Pnortes: None: Ncn-urgent non-urgent Urgent Referred to Stck Cail: Radiographs PM: 6Ws: Panore:c authorized: • Prophylaxis authortzed: Yes I No (Approval valid 18 months from examination data) Patient Name: , C,..-istir ski°, Dec-R--e_v E Den " • -1 9. ELI- -76 rNanbet: 3 I Se:- Us-`s Institution: / MCC NEW YORK Date: 7- 26 Signature rock/stamp: PCF Presented by P8400 et en a ter MCC New York Replaces BP-A0618 of-UN 10 EFTA00105083 SP-S358.060 MEDICAL TREATMENT REFUSAL COFFIM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Fe eral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental co dition, and release the Bureau of Prisons and its employees from any and all liability for respecting and f (lowing my expressed ectlons. Counseled by 7-24-2019 Dale Si nature of Wane Date NYM-NEW YORK MCC Date EFTA00105084 Federal Bureau of Prisons U.S. Medical Center for Federal Prisons ••• Sensitive But Unclassified "• Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Urd E06-547U Provider Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/201914:46 LIS ID 188191004 HIV HIV 1/2 Negative Screening test - See confirmatory toeing (or Reactive results Negative FLAG LEGEND L=Low LI=Low Critical H=High HI=High Critical A=Abnormai Al =Abnormal Critical Page 3 of 3 EFTA00105085 Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76118-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by on 07/14/2019 18:12. Bureau of Prisons - NYM EFTA00105086 BP-S358.C,50 SEP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that tho following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. 7-24-2019 Counseled by Data a7 Sl!nature of Wane s Date NYM-NEW YORK MCC Date EFTA00105087 SP-A0618 JUN 18 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Occlusion: • 1 2 3 4 6 6 7 8 9 1011 1213 14. 15 IC 2 32 31 30 29 23 27 2625 2123 22 21 20 W. 18 17 CC It* Oral Hygiene: Good Fair I/ OOr Craw: 3 . 3 3 2- 9 Head & Neck / Soft Tissue: 0 F: Classification: CL_ en- Pain Scale: /1G Dental Pros-theses at InteoX Yes TYPe: Age: Condlt on: CinoTant ...67 cccession / a -I° c C. a /?,15 aka Di, Seil.) -12- --s. i tel cd- Cco-OcLiA5 0 109-/484 Inira-cfsd Photos Taken: Yes 0 Radiographs Taken: (Document frndinga on A&O ern:aunts') Yes No Instructed how to obtain urgent and non-urgent dental care: Yes: I No: Treatment Pdonfies: None: Non-urgent non-urgent Urgent Retuned to Sick Call: Radiographs authorized: FAa- . Prophylaxis augtortzect Yes I No (Approval var 18 months from examination date) EPNs: Panorox iPc t Nemec i 9 Skin teS ti E Den' ! Nu isitsr _7‘ tsts.mben 3 I Sr- OSN Institution:/ / MCC NEW YORK Date: 7- 26 -1 9. Signature Block/Stamp: PDF Peescrtbed by P8400 Inlet en officer MCC New York MOWN 8P-Men NUN 10 EFTA00105088 SE SP-S.158 05 .060 MEDICAL TREATMENT REFUSAL C0FRM P U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date I, JEFFREY EPSTEIN 76316-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and • wing my expressed wishes and directions. 7-24-2019 Counseled by Dale Iliner t4 Signature of Wig s Date ,1 a is Sig NYM-NEW YORK MCC 1 EFTA00105089 BP-S358.CE0 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condltlon(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatments) was/were recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions. 7-10-2019 Counseled by Date Signature of Witness Date Patten Signature t Date NYM—NEW YORK MCC EFTA00105090 8P-A0618 A&O DENTAL EXAMINATION JUN 18 U.S. DEPARTMENT OF JUSTICE • • • (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS Occlusion: 1 2 3 4 5 8 7 8 0 1011 1213 it 15 16 (2 32 31 30 29 28 27 2825 2423 22 21 20 18. 18 17 21 r 11A Oral Hygiene: Good Fair Zoo r CPITht 3 3 3 2- 3 Head & Neck / Soft Tissue: O: C 7 Fill Classi.5cafion: CL_rr Pain Scale: /10. Dental Prostheses at Intake: Yes No Type: A,ge: Caufaicn: Comml .k rim r-toz SS / CIO 14.., 0 0- O--‘,..cei 017Sald Le^ ni ,r_15,1lAi • or C/o-OAJAI plosefik-4 Intra-oral Photos Taken: Yes 0 Ftadlogmphs Taken: (Document findings on ASO encounter) Yes No . I Instructed how to cbtain urgent and non-urgent dental care: Yes: 1 . No: Treatment Pricass: None: Non-urgent non-urgent Urgent Referred to Sick Cat Radiographs authorized; PAs..• . ' Prophylcuds authorized Yes I No (Approval rand 18 months from examination date) I owl Panorax Pa ' n Name: Pa n TS —CC-P E. t Den' ' • --i 9 • I SI nature Block/Stamp: F Number. , '7C 3 IC= OS-1/4\ institution: MCC NEW YORK Date: -7-6 PDF Presaibed by P8400 Chief entl leer MCC New York • Replaces BP-A0618 of JUN 10 EFTA00105091 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 08/10/2019 07:25 Sex: M Race: WHITE Provider. Reg #: 76318-0 Facility: NYM Unit: Z04 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: Team Members: Provider Hs& Team/Code Leader Code Events: IYM CPR Value, Compressions EKG/Monitor Lifepak No shock advised CPR Compressions Oxygen 15 L IV Access Peripheral IV 18 g Left AC Airway Endotracheal Tube ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine 1mg IV Epinephrine 3 doses and Sodium bicarb 2 doses administered CPR Compressions Medications Sodium Bicarbonate 1 mEa/kg IV IV Fluids Normal Saline 0.9% 1000 ml Medications Epinephrine 1mg IV CPR Compressions Medications Sodium Bicarbonate 1 mEa/kg IV Medications Epinephrine 1mg IV CPR Compressions Comments: Date 08/10/2019 06:35 08/10/2019 06:39 08/10/2019 06:40 08/10/2019 06:47 08/10/2019 06:48 08/10/2019 07:08 08/10/2019 07:10 by paramedics 08/10/2019 07:11 08/10/2019 07:11 08/10/2019 07:12 08/10/2019 07:13 08/10/2019 07:14 08/10/2019 07:14 08/10/2019 07:16 08/10/2019 07:17 Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received o the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential B ising around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses. Call place for EMS, CPR timed, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in pro ress, 18g hep lock to L AC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Pla ed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 69110/2019 08:10 by Bureau of Prisons - NYM Pap 1 of 2 EFTA00105092 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Encounter Date: 08110/2019 07:25 Provider: Unit: Z04 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Consultation/Procedure Emergency Room 08/10/2019 08/10/2019 Emergent Subtype: AMBULANCE Reason for Request: Cardiac arrest with CPR in progress Copay Required:No Cosign Required: Yes TelophoneNerbal Order: No Completed b on 08/10/2019 08:10 Requested to be cosigned by Cosign documentation will be displayed on the following page. larSethate Scheduled Target Date Priority Translator Language No Generated 08110/2018 08:10 by Bureau el Prisons - NVM Pegg 2 of 2 EFTA00105093 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Facility: NYM Encounter Date: 07/30/2019 15:58 Provider Sex: 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 ti 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 MAC INE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVE TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen far clinic(s): Pulmonary/Respiratory, Orthopeclio/Rheumatology, Endocrine/Lipid OBJECTIVE: Exam: General Affect Yes: Cooperative 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 III Nutrition No: Appears Obese Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal Si and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Generated 07130/2019 16:12 a Bwoau of Prisons -NYM No id 2 EFTA00105094 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: ISMS Encounter Date: 07(30/2019 15:58 Provider: Reg #: 76318-054 Facility: NYM Unit ZO1 Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, 26827 - Current ConsUpation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hypedipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Precliabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Ert! Medication INsulin REG - Human Indication: Prediabetes Discontinued Medication Orders: Balt Medication 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML In) Order Data 07/30/2019 15:58 Order Date 07/30/2019 15:58 Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required: No TelephoneNerbal Order: No Completed by Cosign Required: No on 07/30/2019 18:12 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcuteneouslyi per sliding scale: twice daily "'airline"' for 7 days Generated 07/30/2019 16:12 by Bureau cr Prisons • NYM Pegs 2 2 EFTA00105095 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/30/2019 11:12 Provider: Reg ll: 76318-054 Facility: NYM Unit: 201 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem Subjective: PATIENT S REFERRED BY THE WARDEN FOR EVALUATION. PATIEN E RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO E RRR S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING AL. OWING. HE REPORTS-39 qpi,, IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H NEY STONES. HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEW5f AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HEREt§ CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE R Et A HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-ME STATES HE FEELS OTHERWISE Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology. UES. OBJECTIVE: Pulse: Rate 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 Providgr 07/30/2019 09:30 NYM 12 Blood Pressure: Date ime Value Location 07/30/2019 13:02 NYM 114/84 Loft Arm 07/30/2019 09:40 NYM 125/60 Right Arm 07/30/2019 09:30 NYM 108/86 Loft Arm Respiratory Provider Cuff Size nt T • osition Standing Standing Sitting SaO2: age Time ValueM1 Air Provider 07/30/2019 09:30 NYM 98 Room Air Weight: 12119 Time L.k Kg Waist Circum. Provider Generated 07/30/2019 14;05 by Buroou of Prisons • NYM Page 1 of 3 EFTA00105096 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ri: 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Unit: Z01 Date Time 07/30/2019 09:30 NYM 194.2 88.1 Lla Kg Waist circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed. Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic. Disheveled, Unke Acutely III Nutrition No: Appears O Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula Neurologic No: Edema Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea. G4730 - Current PLAN: New Medication Orders: Rx Medication Order Date prescriber Order Generated 07/30/2019 14:05 by Bureau of Prisons • NYM Page 2 of 3 EFTA00105097 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/30/2019 11:12 Provider: Now Medication Orders: fig Medication, Order Date Magnesium Hydroxide Susp cone 800 07/30/2019 11:12 MG/5ML Indication: Constipation. unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabeles Renew Medication Orders: 13dt Medication. Order Date 07/30/2019 121836-NYM methylPRD o ne 4 MG Tab ( 21 count 11:12 Pack) Indication: NJ Thia and neuritis, unspecified New Laboratory Requests: Details Frequency Lab Tests - Short List-General-CBC w/diff no Time 08/01/201900:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General•Comprehonsiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Reg It: 76318.054 Facility: NYM Unit: 201 Prescriber Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only prescriber Order Take the tablet by mouth as directed x 6 day(s) Due Date Priority. Frequency, Due Date Priority. General Radiology-Spine / Cervical- One Time 08/29/2019 Routine General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format 07/30/2019 Counseling Handout/Ton& Access to Care 07/30/2019 Counseling Plan of Care Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by on 07/30/2019 14:05 R 2-3 MINUTES 3 DAYS AGO. Clu_tcocae Verbalizes Understanding Verbalizes Understanding Generated 07/30/2019 14:05 by Bureau of Prisons • NMI Page 301 3 EFTA00105098 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/30/2019 11:12 Provider: Reg #: 76318.054 Facility: NYM Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed al Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem Subjective: PATIENT 3,‘S REFERRED BY THE WARDEN FOR EVALUATION. s e PATIEN rigERORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO AE 15(fR;TS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES) HE DENI SPEAKING HE REPORT HE REPORTS H TOPROL. HE AHS A HX OF SLEE_PAp AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HER CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE R El1LED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEt51CAIPISS.UES. STATES HE FEELS OTHERWISE Pain: Not Applicable BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. SIDED WEAKNESS, DIPLOPIA. FACIAL DROOP, DIFFICULTY OWING. IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. DNEY STONES. FIX OF HTN FOR WHICH HE WAS TAKING Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rhoumatology, 7) OBJECTIVE: Pulse: 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: bets Time Rate Per Minute. ELovider 07/30/2019 09:30 NYM 12 Blood Pressure: i2.8 1e i e value Location Position 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 Silting espiratory Provider Cuff Size Pr eider SaO2: Qata Time Valuel%1 Aft Provider 07/30/2019 09:30 NYM 98 Room Air Weight: pats Time Lk Kg Waist Circuni, Proviskr. Generated 07/30/2019 14:05 by Bureau of Prisons • NYM Page 1 of 3 EFTA00105099 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/30/2019 11:12 Provider: Reg ti: 76318.054 Facility: NYM Unit: Z01 !Tats Time 07/30/2019 09:30 NYM 194.2 88.1 Lin .K.9 Waist Circum Provider Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distre ed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unke cutely III Nutrition No: Appears Ott Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neu rolog lc Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: v/Z4r11 le5and S2 Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, 64730 - Current PLAN: New Medication Orders: Medication Order Date Proscriber Order Generated 07130/2019 14:05 by Bureau of Prisons - NYM Page 2 or 3 EFTA00105100 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/30/2019 11:12 Provider: Reg it: 76318.054 Facility: NYM Unit: 201 Now Medication Orders: Siff Magnesium Hydroxide Susp cone 800 MG/5ML Indication: Constipation, unspecified INsulin REG - Human Indication: Prediabetes Renew Medication Orders: Exit Medication Order Dale, Proscriber Order 121836-NYM methylPR o ne 4 MG Tab ( 21 count 07/30/2019 11:12 Take the tablet by mouth as Pack) directed x 6 day(s) Indication: iTh 1tt, is and neuritis, unspecified New Laboratory Requests: Details V Frequency Due Date Priority Lab Tests - Short List-General-CBC w diff Time 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Add Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency Due Date. Priority General Radiology-Spine / Cervical- One Time 08/29/2019 Routine General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI R 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Order Date 07/30/2019 11:12 07/30/2019 11:12 Prescriber Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Pate Initiated Format 07/30/2019 Counseling Handout/Topic Access to Care 07/30/2019 Counseling Plan of Care Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by on 07/30/2019 14:05 ry yiste:r I:10room Verbalizes Understanding Verbalizes Understanding Generated 07130/2019 14:05 by Bureau of Prisons • NYM Page 3 of 3 EFTA00105101 Bureau of Prisons Health Services See Amendment Irmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Facility: NYM Amendment made to this noto by on 07/30/2019 16:12. Bureau of Afton* • NYM EFTA00105102