EFTA00105002

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: 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: Bureau of Prisons • NYM Page 10 of 13 Generated 07/09/2019 13:03 by EFTA00105002 Reg #: 7 18-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Provider: Unit 1 Encounter Date: 07/09/201912:35 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: Etwoau of Prisons Pogo 11 of 13 Gene:rood 07/0912019 13:03 by EFTA00105003 Reg it: 78-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Provider. Unit: Encounter Date: 07/09/2019 12:35 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. Page 12 of 13 Generated 07/09/2010 13:03 by Bureau of Prisms - NYM EFTA00105004 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: ITE Facility: NYM Date: 07/09/2019 12:35 Provider. Unit: H01 Encounter Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - Now Medication Orders: Palt Medication. Order Pate Bisacodyln. Tablet 07/09/2019 12:35 5 mg Ordy et bedtime PFtN x 10 day(s) Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed 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 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE 01/20/1953 Sex: M Date of Birth: Facility: N M 07/09/ 2019 12:35 Provid er: Encounter Date: 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 atatua Hyperlipldemia, unspecified Current HYPERTRIGLYCERIDEMIA Sleep apnea Current Essential (primary) hypertension Current BY HX. Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified Current R/O self Inflicted injuries. Body mass index (BMI) 27.0-27.9, adult Current In lorded. Medications: All medications to be continued until evaluated by a physician unless otherwise Bolded drugs required for transport. ily for 30 days Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice 01/22/2020 SIG: Take one capsule (100 MG) twice daily by th with plenty Docusate Sodium 100 MG Cap Exp: of water th twice 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 uth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments lima Activity Provider Dale 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 Dualism Retails EKG 07/06/2019 One Time 66 y/o male Focal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Bureau of Prisons - NYPA Page 1 of 2 Generated 08/10/2019 07:00 by EFTA00105007 Reg U: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD safeguard d. SENSITIVE BUT UNCLASSIFIED — This information Is confidential and must be appropriately 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 End Date: 08/10/2019 Rog #: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD Temperature: 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: Rate Per Minute I ()cation &Aim Provider Date It= 07/30/2019 13:02 94 Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 87 Vla Machine = 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 07/23/2019 06:30 92 Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 82 Via Machine Via Machine Regular Regular MIMI IIIMI7. Orig Entered: 07M/2019 12:51 EST Respirations: Rata Time Rate Per Minute Provider 07/30/2019 09:30 NYM 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 Bureau of Prisons - NYM Pogo 1 or 3 Generated O8V10/2019 11:02 by EFTA00105009 Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: Value I °cation Position Cuff Size provider Oats Time 07/30/2019 13:02 NYM 114/84 Left Arm Standing Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:40 NYM 125/60 Right Ann Standing Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 NYM 108/86 Left Ann Sitting Orig Entered: 07/30/201912:59 EST 07/28/2019 20:28 NYM 157/91 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 138/80 Orig Entered: 07/28/2019 06:58 EST ■ 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular MIS Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Adult-regular Orig Entered: 07/09/2019 12:51 EST Blood Glucose: Date Time Value Imaldll Tyoe Regular Insulin provider 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 Provider 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 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 Provider Reading' Induration 07/06/2019 21:39 Right Forearm 07/09/2019 12:47 0 mm Orig Entered: 07/06/2019 21:43 EST Odg Entered: 07/09/2019 12:47 EST Total: 1 Generated 08/10/2019 11:02 by lnOP/IDC Bureau of Prisons - NYM Page I 011 EFTA00105012 JULY 2019 76318-054 EPSTEIN, JEFFREY Medication Administration Record Medication Orders 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 PRN 1421 Wort nqutc. Insulin stPcutrrtoousty per Exp. Dab acting 44,4J: Nrka (14'4 —•44:1 Ilnr for 7 07/31419 days 1001 NYM 122146- NYA4 tni.0 Rog (10 It.)100 UNITSR4I. Ceti. Date 07f31119 PFtN 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 -Provide Occimereatien Codes: ORO = Order I NI = Dose Not InCficated Pt. Name: EPSTEIN, JEFFREY DOB: 0112049 Regsslrabon St 76318-054 08/100019 11:02 EST Report Inform lion Is current as of Uhl) 0480 MCI tune of printing: EFTA00105013 76318-054 EPSTEIN. JEFFREY Medication Administration Record AUGUST 2019 Medication Orders 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 PRN 1899 Ir*A regular Ins u5n subcutaneously per Exp. CRCs •Cdlag scale: 0OO ITINTI1219 for 7 days "'dm 0247119 0939 NYM 122160- ?NM tae-rh Reg (10 ML) 100 UNITSNL L' 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 Start Date Stop Date Pate Returned Obtained From Comments 1 -Pap 07/30/2019 14:05 EST 07/3012019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Page 1 of 1 Generated 0811012019 11:02 by-SOP/1OC Bureau of Prisons - NYM EFTA00105015 Bureau of Prisons Health Services Pain Management Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD gaig intervention Pain Quality Location Ea Post Provider 07/12/2019 13:25 MEDROL DOSE PACK Shooting Back-Middle 5 Orig Entered: 07/1212019 13:28 EST 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: Health Service Staff EPSTEIN, JEFFREY EDWARD 76318-054 07/30/2019 Inmate Name 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 Provider 07/09/2019 Speaking/Listening English 12 None 0rig Entered: 071091201912:52 EST MfM Total: 1 Topics pate Initiated Format Nandout/Toplq Outcome Provider 07/3012019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/30/2019 13:33 EST a 07/30/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/30/2019 13:34 EST a 07/28/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/28/2019 07:22 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding Ong Entered: 07/28/2019 20:30 EST a 07/24/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/24/2019 13:23 EST MI I 07/24/2019 Counseling Preventive Health Verbalizes Understanding Ong Entered: 07/24/2019 13:23 EST =I. I 07/23/2019 Counseling Access to Care Verbalizes Understanding Ong Entered: 07/23/2019 09:04 EST I. -07423/2O1S— Counseling Plan of Care Verbalizes Understanding Ong Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling . Diagnosis Verbalizes Understanding Ong Entered: 07/14/2019 18:11 EST 07/12/2019 Counseling Diagnosis Verbalizes Understanding Generated 09110/201911:02by MAGID/IBC Bureau of Prisons - NYM Page 1 of 2 EFTA00105019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Handoutifooic Outcome Provider Pate Initiated Format olio Entered: 07/12/2019 13:33 EST Total: 10 Page 2 e12 Generated 09/10!201911:02 by Bureau of Pitons -PPM 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 Comments 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 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 Mt Code Tyon Code Diagialta Status. .Stalust2010. Descriotlon Current Hyperilpidemla, unspecified 07/12/2019 13:48 EST ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea ICD-10 64730 07/12/2019 Current 07/12/2019 13:56 EST Essential (primary) hypertension ICD-10 110 07/30/2019 Current 07/30/2019 13:13 EST BY HX. Constipation, unspecified ICD-10 K5900 07/09/2019 Current 07/09/2019 12:58 EST Low back pain ICD-10 M545 07/12/2019 Current 07/12/2019 13:30 EST Neuralgia and neuritis, unspecified ICD-10 M792 07/12/2019 Current 07/12/2019 13:30 EST No Diagnosis No Dx 07/09/2019 Current ME 07/09/2019 10:28 EST I DSM-IV Prediabetes ICD-10 R7303 07/30/2019 Current 07/30/201913:26 EST Injury, unspecified ICD-10 T1490 07/23/2019 Current 07/23/2019 09:04 EST R/O self inflicted injuries. Body mass Index (BM) 27.0-27.9, adult ICD-10 Z6827 07/30/2019 Current 07/30/2019 13:14 EST Total: 10 Pa;o 1 or 1 Generated 08/1O201911:02by EACH= Bureau of Prisons - NYM EFTA00105022 Bureau of Prisons Health Services Clinical Encounter Reg Sr: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Race: WHITE Facility: NYM Date of Binh: 01/20/1953 Provider: Unit: Z05 Encounter Date: 07/12/2019 13:10 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 EIR GI SIDE EFFECTS. HX OF O UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE Y HAS L4 -1.5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. 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 Not Appears Obese Generated 07/12/2019 14,20 by Bureau of Prisons • NYM Page I of 3 EFTA00105023 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 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 Neurologic 41) Cranial Nerves (CN) Yes: W Systemn ithi Normal Limits Motor -General Yes: Normal Exam 0: 4 0,120 ASSESSMENT: Constipation, unspecified. K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current 0let 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 Handout/Topic Provider Outcome 07/12/2019 Counseling Diagnosis Verbalizes Understanding Copay Required:No Cosign Required: No TelephoneNerbal Order: Completed by n 07/12/2019 14:20 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 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 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 Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 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 ly - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: 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 Handout/Toeic Pr_oytdel Outcome 07/12/2019 Counseling Diagnosis Verbalizes Understanding Copay Required: No i Cosign Required: No TelephoneNerbal Order: Completed by 07/12/2019 14:20 el, 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 8-054 Date of Birth: 01/20/1953 Sox: A4 Race: Encounter Date: 07/14/2019 17:36 Facility N 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 Reg /t: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/12/2019 09:08 Provider. Unit: 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 Order Date prescriber Order Dccusate Sodium Capsule 07/12/2019 09:C6 TAKE ONE 1r t MG CAP Orally - Two Times Day x 30 day(s) Indication: Constipation, unspecified Discontinued Medication Orders: adt Medication Order Date c ibe 121757-NYM Bisacodyl.. 5 MG TAB 07/1212019 09:06 Take one tatAit (5 MG) by mouth at bedtime AS NEEDED for 10 days Discontinue Type: When Pharmacy Processes Discontinue Roason:discontinue Indication: Copay Required: No Cosign Required: No TelephoneNerbal Order No Completed by on 07/12/2019 09:10 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 Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Note Date: 07/07/2019 00:17 Provider. 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 Due Date Lab Tests-H-Hemoglobin AlC One Time 08/05/201900:00 R 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 Frequency Rue Date Priority Chronic Care Clinics-Diabetic-CBC w/diff One Time 07/25/2019 00:00 Routine 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 Edit General Radiology-Chest-2 Views One Time 07/25/2019 Ftouline Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX REFERRED FOR ROUITNE CXR. Copay Requlrod:No Cosign Required: No TelephoneNerbal Order: No Completed by on 07/07/2019 00:30 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 Reg #: 78318464 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Dale: 07/09/2019 12:35 Provider- 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 #: 7; 18-054 Date of Birth: 01/20/1953 Sex: M Race WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider. Unit 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 Reg W. 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider 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 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: 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 Reg #: 7631806 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M Race: WHITE Facility: NYM Date of Birth: H01 Provider: Unit: Encounter Date: 07/09/2019 12:35 Immunizations: Administered Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not 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 Reg e: 76318-054 Date of Birth: 01/20/1953 Sex: HITS Facility: NYM Encounter Date: 07/09/2019 12:35 Provider. 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 on 07/09/2019 12 Balker Speaking/Listening English None 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: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: 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 Reg tr: 76318-054 Date of Birth: 01120/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/201912:35 Provider: Unit: r1 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: No Comments: 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 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: OD: OS: OU: Near Vision: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Cylinder Axis Add Sphere Cylinder Axis Sphere 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 1el 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 Mfcis Wit Txp Date Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 1a51 EST Smallpox Series History Unknown Orly Entered: 07/09/2019 12:51 EST Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST Total: 5 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. pill line _treatments Exp. Date: confined to the living quarters except _meals .. bathroom privileges only Exp. Date: on complete bed rest:.. airborne infection isolation Exp. Date: 10/09/2019 X cell: eeN on fret floor single cell X lower bunk Exp. Date: other Ptikka til;g4Dnetri.3 /2 e11 : :' 7•fa'; 's; Exp. Date: all sporli.:- - •-_‘• Exp. Date: weightlifting: _upper body lower body softball Exp..Date: ...etinchavascular exercise: _running _fogging _walking _football _basketball _handball stationary equipment ' 'other: Exp. Date: • urS areigiga nieig (Mif; •';' falergiffinagra Start Date End Date elum Date Equipment Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. • • Cleared for Food Service: Yes X No Restrictions Comments: N/A 07/30/2019 Health Services Staff 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 _pill line treatments Exp. Date: confined to the living quarters except _meals on complete bed bathroom privileges only Exp. Date: single cell X lower bunk airborne infection isolation Exp. Date: 10/09/2019 X cell: cell on fi t floor. other. Exp. Date: rf icag,T4it:FL egfearricallo it e:drictliingn . 5?.i.t:' 1.1. WI :a '.•••••;:' all sports„;:' Exp. Data: weigtitfifting: upper body lower body Exp. Date: -cardioyascular exercise: running _jogging _walking softball Exp. Date: football basketball _handball _stationary equipment Exp. Date: haverkgfcMirgaa61PIAglirfirOWerplass'esstoliyak&itaiW: ti Wk.,..124satta ki atatjaitaterfa:r 7rt,WA /4 3 Cleared for Food Service: Yes X No Restrictions Comments: N/A 07/09/2019 Health Services Staff 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 Begin Date: 07/07/2019 End Date: 08/10/2019 Complex: NYM—NEW YORK MCC Reg tt: 76318-054 Quarter: Z04-206LAD inmate: EPSTEIN, JEFFREY EDWARD this report. Medications listed reflect prescribed medications from the begin date to end date on 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 Pharmacy Dispensings: 473 ML In 29 days 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 Pharmacy Dispensings: 473 ML in 11 days 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 Pharmacy Dispensings: 21 tab in 29 days 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: 21 tab In 11 days Generated 08110/2019 11:02 by Bureau of Prisons - NYM Page 1 of 2 EFTA00105045 Begin Date: 07/07/2019 End Date: 08/10/2019 Complex: NYM—NEW YORK MCC Quarter 204-206LAD Reg #: 76318-054 Inmate: EPSTEIN. JEFFREY EDWARD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule food Take two capsules (2 GM) twice daily b mouth with Rx#: 121885-NYM Doctor: Exp: 01/13/20 Pharmacy DispensIngs: 180 Cap in 24 days Start: 07/17/19 Insulin Reg (10 ML) 100 UNITS/ML Inj daily "'pill line*" for 7 days morn line*" Inject regular Insulin subcutaneous/ er slidin scale: twice Rx#: 122148-NYM Doctor: Exp: 08/06/19 D : 07/31/19 Pharmacy DispensIngs: 0 ML in 11 days Start: 07/30/19 Insulin Reg (10 ML) 100 UNITS/ML Inj g for 7 days — *pill lino*" "'pill line Inject regular insulin subcutaneous) er sliding scale: each roomin Rx#: 122160-NYM Doctor: Exp: 08/07/19 Pharmacy DIspensings: 0 ML in 1 days Start: 07/31/19 Bureau of Prisons - NYM Par 2at 2 Generated 06/10/2019 11:02 by EFTA00105046 Bureau of Prisons Health Services Dental Health History Screen Reg #: 76318 54 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M Race: WHITE Facility: NYM Date of Birth: 07:54 Provider. Unit H01 Encounter Date: 07/26/2019 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: 07/26/2019 07:54 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 Gorarated 07/26,2019 07:59 by Bureau of Prisons • NYM Page 1 of 3 EFTA00105047 Reg #: 7631 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01120/1953 Sex: Ivi Provider. Unit: H01 Encounter Date: 07/26/2019 07:54 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: EIMM Eturuau of Prison, • NYM Pan 2 of 3 Gertousad 07262019 07.59 by NM 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: dallr for 30 days Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice (2 GM) twice daily by mouth with food Omega 3 (Vascopa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules 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 Cosign Required: No TelephoneNerbal Order No Completed by 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 Reg #:. 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Se M Fac lity: NYM Provider. Unit H0t Encounter Date: 07/26/2019 07:47 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 inmate how to obtain routine and emergency dental care. Oral hygiene instructions Ivan: Yes instructed 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 Reg #: 76318-054 01/20/1953 Sex: Facility: NYM Date of Birth: Provider: Unit: Z05 Encounter Date: 07/18/2019 13:48 Screening encounter at Dental Clinic. Reason Not Done: Unavailable e dental clinic. 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. Bureau of Prisons • NYM Page 1 of 1 Generated 07/19/201913:49 by EFTA00105051 Federal U.S. Medi I Prisons Bureau of Prisons "' Sensitive But Unclassified "' Name EPSTEIN. JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg U 76318-054 Order Unlairia in Received 07/10/2019 10:44 DOB 01/20/1953 Provider S Reported 07/10/2019 14:46 Sex M LIS ID 188191004 CHEMISTRY Sodium 137 137-148 mmol/L 4.7 3.5-5.0 mmoUL Potassium 99 99-114 mmol/L Chloride 27 22-30 mmoUL CO2 17 7-22 mg/dL BUN 1.05 0.66-1.25 mg/dL Creatinine eGFR (IDMS) >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. 9.8 8.5-10.9 mg/dL Calcium 102 70-110 mg/dL Glucose H 57 11-55 U/L AST 62 11-66 U/L ALT Alkaline Phosphatase 64 41-133 U/L 1.1 0.2-1.3 mg/dL Blirubin, Total 7.3 6.0-8.2 g/dL Total Protein 4.4 3.6-5.1 g/dL Albumin 2.9 2.0-3.7 g/dL Globulin Alb/Glob Ratio 1.50 1.00-2.30 Anion Gap 10.2 9.0-19.0 BUN/Creat Ratio 16.1 5.0-30.0 Cholesterol H 216 <200 mg/dL Triglycerides H 413 10-150 mg/dL Calculation cf LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. L 31 40-60 mg/dL HDL Cholesterol Choi/HDL Ratio H 6.9 0.0-4.0 HEMATOLOGY WBC 7.6 4.3-11.1 KfuL NRBC% 0.0 RBC 5.42 4.46-5.78 MbA Hemoglobin 15.6 13.6-17.6 Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 IL MCH 28.8 27.1-34.9 P9 MCHC L 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low Lt=Low Critical H=I-figh Cntical A=Abnorrnal Al =Abno al Critical Page 1 of 13 EFTA00105052 U.S. Med al Prisons Federal Bureau of Prisons ••• Sensitive But Unclassified ••• Facility MCC New York Collected 07/09/2019 13:34 Name EPSTEIN, JEFFREY Received 07/1012019 10:44 Reg ti 76318-054 Order tinisL2k547U Provider Reported 07/10/2019 14:46 DOB 01/20/1953 LIS ID 188191004 Sex M HEMATOLOGY 6.9-10.6 IL MPV 10.4 Neutrophils % 58.7 Therapeutic decision making should be based on absolu te values. rasher than percentages Lymphocytes % 25.0 Monocytes % 11.1 Eosinophils % 4.1 Basophils 0.8 0.3 0.0-5.0 Immature Granulocytes % K/uL 4.4 1.9-6.7 Neutrcphlts # K/uL 1.9 1.3-3.7 Lymphocytes # K/uL 0.8 0.3-1.1 Monocytes # K/uL 0.3 0.0-0.5 Eosinophits # K/uL 0.1 0.0-0.1 Basophils # 10"3/uL 0.02 0.00-0 .50 Immature Granulocytes # HEMOGLOBIN Al C 6.3 <5.7 Hemoglobin A1C 5.7 - 6.4 Increased Risk > 6.4 Diabetes SEROLOGY Non-Reactive Non-Reactive RPR Results may be affecte d In patient s with severe ly advanc ed immunosuppression. L=Low LI=Low Critical H=High H!=High Critical A=Abnorrnal Al =Abnormal Critical FLAG LEGEND Page 2 or' 3 EFTA00105053 U.S. Medi I Prisons Federal Bureau of Prisons ***Sensitive But Unclassified "' Facility MCC New York Collected 07/09/2019 13:34 Name EPSTEIN, JEFFREY Order Unit E06-547U Received 07/10/2019 10:44 Reg # 76318-054 Provider N Reported 07/10/2019 14:46 DOB 01/20/1953 188191004 LIS ID Sex M HIV Negative Neaten HIV 1/2 Screening test - Soo confirm atory tostIng for Reactiv e results 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 Reg /!: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE 01/20/1953 Sex: M Date of Birth: Facility: NYM 07/10/ 2019 16:58 Provid er. Lab Result Receive Encounter Date: CosIgnod by on 07/14/2019 18:12. Bureau of Prisons • NYM EFTA00105055 CDFRM BP-S358.060 MEDICAL TREATMENT REFUSAL SEP CS FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE 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 is Sign Date a** si.nature of Witne s Date NYM-NEW YORK MCC EFTA00105056 BP-A0618 A&O DENTAL EXAMINATION JUN 18 (initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: Oral Hygiene: Good Fair , 00, CPITN: 3 3 2- 9 Head & Nock / Soft natio: 1 2 3 4 5 7 8 9 10 11 12 13 11 15 18 0 — 32 31 30 28 28 27 28 25 21 23 22 21 20 19 18 17 re Classiftcatiom D: apt I CL, F: ltd Pain Scale: /10 Dental Prostheses; at Intake: - i /L5 /Ilea Yes Type. Age: le ) Russ,on Di:. ?l irrMI 42 C--• Ace) or Ztt SWI2- W Car-011/15 Cili'Sdute4 on Intra-cral Photos Taken: Radlog:aphs Taken: (Document Wings on MO endounter) Yes Yes 9 0 Instructed how to obtain urgent and non-urgent dental care Yes: 1 Noc Treatment Primites: None: Non-urgent Urgent Referred to Sick Cat non-urgent Radiographs authorized: Po:phyla-vitt authorized: Yes i No PM: (Approval wird 18 months from examination date) SW5: Panorex Pa t Name: 0 s4t4n ,±5:61ch E -'n i --1 Ins-Motion: Date: nature Etio• _tamp: 76 3 !sr- os-m MCC NEW YORK 7- - Za -/ Q. . . Ghlet uental r MCC New York PDF Presorted by P64O) Replaces SP-A081! of JUN 10 EFTA00105057 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Srov:ider: P Unit: H01 Encounter Date: 07/28/2019 20:25 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint Neuropathy - Tingling/Numbness of Extremity(ies) complaints or Subjective: Inmate seen for F/U after returning from attorney conference offers no new has pins and needles sometimes' No change in worsening S/S stets ° My R hand still appearance from previous exam. Pain: No OBJECTIVE: Pulse: Rate Per alinuto kocatiort Rhythm Provider Data lime 07/28/2019 20:28 81 Respirations: Rata Bute Rate Per Provider 07/28/2019 20:28 NYM 14 Blood Pressure: Time Dealt= Position Cuff Sin provider DADI Value 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 Bureau of Prisons NYM Page 1 of 2 Generated 07/28/2019 20:30 by EFTA00105058 Reg #: 76318-054 Inmate Name; EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Sex: Unit H01 Encounter Date: 07/28/2019 20:25 Provider. Forow-up in 12-24 Hours Patient Education Topics: Outcome Pate Initiated. Format Handout/Topic Verbalizes 07/28/2019 Counseling Plan of Care 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 Pan2d 2 EFTA00105059 Bureau of Prisons Health Services Cosign/Review Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Date of Birth: 01/20/1953 Sex: er: Facility: NYM Provid Encounter Dale: 07/28/2019 20:25 Cosigned by on 07/28/2019 20:50. Bureau of Prisons - NYM EFTA00105060 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Sex: Provider. Unit: H01 Encounter Date: 07/28/2019 06:51 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) just doing what it Subjective: ' I woke up and I had no control over my Right arm for a few minutes it was wanted to dos Pain: No OBJECTIVE: Pulse: Ilma RAW Per Minute I-ocation Rhythm Provider Pita 07/28/2019 06:57 82 Elligi Respirations: Pato DM2. Rate Per Minute. Provider 07/28/2019 06:57 NYM 14 Blood Pressure: PAUL knit Value Location Position Cuff Slut Provider 07/28/2019 06:57 NYM 138/80 SaO2: Data Time Valuef%). Air Provider 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 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 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: siaarrE M R o Date of Birth: 01/20/1953 Unit 1101 Encounter Date: 07/28/2019 06:51 Provid er: Exam: Edema No: Ecchymosls, Numbness, Swelling, Periorbital 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 on Palpation R Yes: Normal Exam R, Full Range of Motion R, Non-Tender Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers ion R, Swelling R Yes: Full Range of Motion R, Non-Tender on Palpat rness R, Laceration(s) R, Abrasion(a) No: Inflammation R, Ecchymosis R, Erythema R, Tende Contusion(s) R ROS Comments Right arm full sentenced ambulating independently C/ Received inmate AAOX3 In no acute distress, speaking in psyc obs through that has since subsided. Inmate interviewed in numbness after waking up from 'sleeping on my side' ogical deficits noted, no facial droop slurred speech or the slot V/S noted WNL, RR even and unlabored, no neurol phalan ges th bilaterally, slight swelling noted to right dysphagia, Inmate with Full ROM to all extremities with 4/4 streng at this time. nosis noted. Denies any pain numbness or tingling when compared to left, no edema, erythema or ecchyr Re-evaluate Blurred vision. Eyes PERRLA. MD on Call notified, Denies any Chest pain, Headache, Dizziness, SOB or 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: Outcome Pate Initiated format Handout/Tonic Verbalizes 07/28/2019 Counseling Plan of Care Understanding Page 2 of 3 Bureau of Prisons • NYM Generated 07/28/2019 07:22 by EFTA00105062 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Facility: NYM Sex: M Date of Bldh: 01/20/1953 Unit: H01 Encounter Date: 07/28/2019 06:51 Provider: Provider outcome 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 page. Cosign documentation will be displayed on the following Bureau or Prisons - NYM Pie 3 of 3 Generated 07128/2019 07:22 by EFTA00105063 Bureau of Prisons Health Services Cosign/Review Reg N: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE 01/20/1953 Sex: M Date of Birth: Facility: NY11 2019 06:51 Provid er: Encounter Date: 07/28/ Cosigned by on 07/2812019 20:51. Bureau of Prisons - NYM EFTA00105064 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: TE Facility: NYM Provider-. Unit: HO Note Date: 07/26/2019 08:57 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider. TO HIM THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED 2 NIGHTS AGO. New Medication Orders: Medication Order Date Prescriber Order Siff. Docusato Sodium Capsule 07/26/2019 08:57 TAKE ONE 10 MG CAP Orally - Two Times a Day x 180 day(s) Indication: Constipation, unspecified Copay Required:No Cosign Required: No TelephoneNerbal Order No Completed by on 07/26/2019 08:58 Garroted 07/262019 OB:58 by Sweat ol Prisons - NYM Page 1al I EFTA00105065 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg 76318.054 Inmate Name: EPSTEIN. JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Sex: H01 Provider: Unit: Note Date: 07/24/2019 16:10 Health Services. Cosign Note - Clinical Encounter Cosign encounter performed at Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: HAPPENED TO HIM THE MLP NOTIFJED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT 2 NIGHTS AGO Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by 24/2019 16:12 Page 1 of I Bureau of Prisons - NYM Generated 07/2412019 16:12 by EFTA00105066 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Reg ft 16318-054 Inmate Namo: EPSTEIN. JEFFREY EDWARD NYM Date of Birth: 01/20/1953 Sex: H01 Provider. Unit: Note Date: 07/24/2019 16:10 ed at Health Services. Cosign Note - Clinical Encounter Cosign encounter perform Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: HIM MENT REGARDING WHAT HAPPENED TO THE MLP NOTIFIED THE OP LT OF THE INMATE STATE 2 NIGHTS AGO. Copay Required: No Cosign Required: No TelephoneNerbal Order: Completed by 24/2019 16:12 Page 1 of 1 Bureau of Prisons - NYM Generated 07/24/2019 16.12 by EFTA00105067 Bureau of Prisons Health Services See Amendment Reg #: 76318-054 EDWARD Inmate Name: EPSTEIN, JEFFREY M Race: WHITE 01/20/1953 Sex: NYM Date of Birth: Facility: Encounte r Date : 07/26/2019 08:57 on 07/26/2019 08:58. Amendment made to this note b SHOW Or - YM em.N EFTA00105068 Bureau of Prisons Health Services Clinical Encounter • Administrative Note Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Sex: H01 Provider: Unit: Note Date: 07/24/2019 15:10 med at Health Services. Admin Note - General Administrative Note encounter perfor Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: ATION. HE REFUSED. FtEFS.ISAL FORM PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALU SIGNED. Copay Required:No Cosign Required: No TelephoneNerbal Order No Completed by on 07/24/2019 15:17 Bureau of Prisons • NYM Pago 1 of 1 Generated 071242019 15:17 by EFTA00105069 Bureau of Prisons Health Services Clinical Encounter Reg 1$: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: TE Facility: NYM Date of Birth: 01/20/1953 Provider. Unit: H01 Encounter Date: 07/24/2019 13:08 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem had to do with Subjective: I still do not want to talk about. But, between you and me. I think my room mate what happened to me. Do not ask me. I am not going to say anything. Pain: No OBJECTIVE: Temperature: Data lima Fahrenheit Celsius Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral 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. do s not complaint He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient how the skin injury on his neck gipped. he of any respiratory problem or distress. He still does not want to explain insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: Bureau of Prisms - NYM Page 1of 2 Groomed 07/24/2019 13:24 by EFTA00105070 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD ITE Facility: NYM Date of Birth: 01/20/1953 Sex: Provider: Unit 1401 Encounter Date: 07124/2019 13:08 Follow-up at Sick Call as Needed Patient Education Topics: Outcomt Date Initiated Format Handout/Toptc, Verbalizes 07/24/2019 Counseling Access to Care Understanding Verbalizes 07/24/2019 Counseling Preventive Health Understanding Copay Roqulred:No Cosign Required: Yes TolophoneNerbal Order: No Completed by on 07/24/2019 13:24 Requested to be cosigned by page. Cosign documentation will be displayed on the following Eluroau of Prisons • NYM Peg' 2 d 2 Gcnorulod 07/24/2019 13:24 by EFTA00105071 Bureau of Prisons Health Services Cosign/Review Reg 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: Race: WHITE Date of Birth: 01/20/1953 Encounter Date: 07/24/2019 13:08 Provider: Nom 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 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: ITE Date of Birth: 01/20/1953 Unit: H01 Encounter Date: 07/23/2019 06:20 Provider. Injury Assessment • Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 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 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, Bureau of Prisons • NYM Page 1 of 2 Ger,enT.od 07/23/2019 01.05 by EFTA00105073 Reg #: 76318-054 RD Inmate Name: EPSTEIN, JEFFREY EDWA ITE Facility: NYM 1953 Sex: Date of Birth: 01/20/ Unit: H01 Provider. Encounter Date: 07/23/2019 06:20 Exam: Acutely III Pulmonary Auscultation s Bilaterally Yes: Clear to Auscultation, Vesicular Breath Sound No: Crackles, Fthonchi, Wheezing Fxam Comments Inmate for injury report as requested by Operational Lt. Alleges, that he does not is ambul atory, oriente d x 3. In not apparent distress, smiling during this clinical encounter. He his neck. Responded: I don't know°. know what happened. Can not explain the marks on on his neck. He does not want to talk of the events leading to the marks He does not look in any distress or pain. wide, sparing Reaching 2/3 of the neck circumference, 2 inch Has an circular line of erythema at the base of the neck. . in the front with marks of friction the back of the neck. Has one section of this erythema omas, no lacera tions, no tenderness. Patient moving his neck without any No inflammation, no deformities, no hemat respiratory problem. restriction. Denies having any pain or discomfort. Denies any knee about 2cm in dlame ler(mil d). Has another small erythema on left inmate Epstei n was found in his cell with a rope around his neck a sitting on the As per information from custody staff 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: Outcome natiunitiatad Format Handout/Topic Verbalizes 07/23/2019 Counseling Access to Care Understanding Verbalizes 07/23/2019 Counseling Plan of Care Understanding 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. Bureau of Prisons NYM PageSol 2 Generated 07/23/2019 09:05 by EFTA00105074 Bureau of Prisons Health Services Cosign/Review Reg tt: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Date of Birth: 01/20/1953 Sex: er. Facility: NYM Provid Encounter ()ate: 07/23/2019 06:20 Cosigned by n 07/23/2019 15:44. Bureau of Prisms • NYM EFTA00105075 Bureau of Prisons Health Services Clinical Encounter Reg 1$: 76318 54 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: M Race: WHITE Facility: NYM Date of Birth: 01/20/1953 Provider: Unit: Z05 Encounter Date: 07114/2019 17:36 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 Exacerbatin g Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: 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 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sox: M Race: WHITE Facility: NYM Date of Birth: 01/20/1953 Provider: Unit: Z05 Encounter Date: 07/14/2019 17:36 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 Prescriber Ord?c Omega 3 ( Vascepa) 1 GM Capsule 07/14/2019 17:36 TAKE 2 CAPS Qrally - Two Times a Day x 1 day(s)— TAKE WITH F Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequen AtteDate Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine Lab Tests-L-Lipid Profile Additional Information: Buroau of Prisons - NYM Page 2 of 3 Gonoralad 07/10/2019 18:11 D EFTA00105077 Reg N: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: Date of Birth: 01/20/1953 Unit: Z05 Provider: Encounter Date: 07/14/2019 17:36 FASTING. Routine One Time 08/08/2019 00:00 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: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: flandoutiTopIG DAM! Date Initiated format Vimbeltzes 07/14/2019 Counseling Diagnosis Understancing Copay Required:No Cosign Required: No TeiephoneNerbal Order: No Completed by on 07/14/2019 18:11 Bureau of Prisons - NYM P0003013 Generated 07/1O2019 1811 by EFTA00105078 C DERN BP-S358.060 MEDICAL TREATMENT REFUSAL 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 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. 7-24-2019 Counseled by Date NYM—NEW YORK MCC Siffiature of Wtne s Date EFTA00105079 CDFRbf BP-S358.C60 MEDICAL TREATMENT REFUSAL 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 conseque nces and/or complicat ions 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 Patien Date NYM-NEW YORK MCC Signature of Witness EFTA00105080 CDFRM 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 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 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 a is Sign Date ,f e NYM-NEW YORK MCC Signature of Witness Date EFTA00105081 BP-A0618 A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) JUN 16 FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE Occlusion: Oral Hygiene: Good Fe CP;TN: 3 2 3 3 2- 3 Mead & Neck / Soft Tissirre 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 Classification: D; It CLIC. Pain Scale: Conlin 40 eotl i Ci 4tV411 , in nica Dental Prostheses at Intake: Yes No Typo: CC.Ci2 SS, on Di,Seili-e- Ase: 1 Ie C^ - V- 1 at CaratsliAc 0.109-P-14 Cenci:lion: infra-cm1Photos Takerr. . Radiographs Taken: (Document findings cn A&O encounter) Yes Yes No • 0 Yes: I No: instructed hcev to obben urgent and non-urgant dental care: None: Non-urgent Urgent Refistrred to Sick Cat Treatment Priorities: non-urgent Prophylaxis authorized: Yes I No Radiographs authorized; PM: (Approval veal 18 months from examination date)I BY& Panorex s Papnt Name: . Den I s-Q O 1 —3 --e_c-R•fe_y E I 47Etergurnber: ...: Institution: / Date: B Stamp: -74,3 is: OS-/411 MCC NEW YORK 7- zo. -I 9. e7 Dental cer MCC New York Replaces BP-A0B18 of JUN 10 PDF Prescribed by P6403 EFTA00105082 BP4,0618 A&O DENTAL EXAMINATION JUN 18 (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE Ocduslon: Oral Hygiene: Good ■ CPITN: 3 Head & Neck Soft. Tissue: 2- 3 1 2 3 4 6 6 7 8 0 10 11 12 13 14 16 16 t9 32 31 38 29 25 27 2825 24 23 22 21 20 10. 18 17 -2 Cla ificatLOn: (AL fy Nt I CL- -T- 0 F: Li Pain Scale: /10 Dental Prostheses of Intake: iontl rnre Crcri 4 2 ht (tercV ' )/25/114.1 Yes No Typo: it 02 SS / on C4r) SeiV-e- Aga: 1.4-..ler r...-%-ci c3/ Cayi4inc O.lezSe-Ne4 Contrition: Inaa-oral Photos Taken: Radiographs Taken: (Document findings on A&O encounter) Yes Yes 0 9 . Instructed how to cbtaLn urgent and non-urgent dental care: Yes: I No: Treatment Pnortes: None: Ncn-urgent Urgent Referred to Stck Cail: non-urgent Radiographs authorized: • Prophylaxis authortzed: Yes I No PM: (Approval valid 18 months from examination data) 6Ws: Panore:c Patient Name: , Den " • C,..-istir ski°, Dec-R--e_v E ELI- rNanbet: Institution: / Date: Signature rock/stamp: -76 3 I Se:- Us-`s MCC NEW YORK 7- 26 -1 9. ter et en a MCC New York PCF Presented by P8400 Replaces BP-A0618 of -UN 10 EFTA00105083 COFFIM SP-S358.060 MEDICAL TREATMENT REFUSAL 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. 7-24-2019 Counseled by Dale Date NYM-NEW YORK MCC Si nature of Wane Date EFTA00105084 Federal U.S. Medical Center for Federal Prisons Bureau of Prisons ••• Sensitive But Unclassified "• Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 Order Urd E06-547U Received 07/10/2019 10:44 DOB 01/20/1953 Provider Reported 07/10/201914:46 Sex M LIS ID 188191004 HIV HIV 1/2 Negative Negative Screening test - See confirmatory toeing (or Reactive results 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 Reg #: 76118-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M Race: WHITE Date of Birth: Provider: Lab Result Receive Facility: NYM Encounter Date: 07/10/2019 16:58 Cosigned by on 07/14/2019 18:12. Bureau of Prisons - NYM EFTA00105086 CDFRM BP-S358.C,50 MEDICAL TREATMENT REFUSAL 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 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 condition, and recommended treatment I hereby assume all responsibility for my physical and/or mental 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 Data Date Counseled by a7 NYM-NEW YORK MCC Sl!nature of Wane s Date EFTA00105087 SP-A0618 A&O DENTAL EXAMINATION JUN 18 (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE Occlusion: OOr • Oral Hygiene: Good Fair I / Craw: 3. 3 3 Head & Neck / Soft Tissue: 2- 9 1 2 3 4 6 6 7 8 9 1011 1213 14. 15 IC 2 CC 32 31 30 29 23 27 2625 2123 22 21 20 W. 18 17 Classification: 0 CL_ en- It* Dental Pros-theses at InteoX F: iCnoTant ...67 a Pain Scale: /1G /?,15 aka Yes TYPe: Age: cccession Di, / a -I° c Seil.) -12- C.--s. i tel cd- Cco-OcLiA5 0 109-/484 Condlton: Inira-cfsd Photos Taken: Radiographs Taken: (Document frndinga on A&O ern:aunts') Yes Yes No 0 Instructed how to obtain urgent and non-urgent dental care: Yes: I No: Treatment Pdonfies: None: Non-urgent Urgent Retuned to Sick Call: non-urgent . Prophylaxis augtortzect Yes I No Radiographs authorized: FAa- (Approval var 18 months from examination date) EPNs: Panorox t Nemec i Den' ! Nu c iP _7‘ 9 Skin isitsr tsts.mben 3 I Sr- OSN teS Institution:/ / MCC NEW YORK ti E Date: 7- 26 -19. Signature Block/Stamp: Inleten officer MCC New York PDF Peescrtbed by P8400 MOWN 8P-Men NUN 10 EFTA00105088 SP-S.158.060 MEDICAL TREATMENT REFUSAL C0FRM SEP 05 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 and recommended treatment I hereby assume all responsibility for my physical and/or mental condition, release the Bureau of Prisons and its employees from any and all liability for respecting and • wing my expressed wishes and directions. 1 7-24-2019 Counseled by Dale a is Sig Iliner t4 NYM-NEW YORK MCC Signature of Wig s Date ,1 EFTA00105089 CDFRM BP-S358.CE0 MEDICAL TREATMENT REFUSAL SEP 05 FEDERAL BUREAU OF PRISONS U.S. DEPARTMENT OF JUSTICE 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 Date Patten Signature t Date Counseled by NYM—NEW YORK MCC Signature of Witness Date EFTA00105090 A&O DENTAL EXAMINATION • • • 8P-A0618 JUN 18 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Occlusion: Oral Hygiene: Good Fair Zoo r CPITht 3 3 3 Head & Neck / Soft Tissue: 2- 3 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 Classi.5cafion: O: C7 r 11A CL_rr Fill Pain Scale: /10. Dental Prostheses at Intake: Comml rim .k ni ,r_15,1lAi No Yes r-toz SS / CIO 017Sald Le^ • Type: A,ge: Caufaicn: , 0 0- 14.. O--‘,..cei or C/o-OAJAI plosefik-4 Intra-oral Photos Taken: Ftadlogmphs Taken: (Document findings on ASO encounter) I Yes Yes 0 No . Instructed how to cbtain urgent and non-urgent dental care: Yes: 1 . No: Treatment Pricass: None: Non-urgent Urgent Referred to Sick Cat non-urgent . Yes I No Radiographs authorized; ' Prophylcuds authorized PAs..• (Approval rand 18 months from examination date) owl Panorax I FPa ' n Name: Den' ' • I , n CC-P t TS — E. SI nature Block/Stamp: Number. institution: Date: '7C 3 IC= OS-1/4\ MCC NEW YORK -7-6 --i 9 • entl leer Chief MCC New York PDF Presaibed by P8400 • Replaces BP-A0618 of JUN 10 EFTA00105091 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318-0 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Sex: M Race: WHITE Date of Birth: 01/20/1953 Unit: Z04 Encounter Date: 08/10/2019 07:25 Provider. Unit. Emergency Code - Resuscitation Event encounter performed at Special Housing SUBJECTIVE: Emergency Note Provider: Team Members: Provider Hs& Team/Code Leader Code Events: IYM Value, Date CPR Compressions 08/10/2019 06:35 EKG/Monitor Lifepak 08/10/2019 06:39 No shock advised CPR Compressions 08/10/2019 06:40 Oxygen 15 L 08/10/2019 06:47 IV Access Peripheral IV 08/10/2019 06:48 18 g Left AC Airway Endotracheal Tube 08/10/2019 07:08 ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine 1mg IV 08/10/2019 07:10 Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics CPR Compressions 08/10/2019 07:11 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:11 IV Fluids Normal Saline 0.9% 1000 ml 08/10/2019 07:12 Medications Epinephrine 1mg IV 08/10/2019 07:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:14 Medications Epinephrine 1mg IV 08/10/2019 07:16 CPR Compressions 08/10/2019 07:17 Comments: 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 administere d, 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 1of 2 EFTA00105092 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Provider: Unit: Z04 Encounter Date: 08110/2019 07:25 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: Translator Language Consultation/Procedure larSethate Scheduled Target Date Priority 08/10/2019 08/10/2019 Emergent No Emergency Room 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. Bureau el Prisons - NVM Pegg 2 of 2 Generated 08110/2018 08:10 by EFTA00105093 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Provider Unit: Z01 Encounter Date: 07/30/2019 15:58 Sex: 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 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Unit ZO1 Encounter Date: 07(30/2019 15:58 Sex: er: ISMS Provid Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: t Body mass index (BMI) 27.0-27.9, adult, 26827 - Curren 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: Prescriber Order Medication Order Data Ert! 07/30/2019 15:58 SLIDING SCALE INsulin REG - Human Subcutaneously each morning x 7 day(s) Pill Line Only Indication: Prediabetes Discontinued Medication Orders: Order Date Prescriber Order Balt Medication 07/30/2019 15:58 Inject regular insulin 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML In) subcuteneouslyi per sliding scale: twice daily "'airline"' for 7 days Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required: No Cosign Required: No TelephoneNerbal Order: No Completed by on 07/30/2019 18:12 Pegs 2 2 Bureau cr Prisons • NYM Generated 07/30/2019 16:12 by EFTA00105095 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ll: 76318-054 Date of Birth: 01/20/1953 Sex: Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: 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 qpi,, AL. OWING. HE REPORTS-39 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 UES. STATES HE FEELS OTHERWIS E Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology. Respiratory OBJECTIVE: Pulse: Time Rate Per Minute Location Provider Rate 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 Time Value Location • osition Cuff Size nt 07/30/2019 13:02 NYM 114/84 Loft Arm Standing 07/30/2019 09:40 NYM 125/60 Right Arm Standing 07/30/2019 09:30 NYM 108/86 Loft Arm 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 Page 1 of 3 Generated 07/30/2019 14;05 by Buroou of Prisons • NYM EFTA00105096 Reg ri: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Facility: NYM Sex: M Date of Birth: 01/20/1953 Unit: Z01 Provider: Encounter Date: 07/30/2019 11:12 Date Time Lla Kg Waist circum Provider 07/30/2019 09:30 NYM 194.2 88.1 Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 retic. Writhing in Pain, Pale, Pallor, Cyanotic, Diapho No: Appears Distre ed. Dyspneic, Appears in Pain, Disheveled, Unke Acutely III Nutrition No: Appears O Pulmo nary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 1 and S2 No: M/R/G Muscu loskel etal Tibia / Fibula No: Edema Neuro logic 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: Order Date prescriber Order Rx Medication Page 2 of 3 Bureau of Prisons • NYM Generated 07/30/2019 14:05 by EFTA00105097 Reg It: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: Facility: NYM Date of Birth: 01/20/1953 201 Provider: Unit: Encounter Date: 07/30/2019 11:12 Now Medication Orders: Order Date Prescriber Order fig Medication, Magnesium Hydroxide Susp cone 800 07/30/2019 11:12 10 CC Orally - Two Times a MG/5ML Day PRN x 90 day(s) Indication: Constipation. unspecified INsulin REG - Human 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Indication: Prediabeles Renew Medication Orders: Medication. Order Date prescriber Order 13dt 121836-NYM methylPRD 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: NJ Thia and neuritis, unspecified New Laboratory Requests: Details Frequency Due Date Priority. no Time 08/01/201900:00 Routine Lab Tests - Short List-General-CBC w/diff 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 Frequency, Due Date Priority. General Radiology-S pine / 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 Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Clu_tcocae Date Initiated Format Handout/Ton& Counseling Access to Care Verbalizes 07/30/2019 Understanding 07/30/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by on 07/30/2019 14:05 Bureau of Prisons • NMI Page 301 3 Generated 07/30/2019 14:05 by EFTA00105098 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318.054 Date of Birth: 01/20/1953 Sex: Facility: NYM Unit: Z01 Encounter Date: 07/30/2019 11:12 Provider: Chronic Care - Chronic Care Clinic encounter performed al Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem Subjective: PATIENT s 3, e‘S REFERRED BY THE WARDEN FOR EVALUATION. 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) BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENI SIDED WEAKNESS, DIPLOPIA. FACIAL DROOP, DIFFICULTY SPEAKING OWING. HE REPORT IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H DNEY STONES. FIX OF HTN FOR WHICH HE WAS TAKING 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 Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rhoumatology, espiratory 7) OBJECTIVE: Pulse: Rate Per Minute Location Provider 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: i e value Location Position Cuff Size Pr eider i2.81e 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 SaO2: Qata Time Valuel%1 Aft Provider 07/30/2019 09:30 NYM 98 Room Air Weight: pats Time Lk Kg Waist Circuni, Proviskr. Bureau of Prisons • NYM Page 1 of 3 Generated 07/30/2019 14:05 by EFTA00105099 Reg ti: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Sex: Facility: NYM Date of Birth: 01/20/1953 Z01 Provider: Unit: Encounter Date: 07/30/2019 11:12 !Tats Time Lin .K.9 Waist Circum Provider 07/30/2019 09:30 NYM 194.2 88.1 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 v/Z4r11 Auscultation Yes: Regular Rate and Rhythm (RRR le5and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurolog lc 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, 64730 - Current PLAN: New Medication Orders: Medication Order Date Proscriber Order Bureau of Prisons - NYM Page 2 or 3 Generated 07130/2019 14:05 by EFTA00105100 Reg it: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Facility: NYM Date of Birth: 01/20/1953 Sex: Provider: Unit: 201 Encounter Date: 07/30/2019 11:12 Now Medication Orders: Order Date Prescriber Order Siff 07/30/2019 11:12 10 CC Orally - Two Times a Magnesium Hydroxide Susp cone 800 MG/5ML Day PRN x 90 day(s) Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Indication: Prediabetes Renew Medication Orders: Order Dale, Proscriber Order Exit Medication methylPR o ne 4 MG Tab ( 21 count 07/30/2019 11:12 Take the tablet by mouth as 121836-NYM Pack) directed x 6 day(s) Indication: iTh 1tt, is and neuritis, unspecified New Laboratory Requests: V Frequency Due Date Priority Details - Short List-Genera l-CBC w diff Time 08/01/2019 00:00 Routine Lab Tests 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: Frequency Due Date. Priority Details 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 Disposition: Follow-up at Sick Call as Needed Patient Education Topics: ry Pate Initiated Format Handout/Topic yiste:r I:10room 07/30/2019 Counseling Access to Care Verbalizes Understanding 07/30/2019 Counseling Plan of Care Verbalizes Understanding Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by on 07/30/2019 14:05 Bureau of Prisons • NYM Page 3 of 3 Generated 07130/2019 14:05 by EFTA00105101 Bureau of Prisons Health Services See Amendment Reg #: 76318-054 Irmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE 01/20/1953 Sex: M Date of Birth: Facility: NYM Encounter Date: 07/30/2019 15:58 on 07/30/2019 16:12. Amendment made to this noto by Bureau of Afton* • NYM EFTA00105102