Bureau of Prisons | Health Services Cosign/Review 18-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7 Date of Birth: 01/20/1953 Sex: M Race: Encounter Date: 07/09/2019 12:35 Provider: [NM mur Facility: Cosigned by EEE M0 on 07/11/2019 22:41. Bureau of Prisons - NYM EFTA00059443

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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 Status Hyperlipidemia, 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 Medications: All medications to be continued until evaluated by a physician unless otherwise inilicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice dally by with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/SML Exp: 40/28/2019 SIG: shake well take 10mI by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. Pending Appointments Date Iime Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level der 07/01/2020 00:00 Chronic Care Visit Physician 0 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order OrderDate Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: Omm 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 Generated 08/10/2019 07:00 by SAMENNE PN Bureau of Prisons - NYM Page 1 of 2 EFTA00059444

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eT Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: tower bunk — 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. -—- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-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 Name/Title of Person Completing Form: Ee Date 08/10/2019 inmate Name:_ EPSTEIN, JEFFREY EDWARD Reg #:__76318-054 _DOB:__01/20/1953_ Sex:__M _———_—_—— Generated 08/10/2019 07:00 by SAA! RN Bureau of Prisons - NYM Page 2 of 2 EFTA00059445

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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: Date Time Fahrenheit Celsius Location Provider 07/24/2019 13:12NYM 97.8 36.6 Orel vr Orig Entered: 07/24/2019 13:14 EST [REI MLP 07/23/2019 06:30 NYM 975 364 Oral ve Orig Entered: 07/23/2019 08:33 EST [NM MP | 07/09/2019 12:49 NYM 97.3 36.3. Oral a. we Orig Entered: 07/09/2019 12:51 EST [RRMNEE. wip | Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/30/2019 13:02 94 SE M0 Orig Entered: 07/30/2019 13:04 EST NE) mo 07/30/2019 09:40 88 Via Machine CS 10 Orig Entered: 07/90/2019 13:04 EST [EIS mo 07/30/2019 09:30 87 Via Machine a 0 Orig Entered: 07/30/2019 12:59 EST ENN 0 | Y RN 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST [AMMEN RN 07/28/2019 06:57 82 | RN Orig Entered: 07/28/2019 06:58 EST ENE RN 07/24/2019 13:12 83 Via Machine Reguiar [Mie Orig Entered: 07/24/2019 13:14 EST [RE MP 07/23/2019 06:30 92 Via Machine Reguiar [. vie Orig Entered: 07/23/2019 08:33 EST [RMN MLP 07/09/2019 12:49 82 Via Machine Reguier [RRM vie Orig Entered: 07/09/2019 12:51 EST RRR. mp Respirations: Date Iime Rate Per Minute Provider 07/30/2018 09:30 NYM 12 i v0 Orig Entered: 07/30/2019 12:59 EST MO 07/28/2019 20:28 NYM 14 RN Orig Entered: 07/28/2019 20:29 EST RN 07/28/2019 06:57 NYM 14 RN Orig Entered: 07/28/2019 06:58 EST RN 07/23/2019 06:30 NYM 16 . MLP Orig Entered: 07/23/2019 08:33 EST . MLP 07/09/2019 12:49 NYM 16 . MLP Orig Entered: 07/09/2019 12:51 ST [RRR mLP Generated 08/10/2019 11:02 by AA Bureau of Prisons - NYM Pogo 1 of 3 EFTA00059446

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Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: | 07/30/2019 13:02NYM 114/84 = Left Arm Standing Beaudouin, Robert MD Orig Entered: 07/30/2019 13:04 EST (NNN 0 07/30/2019 09:40 NYM 125/60 Right Arm Standing f Orig Entered: 07/30/2019 13:04 EST (M0 07/30/2019 09:30 NYM 108/86 LeftArm __ Sitting HEH MD Orig Entered: 07/30/2019 12:59 EST (No 07/28/2019 20:28NYM 157/91 FS Orig Entered: 07/28/2019 20:29 EST (NR 07/28/2019 06:57 NYM 138/80 a Orig Entered: 07/28/2019 06:58 EST (NN N 07/24/2019 13:12NYM 132/89 Right Arm Sitting Adult-regular Hin MLP Orig Entered: 07/24/2019 13:14 EST J MLP 07/23/2019 06:30NYM 140/85 RightArm _ Sitting Adult-reguiar SI MUP | Orig Entered: 07/23/2019 08:33 EST QM LP 07/09/2019 12:49NYM 117/66 Right Arm Sitting Adult-reguiar SR MLP Orig Entered: 07/09/2019 12:51 EST {MJ Mcp Blood Glucose: Date Time Value (madi) Type Regular Insulin 08/04/2019 08:30 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST (NEE RN 08/02/2019 06:30 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST {RBM MLP 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST [RRR MLP 07/31/2019 06:15 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST [RRR MP Sa02: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air Ee 0 Orig Entered: 07/30/2019 12:59 EST a 07/28/2019 20:28 NYM 98 RN Orig Entered: 07/28/2019 20:29 EST ee 07/28/2019 06:57 NYM 98 RN Orig Entered: 07/28/2019 06:58 EST ee nT 07/24/2019 13:12NYM 96 Room Air MLP Orig Entered: 07/24/2019 13:14 EST [RIMM MiP 07/23/2019 06:30 NYM 96 Room Air a. vr Orig Entered: 07/23/2019 08:33 EST RM uP 07/09/2019 12:49 NYM 97 Room Air vr Orig Entered: 07/09/2019 12:51 EST [MM vie Height: Generated 06/10/2019 11:02 by SANIT Bureau of Prisons - NYM Provider ee . MLP MLP MLP Page 2 of 3 EFTA00059447

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End Date: 08/10/2019 | Begin Date: 07/07/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time inches Cm Provider 07/09/2019 12:49 NYM 700° 1778 Swe Orig Entered: 07/09/2019 12:51 est JEM wur Weight: Date Time Lbs Ka Waist Circum, Provider 07/30/2019 09:30 NYM 194.2 88.1 FD | Orig Entered: 07/30/2019 12:59 EST ee 07/09/2019 12:49NYM 194.4 88.2 MLP | Orig Entered: 07/09/2019 12:51 est SERENE wir | Generated 08/10/2019 11:02 by KANN Bureau of Prisons - NYM Page 3of 3 EFTA00059448

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Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 07/06/2019 21:39 Right Forearm aaa: 07/09/2019 12:47 Omm MLP Orig Entered: 07/08/2019 21:43 EST QE c Orig Entered: o7i0a2019 1247 EST SAMMI wwe Total: 1 Generated 08/10/2019 11:02 by SEES RNnoPioc Bureau of Prisons - NYM Page 1 of 1 EFTA00059449

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Bureau of Prisons Health Services Devices and Equipment Start Date: 07/07/2019 Stop Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD a Device/Equipment StartDate StopDate DateReturned ObtainedFrom Comments C-Pap 07/30/2019 14:05 EST [EMME iD 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Generated 08/10/2019 11:02 by SEES RnioPnoc Bureau of Prisons - NYM Pago 1 of 1 EFTA00059452

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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 Re een Date Intervention Pain Quality Location Pre Post Provider 07/12/2019 13:25 MEDROL DOSE PACK Shooting Back-Middle 5 iz! ° Orig Entered: 07/12/2019 13:28 EST (MO Generated 08/10/2019 11:02 by A RNMOPAOC Bureau of Prisons - NYM Page 1of 1 EFTA00059453

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Bureau of Prisons Health Services Modified Diet Request Types of Diets: ____ Clear Liquid Low Fat ___. Mechanical Soft Low Cholesterol Low Triglyceride i Full Liquid Sodium Controlled fi Calorie Controlled _X_ Other: FISH ALLERGIES. | Generated 07/30/2019 14:57 by EIEN “0 4 2 Bureau of Prisons - NYM Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: 07/30/2020 Health Service Staff brisoro10 Page 1 of 1 EFTA00059454

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Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD a Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST [REIEINEAC Total: 1 Generated 08/10/2019 11:02 by IE Bureau of Prisons - NYM Page 1 of 1 EFTA00059455

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Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Leams Rest By PrimaryLanquase § YearsofEducation Barriers To Education Provider 07/09/2019 Speaking/Listening English 12 None FY Orig Entered: 07/09/2019 12:52 EST Total: 1 Topics Date Initiated Format Handout/Topic Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding FY Orig Entered: 07/30/2019 13:33 ST 07/30/2019 Counseling Plan of Care Verbalizes Understanding fF Orig Entered: 07/30/2019 13:34 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding PF Orig Entered: 07/28/201907:22EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding FY Orig Entered: 07/28/2019 20:30 EST 07/24/2019 Counseling Access to Care Verbalizes Understanding | Orig Entered: 07/24/2019 13:23 EST 07/24/2019 Counseling Preventive Health Verbalizes Understanding | | Orig Entered: 07/24/2019 13:23 EST 07/23/2019 Counseling Access to Care Verbalizes Understanding a. Orig Entered: 07/23/2019 09:04 EST —07/23/2019______Counseling__ Plan of Care. . __Verbalizes Understanding _ .— —O— Orig Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling Diagnosis Verbalizes Understanding Po Orig Entered: 07/14/2019 18:11 EST 07/12/2019 Counseling Diagnosis Verbalizes Understanding FY Generated 08/10/2019 11:02 by SEEN RNAOPNDC Bureau of Prisons - NYM Page 1 of 2 EFTA00059456

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zjoz 06eg WAN - Suosyd Jo Neesng OOvdOUNY SEER 49 20:41 6102/01/60 pereove Ob 18904 ae ASB ECL GLOZIZL/LO :parewa BuO TOpIROTd BUSTING Le | payenuy ereg soido, an <<. GUVMGa AIYIISe ‘NIBLSda *oweN syeULU} ys0-91e9. *# Bou a EFTA00059457

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Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Date: 08/10/2019 Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Iime Value Iype Comments 08/04/2019 08:30NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST QB RN 08/02/2019 06:30NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST QB vip 08/01/2019 06:30NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST SERBIAN mip 07/31/2019 08:15NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST BERRI vie Total: 4 Generated 08/10/2019 11:02 by EEEEEN RNNOPADC Bureau of Prisons - NYM Page tof 1 EFTA00059458

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Bureau of Prisons Health Services Health Problems Reg #: _76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD en Description Axis CodeType Code Diag. Date Status Status Date Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST Mo ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56EST Qo ICD-10 G4730 07/12/2019 Current Essential (primary) hypertension 07/30/2019 13:13 EST Mo ICD-10 110 07/30/2019 Current BY HX. Constipation, unspecified 07/09/2019 12:58 EST A MiP ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST i m0 ICD-10 M545 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST J MO ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST roc 1 DSM-IV NoDx 07/09/2019 Current Prediabetes 07/30/2019 13:26 EST A vo ICD-10 R7303 07/30/2019 Current Injury, unspecified 07/23/2019 09:04 EST MiP ICD-10 T1480 07/23/2019 Current R/O self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST J MD ICD-10 26827 07/30/2019 Current Total: 10 Generated 08/10/2019 11:02 by EE RNAOPAOC Bureau of Prisons - NYM Page 1of 1 EFTA00059459

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Bureau of Prisons Health Services Clinical Encounter Reg #: 76318-054 Sex: M_ Race: WHITE Facility: NYM Provider: MD Unit: 205 Encounter Date: 07/12/2019 13:10 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: Provider: EE Mo COMPLAINT 1 Chief Complaint: ENDO/LIPID Subjective: 66 YR OL! HYPERT! 800, MEDS HX OF O MACHINE. HITE MALE WITH HX OF CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS | STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE EIR GI SIDE EFFECTS. UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. Y HAS SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE STATES TH L4 -L5 SEVERE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH Hx: Yes Pain Assessment Date: Pain: 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: Duration: Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: (3) Oo, 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK Q Cai Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/12/2019 14:20 by’ Bureau of Prisons - NYM Page tof 3 EFTA00059460

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/12/2019 13:10 M_ Race: WHITE ve A Reg # 76318-054 Facility: NYM Unit: 205 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat No; M/R/G Abdomen Auscultation Yes: Normo-Active Is 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: Rhythm (RRR), Normal S1 and S2 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: Rx# Medication Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Indication: Constipation, unspecified MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 Pack 21 tab) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by TIE 110 Bureau of Prisons - NYM Cal Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Page 2of 3 EFTA00059461

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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: I v0 = Unit: 205 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDOR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/12/2019 Counseling Diagnosis Po Verbalizes Understanding Copay Required: No Telephone/Verbal Order: Completed by Cosign Required: No in 07/12/2019 14:20 Generated 07/12/2019 14:20 by IE 110 Bureau of Prisons - NYM Page 3of 3 EFTA00059462

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M_ Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: MD Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: a’ 10 Chief Complaint: ENDO/LIPID 66 YR OL HYPER 800 , MEDS HX OF Subjective: HITE MALE WITH HX OF | CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE EIR GI SIDE EFFECTS. UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. Y HAS SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE MACHINE, STATES TH L4-L5 SEVERE 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 MEDROL DOSE PACK Ly Intervention: Trauma Date/Year: Injury: Mechanism: Onset: Duration: Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: Oo, 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK Ly al 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 lof 3 EFTA00059463

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/12/2019 13:10 M_ Race: WHITE Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat No: M/R/G Abdomen Auscultation Yes: Normo-Active B is 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: Rhythm (RRR), Normal $1 and $2 Q 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: Rut Medication Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Indication: Constipation, unspecified MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 Pack 21 tab) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by IE v0 Bureau of Prisons - NYM Povicer TT 0 (oY Reg #: 76318-054 Facility: NYM Unit: Z05 Q , Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Page 2of 3 EFTA00059464

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Encounter Date: 07/12/2019 13:10 Provider: a MD 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/Topic 07/12/2019 Counseling Diagnosis Copay Required: No Telephone/Verbal Order: Completed by 07/12/2019 14:20 Cosign Required: No Generated 07/12/2019 14:20 by AE 10 Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: Z05 Outcome Verbalizes Understanding Page 3of 3 EFTA00059465

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/14/2019 17:36 Reg #: Race: Amendment made to this note by [EEE MD on 07/14/2019 18:11, Bureau of Prisons - NYM EFTA00059466

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Regt 7 Date of Birth: 01/20/1953 Sex. : Facility: Note Date: 07/12/2019 09:08 Provider: | MD Unit: z Admin Note - Orders encounter performed at Health Services. Administrative Notes: | ADMINISTRATIVE NOTE 1 Provider: i PATIENT REQUESTED TO HAVE A COLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medication Order Date Docusate Sodium Capsule 07/12/2019 09:06 indication: Constipation, unspecified Discontinued Medication Orders: Rt Medication Order Date 121757-NYM Bisacodyl E.C. 5 MG TAB 07/12/2019 09:06 Discontinue Type: When Pharmacy Processes Discontinue Reason: discontinue Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No | Completed by (EEE MD on 07/12/2019 09:10 Generated 07/12/2019 09:10 by A io Bureau of Prisons - NYM Page 4 of 1 EFTA00059467

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 14 Provider: MD MED CL:1 NO CCC APPT, Discontinued Laboratory Requests: Details Frequency Due Date Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: [NE mo New Laboratory Requests: Details. Erequency Due Date Chronic Care Clinics-Diabetic-CBC widiff One Time 07/25/2019 00:00 Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A1C 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 Date Due Date Genera! Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by IEEE M0 on 07/07/2019 00:30 Generated 07/07/2019 00:30 by J 1D Bureau of Prisons - NYM Date of Birth: 01/20/1953 Sex: mie Facility: Note Date: 07/07/2019 00:17 Provider: MD Unit: 7 Routine Page tof 7 EFTA00059468

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Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: {RRR vp Unit: PEPEEEEl 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+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High schoo! diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by IEEE. mu Bureau of Prisons - NYM Page tof 13 EFTA00059469

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: : WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: |. MLP Unit: HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: =~ Last CD4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: Chicken Pox: Other: Comments: Chiamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies No Yes No Herpes: No Yes No Generates 07/09/2019 13:03 by SEE mur Bureau of Prisons - NYM Page 2of 13 EFTA00059470

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| Inmate Name: EPSTEIN, JEFFREY EDWARD Reg # 76318-054 Date of Birth: 01/20/1953 Sex: Race: WHITE Facility: 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: NIA Dental Condition: Denied Generated 07/09/2019 13:03 by AE Mur Bureau of Prisons - NYM Page 3of 13 EFTA00059471

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: : WHITE Facility: M Encounter Date: 07/09/2019 12:35 Provider: MLP Unit: 1 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 67/09/2019 13:03 by SNM. aie Bureau of Prisons - NYM Page 4 of 13 EFTA00059472

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#: Inmate Name: EPSTEIN, JEFFREY EDWARD Reg Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: [INMIK. MLP Unit: Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider: NEY. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measies/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider: [ENE MP. Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider: ME. mu 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 NBME. MLP Bureau of Prisons - NYM Page Sof 13 EFTA00059473

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Inmate Name: EPSTEIN, JEFFREY EDWARD ; Date of Birth: 01/20/1953 Sex: : WHITE rectity Encounter Date: 07/09/2019 12:35 Provider: Lot Number: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider: (NEE. Mp Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: Date Time Fahrenheit Celsius Location Provider 07/09/2019 12:49 NYM 97.3 36.3. Oral Ewe Pulse: Date Time Rate Per Minute Location Rhythm = Provider 07/09/2019 12:49 82 Via Machine Regular [RR wie Respirations: Date Time Rate Per Minute Provider 07/09/2019 12:49 NYM 16 ue Blood Pressure: Date Time Value = Location Position Cuff Size Provider 07/09/2019 12:49NYM 117/66 RightArm _ Sitting Adult-reguiar SEEM. mp $a02: Date Time Value(%) Air Provider 07/09/2019 12:49 NYM 97 Room Air a vie Height: an 1240 NYM vr wa HS ie Generated 07/09/2019 13:03 by NBN. wie Bureau of Prisons - NYM Pagh Gof 13 EFTA00059474

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Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Facility: Sex: : WHITE Provider: . MLP Unit: Date Time Weight: Date Time Lbs 07/09/2019 12:49NYM 194.4 Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Inches 07/09/2019 12 Banker Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant llinesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant llinesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant llinesses: Comments: Past Hospitalization: Reason Acute Appendicitis Complications: None Comments: Head: Normal: Yes Comments: Gonerated 07/09/2019 13:03 by SEE. mie Cm Provider 2 lll Mount Sinai Hospital 1990 Bureau of Prisons - NYM Page 7 of 13 EFTA00059475

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/09/2019 12:35 Provider: J vie Unit: 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: Distance Vision: OD: 100 OS: 70 OU: Near Vision: OD: Os: OU: 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 Midline:Yes Septum Intact: Yes Drainage/Discharge:No Polyps: No Nose Comments: Generated 07/09/2019 13:03 by FS Mu Bureau of Prisons - NYM With Corrective OD: os OD: os: I Page 8 of 13 EFTA00059476

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Inmate Name: EPSTEIN, JEFFREY EOQWARD Reg #: Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: JABMIF. MLP Unit: 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: Generated 07/09/2019 13:03 by IRIE. wp Bureau of Prisons - NYM Page 9 of 13 EFTA00059477

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Inmate Name: EPSTEIN, JEFFREY EOWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Thorax: Contour Normal:Yes increased AP Diameter: No Asymmetrical Expansion: No Lungs Clear: Yes Wheezes: No Crackles:No Rhonchi: No Rales: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM: Yes Tenderness:No Comments: Cardiovascular: RRR: Yes Normal $1/S2: Yes Murmurs: No Carotid Bruits: No JVD: No Arterles: Bight Loft Radial: Femoral: Dorsalis Pedis: Post. Tibialis: Comments: Generated 07/09/2019 13:03 by ENE. MLP Bureau of Prisons - NYM Page 10 of 13 EFTA00059478

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 : Encounter Date: 07/09/2019 12:35 Provider: QR) vue Abdomen: Normal Contour: Yes Scaphold: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scars: No Tenderness: No Organomegaly: 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: E E Leg: Yes Yes Generated 07/09/2019 13:03 by EN MLP Bureau of Prisons - NYM Pago 11 of 13 EFTA00059479

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Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Reflexes: Right Biceps: Patellar: Brachioradialis: GU: Chaperoned By: Rectum: Not Done 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: ttem Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD Administration Not Performed Comments: Patient has a history of constipation. Generated 07109/2019 13:03 by SRN. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD Provider: Left Bureau of Prisons - NYM 76818-054 Page 12 of 13 EFTA00059480

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : WHITE Facility: = NYM Encounter Date: 07/09/2019 12:35 Provider: . MLP Unit: Hot Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - New Medication Orders: Rx@ Medication Order Date Preseriber Order Bisacodyl E.C. Tablet 07/09/2019 12:35 5 mg Orally at bedtime PRN 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 Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by [EEE MLP on 07/09/2019 pe Requested to be cosigned by Cosign documentation will be displayed te feloving page. Generated 07/09/2019 13:03 by SENN. mL Bureau of Prisons - NYM Page 13 of 13 EFTA00059481

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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 Near Vision: OD: os: With Corrective Distance Vision: OD: Os: Near Vision: oD: os: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder R: R: L: Lu: Color Test: Tonometry: R: lu: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST NEE MLP Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Ou: Ou: OU: OU: Axis Page 1 of 1 EFTA00059482

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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 Immunization Pate § Administered Location Dosage Drug Mfg. Lot # Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST [EE wip Measies/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST [EE wip Smatipox Series History Unknown Orig Entered: 07/09/2019 12:51EST J wie Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST [wie Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST [vip Total: 5 Generated 08/10/2019 11:02 by EEE RNOPNDC Bureau of Prisons - NYM Page to! 1 EFTA00059483

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Bureau of Prisons Health Services Medical Duty Status ~~ inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Housing Status. Boi. __ confined to the living quarters ps __meals __ Pill line __lreatments Exp. Date: __on complete bed rest: _x bathroom privileges only Exp. Date: X cell: __cellon fiyt floor single cell _X lower bunk __airborne infection isolation Exp. Date: | 10/09/2019 _— — Exp. Date: Exp. Date: ra ae a — weeiing __upperbody __lower body Exp. Date: _ caydidvascular exercise: __running __jogging __walking ___softball Exp., Date: football basketball handball ___ stationary equipment Exp. Date: E Ae uhis'[ her;possession: ? Bee! sabaert Start Date End Date _ C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Cleared for Food Service: Yes _X_ No Restrictions Comments: N/A a Hn MD 07/30/2019 Health Services Staff eS ae Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 _Quarters:__Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1of1 EFTA00059484

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Bureau of Prisons : Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD __ pill line __\reatments Exp. Date: bathroom privileges only Exp. Date: X cell: = single cell X lower bunk _ airbome infection isolation __ other: Bhysical cimit allan Exp. Date: __lower body Exp. Date: | __running _ jogging __walking __ softball Exp. Date: __ football __basketball __ handball __ stationary equipment AP Aad PEAR é onesie Cleared for Food Service: Yes _X_No Restrictions Comments: N/A 07/09/2019 Health Services Staff pos Date Inmate Name: EPSTEIN, JEFFREY EDWARD.” Reg#: _76318-054 —_ Quarters: aware Z04 ALL EXPIRATION DATES ARE AT Generated 08/10/2019 11:02 by II Bureau of Prisons - NYM Page 1 oft EFTA00059485

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Bureau of Prisons Health Services Medication Summary Historical Complex: NYM-NEW YORK MCC Begin Date: 07/07/2019 End Date: Jor onal inmate: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarter: -206LAD Medications listed reflect prescribed medications from the begin date to end date on this report. Allergies: Denied Active Prescriptions Bisacodyl E.C. 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rodt =121757-NYM Doctor: MLP Start: 07/09/19 Exp: 07/19/19 Dic: 07/12/19 Pharmacy Dispensings: 10 TAB in 32 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice for 30 days Rods 121823-NYM Doctor: MD Start: 07/12/19 Exp: 08/11/19 Pharmacy Dispensings: 60 CAP " 29 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice dail mouth with plenty of water Rx#: 122084-NYM Doctor: MD Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP {n 15 days Milk of Magnesia Susp (OTC) (473ML) 400MG/SML shake well take 2 tablespoonful twice mouth Rx#: 121835-NYM Doctor: MD Start: 07/12/19 Exp: 07/14/19 Pharmacy Dispensings: 473 ML h 29 days Milk of Magnesia Susp (OTC) (473ML) 400MG/SML shake well take 10ml by mouth twice AS NEEDED Rx: +122150-NYM Doctor: MD Start: 07/30/19 Exp: 10/28/19 Pharmacy Dispensings: 473 ML jn 11 days methyIPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rod: 121836-NYM Doctor: EE wo Start: 07/12/19 Exp: 07/18/19 Pharmacy Dispensings: 21 tab ip 29 days methyIPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rodi: 122149-NYM Doctor: [EEN v0 Start: 07/30/19 Exp: 08/05/19 Pharmacy Dispensings: 21 tab in 11 days Generated 08/10/2019 11:02 by AIAN Bureau of Prisons - NYM Page 1 of 2 EFTA00059486

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End Date: 08/10/2019 Complex: NYM-NEW YORK MCC Begin Date: 07/07/2019 Inmate: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarter: 204-206LAD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice dail mouth with food Rx#: 121885-NYM Doctor: MD Start: 07/17/19 Exp: 01/13/20 . Pharmacy Dispensings: 180 Cap in\24 days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneous! scale: twice daily ***pill line*** for 7 days ***pill line*** Rx#: 122148-NYM Doctor: MD | Start: 07/30/19 Exp: 08/06/19 Dic: 07/31/19 Pharmacy Dispensings: 0 ML in 11\days Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin su scale: each morning for 7 days ***pill line*** ***pill line*** Rod#: 122160-NYM Doctor: MD : Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispensings: 0 ML in 10 days | | | Generated 08/10/2019 11:02 by i Bureau of Prisons - NYM Page 2 of 2 EFTA00059487

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Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76316-D54 Date of Birth: 01/20/1953 Sex: M WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: S Unit HOt ASSESSMENTS: | Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Status Hyperlipidemia, unspecified Current HYPERTRIGLYCERIDEMIA . Sleep apnea * Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified ; Current R/O 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 Generated 07/26/2019 07:59 by ENN OOS Bureau of Prisons - NYM Page tof 3 EFTA00059488

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Reg #: 76318-054 Facility: NYM | Unit: HO01 ee Other Infectious Diseases: Syphilis: Syphilis Last Treatment: Genital Warts: Chlamydia: Gonorrhea: Herpes: Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Treatment: sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A No NIA No Yes No No Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: Methamphetamine: Tobacco products: Other drugs: Sensitive teeth: Bleeding gums: Food impaction: Pain around ear: Toothache: Wear partial dentures: Unusual sounds while eating: Snoring: Blisters on lips or mouth: Clenching or grinding: Swelling or lumps in mouth/throat: Burning tongue: Bad breath: Decayed teeth: Loose teeth: Wear dentures: None: Comments: Generated 07/26/2019 07:59 by EEE OOS See FS FF FREE BEE REEES EEF Bureau of Prisons - NYM Page 2 of 3 EFTA00059489

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: + 01/20/1953 Sex: M Race: WHITE : Encounter Date: 07/26/2019 07:54 Provide: (RNMOos = Unit! = HOt Cardiac Condition Requiring Prophylaxis: No Prosthetic joint(s): Radiation history of head or neck: Excessive bleeding: Bisphosphonates: Comments: 55 E Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by with food OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by {EEE ODS on 07/26/2019 07:59 Generated 07/26/2019 07:59 by [EEN OOS Bureau of Prisons - NYM beset EFTA00059490

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Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/26/2019 07:47 Provider: iS Reviewed Health Status: Yes Occlusion: Class! Oral Hygiene: Fair CPITN: 3 2 3 3 2 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 1 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed Inmate how to obtain routine and emergency dental care. Oral hygiene instructions g Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by S on 07/26/2019 07:47. Generated 07/26/2019 08:00 by IIE 00s Bureau of Prisons - NYM iven: Yes Page 1 of 1 EFTA00059491

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Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: | 76318-054 Date of Birth: 01/20/1953 Sex: ae Facility: NYM Encounter Date: 07/18/2019 13:48 Provider: Dental Asst = —_ Unit: Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A & O screening but has not been escorted to the dental clinic. Cosign Required: No Completed by (EEEEEEEEEM O ental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by ANNI Dents! Bureau of Prisons -NYM Page 1 of 1 EFTA00059492

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U.S. Medion Sinai Set Prisons Oise W. Sunshine Street , MO 65807 Soar 874-1621 * Sensitive But Unclassified “** Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 Order ial ies Received 07/10/2019 10:44 DOB 01/20/1953 Provider MD Reported cra 1 Sex__M LISID___ 188191 Sodium 137 137-148 Potassium 4.7 3.5-5.0 Chloride 99 99-114 co2 27 22-30 BUN 17 7-22 Creatinine 1.05 0.66-1.25 eGFR (IDMS) >60 GFR units as mUmin/1.73 m*2. If African American muitiply by 1.210. A calculated GFR <60 suggests chronic kidney disease If found over a 3 month period. Calcium 9.8 8.5-10.9 Glucose 102 70-110 AST H 57 11-55 ALT 62 11-66 Alkaline Phosphatase 64 41-133 Bilirubin, Total 141 0.2-1.3 Total Protein 73 6,0-8.2 Albumin 44 3.6-5.1 Globulin 29 2.0-3.7 Alb/Glob Ratio 1.50 1.00-2.30 Anion Gap 10.2 9.0-19.0 BUN/Creat Ratio 16.1 §,0-30.0 Cholesterol H 216 <200 Triglycerides H 413 10-150 Ceteulation of LOL. not spprepriate for samples with wghyeride grater han 400 ON. Therefore the LOL HOL Cholesterol L 40-60 ChoV/HDL Ratio H as 0.0-4.0 VIA OG wBc 76 4.3-11.1 NRBC% 0.0 RBC 5.42 4.46-5.78 Hemoglobin 15.6 13.6-17.6 Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 MCH 28.8 27.1-34.9 MCHC L 32.6 33.0-37.0 RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 mgidL. mg/dL is not calculated. mg/dL. FeGerxG ive i eS FLAGLEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnormal Al =: ! Page top EFTA00059493

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U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street field, MO 65807 417-874-1621 @rS< Reg # 76318-054 DOB 01/20/1953 *** Sensitive But Collected 07/09/20 Facility MCC New York Prone ll a Provider . MD Received 07/10/2019 10:44 Reported 07/10/2019 14:46 Sex M Lis 1D 188191 | eic MPV 10.4 6.9-10.5 fl Neutrophils % 58.7 % Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % 25.0 % Monocytes % 11.1 % Eosinophils % 41 % Basophils % 0.8 % Immature Granulocytes % 0.3 0.0-5.0 % Neutrophils # . 44 1.9-6.7 K/ul Lymphocytes # 19 1.3-3.7 Kul. Monocytes # 0.8 0.3-1.1 Kul Eosinophils # 0.3 0.0-0.5 KiuL Basophils # 0.1 0.0-0.1 Kul immature Granulocytes # 0.02 0.00-0.50 1043/uL H 6.3 <5.7 Non-Reactive Non-Reactive Results may be affectod In patients with severely advanced immunosuppression. L=Low Li=Low Critical H=H HI=High Critical A=Abnormal Al! =, Page 2 of|3 FLAG LEGEND Critical EFTA00059494

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ederal Medical Ok: cS os 417-87 74-1621 Name EPSTEIN, JEFFREY Facility MCC New York Reg # 76318-054 Order Unit £06-54 Received 07/10/2019 10:44 DOB 01/20/1953 Provider Jl i) Reported 07/10/2019 14:46 Sex__M LIS ID __ 188191 HIV 1/2 Negative Negative Screening test - See confirmatory testing for Reactive results a FLAG LEGEND __L=Low L!=Low Critical H=High H!=High Critical A=Abnormal a Page 3 of EFTA00059495

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 M Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Cosigned by EEN MD on 07/14/2019 18:12. Bureau of Prisons - NYM Reg#: 76318-054 Race: WHITE Facility: © NYM EFTA00059496

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Br s366.080 MEDICAL TREATMENT REFUSAL | corns U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF prisons 7-24-2019 Date |, JEFFREY EPSTEIN 76318-054 _, refuse treatment recommended by the Féderal 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. l understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | hereby assume ail responsibility for my physical and/or mental ition, and release the Bureau of Prisons and Its employees from any and all liability for respecting and following my expressed wishes and directions. D___7-24-2019 Date Pi t's Sigi Date NYM--NEW YORK MCC } EFTA00059497

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A&O DENTAL EXAMINATION (initia! Clinical Dental Findings) z 2 | 2 e o ~ ° o - ”- “ EFTA00059498

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318 Date of Birth: 01/20/1953 Sex: H E Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: RN Unit! -HO1 CO Nursing - Follow up encounter performed at Health Services. | SUBJECTIVE: COMPLAINT 14 Provider: i RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: inmate seen for F/U after retuming from attomey conference offers no new complaints|or worsening S/S stats “ My R hand still has pins and needles sometimes” No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 20:28 81 ES Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 en Blood Pressure: Date Time Value Location Position Cuff Size Vet] 07/28/2019 20:28NYM 157/91 RN $a02: } Date Iime Value(%) Air Provider 07/28/2019 20:28 NYM 98 a 2 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, Ory, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Genereted 07/28/2019 20:30 by AIA RN Bureau of Prisons - NYM Page 1 of 2 EFTA00059499

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ey 7 i Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 4 Facility: NYM | Encounter Date: 07/28/2019 20:25 Provider: RN Unit: HO1 Follow-up in 12-24 Hours | Patient Education Topics: | 07/28/2019 Counseling Plan of Care Verbalizes | Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed a 20:30 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 07/26/2019 20:30 by IAA RN Bureau of Prisons - NYM Page 2 of 2 EFTA00059500

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Race: Encounter Date: 07/28/2019 20:25 Provider: RN Facility: Cosigned by EEE MD on 07/28/2019 20:50. Bureau of Prisons - NYM EFTA00059501

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Bureau of Prisons Health Services Clinical Encounter inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318- Date of Birth: 01/20/1953 Sex: : Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: RN Unit: HO1 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: a RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) | Subjective: * | woke up and | had no control over my Right arm for a few minutes it was just doing what it Pain wanted to do* ain: OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 06:57 82 a RN Respirations: Dato Time Rate Per Minute Provider 07/28/2019 06:57 NYM 14 ES Rate Iime Value = Location Position Cuff Size 07/28/2019 06:57NYM 138/80 a $a02: Date Time Value(%) Air Provider 07/28/2019 06:57 NYM 98 es Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 General Yes: Within Normal Limits, Dry, Skin Intact General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Genorsted 07/28/2019 07:22 by SE RN Buroay of Prisons - NYM Page 1 of 3 EFTA00059502

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: : WHITE Encounter Date: 07/28/2019 06:51 Provider: RN Unit: HO1 No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Uina Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Paipation R, Swelling R No: inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R Contusion(s) R ROS Comments Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independent C1 Fight 2m numbness after waking up from "sleeping on my side” that has since subsided. inmate interviewed in obs through the slot V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to it phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingli at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call not , Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Outy Officer Patient Education Topics: Rate Initiated Format Handout/Topic Qutcome 07/28/2019 Counseling Plan of Care Verbalizes Understanding Generated 07/28/2019 07:22 by SAE RN Bureau of Prisons - NYM Page 20! 3 EFTA00059503

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#: =76318- Inmate Name: EPSTEN. JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M ; WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: ee Unit: HOt Date Initiated Format Handout/Topic Provider Qutcome Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Requested to be cosigned by D. Cosign documentation will be displayed on the following page. Generated 07/28/2019 07:22 by [ian RN Bureau of Prisons - NYM Page 3 of 3 EFTA00059504

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76 Date of Birth: 01/20/1953 Sex: Race: w Encounter Date; 07/28/2019 06:51 Provider: RN Facility: ~=-N Encounter Date: oS —— ees Cosigned by EEE MD on 07/28/2019 20:51. Bureau of Prisons - NYM EFTA00059505

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EQWARD Reg #: Date of Birth: 01/20/1953 Sex: 5 Facility: Note Date: 07/26/2019 08:57 Provider: IMD =—- Unit: Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: (© THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders: Bxit Medication Order Date Docusate Sodium Capsule 07/26/2019 08:57 TAKE ONE 1 - Two Times Indication: Constipation, unspecified Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (ANE MD on 07/26/2019 08:58 Generated 07/26/2019 08:58 by AE “0 Bureau of Prisons - NYM MG CAP Orally Day x 180 day(s) Page 1 of 1 EFTA00059506

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: . Facility: © NYM Note Date: 07/24/2019 16:10 Provider: MD Unit: HO01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 4 Provider: EEE vio THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Cosign Required: No Copay Required:No Telephone/Verbal Order: No Completed by Qo" 16:12 Q Y Q Col Gonerated 07/24/2019 16:12 by i 110 Bureau of Prisons - NYM Page tof 1 EFTA00059507

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Facilily: NYM Note Date: 07/24/2019 16:10 Provider: MD Unit: HO1 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: i vo THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TOHIM 2 NIGHTS AGO. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed b Qo" 16:12 Gonerated 07/28/2019 16:12 by AE “10 Bureau of Prisons - NYM Page tof 1 EFTA00059508

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: © NYM Amendment made to this note a MD on 07/26/2019 08:58. Bureau of Prisons - NYM EFTA00059509

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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: NY’ Note Date: 07/24/2019 15:10 Provider: MD Unit: HO1 —— ————————————— STS Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 4 Provider: A Mo PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REF SIGNED. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by EMME MD on 07/24/2019 15:17 Generated 07/24/2019 15:17 by [IEEE “1D Bureau of Prisons - NYM USAL FORM Page tof 1 EFTA00059510

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Bureau of Prisons Health Services Clinical Encounter | Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: » WHITE Facility: NYM ncounter Date: 07/24/2019 13:08 Provider: MLP Unit: HO1 Encounter Date O70 1 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: SEEM wip Chief Complaint: Other Problem | Subjective: { still do not want to talk about. But, between you and me. I think my room mate had to do with what to me. Do not ask me. | am not going to say anything. Pain: No OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/24/2019 13:12NYM 978 36.6 Oral EE wie Pulse: Date Iime Rate Per Minute Location Rhythm Provider j 07/24/2019 13:12 83 Via Machine Reguiar SR wie Blood Pressure: Date Iime Value = Location Position Cuff Size isin 07/24/2019 13:12NYM 132/89 Right Arm Sitting Adult-reguiar MLP | $a02: Date Iime Value(%) Air ert] 07/24/2019 13:12 NYM 96 Room Air MLP Exam: Genera! Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient not complaint of any respiratory problem or distress. He still does not want to explain how the skin injury on his neck . he 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: Generated 07/24/2019 13:24 by ERE mp Bureau of Prisons - NYM Page 1 of 2 EFTA00059511

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: : WHITE Encounter Date: 07/24/2019 13:08 Provider: . MLP Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic 07/24/2019 Counseling Access to Care 07/24/2019 Counseling Preventive Health Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by IEEE. MLP on 07/24/2019 13:24 Requested to be cosigned by J M0. Cosign documentation will be displayed on the following page. Generated 07/24/2010 13:24 by IEEE. LP Bureau of Prisons - NYM Reg #: 7631 Facility: NYM Unit; HO1 Verbalizes Understanding Verbalizes Understanding Page 2 of 2 EFTA00059512

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: my | Race: Encounter Date: 07/24/2019 13:08 Provider: MLP Facility: Cosigned with New Encounter Note by SAMMEEED on 07/24/2019 16:10. N Bureau of Prisons - NYM EFTA00059513

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: JR. wie 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: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-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: Date Iime Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 364 Oral a. vr Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular [wp | Respirations: Date Iime Rate Per Minute Provider 07/23/2019 06:30 NYM 1¢ wie Blood Pressure: Date Iime Value Location Position Cuff Size 07/23/2019 06:30 NYM 140/85 RightAm __Sitting Adult-regular |. MLP $a02: Date Iime Value(%) Air ame 07/23/2019 06:30 NYM 96 Room Air |. MLP 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, Generated 07/23/2019 09:05 by IEEE. mL Bureau of Prisons - NYM Page 1 of 2 EFTA00059514

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#: 76318-0 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg Facility: NYM Unit: HO1 Date of Birth: 01/20/1953 Sex: : WHITE Encounter Date: 07/23/2019 06:20 Provider: . MLP Exam: Acutely Ill Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing Exam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: “I don’t know”. He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tendemess. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with @ rope around his neck a floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self inflicted injuries. Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Topic 07/23/2019 Counseling Access to Care 07/23/2019 Counseling Plan of Care Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by IEEE. MLP on 07/23/2019 09:05 Requested to be cosigned by A 10. Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by SEE. MLP Bureau of Prisons - NYM circumference, 2 inches wide, sparing sitting on the Verbalizes Understanding Verbalizes Understanding Page 2 of 2 EFTA00059515

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Bureau of Prisons Health Services Cosign/Review Inmate Name: €PSTEIN, JEFFREY EOWARD Reg #: 763/18-054 Date of Birth: 01/20/1953 Sex: wun Race: WHITE Encounter Date: 07/23/2019 06:20 . Provider: MLP Facility: © NYM Cosigned by EEE on 07/23/2019 15:44. Bureau of Prisons - NYM EFTA00059516

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76316-954 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: QGNMIMO = Unit: 205 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 Lng 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 ARRESTED. 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 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): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinic(s): Orthopedic/Rheumatology, 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 Ill Nutrition No: Appears Obese Generated 07/14/2019 18:11 by [I /! “0 Bureau of Prisons - NYM Page 1 of 3 EFTA00059517

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Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Encounter Date: 07/14/2019 17:36 Provider: Exam: Eyes General Yes: PERRLA, Extraccular 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: Normo-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, M546 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx Medication Order Date Omega 3 ( Vascepa) 1 GM Capsule 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: Gonorated 07/14/2019 18:11 by [AAA “0 Buroau of Prisons - NYM Due Date 10/10/2019 00:00 Page 2 of 3 EFTA00059518

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eee Verbalizes Understanding Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631 Date of Birth: 01/20/1953 Sex: : Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: MD Unit: 205 FASTING. Lab Tests-H-Hep B surface Ab One Time 08/08/2019 00:00 Routine 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: Date Initiated Format Handout/Topic | 07/14/2019 Counseling Diagnosis Beaudouin, Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EEE MD on 07/14/2019 18:11 Generated 07/14/2019 18:11 by SI 10 Bureau of Prisons - NYM Page 3of 3 EFTA00059519

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on-osencee MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF : RISONS 7-24-20 Date 1, JEFFREY EPSTEIN 76318-054___, refuse treatment recommended by the Federal JEFFREY EPSTEIN 76318-054__, 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 accépt treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. l understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | hereby assume all responsibility for my physical and/or mental c release the Bureau of Prisons and its employees from any and all liability for respecting and fi expressed wishes and directions Lees 9 CLS of Date ae... NYM-—NEW YORK MCC idition, and SL —_ Date . ing my a in EFTA00059520

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pg0ee.080 . . MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-40-2019 Date |, JEFFREY EPSTEIN 76318-054__, refuse treatment recommended by the Federal JEFFREY EPSTEIN ES IE US Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY . ‘ Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: ° | WORSENING THE CONDITION IF THERE IS ANY FINDINGS : ‘ l understand the possible consequences and/or complications, listed above, and still re’ u recommended treatment. | hereby assume all responsibility for my physical and/or me! condition, and release the Bureau of Prisons and its employees from any and all lability for respecting /and following my expressed wishes and directions. “X-RAY 7-10-2019 ( \ Za . i Date Signature of Witness Date EFTA00059521

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or.esen.on MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF ARISONS 7-24-2019 Date |, JEFFREY EPSTEIN 76318-054 __, refuse treatment recommended by the Fegeral JEFFREY EPSTEIN Oe 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. l understand the possible consequences and/or complications, listed above, and still refuse . i recommended treatment. | hereby assume all responsibility for my physical and/or mental c indition, and release the Bureau of Prisons and its employees from any and all liability for respecting and fl expressed wishes and directions. owing my MD __7-24-2019 j Date Patient's Sign; Date NYM--NEW YORK MCC nature of WitneSs Date “ as EFTA00059522

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A&O DENTAL EXAMINATION 23 4667 6 8 1018 1213 4 15 16 x 30 29 28 27 2625 2423 22 2120 18-16 17 Phos Cine) Caovidin red POF Prescribed by P6400 * Replaces BP-AGB16 of JUN 10 EFTA00059523

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A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) 3.4667 6 9 ii 30 29 28 27 2625 2423 22 21 ) tal Of MCC New York POF Prescrived by P6400 " mmmemavenectame | EFTA00059524

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BP-$358.060 MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date 1, 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 5 possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. { understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | hereby assume all responsibility for my physical and/or mental condition, and t release the Bureau of Prisons and its employees from any and all liability for respecting and following my | expressed wishes and directions. MD __7-24-2019 H Patient's Sig’ Date ' Counseled by Date NYM-NEW YORK MCC EFTA00059525

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ederal U.S. Medical Center for Federal Prisons Oke 1900 W. Sunshine Street Sp , MO 65807 417-874-1621 Facility MCC New York Reg # 76318-054 Order Unit £06-547U DOB 01/20/1953 Provider (i aE MO Reported 07/10/2019 14:46 Sex__M LIS ID__ 188191004 Received 07/10/2019 10:44 ey HIV 1/2 Negative Screening test - See confirmatory testing for Reactive results EFTA00059526

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD : 18-054 Date of Birth: 01/20/1953 Sex: M : E Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: Cosigned by (EREEEEEEE MD on 07/14/2019 18:12. Bureau of Prisons - NYM EFTA00059527

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gp.s366.080 MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Date |, 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. l understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | 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. MD 7-24-2019 Counseled by Date Patient's . Date ‘A hp Date NYM--NEW YORK MCC CGE a a neeenn as on. EFTA00059528

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BP-A0618 A&O DENTAL EXAMINATION JUN {Initial Clinical Dental Findings) 1234667 6 8 it 12 32 3 WW 29 26 27 2625 2423 22 21 20 (Approval valid 18 months from examination date) Regist} 1b Institution: t MCC NEW YORK POF Prescribed by P6400 ~ Replaces BP-A0618 of JUN 10 as Date: Signature Bloc} itamp: 7-26-19. | ops. Chief Dental Officer MCC New York EFTA00059529

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—~— ee MEDICAL TREATMENT REFUSAL COFRM | U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date | 1, 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. | understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and ail liability for respecting and wing my expressed wishes and directions. | Patient's Sig Date ; NYM—NEW YORK MCC MD ___7-24-2019 Counseled by Date CLIN S$ re of Date fn EFTA00059530

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yaad : MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUST! ICE FEDERAL BUREAU OF PRISONS 1-40-2019 Date 1, 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: 668 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS 1 e recommended treatment. | hereby assume all responsibility for my physical and/or tal condition, and release the Bureau of Prisons and its employees from any and all liability for respectin: and following my expressed wishes and directions. : . -RAY 7-10-2019 A LZ : — Counseledby . Date Patiery Steneture Date T-10 : 1% Signature of Witness Date l understand the possible consequences and/or complications, listed above, and Sate NYM—NEW YORK MCC EFTA00059531

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FEDERAL BUREAU OF PRISONS A&O DENTAL EXAMINATION BP-A0618 JUN 16 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE * SHOT EFTA00059532

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-0 Date of Birth: 01/20/1953 Sex: M__Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: QEAEEEBERN Unit: 204 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: IMMER" Team Members: Provider Role TS Team/Code Leader Code Events: Iyna 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 15L 08/10/2019 06:47 IV Access Peripheral (V 08/10/2019 06:48 18g Le AC Alrway Endotracheal Tube 08/10/2019 07:08 ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine img IV" 08/10/201907:10 | 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 mi 08/10/2019 07:12 Medications Epinephrine img 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 on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR tinued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in S$, 18g hep lock to LAC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine admin . Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by SAAS RN Bureau of Prisons - NYM Pago 1 of 2 EFTA00059533

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Fecity: NYM Encounter Date: 08/10/2019 07:25 Provider: 204 Exam: ASSESSMENT: Cardiac Arrest PLAN: New Consultation Requests: | Consultation/Procedure Target Date Scheduled Target Date Priority Translator Language Emergency Room 08/10/2019 08/10/2019 Emergent No Subtype: AMBULANCE Reason for Request: * Cardiac arrest with CPR in progress Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed RN on 08/10/2019 08:10 Requested to be cosigned by MD. Cosign documentation will be displayed on the following page. Generated 08/10/2019 08:10 by AEE FN Bureau of Prisons - NYM Page 2 of 2 EFTA00059534

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7631 Date of Birth: 01/20/1953 Sex: mem. Facility: NYM Encounter Date: 07/30/2019 15:58 Provider: ID Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Qo 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. H ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS 0. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONC ING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING) TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEE ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MAC! INE. | INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/Lipid Yes: Appears Weil, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Palior, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Il} Nutrition No: Appears Obese Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Generated 07/30/2019 16:12 by «0 Bureau of Priscns - NYM Page t of 2 EFTA00059535

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inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: q Encounter Date: 07/30/2019 15:58 Provider: MD Reg #: 76318-054 Facility: NYM Unit: = Z01 Encounter Dat¢. SO Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass Index (BMI) 27.0-27.9, adult, 26827 - Current 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: Rut Medication Order Date INsulin REG - Human 07/30/2019 15:58 Indication: Prediabetes Discontinued Medication Orders: But Medication Order Date 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EEE M0 on 07/30/2019 16:12 Generated 07/30/2019 16:12 by ia 1 Bureau of Prisons - NYM Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Proscriber Order Inject regular twice daily ** days per sliding scale: line*** for 7 Page 2 of 2 EFTA00059536

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : UTE Facility; NYM Encounter Date: 07/30/2019 11:12 Provider: MD Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: A 110 Chief Complaint: Other Problem Subjective: PATIENT S REFERRED BY THE WARDEN FOR EVALUATION. PATIEN pons HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO/RE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATI BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENI SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OWING, HE REPORT: 1A OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H INEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP. IAND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN E HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. | INFORME DHIM THAT WE REGE HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDI UES. STATES HE FEELS OTHERWISE FIN Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, 0) Respiratory OBJECTIVE: Pulse: Date Time Rate PerMinute Location 07/30/2019 13:02 94 07/30/2019 09:40 88 Via Machine 07/30/2019 09:30 87 Via Machine Respirations: ‘ "4 Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 MD Blood Pressure: Date Time Value Location Position Cuff Size vider 07/30/2019 13:02NYM 114/84 Left Arm Standing i MD 07/30/2019 09:40 NYM 125/60 Right Arm Standing 07/30/2019 09:30 NYM 108/86 Left Arm Sitting ee $a02: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air Es 0 Weight: Date Time Lbs Kg Waist Circum. Provider Generated 07/302019 14:05 by KE .10 Bureau of Prisons - NYM Page 1 of 3 EFTA00059537

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inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: MD Unit: Z01 Date Iime Lbs Kg Waist Circum, Provider 07/30/2019 09:30NYM 194.2 88.1 ee > 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, Unke} tely It Nutrition ; No: Appears O! Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR 1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula i) No: Edema Neurologic 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 lo 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: Ret Medication Order Date Prescriber Order Generated 07/30/2019 14:05 by i 110 Bureau of Prisons - NYM Page 2 of 3 EFTA00059538

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inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: ie Encounter Date: 07/30/2019 11:12 Provider: MD New Medication Orders: Rx® Medication Order Date Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 MG/SML Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabetes Renew Medication Orders: Rx Medication Order Date 121836-NYM — methyIPR' ie 4MG Tab(21 count 07/30/2019 11:12 Pack) Indication: Cabs and neuritis, unspecified New Laboratory Requests: Reg #: 76318-054 Facility: NYM Unit: 201 Pp. Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Prescriber Order Take the tablet by mouth as directed x 6 day(s) Due Date Priority Lab Tests - Short List-General-CBC widiff ine — 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Due Date Priority General Radiology-Spine / Cervical- One iy 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: Format Handout/Topic 07/30/2019 Counseling Access to Care 07/30/2018 Counseling Plan of Care Copay Required: No Telephone/Verbal Order: No Completed by EEE vio on 07/30/2019 14:05 Cosign Required: No Bureau of Prisons - NYM Generated 07/20/2019 14:05 by I vio g Outcome Verbalizes Understanding Verbalizes Understanding ro Page 3 of 3 EFTA00059539

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : E Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: MD Unit: 201 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 4 Provider: SE vio 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{RERORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIE! SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OWING. HE REPORT. 1A 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 SLEEP. AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HER CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. | INFORME DHIM THAT WE RE@E| HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDI UES. STATES HE FEELS OTHERWISE FIN, Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, OBJECTIVE: Pulse: Date Time Rate Per Minute Location 07/30/2019 13:02 94 07/30/2019 09:40 88 Via Machine 07/30/2019 09:30 87 Via Machine Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 EE 10 Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02NYM 114/84 Left Arm Standing Beaudouin, Robert MD 07/30/2019 09:40 NYM 125/60 RightArm _ Standing 0 07/30/2019 09:30 NYM 108/86 Left Arm Sitting Beaudouin, Robert MD S$a02: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air a 10 Weight: Generated 07/20/2019 14:05 by AEE 110 Bureau of Prisons - NYM Page 1 of 3 EFTA00059540

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 4 E Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: MD Unit: z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30NYM 194.2 88.1 es 0 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, Unk tely It Nutrition No: Appears O} Pulmonary CY) Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR ir 1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula Q No: Edema Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, 26827 - Current o Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current | Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Conerated 07/30/2019 14:05 by EE 10 Bureau of Prisons - NYM Page 2of 3 EFTA00059541

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : E Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: MD Unit: Z01 New Medication Orders: Rx# Medication Or te Prescriber Order Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 10 CC Orally - Two Timesa MG/S5ML Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabetes Renew Medication Orders: Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Rxz Medication Order Date Prescriber Order 121836-NYM methylP! ne 4MG Tab(21count 07/30/2019 11:12 Take the tablet by mouth as Pack) directed x 6 day(s) Indication: € and neuritis, unspecified New Laboratory Requests: Details Due Date Priority Lab Tests - Short List-General-CBC w/diff ine aor 08/01/2019 00:00 Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) x, Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Due Date Priority General Radiology-Spine / Cervical- One any 08/29/2019 Routine General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic 07/30/2019 Counseling Access to Care 07/30/2019 Counseling Plan of Care Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EEE Vio on 07/30/2019 14:05 Generated 07/30/2019 14.05 by i 110 Bureau of Prisons - NYM 2-3 MINUTES 3 DAYS AGO. Qutcome Verbalizes Understanding Verbalizes Understanding g aL Page 3 of 3 EFTA00059542

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WH Encounter Date: 07/30/2019 15:58 Facility: NY Amendment made to this note by EE! "MD on 07/30/2019 16:12. Bureau of Prisons - NYM EFTA00059543