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 Bureau of Prisons - NYM Page 10 of 13 EFTA00105002

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Encounter Date: 0770072009 92968 0OOOx<_ 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 n c = 2 Leg: Yes Generated 07/09/2019 13:03 by (AA Yes Yes Bureau of Prisons - NYM Page 11 of 13 EFTA00105003

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Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Reflexes: Right Biceps: Patellar: Brachioradialis: Chaperoned By: Rectum: Not Done Male Genitalia: Not Done 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 07/09/2019 13:03 by An Inmate Name: EPSTEIN, JEFFREY EDWARD a Left Bureau of Prisons - NYM 76818-054 Page 12 of 13 EFTA00105004

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: " ITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: 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 Prescriber Order Bisacodylp. Tablet 07/09/2019 12:35 S.mg Orally | fat 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 Conc > ae 13:03 Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 07/09/2019 13:03 by SA Bureau of Prisons - NYM Page 130f 13 EFTA00105005

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76818-054 Race: Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/09/2019 12:35 Provider: [m Facility: Cosigned by SEMEN on 07/11/2019 22:41. Bureau of Prisons - NYM EFTA00105006

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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 SAA Bureau of Prisons - NYM Page 1 of 2 EFTA00105007

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#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD en a 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 rep 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: | 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 IAA Bureau of Prisons - NYM Page 2of 2 EFTA00105008

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Bureau of Prisons Health Services Vitals All End Date: 08/10/2019 Begin Date: 07/07/2019 Rog #: 76318-054 Temperature: Date Time 07/24/2019 13:12NYM 97.8 36.6 Oral Orig Entered: 07/24/2019 13:14 EST [EAN 07/23/2019 06:30 NYM 975 36.4 Oral Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49NYM 97.3 36.3 Oral Orig Entered: 07/09/2019 12:51 EST Pulse: Date Time 07/30/2019 13:02 94 Orig Entered: 07/30/2019 13:04 EST [NN 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 87 Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 83 Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 92 Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 82 Orig Entered: 07/09/2019 12:51 EST Rate Per Minute Location Via Machine Respirations: Date Iime 07/30/2019 09:30 NYM Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 14 Orig Entered: 07/28/2019 06:58 EST 07/23/2019 06:30 NYM 6 Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM Orig Entered: 07/09/2019 12:51 EST [E Generated 08/10/2019 11:02 by AA Rate Per Minute Provider -_ = _ a Bureau of Prisons - NYM Fahrenheit Celsius Location Provider an Via Machine Regular Via Machine Regular Via Machine Regular 2 Inmate Name: EPSTEIN, JEFFREY EDWARD | Page 1 of 3 EFTA00105009

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Begin Date: 07/07/2019 Reg #: 76318-054 Blood Pressure: Date Time Value Location 07/30/2019 13:02 NYM 114/84 Left Arm Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:40 NYM 125/60 Right Arm Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 NYM 108/86 Left Arm Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28NYM 157/91 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 138/80 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12NYM 132/89 Right Arm Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30NYM 140/85 Right Arm Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49NYM 117/66 Right Arm Orig Entered: 07/09/2019 12:51 EST Blood Glucose: Date Time = Value(ma/dl) Type End Date: Inmate Name: EPSTEIN, JEFFREY EDWARD 08/10/2019 Positi Cuff Si Standing Standing Sitting Sitting Adult-regular Sitting Adult-regular Sitling Adult-regular | 7 08/04/2019 08:30 156 Orig Entered: 08/04/2019 09:08 EST 08/02/2019 06:30 97 Non-Fasling Orig Entered: 08/02/2019 08:16 EST ARIE 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST 07/31/2019 06:15 108 Orig Entered: 07/31/2019 08:36 EST Non-Fasting Non-Fasting $a02: Date Time Value(%) Air 07/30/2019 09:30 NYM 98 Room Air Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM 98 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 98 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 NYM 96 Room Air Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 NYM 96 Room Air Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 97 Room Air Orig Entered: 07/09/2019 12:51 EST , nn Height: Generated 08/10/2019 11:02 by I Bureau of Prisons - NYM Page 20f 3 EFTA00105010

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i Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time inches Cm Provider 07/09/2019 12:49 NYM 70.0" 73s Orig Entered: 07/09/2019 12:51 EST Weight: Date Time Lbs Ka Waist Circum, Provider 07/30/2019 09:30 NYM 194.2 88.1 Orig Entered: 07/30/2019 12:59 EST 07/09/2019 12:49NYM 1944 882 ee Orig Entered: 07/09/2010 12:51 est Sa Generaled 08/10/2019 11:02 by Ki Bureau of Prisons - NYM Page 3of 3 EFTA00105011

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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 yt] 07/09/2019 12:47 Omm Orig Entered: 07/08/2019 21:43 ST QE Orig Entered: 07/0972019 12:47 cst SERENE Total: 1 Generated 08/10/2019 11:02 by SIAEMEEEE Bnopnoc Bureau of Prisons - NYM Page 1 of 1 EFTA00105012

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Medication Administration Record JULY 2019 tnject regular Insutin subcutaneously per sliding scale: each moming for 7 days ™*pill insulin Reg (10 ML) 100 UNITS/ML tiny Documentation Codes: ORD = Order | NI = Dose Not Indicated O53 dato and time of printing: 08/10/2019 11:02 EST EFTA00105013

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76316-054 EPSTEIN, JEFFREY Medication Administration Record AUGUST 2019 Medication Orders Time 1 2 3 4 5 6 7 B & 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Inject regular insulin subcutansously per sliding scale: cach morning for 7 days “pil insulin Reg (10 ML) 100 UNITS/ML taj EFTA00105014

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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 StartDate StopDate DateReturned ObtainedFrom Comments 07/30/2019 14:05 EST A 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Genereted 08/1022019 11:02 by EEE BFnoPnoc Bureau of Prisons - NYM Page 1 of 1 EFTA00105015

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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 eee eee Date Intervention Pain Quality Location Pre Post Provider 07/12/2019 13:25 MEDROL DOSE PACK Shooting Back-Middle 5 Orig Entered: 07/12/2019 13:28 EST Po Generated 08/10/2019 11:02 by A BEPOPAOC Bureau of Prisons - NYM Page 1of 1 EFTA00105016

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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. | EPSTEIN, JEFFREY EDWARD 76318-054 Inmate Name Reg# Generated 07/30/2019 14:57 by i 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 EFTA00105017

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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 [NN Total: 1 Generated 08/10/2019 11:02 by IE Bureau of Prisons - NYM Page 1 of 1 EFTA00105018

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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 07/09/2019 Speaking/Listening English 12 None Orig Entered: 07/09/2019 12:52 EST Total: 1 Topics Date Initiated Format Handout/Topic Qutcome 07/30/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/30/2019 13:33 EST SE GM 07/30/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/30/2019 13:34 EST SS EE 07/28/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/28/201907:22EST SD 07/28/2019 Counseling Plan of Care Verbalizes Understanding Orig Entered: 07/28/2019 20:30 EST SS GT 07/24/2019 Counseling Accass to Care Verbalizes Understanding Orig Entered: 07/24/2019 13:23EST FE 07/24/2019 Counseling Preventive Health Verbalizes Understanding Orig Entered: 07/24/2019 13:23 EST SE 07/23/2019 Counseling Access to Care Verbalizes Understanding Orig Entered: 07/23/2019 09:04 EST SE 07/23/2019 _______Counseling __ Plan of Care __ : __Verbalizes Understanding Orig Entered: 07/23/2019 09:04 EST RE ff 07/14/2019 Counseling Diagnosis Verbalizes Understanding Orig Entered: 07/14/2019 18:11 EST | || 07/12/2019 Counseling Verbalizes Understanding Generated 08/10/2019 11:02 by I BEMOPnOC Bureau of Prisons - NYM Provider a a a me mai ma mai mtr a a Page 1 of 2 EFTA00105019

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a Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD lt TS aE SEES Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST [AS Total: 10 Generated 08/10/2019 11:02 by AEN BMOPiDc Bureau of Prisons - NYM Page 2 of 2 EFTA00105020

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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 EEE ae (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Iime Value Non Fasting Comments 08/04/2019 O08:30NYM 156 Orig Entered: 08/04/2019 09:08 EST SE 08/02/2019 06:30NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST QAERREEE 08/01/2019 06:30NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST SARA 07/31/2019 06:15NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST SER Total: 4 Generated 08/10/2019 11:02 by AEM BEOPnoc Bureau of Prisons - NYM Page 1 of 1 EFTA00105021

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Bureau of Prisons Health Services Health Problems Reg # 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Hyperlipidemia, unspecified 07/12/2019 13:48 EST HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST Essential (primary) hypertension 07/30/2019 13:13 EST BY HX. Constipation, unspecified 07/09/2019 12:58 EST Low back pain 07/12/2019 13:30 EST Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST No Diagnosis 07/09/2019 10:28 EST | Prediabetes 07/30/2019 13:26 EST Injury, unspecified 07/23/2019 09:04 EST R/O self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult Axis Code Type Current 1CD-10 ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 ICD-10 Code E785 G4730 10 K5900 M792 R7303 T1490 07/12/2019 Current 07/12/2019 Current 07/30/2019 Current 07/09/2019 Current 07/12/2019 Current 07/12/2019 Current 07/09/2019 Current 07/30/2019 Current 07/23/2019 Current 07/30/2019 13:14 EST Total: 10 Generated 08/10/2019 11:02 by SE BMOPiOC ICD-10 Bureau of Prisons - NYM 26827 07/30/2019 Current Page 1 of 1 EFTA00105022

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Bureau of Prisons Health Services Clinical Encounter 4 -054 Inmate Name: EPSTEIN, JEFFREY EDWARD ~~ #: ; Hg 05 Date of Birth: 01/20/1953 Sex: M_ Race: WHITE acility: on Encounter Date: 07/12/2019 13:10 Provider: Unit: Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Chief Complaint: ENDO/LIPID Subjective: 66 YR OLDWHITE MALE WITH HX OF wes HYPERTI CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800, | STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS EIR Gl SIDE EFFECTS. HX OF O} UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH! Y HAS L4 -L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH Hx: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: Reason Not Done: Comments: MEDROL DOSE PACK 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 EFTA00105023

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Inmate Name: EPSTEIN, JEFFREY EOWARD Reg # 76318-054 Date of Birth: 01/20/1953 Sex: M__ Race: WHITE — a Encounter Date: 07/12/2019 13:10 Provider: it: Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal S1 and S2 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: 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 MethylIPREDNISolone 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 im 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 EFTA00105024

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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: J = 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 eb aiizes 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 Bureau of Prisons - NYM Page 3of 3 EFTA00105025

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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: Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: as Chief Complaint: ENDO/LIPID 66 YR OL HYPER 800 , MEDS HX OF MACHINE. 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 MENTAL HEALTH HX: Yes Pain Assessment Date: Pain: 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: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Oo, 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK Ly al 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 EFTA00105026

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/12/2019 13:10 Provider: 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: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current Reg #: 76318-054 M__ Race: WHITE Facility: NYM Unit: Z05 Rhythm (RRR), Normal $1 and $2 (3) (oY Q i PLAN: | New Medication Orders: Rut Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 30 CC Orally - Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethyIPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 me ty Bureau of Prisons - NYM Page 2 of 3 EFTA00105027

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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: 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 Cosign Required: No n 07/12/2019 14:20 Generated 07/12/2019 14:20 by [I Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: Z05 Outcome 5 | | Verbalizes Understanding Page 3of 3 EFTA00105028

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 8-054 Date of Birth: 01/20/1953 Sex: M Race: Encounter Date: 07/14/2019 17:36 Facility: Bureau of Prisons - NYM EFTA00105029

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD : Date of Birth: 01/20/1953 Sex. : Facility: Note Date: 07/12/2019 09:08 : ‘iio Unit: z Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: PATIENT REQUESTED TO HAVE A COLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Re Medication Order Date Docusate Sodium Capsule 07/12/2019 09:06 indication: Constipation, unspecified Discontinued Medication Orders: Re Medication Order Date 121757-NYM —_Bisacodyll. 5 uc 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 on 07/12/2019 09:10 Generated 07/12/2019 09:10 by Bureau of Prisons - NYM Page 1 of 1 EFTA00105030

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Note Dale: O7072019 a tea Note Date: 07/07/2019 00:17 Provider: Unit: Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 4 Provider: 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]§-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests{}-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66ff/0 male, elevated BP Labs requested to be reviewed by: [S New Laboratory Requests: Details Frequency 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-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 EEE on 07/07/2019 00:30 Generated 07/07/2019 00:30 by [i Bureau of Prisons - NYM Routine Page tof 7 EFTA00105031

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Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 18-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: 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 INANE Bureau of Prisons - NYM Page 1 of 13 EFTA00105032

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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: 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: NIA 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 Generated 07/08/2019 13:03 by Bureau of Prisons - NYM Page 2of 13 EFTA00105033

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: 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 Genoroted 071002019 13:03 by IT Bureau of Prisons - NYM Page 3 of 13 EFTA00105034

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 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 SAIN Reg #: Sex: " Fi . prover: mma” rie” Bureau of Prisons - NYM 18-054 M 1 Page 4 of 13 EFTA00105035

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a Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE fect +o Encounter Date: 07/09/2019 12:35 Provider: Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider Exp Dt: Comments: Measies/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider a 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: 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 I’ Bureau of Prisons - NYM Page Sof 13 EFTA00105036

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Inmate Name: EPSTEIN, JEFFREY EDWARD TE ect: Date of Birth: 18-054 Encounter Date: 07/09/2019 12:35 Provider: Immunization Date: Provider: Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider: SAIS | Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: Date Time Fahrenheit Celsius Location Provicier 07/09/2019 12:49NYM 97.3 36.3 Oral Pulse: Date Time Rate Per Minute Location Bhythm = Provider 07/09/2019 12:49 82 Via Machine Regular [x Respirations: Date Time Rate Per Minute Provider 07/09/2019 12:49 NYM 1s Blood Pressure: Date Time Value — Location Position Cuff Size Provider 07/09/2019 12:49NYM 117/66 RightArm _ Sitting Adult-reguiar $a02: Date Time Valuef%) Air Provider 07/09/2019 12:49 NYM 97 Room Air ty ty Height: Date Time Inches fm Provider 07/09/2019 12:49 NYM 70.0 73 Generated 07/09/2019 13:03 by a’ Bureau of Prisons - NYM Pagp Gof 13 EFTA00105037

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Inmate Name: EPSTEIN, JEFFREY EDWARD Provider: mill" Provider: Reg #: Facility: Unit: Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Date Time Inches Weight: Date Time Lbs 07/09/2019 12:49 NYM 194.4 Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Cm Provider Kg Waist Circum, 88.2 Date EdYrs Occupation LeamsBestBy Primary Language Barriers to Education 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 ST Speaking/Listening English Mount Sinai Hospital Bureau of Prisons - NYM None 1990 Page 7 of 13 EFTA00105038

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: 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 IT Bureau of Prisons - NYM With Corrective OD: os OD: OS: Page 8 of 13 EFTA00105039

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Inmate Name: EPSTEIN, JEFFREY EOWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/09/2019 12:35 Oral/Buccal Mucosa:Yes Gums Normal: Yes Tonsils Present: Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact II-XI: Yes Cranial Nerves Comments: Neck: Full ROM: Yes Masses/Nodes: No Trachea: Midline Thyroid: Normal Size Comments: Breasts: Normal: Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction: No Instructions for Self Breast Exam Given: No Comments: Generated 07/09/2019 13:03 by IE Bureau of Prisons - NYM Race: WHITE Facility: Unit: Page 9 of 13 EFTA00105040

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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 Ou: Near Vision: oD: os: OU: With Corrective Distance Vision: OD: Os: OU: Near Vision: oD: os: Ou: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis R: R: i: L: Color Test: Tonometry: R: lu: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST SE Generated 08/10/2019 11:02 by J Bureau of Prisons - NYM Page 1 of 1 EFTA00105041

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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 Date Aaministared | Location Dosage Drug Mfg. Lot # Hepatitis A and B (TwinRx) Orig Entered: 07/09/2019 12:51 EST — Measies/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST [A Smatipox Series History Unknown Orig Entered: 07/09/2019 12:51 ST [ND Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST Total: 5 Generated 08/10/2019 11:02 by EE BEOrnoc Bureau of Prisons - NYM Page to! 1 EFTA00105042

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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: Jajhis'/hek possession: Beet Equipment Start Date End Date Brap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Cleared for Food Service: Yes _X_ No Restrictions Comments: N/A a RA 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 EFTA00105043

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Bureau of Prisons : Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD __ pil line __ treatments Exp. Date: bathroom privileges only Exp. Date: _single cell Xlower bunk _ airborne infection isolation __upper body __lower body __running _ jogging __walking __ softball __ football __basketball __ handball __ stationary equipment Cleared for Food Service: Yes _X_No Restrictions Comments: N/A Health Services Staff 2 Inmate Name: EPSTEIN, JEFFREY EDWARD. Reg#: _76318-054 Quarters: ALL EXPIRATION DATES ARE AT Generated 08/10/2019 11:02 by II Bureau of Prisons - NYM Exp. Date: Exp. Date: Exp. Date: 07/09/2019 Date Z04 Page 1 of1 EFTA00105044

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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 Bisacody! J 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rodt =121757-NYM Doctor: 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 da Rod: 121823-NYM Doctor: 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: 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: 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: 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: [mA Start: 07/12/19 Exp: 07/18/19 Pharmacy Dispensings: 21 tab ip 29 days methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rod: 122149-NYM Doctor: (EAA 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 EFTA00105045

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Complex: NYM-NEW YORK MCC Begin Date: 07/07/2019 End Date: 08/10/2019 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: 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: Start: 07/30/19 Exp: 08/06/19 + 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: : Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispensings: 0 ML in 10 days | | Generated 08/10/2019 11:02 by IA Bureau of Prisons - NYM Page 2 of 2 EFTA00105046

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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 Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: HH Unit: HO01 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 07:50 by ain Bureau of Prisons - NYM Page tof 3 EFTA00105047

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 — fT Provider: Reg #: 76318-054 Facility: NYM | Unit: HO01 __—$— — rr 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: Genorated 07/26/2019 07:59 by IAI. HIE HE See FS FF FREE BEE REEES EEF Bureau of Prisons - NYM Page 2 of 3 EFTA00105048

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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: SM Uni: = HOt Cardiac Condition Requiring Prophylaxis: No Prosthetic joint(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice di Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by OTCs: Listing of all known OTCs this inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by EEMENENINE on 07/26/2019 07:59 Generated 07/26/2019 07:59 by SNM. NI HE Bureau of Prisons - NYM for 30 days with food hense' EFTA00105049

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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: 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 Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by 07/26/2019 07:47. Generated 07/26/2019 08:00 by IAAI Bureau of Prisons - NYM iven: Yes Page 1 of 1 EFTA00105050

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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: Pte ty | Facility: | NYM Encounter Date: 07/18/2019 13:48 Provider: 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 Qo 07/19/2019 13:49. Generated 07/19/2019 13:49 by AAA Bureau of Prisons -NYM Page tof 1 EFTA00105051

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U.S. Medi Facility MCC New York Proviser $l a a Prisons *** Sensitive But Unclassified “* Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/1 19 14:46 Lis ID 188191 Sodium 137 137-148 mmol/L Potassium 47 3.5-5.0 mmol/L Chloride 99 99-114 mmol/L. co2 27 22-30 mmoV/L BUN 17 7-22 mg/dl Creatinine 1.05 0.66-1.25 mg/dl eGFR (IDMS) >60 GFR units mUL/min/1.73 m*2. If African American multiply by 1.210. A calculated GFR <60 suggests chronic kidney disease If found over a 3 month period. Calcium 98 8.5-10.9 mg/dL Glucose 102 70-110 mg/dL AST H 57 11-55 UL ALT 62 11-66 UL Alkaline Phosphatase 64 41-133 UA Bilirubin, Total 141 0.2-1.3 mg/dL Total Protein 73 6.0-8.2 g/dl Albumin 44 3.6-5.1 g/dL Globulin 29 2.0-3.7 g/dl 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 mg/dL. Triglycerides H 413 10-150 mg/dL Ceteulation of LOL. not spprepriate for samples with wghyeride grater han 400 ON. Therefore the LOL(is not calculated. HDL Cholesterol L 40-60 mg/dL ChoW/HDL Ratio H +h 0,0-4.0 VIA OG wec 76 4.3-11.1 Kul NRBC% 0.0 % RBC 5.42 4.46-5.78 MiuL Hemoglobin 15.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 % MCV 88.2 82.5-96.5 Us MCH 28.8 27.1-34.9 pg MCHC L 32.6 33.0-37.0 gid RDW-CV 12.8 12.0-14.0 % Platelet 338 130-374 Kul FLAGLEGEND L=Low Li=Low Critical H=High HI=High Critical A=Abnormal Al = | Critical Page 1 of EFTA00105052

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U.S. Med Prisons Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 Order Received 07/10/2019 10:44 DOB 01/20/1953 rover Ai Reported 07/10/2019 14:46 Sex__M LISID _ 188191 | OG 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 % 44 % Basophils % 0.8 | % Immature Granulocytes % 0.3 0.0-5.0 % Neutrophils # 44 1.9-6.7 Kul Lymphocytes # 1.9 1.3-3.7 Kul. Monocytes # 0.8 0.3-1.1 | Kul Eosinophils # 0.3 0.0-0.5 | Klub Basophils # 0.1 0.0-0.1 KJuL Immature Granulocytes # 0.02 0.00-0.50 40/3/uL RPR Non-Reactive Non-Reactive Results may be affectod In patients with severely advanced immunosuppression. FLAGLEGEND L=Low Li=Low Critical H=High HI=High Critical A=Abnormal_ A! = Critical Page 2 of 3 | EFTA00105053

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U.S. Prisons Oke Name EPSTEIN, JEFFREY Facility MCC New York Reg # 76318-054 Order Unit £06-547! Received 07/10/2019 10:44 DOB 01/20/1953 Provider J , | Reported 07/10/2019 14:46 Sex__M LISID__ 188191004 HIV 1/2 Negative Negative Screening test - See confirmatory testing for Reactive results NN FLAGLEGEND __L=Low L!=Low Critical H=High H!=High Critical A=Abnormal Al arene Critical Page 3 of EFTA00105054

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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 EEE on 07/14/2019 18:12. Bureau of Prisons - NYM Reg#: 76318-054 Race: WHITE Facility: NYM EFTA00105055

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| ep.s36n.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 all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. 7-24-2019 Counseled by Date Patient's Sig Date t ae... vnsewvoreuee ! EFTA00105056

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A&O DENTAL EXAMINATION (initia! Clinical Dental Findings) z 2 | 2 e o ~ ° o - ”- “ EFTA00105057

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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 20:25 Provider: Unit: HO1 Nursing - Follow up encounter performed at Health Services. | SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: inmate seen for F/U after 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 en Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM ER Blood Pressure: Date Time Value Location Position Cuff Size am 07/28/2019 20:28NYM 157/91 $a02: } Date Iime Value(%) Air Provider 07/28/2019 20:28 NYM 98 perth yp tty 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 Genersted 07/28/2019 20:30 by Bureau of Prisons - NYM Page 1 of 2 EFTA00105058

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a Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: 4 Facility: NYM | Encounter Date: 07/28/2019 20:25 Provider: Unit: HO1 Follow-up in 12-24 Hours Patient Education Topics: Date Initiated Format Handout/Topic ee Outcome 07/28/2019 Counseling Plan of Care _ Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed on 07/28/2019 20:30 Requested to be cosigned by Cosign documentation will be displayed on the enuie page. Generated 07/26/2019 20:30 by MN. HERI Bureau of Prisons - NYM Page 2 of 2 EFTA00105059

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EOWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: Race: Encounter Date: 07/28/2019 20:25 Provider: Facility: Cosigned by EE on 07/28/2019 20:50. Bureau of Prisons - NYM EFTA00105060

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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: Unit: HO1 Encounter Dale: 0280 et eee Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: | 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 wanted to do* Pain: No OBJECTIVE: Pulse: Date Time Rate PerMinute Location Rhythm Provider 07/28/2019 08:57 82 ne Respirations: Dato Iima Rate Per Minute Provider 07/28/2019 06:57 NYM yl Blood Pressure: Rate Iime Value § Location Position Cuff Size HES 07/28/2019 06:57 NYM 138/80 , $a02: Date Time Value(%) Air Provider 07/28/2019 06:57 NYM 98 Pot General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Generated 07/28/2019 07:22 by Bureau of Prisons - NYM Page 1 of 3 EFTA00105061

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: H Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Unit: HO01 Exam: 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 Palpation 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 AAOXS in no acute distress, speaking in full sentenced ambulating independently org arm numbness after waking up from "sleeping on my side” that has since subsided. inmate interviewed in 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 t phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingli at this time. , Re-evaluate Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call not 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 Genersted 07/28/2019 07:22 by nnn Bureau of Prisons - NYM Page 2 of 3 EFTA00105062

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#: =76318- inmate Name: Erste JEFFREY EDWARD Reg #: Facility: NYM Unit: HO1 Provider Date of Birth: 01/20/1953 Sex: M ; WHITE Encounter Date: 07/28/2019 06:51 Provider: Po Date Initiated Format Handout/Topic Qutcome Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 07/28/2019 07:22 by ini Bureau of Prisons - NYM Page 3 of 3 EFTA00105063

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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: Wi Encounter Date: 07/28/2019 06:51 Provider: Hi Facility: N Encounter Date: oS —— eee Cosigned by on 07/28/2019 20:51. Bureau of Prisons - NYM EFTA00105064

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EQWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: , Facility: NY Note Date: 07/26/2019 08:57 Provider: Unit: HO Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders: Bx Medication Order Date Docusate Sodium Capsule 07/26/2019 08:57 TAKE ONE 100 MG CAP Orally - Two Times 3 Day x 180 day(s) Indication: Constipation, unspecified Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by (AINBEINNBEE on 07/26/2019 08:58 Generated 07/26/2019 08:58 by aia Bureau of Prisons - NYM Page 1 of 1 EFTA00105065

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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: Unit: HO1 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 4 Provider: THE MLP NOTIFJED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No Cosign Required: No Telephone/Verbal Order: Generated 07/24/2019 16:12 »y Bureau of Prisons - NYM Page tof 1 EFTA00105066

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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: Unit: HO1 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. Cosign Required: No Copay Required:No Telephone/Verbal Order: No Completed by ow" 16:12 Gonerated 07/24/2019 16:12 by Bureau of Prisons - NYM Page tof 1 EFTA00105067

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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: | Encounter Date: 07/26/2019 08:57 Facility: © NYM Amendment made to this note ey on 07/26/2019 08:58. Bureau of Prisons - NYM EFTA00105068

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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: Unit: HO1 —— ———————————— TOONS Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REF' SIGNED. Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by AMMEN on 07/24/2019 15:17 Generated 07/24/2019 15:17 by Bureau of Prisons - NYM USAL FORM Page tof 1 EFTA00105069

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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: 07/24/2019 13:08 Provider: Unit: O01 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: a Chief Complaint: Other Problem | Subjective: 1 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 ry | Pulse: Date Iime Rate Per Minute Location Rhythm Provider j 07/24/2019 13:12 83 Via Machine Regular poy yy Blood Pressure: Date Iime Value §_Lecation Position Cuff Size niin 07/24/2019 13:12NYM 132/89 Right Arm Sitting Adult-regular | $202: Date Time Value(%) Air ery 07/24/2019 13:12NYM $6 Room Air 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 ped. 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 67/24/2019 13:24 by IAIN Bureau of Prisons - NYM Page 1of 2 EFTA00105070

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: H ITE Encounter Date: 07/24/2019 13:08 Provider: 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 Requested to be cosigned by Cosign documentation willbe displayed on the folowing page. Generated 07/24/2019 13:24 by SA Bureau of Prisons - NYM Reg #: 7631 Facility: NYM Unit: -HO1 Verbalizes Understanding Verbalizes Understanding Page 2 of 2 EFTA00105071

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: aH Race: Encounter Date; 07/24/2019 13:08 Provider: Facility: NY Cosigned with New Encounter Note by SE... 0712412019 16:10. Bureau of Prisons - NYM EFTA00105072

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD ] Date of Birth: 01/20/1953 Sex: 4 ITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 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 Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 975 36.4 Oral Bam Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular | Respirations: } Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 1c Blood Pressure: Date Iime Value Location Position Cuff Size 07/23/2019 06:30NYM 140/85 RightArmm _ Sitting Adult-regular $a02: Date Iime Value(%) Air ma 07/23/2019 06:30 NYM 96 Room Air Exam: General Affect Yes; Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Gonersted 67/23/2019 09:05 by SIA Bureau of Prisons - NYM Page 1 of 2 EFTA00105073

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#: 76318-0 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg Facility: NYM Unit: HO1 Date of Birth: 01/20/1953 Sex: 4 ITE Encounter Date: 07/23/2019 06:20 Provider: 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 "a Requested to be cosigned by Cosign documentation will be displayed on the following page. Generated 07/23/2019 09:05 by A Bureau of Prisons - NYM circumference, 2 inches wide, sparing sitting on the Verbalizes Understanding Verbalizes Understanding Page 2 of 2 EFTA00105074

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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: nun Race: WHITE Encounter Date: 07/23/2019 06:20 . Provider: Facility: NYM Cosigned by QAEEEMEEE on 07/23/2019 15:44. | Bureau of Prisons - NYM EFTA00105075

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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: GS = Unit: = 205 ican ree cnnio_____ oo Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLANT 1 Provider: TT 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 07/14/2010 18:11 by [Anan Bureau of Prisons - NYM Page 1 of 3 EFTA00105076

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/14/2019 17:36 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, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx Medication Omega 3 ( Vascepa) 1 GM Capsule Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Lab Tests-H-Hemoglobin A1C Lab Tests-L-Lipid Profile One Time ition: Additional Informa’ Generated 07/14/2019 18:11 iii Frequency Bureau of Prisons - NYM Order Date 07/14/2019 17:36 Page 2 of 3 EFTA00105077

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$< 76318-054 Qutcome Verbalizes Understanding Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: 4 Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: 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 Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EEN on 07/14/2019 18:11 Generated 67/14/2019 18:11 by Bureau of Prisons -NYM Page 3of 3 EFTA00105078

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| Bp-$358.080 MEDICAL TREATMENT REFUSAL | COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-20 : Date 1, JEFFREY EPSTEIN 76318-054 __, refuse treatment recommended by the Federal Bureau of Prisons Medica! 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. . { 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 Ilability for respecting and fi ing my expres: Ss. | a in 7-24-2019 Date Patient's Sig te City Date NYM-—NEW YORK MCC EFTA00105079

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Be. $958,000 ; . 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 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 . 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 lability for respecting /and following my expressed wishes and directions. . a 7-10-2010 ( \ A= Counseledby . Date Patienp€ Signature Date 1: o- 1% Signature of Witness Date NYM-NEW YORK MCC EFTA00105080

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7 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 Federal 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. | 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 following my wishes and directions. 7-24-2019 Counseled by Signature of WitneSs NYM--NEW YORK MCC EFTA00105081

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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 O s leon Corbin obsevied (Document find POF Prescribed by P6400 * Replaces BP-AGB16 of JUN 10 EFTA00105082

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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 et Dental Officer MCC New York POF Prescribed by P6400 ~emeerwomecann EFTA00105083

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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 ' 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 | ‘ections. 7-24-2019 Patient's Sig Date NYM-—NEW YORK MCC EFTA00105084

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U.S. Medi r for Federal Prisons ‘ederal Ope *** Sensitive But at on Facility MCC New York Collected 07/09/201: 13:34 Name EPSTEIN, JEFFREY Reg # 76318-054 Order Uni 7| Received 07/10/2019 10:44 DOB 01/20/1953 Provider Reported 07/10/2019 14:46 Sex M Lis ID 188191004 HIV 1/2 Negative Negative Screening test - See confirmatory testing for Reactive results FLAG LEGEND __L=Low Li=Low Critical H=High HI=High Critical A=Abnormal Al =Abnornlal Critical Page 3 of 3 EFTA00105085

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: E Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: N Cosigned by (EEEENEEEEEE on 07/14/2019 18:12. Bureau of Prisons - NYM EFTA00105086

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— 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): OESCRIBE 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. 7-24-2019 Date ge, CS Daie NYM--NEW YORK MCC a a neeenn as on. EFTA00105087

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BP-A0618 A&O DENTAL EXAMINATION JUN {Initial Clinical Dental Findings) 1234667 6 8 Wit 2 32 31 WW 29 28 27 2625 2423 22 21 20 Chief Dental itamp: ‘Officer rk” POF Prescribed by P6400 ~ Replaces BP-A0618 of JUN 10 EFTA00105088

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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 candition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. 7-24-2019 | Counseled by Date Patient's Sig Date : CLIN S$ NYM—NEW YORK MCC - of Date EFTA00105089

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or-csen.cne . 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 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. : . 7-10-2019 \ EZ Counseledby . Date Patiery Steneture Date l understand the possible consequences and/or complications, listed above, and Sate EFTA00105090

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BP.A0618 , A&O DENTAL EXAMINATION JUN 16 (Initial Clinical Dental Findings) U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 12 3 4567 6 § 031 1213 2 3 20 29 28 27 2625 2423 22 21 20 EFTA00105091

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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: QM =——(Unit:, 204 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: iT’ Team Members: Provider Role Him 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 Left AC Airway 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 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 SIA Bureau of Prisons - NYM Pago 1 of 2 EFTA00105092

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Inmate Name: EPSTEIN, JEFFREY EOWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Fecity: NYM Encounter Date: 08/10/2019 07:25 Provider: Z04 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 on 08/10/2019 08:10 Requested to be cosigned by Cosign documentation will be displayed on the make page. Generated 08/10/2019 08:10 by A Bureau of Prisons - NYM Page 2 of 2 EFTA00105093

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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: 4 Facility: NYM Encounter Date: 07/30/2019 15:58 Provider: Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Sani 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 Ill 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 >On ll Burogu of Prisons - NYM Page tof 2 EFTA00105094

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inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: 4 Encounter Date: 07/30/2019 15:58 Provider: 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 on 07/30/2019 16:12 Generated 07/30/2010 16:12 by Bureau of Prisons - NYM Unit: = Z01 Reg #: 76318-054 Facility: 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 EFTA00105095

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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: : - Facility; NYM Encounter Date: 07/30/2019 11:12 Provider: Unit: Z01 a Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: i! Chief Complaint: Other Problem Subjective: PATIENT As REFERRED BY THE WARDEN FOR EVALUATION. PATIEN RTS 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. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENI SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING (ALLOWING, 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 AP IAND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN ERAS! 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 se Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, OBJECTIVE: Pulse: X 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: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 Blood Pressure: Date Time Value Location Position Cuff Size ovider 07/30/2019 13:02NYM 114/84 Left Arm Standing 07/30/2019 09:40 NYM 125/60 RightArm —_—_ Standing oy 07/30/2019 09:30 NYM 108/86 Left Arm Sitting Pt tit $a02: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air PT Tt yy Weight: Date Time Lbs Kg Waist Circum. Provider Generated 07/902019 14:05 by a’ Bureau of Prisons - NYM Page 1 of 3 EFTA00105096

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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: Unit: Z01 07/30/2019 09:30NYM 194.2 88.1 Pit tty 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 E 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 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 Bureau of Prisons - NYM Page 20! 3 EFTA00105097

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Hun Encounter Date: 07/30/2019 11:12 Provider: New Medication Orders: Rxt 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| @ 4MG Tab(21 count 07/30/2019 11:12 Pack) Indication: SS and neuritis, unspecified New Laboratory Requests: Reg #: 76318-054 Facility: NYM Unit: 201 Pp. r 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) Details Due Date Priority Lab Tests - Short List-General- Q 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 Frequency. Due Date Priority General Radiology-Spine / Cervical- One Time 08/29/2019 - Routine General Specific reason(s) for request (Complaints and findings): 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 Cosign Required: No Telephone/Verbal Order: No Completed by EMI on 07/30/2019 14:05 Bureau of Prisons - NYM Generated 07702019 14.05 by 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM wh Xe R 2-3 MINUTES 3 DAYS AGO. g Outcome Verbalizes Understanding Verbalizes Understanding Page 3 of 3 EFTA00105098

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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 ; 2 Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIEN ERORTS 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. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING HE DENI MT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING LLOWING. HE REPORT: URIA 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_AR AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HEREQSINCE 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-MEDICA) UES. STATES HE FEELS OTHERWISE F NEY Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, | o Respiratory OBJECTIVE: () . Pulse: Cc 4 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: 7 - g Date Time Rate Per Minute Provider "4 07/30/2019 09:30 NYM 12 Blood Pressure: Date Time Value Location Position Cuff Size Provide! 07/30/2019 13:02NYM 114/84 Left Arm Standing aT | 07/30/2019 09:40NYM 125/60 RightArm _ Standing cyt tf 07/30/2019 09:30NYM 108/86 Left Arm Sitting PP $SaO2: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air Di Weight: Date Time Lbs. Kg Waist Circum. Provider Generated 713202019 14:05 vy Bureau of Prisons - NYM Page 1 of 3 EFTA00105099

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 4 Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Unit: 201 Date Time Lbs Ka Waist Circum. Provider 07/30/2019 09:30NYM 194.2 88.1 Poi tg 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 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 Generated 07302019 14:05 y Bureau of Prisons - NYM Page 2of 3 EFTA00105100

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: : Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: 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/SML Day PRN x 90 day(s) Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Indication: Prediabetes Renew Medication Orders: Rx# 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: Cd: and neuritis, unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff Ine Time 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 Frequency Due Date Priority General Radiology-Spine / Cervical- One Time 08/29/2019 Routine General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI R 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed EQ Patient Education Topics: Date Initiated Format Handout/Topic Qutcome 07/30/2019 Counseling Access to Care Verbalizes Understanding 07/30/2019 Counseling Plan of Care Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EI 07 07/30/2019 14:05 | Generated 071302019 14.05 yy as Bureau of Prisons - NYM Page 3 of 3 EFTA00105101

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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 iE on 07/30/2019 16:12. Bureau of Prisons - NYM EFTA00105102