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 SDNY_00000938 EFTA_00000147 EFTA00134682

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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 | Pago 11 of 13 SONY_00000939 EFTA_00000148 EFTA00134683

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Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Reflexes: Right Biceps: Patellar: Brachioradialis: GU: Chaperoned By: Rectum: Not Done Male Genitalia: Not Done 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 DNY_0OD00940 EFTA_00000149 EFTA00134684

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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 Bisacodyl E.C. Tablet 07/09/2019 12:35 5mg 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 i a. 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 13 of 13 SDNY_00000941 EFTA_00000150 EFTA00134685

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Bureau of Prisons | Health Services Cosign/Review 18-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7 Date of Birth: 01/20/1953 Sex: M Race: Encounter Date: 07/09/2019 12:35 Provider: [m Facility: Cosigned by SEMEN on 07/11/2019 22:41. Bureau of Prisons - NYM SDNY_00000942 EFTA_00000151 EFTA00134686

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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 Docusate Sodium 100 MG Cap of water Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice dally by for 30 days with plenty Milk of Magnesia Susp (OTC) (473ML) 400MG/SML Exp: 40/28/2019 SIG: shake well take 10m by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. Pending Appointments Date Iime Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level der 07/01/2020 00:00 Chronic Care Visit Physician 0 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order OrderDate Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: Omm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: _ No Generated 08/10/2019 07:00 by SAMENNE PN Bureau of Prisons - NYM Page 1 of 2 SDNY_00000943 EFTA_00000152 EFTA00134687

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eT Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: tower bunk — 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. -—- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: Ee Date 08/10/2019 inmate Name:_ EPSTEIN, JEFFREY EDWARD Reg #:__76318-054 _DOB:__01/20/1953_ Sex:__M _———_—_—— Generated 08/10/2019 07:00 by SAA! RN Bureau of Prisons - NYM 1 Page2of 2 pny 60000944 EFTA_00000153 EFTA00134688

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Bureau of Prisons Health Services Vitals All Begin Date: 07/07/2019 End Date: 08/10/2019 Rog#: _76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Temperature: Date Time Fahrenheit Celsius Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral HIE Orig Entered: 07/24/2019 13:14 EST [EAN 07/23/2019 06:30 NYM 975 364 Oral Hn Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 97.3 36.3 Oral HIB Orig Entered: 07/09/2019 12:51 EST Pulse: Date Tima Rate Per Minute Location Rhythm Provider 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 Via Machine Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST [AMMEN RN 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST RN 07/24/2019 13:12 83 Via Machine Regular Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 92 Via Machine Regular Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 82 Via Machine Regular Orig Entered: 07/09/2019 12:51 EST Respirations: Date Iime Rate Per Minute Provider 07/30/2018 09:30 NYM 2 Orig Entered: 07/30/2019 12:59 EST 14 RN 07/28/2019 20:28 NYM Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM Orig Entered: 07/28/2019 06:58 EST 07/23/2019 06:30 NYM Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 16 Orig Entered: 07/09/2019 12:51 EST [E Generated 08/10/2019 11:02 by AA Bureau of Prisons - NYM | Pd Hn He pee a a. a: | Page 1 of 3 KDNY_ooo00945 EFTA_00000154 EFTA00134689

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Begin Date: 07/07/2019 End Date: 08/10/2019 } Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: 07/30/2019 13:02 NYM 114/84 — Left Arm Standing Him = Orig Entered: 07/30/2019 13:04 EST (NIN | 07/30/2019 09:40 NYM 125/60 — Right Arm Standing Co | Orig Entered: 07/30/2019 13:04 ST QT 07/30/2019 09:30 NYM 108/86 LeftArm __ Sitting Hill Ld | Orig Entered: 07/30/2019 12:59 ST 07/28/2019 20:28NYM 157/91 Hint ii Orig Entered: 07/28/2019 20:29 EST (BERN 07/28/2019 06:57 NYM 138/80 ee Orig Entered: 07/28/2019 06:58 EST (MEN RN 07/24/2019 13:12NYM 132/89 Right Arm Sitting Adult-reguiar SP Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30NYM 140/85 RightArm _ Sitting Adult-reguiar SP Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49NYM 117/66 Right Arm Sitting Adult-regular HHH Orig Entered: 07/09/2019 12:51 EST Blood Glucose: 08/04/2019 08:30 156 Non-Fasting a ee Orig Entered: 08/04/2019 09:08 EST NE PE 08/02/2019 06:30 97 Non-Fasting lim = Orig Entered: 08/02/2019 08:16 EST III 08/01/2019 06:30 103 Non-Fasting a ia Orig Entered: 08/01/2019 09:00 EST ANN 07/31/2019 06:15 108 Non-Fasting ia Orig Entered: 07/31/2019 08:36 EST Sa02: Date Time Value(%) Air 07/30/2019 09:30 NYM 98 Room Air Orig 07/28/2019 Orig 07/28/2019 Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 2of 3 SDNY_00000946 EFTA_00000155 EFTA00134690

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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 Generated 08/10/2019 11:02 Bureau of Prisons - NYM Page 3of 3 §DNY_00000947 EFTA_00000156 EFTA00134691

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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 EST QR Orig Entered: 07/0972019 12:47 cst SERENE Total: 1 Generated 08/10/2019 11:02 YE RNnOPIOC Bureau of Prisons - NYM Page 1 of 1 SDNY_0000094: EFTA_00000157 EFTA00134692

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"LSS ZO:L} 6402/01/80 :Suquud jo own pur oVep oY) Jo Se jUOLIFO sy UOeUOJY] WOdoY es/oz/to :sO0 fa WHSLINN 001 (WN 01) Soy ens EFTA00134693

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TS3 Z0-+1 610Z/01/80 “Sunuyd jo own pue SEP o4) Jo Se UOWIND s} VOPEUNO;L] HodOY ss/0Z/10 :800 PO}EIPUI JON O80Q = IN | 49PAO = GUO :SePOD wopeiuewNsg SpNY_00000950 | EFTA_00000159 EFTA00134694

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Bureau of Prisons Health Services Devices and Equipment Start Date: 07/07/2019 Stop Date: 08/10/2019 Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD a Device/Equipment StartDate StopDate DateReturned ObtainedFrom Comments C-Pap 07/30/2019 14:05 EST AA 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHIN' SERIAL #: P11312813B1ED. Total: 1 Generated 08/10/2019 11:02 by EEE RoPnoc Bureau of Prisons - NYM Page 1 of 1 SDNY_00000951 EFTA_00000160 EFTA00134695

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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 ee 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 RNMOPAOC Bureau of Prisons - NYM sony BotoDSe2" EFTA_00000161 EFTA00134696

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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. | PSTEIN, IARD Inmate Name Generated 07/30/2019 14:57 by i 4 2 Bureau of Prisons - NYM Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: Exp Date: 07/30/2020 Health Service Staff brisoro10 Page 1of 1 DNY_00000953 EFTA_00000162 EFTA00134697

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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 sprees, EFTA_00000163 EFTA00134698

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Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Leams Rest By PrimaryLanquase § YearsofEducation Barriers To Education Provider 07/09/2019 Speaking/Listening English 12 None FY Orig Entered: 07/09/2019 12:52 EST Total: 1 Topics Date Initiated Format Handout/Topic Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding a Orig Entered: 07/30/2019 13:33 EST SE GM 07/30/2019 Counseling Plan of Care Verbalizes Understanding Ft | | Orig Entered: 07/30/2019 13:34 EST SS EE 07/28/2019 Counseling Plan of Care Verbalizes Understanding PF Orig Entered: 07/28/201907:22EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding FY Orig Entered: 07/28/2019 20:30 EST 07/24/2019 Counseling Access to Care Verbalizes Understanding | Orig Entered: 07/24/2019 13:23 EST 07/24/2019 Counseling Preventive Health Verbalizes Understanding | | Orig Entered: 07/24/2019 13:23 EST 07/23/2019 Counseling Access to Care Verbalizes Understanding a. Orig Entered: 07/23/2019 09:04 EST —07/23/2019______Counseling__ Plan of Care. . __Verbalizes Understanding _ ,————— Orig Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling Diagnosis Verbalizes Understanding EE Orig Entered: 07/14/2019 18:11 EST | || 07/12/2019 Counseling Verbalizes Understanding i Generated 08/10/2019 11:02 by SEEN RNAOPNDC Bureau of Prisons - NYM Page 1 SDNY_00000955 EFTA_00000164 EFTA00134699

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zZoz 068d WAN > Suosyg JO NeeINg Davdoune covene, ‘seu tes .07/01/60 pa2u25 00000956 Ob */8901 | GLOZ/ZL/LO0 :porsqug BuO TeplAoTd BUST yweUnoy peyeruy seg soido, GYVMGS ASYsISe ‘NISBLSdS 7eweN eyeUrUy yS0-BteoL *# Boy EFTA_00000165 EFTA00134700

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Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Date: 08/10/2019 Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Iime Value Iype Comments 08/04/2019 08:30NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST QB RN 08/02/2019 06:30NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST QAERREEE 08/01/2019 06:30NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST SARA 07/31/2019 08:15NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST SER Total: 4 Generated 08/10/2019 11:02 by IEEE RNVIOPNOC Bureau of Prisons - NYM oft Page 1 SDNY_00000957 EFTA_00000166 EFTA00134701

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Bureau of Prisons 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 Health Services Health Problems Reg #: _76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST ICD-10 E785 HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST ICD-10 G4730 Essential (primary) hypertension 07/30/2019 13:13 EST ICD-10 110 BY HX. Constipation, unspecified 07/09/2019 12:58 EST ICD-10 5900 Low back pain 07/12/2019 13:30 €ST ICD-10 M545 Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST ICD-10 M792 No Diagnosis 07/09/2019 10:28 EST ro 1 DSM-IV No Dx Prediabetes 07/30/2019 13:26 EST ICD-10 R7303 Injury, unspecified 07/23/2019 09:04 EST ICD-10 T1490 R/O self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST ICD-10 26827 Total: 10 Generated 08/10/2019 11:02 by EE RNAOPIOC Bureau of Prisons - NYM 07/30/2019 Current : Page 1 of 1 SON v_ooonses EFTA_00000167 EFTA00134702

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Bureau of Prisons Health Services Clinical Encounter Reg #: 76318-054 te Name: EPSTEIN, JEFFREY EDWARD Lal one of Birth: 01/20/1953 Sex: M_ Race: WHITE Facility: sing 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 GI SIDE EFFECTS. HX OF O} UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH! Y HAS L4 -L5 SEVERE ISIS 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 III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by Bureau of Prisons - NYM Page tof 3 SDNY_00000959 EFTA_00000168 EFTA00134703

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Inmate Name: EPSTEIN, JEFFREY EDWARD 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: QM 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 | Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Page 2 of 3 SDNY_00000960 EFTA_00000169 EFTA00134704

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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: Unit: Z05 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 a. Robert Verbalizes Understanding Copay Required:No Cosign Required: No Telephone/Verbal Order: Completed by EE. . 07/12/2019 14:20 o Generated 07/12/2019 14:20 by [i E Bureau of Prisons - NYM | Page Sof 3 §DNY_00000961 EFTA_00000170 EFTA00134705

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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: Pain: Yes Pain Assessment Date: Location: Quality of Pain: Pain Scale: Intervention: Trauma Date/Year: Injury: Mechanism: Onset: Duration: Exacerbating Factors: Relieving Factors: Reason Not Done: Comments: 07/12/2019 13:25 Back-Middle Shooting 5 MEDROL DOSE PACK (3) Oo, 5+ Years 5+ Years NO EXERCISE MEDROL DOSE PACK Ly al Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by Bureau of Prisons - NYM Page lof 3 SDNY_00000962 EFTA_00000171 EFTA00134706

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Sex: Exam: Eyes General Yes: QE 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 M__ Race: WHITE Provider: Reg #: 76318-054 Facility: NYM Unit: Z05 Rhythm (RRR), Normal S1 and S2 (3) (oY Q i PLAN: New Medication Orders: Rxt 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 by I aaa Bureau of Prisons - NYM Page 2 of 3 SDNY_00000963 EFTA_00000172 EFTA00134707

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Sex: M__ Race: WHITE Provider: Date Initiated Format Handout/Topic 07/12/2019 Counseling Diagnosis Copay Required: No Cosign Required: No Telephone/Verbal Order: Completed by SE. 07/12/2019 14:20 Q 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 SDNY_00000964 EFTA_00000173 EFTA00134708

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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: N Amendment made to this note by EEN on 07/14/2019 18:11. Bureau of Prisons - NYM SDNY_00000965 EFTA_00000174 EFTA00134709

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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 09:06 : ‘iii Unit: z Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: EE. Robert MD PATIENT REQUESTED TO HAVE A COLACE RX, INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Rx# Medication Order Date Docusate Sodium Capsule 07/12/2019 09:06 indication: Constipation, unspecified Discontinued Medication Orders: Rt Medication Order Date 121757-NYM Bisacodyl E.C. 5 MG TAB 07/12/2019 09:06 Discontinue Type: When Pharmacy Processes Discontinue Reason: discontinue Indication: | Copay Required: No Cosign Required: No Telephone/Verbal Order: No | Completed by EEE on 07/12/2019 09:10 Generated 07/12/2019 09:10 by Bureau of Prisons - NYM Page 1 of 1 SDNY_O0000966 EFTA_00000175 EFTA00134710

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Note Dale: O7072019 a te Note Date: 07/07/2019 00:17 Provider: Unit: Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 4 Provider: nD MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Details Frequency Due Date Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: [IS New Laboratory Requests: Details. Erequency Due Date Chronic Care Clinics-Diabetic-CBC widiff One Time 07/25/2019 00:00 Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency = End Date Due Date Genera! Radiology-Chest-2 Views One Time 07/25/2019 Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Required: No Cosign Required: No Telephone/Verbal Order: No Conlotod by I on 0710772019 00:30 Generated 07/07/2019 00:30 by Ii Bureau of Prisons - NYM Routine Page tof 7 sq 00000967 EFTA_00000176 EFTA00134711

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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 AE Bureau of Prisons - NYM PRS Mods EFTA_00000177 EFTA00134712

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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 07/09/201 9 13:03 by Bureau of Prisons - NYM Pree Rebs EFTA_00000178 EFTA00134713

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 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: Other Health issues: Current Medical Conditions: Other Current Treatments: Pregnant: Dental Condition: Denied Denied NIA Generated 07/09/2019 13:03 by FEE mip Sex: Provider: Bureau of Prisons - NYM Race: TE Reg# 76318-054 tat Nt Rees $eht370 EFTA_00000179 EFTA00134714

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: a Facility: Encounter Date: 07/09/2019 12:35 Provider: Unit: Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 07/09/2019 13:03 by SAAN Bureau of Prisons - NYM Page 4 of 13 son (0000971 EFTA_00000180 EFTA00134715

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# Inmate Name: EPSTEIN, JEFFREY EDWARD Reg Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Unit: Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider a Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measies/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST immunization Date: Provider 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'S Bureau of Prisons - NYM | 76318-054 NYM H01 SRB RBM 0592 EFTA_00000181 EFTA00134716

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 18-054 . 7 . ITE Facility: Date of Birth: 01/20/1953 Sex: Prt ! Encounter Date: 07/09/2019 12:35 Provider: Unit: Hot 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: STI | Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: Date Time Fahrenheit Celsius \ocation Provider 07/09/2019 12:49 NYM 97.3 36.3 Oral Hn 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 TE $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 SI 8049; EFTA_00000182 EFTA00134717

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Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 Inmate Name: EPSTEIN, JEFFREY EDWARD Provider: milli" Provider: Reg #: Facility: Unit: Date Time Inches Weight: Date Time Lbs 07/09/2019 12:49NYM 194.4 Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA 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 SE Speaking/Listening English Mount Sinai Hospital Bureau of Prisons - NYM None Tof 13 SDNY_00000974 EFTA_00000183 EFTA00134718

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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 (BEI 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 <oRPPRA ME EFTA_00000184 EFTA00134719

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Inmate Name: EPSTEIN, JEFFREY EOWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/09/2019 12:35 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 JE Bureau of Prisons - NYM EFTA_00000185 EFTA00134720

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Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 Near Vision: OD: os: With Corrective Distance Vision: OD: Os: Near Vision: oD: os: Present Glasses - Distance Sphere Cylinder Axis Add R: R: L: Lu: Color Test: Tonometry: R: lu: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST Refraction - Distance Sphere Cylinder Bureau of Prisons - NYM Generated 08/10/2019 11:02 by J Inmate Name: EPSTEIN, JEFFREY EDWARD Ou: Ou: OU: OU: Axis Page 1 of 1 SONY_00000977 EFTA_00000186 EFTA00134721

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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 Smatipox Series History Unknown Orig Entered: 07/09/2019 12:51 6ST [x 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 SEE RN“OPNOC Bureau of Prisons - NYM spny_on00db9g® 1%! 7 EFTA_00000187 EFTA00134722

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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: __cell on fiyt floor single cell _X lower bunk __airborne infection isolation Exp. Date: | 10/09/2019 Exp. Date: Exp. Date: ta _ weightitting” upper body lower body Exp. Date: ee — /—__—_ _« cardiovascular exercise: __running __jogging __walking ___softball Exp.,Date: football basketball handball ___ stationary equipment Exp. Date: E Ae uhis'[ her;possession: ? Bee! sabaert Start Date End Date _ C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Cleared for Food Service: Yes _X_ No Restrictions Comments: N/A a 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 SDNY_00000979 EFTA_00000188 EFTA00134723

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Bureau of Prisons : Health Services Medical Duty Status Reg #: 76318-054 inmate Name: EPSTEIN, JEFFREY EDWARD Housing Statisi th Sg Fee * __ confined to the living quarters except __meals __pillline ___treatments Exp. Dale: __on complete bed rest: Exp. Date: Xcel: __cell on first figor.,.. single cell Xlower bunk _ airbome infection isolation Exp. Date: | 10/09/2019 : Exp. Date: . __ all spo Exp. Date: —“ ntliting: __upperbody __lower body Exp. Date: : __funning __ jogging __walking __ softball Exp. Date: __ football __basketball __ handball __ stationary equipment CF aad pee aT Cleared for Food Service: Yes _X_No Restrictions Comments: N/A A 07/09/2019 Health Services Staff yoy Date Inmate Name: _ EPSTEIN, JEFFREY EDWARD,” Reg #: __76318-054 _ Quarters: _Z04 eee ee ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by II Bureau of Prisons - NYM Page 1 oft sPNY_00000980 EFTA_00000189 EFTA00134724

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Bureau of Prisons Health Services Medication Summary Historical Complex: NYM-NEW YORK MCC Begin Date: 07/07/2019 End Date: Jor onal inmate: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarter: -206LAD Medications listed reflect prescribed medications from the begin date to end date on this report. Allergies: Denied Active Prescriptions Bisacodyl E.C. 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rodt =121757-NYM Doctor: 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 |SDNY_00000981 EFTA_00000190 EFTA00134725

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08/10/2019 Complex: NYM-NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Begin Date: 07/07/2019 End Date: Reg #: 76318-054 Quarter: 2Z04-206LAD Ima Tn 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 Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin subcutaneous! Rx#: 122148-NYM Doctor: Start: 07/30/19 Exp: 08/06/19 Insulin Reg (10 ML) 100 UNITS/ML Inj Inject regular insulin su Rod#: 122160-NYM Doctor: Start: 07/31/19 Exp: 08/07/19 Generated 08/10/2019 11:02 by IA Pharmacy Dispensings: 180 Cap in 24 days scale: twice daily ***pill line*** for 7 days ***pill line**™* Dic: 07/31/19 Pharmacy Dispensings: 0 ML in 11\days scale: each moming for 7 days ***pill line*** ***pillline*** Pharmacy Dispensings: 0 ML in 10 days | Bureau of Prisons - NYM Page 2 of 2 SDNY_00000982 | EFTA_00000191 EFTA00134726

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Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 7636-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provide: SI voit 01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Status Hyperlipidemia, unspecified Current HYPERTRIGLYCERIDEMIA . Sleep apnea * Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified Current R/O self inflicted injuries. Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4; Comments: Hepatitis: Denied Generated 07/26/2019 07:59 by Ancrum, Chery! DDS Bureau of Prisons - NYM Page tof 3 DNY_00000983 EFTA_00000192 EFTA00134727

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/26/2019 07:54 Provider: Reg #: 76318-054 Facility: NYM | Unit: HO01 __—$— Other Infectious Diseases: Syphilis: Syphilis Last Treatment: Genital Warts: Chlamydia: Gonorrhea: Herpes: Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Treatment: sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A No NIA No Yes No No Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: Methamphetamine: Tobacco products: Other drugs: Sensitive teeth: Bleeding gums: Food impaction: Pain around ear: Toothache: Wear partial dentures: Unusual sounds while eating: Snoring: Blisters on lips or mouth: Clenching or grinding: Swelling or lumps in mouth/throat: Burning tongue: Bad breath: Decayed teeth: Loose teeth: Wear dentures: None: Comments: Generated 07/26/2019 07:59 by SA See FS FF FREE BEE REEES EEF Bureau of Prisons - NYM Page 2 of 3 SDNY_00000984 EFTA_00000193 EFTA00134728

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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 Ain Bureau of Prisons - NYM for 30 days with food hee 30f3 SDNY_00000985 EFTA_00000194 EFTA00134729

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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 given: Yes 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 Page 1 of 1 SPNY_00000986 EFTA_00000195 EFTA00134730

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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: iia Facility: | NYM Encounter Date: 07/18/2019 13:48 Provider: Dental Asst —_ Unit: Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A & O screening but has not been escorted to the dental clinic. Cosign Required: No Completed by (EEEEEEEEEM O ental Asst on 07/19/2019 13:49. Generated 07/19/2019 13:49 by DeBruce, Juanita Dental Bureau of Prisons - NYM Page 1of 1 SONY_00000987 EFTA_00000196 EFTA00134731

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U.S. Medion Sinai Set Prisons Oise W. Sunshine Street , MO 65807 Soar 874-1621 * Sensitive But Unclassified “** Name EPSTEIN, JEFFREY Facility MCC New York Collected 07/09/2019 13:34 Reg # 76318-054 one Received 07/10/2019 10:44 DOB 01/20/1953 ‘cer i 0 Reported cra 1 Sex__M LISID 188191 Sodium 137 137-148 Potassium 4.7 3.5-5.0 Chloride 99 99-114 co2 27 22-30 BUN 17 7-22 Creatinine 1.05 0.66-1.25 eGFR (IDMS) >60 GFR units as mUmin/1.73 m*2. If African American muitiply by 1.210. A calculated GFR <60 suggests chronic kidney disease If found over a 3 month period. Calcium 9.8 8.5-10.9 Glucose 102 70-110 AST H 57 11-55 ALT 62 11-66 Alkaline Phosphatase 64 41-133 Bilirubin, Total 141 0.2-1.3 Total Protein 73 6,0-8.2 Albumin 44 3.6-5.1 Globulin 29 2.0-3.7 Alb/Glob Ratio 1.50 1.00-2.30 Anion Gap 10.2 9.0-19.0 BUN/Creat Ratio 16.1 §,0-30.0 Cholesterol H 216 <200 Triglycerides H 413 10-150 Ceteulation of LOL. not spprepriate for samples with wghyeride grater han 400 ON. Therefore the LOL HOL Cholesterol L 40-60 ChoV/HDL Ratio H as 0.0-4.0 VIA OG wBc 76 4.3-11.1 NRBC% 0.0 RBC 5.42 4.46-5.78 Hemoglobin 15.6 13.6-17.6 Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5-96.5 MCH 28.8 27.1-34.9 MCHC L 32.6 33.0-37.0 RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 mgidL. mg/dL is not calculated. mg/dL. FeGerxG ive i eS FLAGLEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnormal Al =: ! Page top SONY_00000988 EFTA_00000197 EFTA00134732

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U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street field, MO 65807 417-874-1621 @rS< Facility MCC New York *** Sensitive But Collected 07/09/20 Reg # 76318-054 Order oe | Received 07/10/2019 10:44 DOB 01/20/1953 Provider , MD Reported 07/10/2019 14:46 Sex __M LISID _ 188191 | eic MPV 10.4 6.9-10.5 fl Neutrophils % 58.7 % Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % 25.0 % Monocytes % 14.1 % Eosinophils % 44 % Basophils % 0.8 % Immature Granulocytes % 0.3 0.0-5.0 % Neutrophils # ; 44 1.9-6.7 KJuL. Lymphocytes # 1.9 1.3-3.7 KJul. Monocytes # 0.8 0.3-1.1 KluL Eosinophils # 0.3 0.0-0.5 Klub Basophils # 0.1 0.0-0.1 Kul Immature Granulocytes # 0.02 0.00-0.50 1043/uL Hemoglobin A1C H 6.3 <5.7 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! = Page 2 of/3 Critical SDNY_00000989 EFTA_00000198 EFTA00134733

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ederal Medical Ok: cS os 417-87 74-1621 Name EPSTEIN, JEFFREY Facility MCC New York : Reg # 76318-054 Order Unit E06-54 Received 07/10/2019 10:44 DOB 01/20/1953 Provider , MD Reported 07/10/2019 14:46 Sex _ M Lis 1D 188191 HIV 1/2 Negative Negative Screening test - See confirmatory testing for Reactive results a FLAG LEGEND __L=Low L!=Low Critical H=High H!=High Critical A=Abnormal a Page 3 of SDNY _00000990 | BFTA_00000199 EFTA00134734

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Bureau of Prisons Health Services Cosign/Review Reg#: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Race: WHITE Date of Birth: 01/20/1953 M Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: | NYM Cosigned by EEE on 07/14/2019 18:12. Bureau of Prisons - NYM SDNY_00000991 EFTA_00000200 EFTA00134735

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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 ail 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 NYM--NEW YORK MCC SDNY_00000992 EFTA_0000020 hn ers aren, EFTA00134736

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EFTA_00000202 | SDNY_90000993 A&O DENTAL EXAMINATION (initia! Clinical Dental Findings) z 2 | 2 e o ~ ° o - ”- “ EFTA00134737

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318 Date of Birth: 01/20/1953 Sex: H E Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: RN Unit! -HO1 CO Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 14 Provider: i RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: inmate seen for F/U after retuming from attomey conference offers no new complaints|or worsening S/S stats * My R hand still has pins and needles sometimes” No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 20:28 81 ES Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 en Blood Pressure: Date Time Value Location Position Cuff Size Vet] 07/28/2019 20:28NYM 167/91 RN $a02: Date Iime Value(%) Air Provider 07/28/2019 20:28 NYM 98 a 2 Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Genersted 07/28/2019 20:30 by AEN RN Bureau of Prisons - NYM Page 1 of 2 SPNY_00000994 EFTA_00000203 EFTA00134738

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a Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 4 Facility: NYM | Encounter Date: 07/28/2019 20:25 Provider: RN Unit: HO1 Follow-up in 12-24 Hours | Patient Education Topics: | 07/28/2019 Counseling Plan of Care Verbalizes | Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed RN on 07/28/2019 20:30 Requested to be cosigned by Cosign documentation wil be dieplayed on the following page. Generated 07/26/2019 20:30 by IAAI RN Bureau of Prisons - NYM Page 2 of 2 $DNY_00000995 EFTA_00000204 EFTA00134739

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/28/2019 20:25 Provider: Bi RN Cosigned by Ee on 07/28/2019 20:50. Bureau of Prisons - NYM SDNY_00000996 EFTA_00000205 EFTA00134740

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Bureau of Prisons Health Services Clinical Encounter inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318- Date of Birth: 01/20/1953 Sex: : Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: RN Unit: HO1 Encounter Date: 07/28/2019 06 Oe Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: a RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: * | woke up and | had no control over my Right arm for a few minutes it was just doing what it wanted to do* Pain: No OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/28/2019 06:57 82 a RN Respirations: Dato Iime Rate Per Minute Provider 07/28/2019 06:57 NYM 14 ES Blood Pressure Rate Iime Value = Location Position Cuff Size HEE 07/28/2019 06:57NYM 138/80 RN $a02: Date Time Value(%) Air Provider 07/28/2019 06:57 NYM 98 es Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 General Yes: Within Normal Limits, Dry, Skin Intact General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: BBM. extraocular Movements intact Face General Yes: Symmetric Generated 07/28/2019 07:22 by SE RN Buroau of Prisons - NYM Page 1 of 3 NY_00000997 EFTA_00000206 EFTA00134741

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Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/28/2019 06:51 Provider: 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 rte AAOXS no aut ass, spesing nu sentenced abun intependnty C1 gh rm numbness after waking up from "sleeping on my side” that has since subsided. inmate interviewed in obs through the slot V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to it phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies an numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Outy Officer Patient Education Topics: | Rate Initiated Format Handout/Topic Provider Qutcome 07/28/2019 Counseling Plan of Care Columbo, Jose, Verbalizes Understanding Generated 07/28/2019 07:22 by SAE RN Bureau of Prisons - NYM Page 20! 3 SDNY_00000998 EFTA_00000207 EFTA00134742

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#: =76318- inmate Name: Erste JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 Sex: M ; WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: IRN Unit: HO1 ene eee eeSCS*dSC:é‘Qtcome® Date Initiated Format Handout/Topic Provider § | 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 [ian RN Bureau of Prisons - NYM Page 3 of 3 SDNY_00000999 EFTA_00000208 EFTA00134743

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 76 Date of Birth: 01/20/1953 Sex: Race: w Encounter Date; 07/28/2019 06:51 Provider: RN Facility: ~=-N Encounter Date: oS —— eee Cosigned by on 07/28/2019 20:51. Bureau of Prisons - NYM | SDN ¥_00001000 EFTA_00000209 EFTA00134744

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: Date of Birth: 01/20/1953 5 Note Date: 07/26/2019 08:57 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 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 Day x 180 day(s) Page 1 of 1 SDNY_00001001 EFTA_00000210 EFTA00134745

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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: HO01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 4 Provider: THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No Cosign Required: No Telephone/Verbal Order: ™"& Completed by EEE. Robe ‘ae 16:12 y. Generated 07/24/2019 16:12 »y Bureau of Prisons - NYM Page tof 1 SDNY_00001002 EFTA_00000211 EFTA00134746

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Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EOWARD Date of Birth: 01/20/1953 Note Date: 07/24/2019 16:10 Sex: 2 Provider: Reg #: Facilily: Unit: 76318-054 NYM HO1 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 THE MLP NOTIFIED THE OP LT OF THE INMAT! 2 NIGHTS AGO. Provider: Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by EEE. Robe Qo” 16:12 Gonerated 07/24/2019 16:12 by — STATEMENT REGARDING WHAT HAPPENED TO HIM Bureau of Prisons - NYM Page tof 1 SDNY_00001003 EFTA_00000212 EFTA00134747

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Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: © NYM Amendment made to this note ey on 07/26/2019 08:58. Bureau of Prisons - NYM SDNY_00001004 EFTA_00000213 EFTA00134748

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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 be ¥_0000100S EFTA_00000214 EFTA00134749

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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 SDNY_00001006 EFTA_00000215 | EFTA00134750

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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 SONY_00001007 EFTA_00000216 EFTA00134751

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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 SDNY_00001008 | EFTA_00000217 EFTA00134752

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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, Generated 07/23/2019 09:05 by SI Bureau of Prisons - NYM Page 1 of 2 SDNY_00001009 EFTA_00000218 EFTA00134753

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#: 76318-0 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg Date of Birth: 01/20/1953 Sex: 4 ITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Unit: HO1 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 circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no 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 Cone: i 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 sitting on the Verbalizes Understanding Verbalizes Understanding Page 2 of 2 SONY_00001010 i EFTA_00000219 EFTA00134754

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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: une Race: WHITE Encounter Date: 07/23/2019 06:20 . Provider: Facility: © NYM Cosigned by QAM on 07/23/2019 15:44. Bureau of Prisons - NYM SDNY_00001011 EFTA_00000220 EFTA00134755

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76316-954 Sex: M Race: WHITE Provider: Date of Birth: 01/20/1953 Encounter Date: 07/14/2019 17:36 Facility: NYM Unit: Z05 ci rhc nD_______________- os Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: vice: COMPLAINT 1 Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF 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: § 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 HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR _1 YEAR. STATES Lng WAS 800 , NOW 431, STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERID) No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/14/2019 18:11 by ian Bureau of Prisons - NYM Page tof 3 SONY_00001012 EFTA_00000221 EFTA00134756

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg#: 7631 Date of Birth: 01/20/1953 Sex: M__ Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: == Unit: Exam: Eyes General Yes: (BEBE Extraccular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen . Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M546 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx Medication Order Date Omega 3 ( Vascepa) 1 GM Capsule 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Bue Date Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Lab Tests-L-Lipid Profile Additional Information: Generated 07/14/2019 18:11 by [I Buroau of Prisons - NYM Page 2of 3 SDNY_00001013 EFTA_00000222 EFTA00134757

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$< 76318-054 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 | Qutcome 07/14/2019 Counseling Diagnosis |, Robert Verbalizes Understanding 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 Prisans - NYM Page 3of 3 SDNY_00001014 | EFTA_00000223 EFTA00134758

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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 Medical! staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: ¢ ° EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accépt treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. . { 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 a in release the Bureau of Prisons and its employees from any and all liability for respecting and f ing my expressed wishes and direction T2608 Patient's Sig te NYM-NEW YORK MCC : i SONY_| 00001015 EFTA “0000224 | EFTA00134759

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pg0ee.080 . . MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-40-2019 Date |, JEFFREY EPSTEIN 76318-054__, refuse treatment recommended by the Federal JEFFREY EPSTEIN ES IE US Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY . ‘ Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: ° | WORSENING THE CONDITION IF THERE IS ANY FINDINGS : ‘ l understand the possible consequences and/or complications, listed above, and still re’ u recommended treatment. | hereby assume all responsibility for my physical and/or 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. 7-10-2019 A WZ i Date 1: o- 1% Signature of Witness Date NYM-NEW YORK MCC | SONY_00001016 EFTA_00000225 EFTA00134760

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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 expressed wishes and directions. 7-24-2019 Date NYM--NEW YORK MCC SDNY_00001017 EFTA_00000226 EFTA00134761

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A&O DENTAL EXAMINATION {Initial Clinical Dental Findings) 234667 8 8 01 31 30 29 26 27 2625 2423 22 21 20 SDNY_00001018 EFTA_00000227 EFTA00134762

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A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) 123 4667 6 9 Wil 32 3t 20 29 28 27 2625 2623 22 21 Date: ao Block/Stamp: 526-19. bos. Dental Officer MCC New York { POF Prescribed by P6409 . ~emeerwomecann | | SDNY_00001019 | EFTA_00000228 EFTA00134763

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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 | expressed wishes and directions. 7-24-2019 Patient's Sig Date Counseled by Date (ied NYM-—NEW YORK MCC OOOH SDNY_00001020 EFTA_00000229 EFTA00134764

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U.S. Medical Center for Federal Prisons ederal 1900 W. Sunshine Street Bureau Sp , MO 65807 417-874-1621 Facility MCC New York Reg # 76318-054 Order Unit £06-547U DOB 01/20/1953 Provider i GN “0 Reported goB LISID _ 188191004 ey HIV 1/2 Negative Screening test - See confirmatory testing for Reactive results SDNY_00001021 EFTA_00000230 EFTA00134765

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD : 18-054 Date of Birth: 01/20/1963 Sex: M : E Encounter Date: 07/10/2019 16:58 Provider: Lab Result Receive Facility: Cosigned by (EEEENEEEEEE on 07/14/2019 18:12. Bureau of Prisons - NYM SDNY_00001022 EFTA_00000231 EFTA00134766

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| ev.gsenceo MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS Date |, JEFFREY EPSTEIN 76318-054 _, refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following ‘ possible consequences and/or complications may result because of my refusal to accept treatment: | INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. l understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my : expressed wishes and directions. 7-24-2019 Counseled by Date Patient's . Date Signature of Witn: Date CF NYM--NEW YORK MCC mene ee Ot O85 e §DNY_00001023 { EFTA_0000023 oe EFTA00134767

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{Initial Clinical Dental Findings) 1234667 6 9 Wit 32 3 WW 29 26 27 2625 2423 22 21 20 POF Prescribed by P6400 ~ Replaces BP-A0618 of JUN 10 SONY_00001024 EFTA_00000233 EFTA00134768

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—~— ee MEDICAL TREATMENT REFUSAL COFRM | U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date | 1, JEFFREY EPSTEIN 76318-054 _, refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. ' Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: | INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. | understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. | hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. 7-24-2019 | Counseled by Date Patient's Sig Date : NYM—NEW YORK MCC i SDNY_00001025 i EFTA_00000234 EFTA00134769

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yaad : MEDICAL TREATMENT REFUSAL COFRM U.S. DEPARTMENT OF JUST! ICE FEDERAL BUREAU OF PRISONS 1-40-2019 Date 1, JEFFREY EPSTEIN 76318-054__, refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAYMAN'S TERMINOLOGY: 668 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. The following treatment(s) was/were recommended: CHEST X-RAY Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: WORSENING THE CONDITION IF THERE IS ANY FINDINGS 1 e recommended treatment. | hereby assume all responsibility for my physical and/or tal condition, and release the Bureau of Prisons and its employees from any and all liability for respectin: and following my expressed wishes and directions. : . -RAY 7-10-2019 ( \ Vz . Date Patiery Steneture Date T-10 : 1% Date l understand the possible consequences and/or complications, listed above, and Sate NYM—NEW YORK MCC SDNY_00001026 EFTA_00000235 EFTA00134770

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A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) 12 3 4567 6 § 031 1213 2 3 20 29 28 27 2625 2423 22 21 20 SDNY_00001027 | EFTA_00000236 EFTA00134771

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-0 Date of Birth: 01/20/1953 Sex: M__Race: WHITE Facility: NYM Encounter Date: 08/10/2019 07:25 Provider: QEAEEEBERN Unit: 204 Emergency Code - Resuscitation Event encounter performed at Special Housing Unit. SUBJECTIVE: Emergency Note Provider: IMMER" Team Members: Provider Role TS Team/Code Leader Code Events: Iyna Value Date CPR Compressions 08/10/2019 06:35 EKG/Monitor Lifepak 08/10/2019 06:39 No shock advised CPR Compressions 08/10/2019 06:40 Oxygen 15L 08/10/2019 06:47 IV Access Peripheral (V 08/10/2019 06:48 18g Le AC Alrway Endotracheal Tube 08/10/2019 07:08 ET Tube 7.5 24CM to L Lip line Placed by Paramedics Medications Epinephrine img IV" 08/10/201907:10 | Epinephrine 3 doses and Sodium bicarb 2 doses administered by paramedics ' CPR Compressions 08/10/2019 07:11 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:11 IV Fluids Normal Saline 0.9% 1000 mi 08/10/2019 07:12 Medications Epinephrine img IV 08/10/2019 07:13 CPR Compressions 08/10/2019 07:14 Medications Sodium Bicarbonate 1 mEa/kg IV 08/10/2019 07:14 Medications Epinephrine 1mg IV 08/10/2019 07:16 CPR Compressions 08/10/2019 07:17 Comments: Responded to a body alarm at 0635 for medical emergency on 9S, Upon arrival Inmate was received on the floor of his cell unresponsive with CPR in progress by correctional officers, Inmate was Cold, with circumferential around the neck and posterior mottling, Pupils Fixed and dilated, No Palpable pulses, Call place for EMS, CPR tinued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in S$, 18g hep lock to LAC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine admin . Pulse Check asystole, Inmate was transported to Local ER with CPR in progress. OBJECTIVE: Exam: General Appearance Yes: Unconscious Generated 08/10/2019 08:10 by SAAS RN Bureau of Prisons - NYM Pago 1 of 2 $DNY_00001028 EFTA_00000237 | EFTA00134772

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Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 rey: 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 RN 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 AEE FN Bureau of Prisons - NYM Page 2 of 2 SDNY_00001029 EFTA_00000238 EFTA00134773

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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: Pein Facility: NYM Encounter Date: 07/30/2019 15:58 Provider: Unit: 201 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. ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONC 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 ee PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. sh IN ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MAC INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVE) 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 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, 0. G. To Yes: Appears Weil, Alert and Oriented x 3 bp horetic, Disheveled, Unkempt, Acutely Ill Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and $2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Generated 07/30/2019 16:12 by Beaudoutn, MN MO Bureau of Prisons - NYM Page 1 of 2 SDNY_00001030 EFTA_00000239 EFTA00134774

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inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: 7 Facility: NYM | Encounter Date: 07/30/2019 15:58 Provider: Unit: 201 Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam | Motor System-Strength j 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 Preseriber Order INsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Indication: Prediabetes Discontinued Medication Orders: Ret Medication Order Date Prescriber Order 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular per sliding scale: twice daily ***pill line*** for 7 days 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 Page 2 of 2 sow _ooo01031 EFTA_00000240 EFTA00134775

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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 S REFERRED BY THE WARDEN FOR EVALUATION. PATIEN pons HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO/RE S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATI BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENI SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OWING, HE REPORT! 1A OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP. IAND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN E HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. | INFORME DHIM THAT WE REGE HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDI UES. STATES HE FEELS OTHERWISE FIN Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, se OBJECTIVE: Pulse: Date Time Rate PerMinute Location Provider 07/30/2019 13:02 94 & Weaudovin MEE vio 07/30/2019 09:40 88 Via Machine . Robert MD 07/30/2019 09:30 87 Via Machine MD Respirations: ro Date Time Rate Per Minute Provider & 07/30/2019 09:30 NYM 12 Blood Pressure: Date Time Value Location Position uff Si Vv 07/30/2019 13:02NYM 114/84 Left Arm Standing Pet 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 vy Bureau of Prisons - NYM Page 1 of 3 SDNY_00001032 EFTA_00000241 EFTA00134776

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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 SDNY_00001033 EFTA_00000242 EFTA00134777

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inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Hue 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' ie 4MG Tab(21 count 07/30/2019 11:12 Pack) Indication: Cabs and neuritis, unspecified New Laboratory Requests: Reg #: 76318-054 Facility: NYM Unit: 201 Pp. Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Prescriber Order Take the tablet by mouth as directed x 6 day(s) Details Frequency Due Date Priority Lab Tests - Short List-General-CBC widiff 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 Erequency 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 © Patient Education Topics: ¢ ) Eormat Handout/Topic i Outcome 07/30/2019 Counseling Access to Care Beaudol Verbalizes Understanding 07/30/2018 Counseling Plan of Care en Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by EEE 0n 07/30/2019 14:05 Generated 07202019 14:05 vy Bureau of Prisons « NYM Page 3of 3 SDNY_00001034 EFTA_00000243 EFTA00134778

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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 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: titi |g Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. P, REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO{RERORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. »T BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENI SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OWING. HE REPORT. 1A OF ABOUT 5 TIMES,. HE DENIES DYSURIA, HE REPORTS H NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP. AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. | INFORME DHIM THAT WE RE@E| HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDI UES. STATES HE FEELS OTHERWISE FIN, Pain: Not Applicable OBJECTIVE: Pulse: 07/30/2019 13:02 94 )Beaudouin, Roberi MD 07/30/2019 09:40 88 Via Machine ¥@& oui, EB vio 07/30/2019 09:30 87 Via Machine ‘Benth Robert MD Respirations: 7, ¥ Date Time Rate Per Minute Provider ll 07/30/2019 09:30 NYM 1: Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02NYM 114/84 Left Arm Standing HE Rover 07/30/2019 09:40NYM 125/60 RightArm _ Standing cyt tf 07/30/2019 09:30NYM 108/86 Left Arm Sitting HB 20b0n.m0 Sa02: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air Di Weight: Generated 07/30/2019 14:05 vy Bureau of Prisons - NYM Page 1 of 3 SDNY_00001035 EFTA_00000244 EFTA00134779

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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 2 of 3 SDNY_00001036 EFTA_00000245 EFTA00134780

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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: Rxt Medication Or ite Prescriber Order Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 10 CC Orally - Two Timesa MG/S5ML Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabetes Renew Medication Orders: Rx Medication Order Date 121836-NYM methylP! ne 4MG Tab(21count 07/30/2019 11:12 Pack) Indication: Cd: and neuritis, unspecified New Laboratory Requests: 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 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): PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic 07/30/2019 Counseling Access to Care 07/30/2019 Counseling Plan of Care Copay Required: No Telephone/Verbal Order: No Completed by EI 07 07/30/2019 14:05 Cosign Required: No Generated 07/30/2019 14:05 vy Bureau of Prisons - NYM 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM MO 4 R 2-3 MINUTES 3 DAYS AGO. Q Qutcome Verbalizes Understanding Verbalizes Understanding Page 3 of 3 SDNY_00001037 EFTA_00000246 EFTA00134781

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Bureau of Prisons Health Services See Amendment Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD 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 SDNY_00001038 EFTA_00000247 EFTA00134782