Inmate Name: EPSTEIN, JEFFREY EOQWARD Date of Birth: 01/20/1953 Encounter Date: 07/09/2019 12:35 M Race: Sex: Provider: [mip 76318-054 Facility: NYM HO1 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 Arteries: Right Left Radial: Femoral: Dorsalis Pedis: Post. Tibialis: Comments: Generated 07/09/2019 13:03 by I. mip Bureau of Prisons - NYM Page 10 of 13 EFTA00140201

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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: [RR cp Unit: 76318-054 NYM HO01 Abdomen: Normal Contour: Yes Scaphoid: 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: Right Left Arm: Leg: Full ROM: Right Left Arm: Yes Yes Leg: Yes Yes Comments: Generated 07/09/2019 13:03 by I. mp Bureau of Prisons - NYM Page 11 of 13 EFTA00140202

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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: 07/09/2019 12:35 Provider: [REN wip Unit: HO1 Reflexes: Right Left Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal: Yes Rash: No Redness: No Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: Item 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 SE muP Bureau of Prisons - NYM Page 12 of 13 EFTA00140203

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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: 07/09/2019 12:35 Provider: [RR ue Unit: 01 Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - New Medication Orders: Rx# Medication Order Date Prescriber Order Bisacodyl E.C. Tablet 07/09/2019 12:35 5 mg Orally at bedtime PRN x 10 day(s) Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by [EEE MLP on 07/09/2019 13:03 Requested to be cosigned by J! MD. Cosign documentation will be displayed on the following page. Generated 07/09/2019 13:03 by SY mur Bureau of Prisons - NYM Page 13 of 13 EFTA00140204

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Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/09/2019 12:35 Provider: [R. wp Cosigned by EEE MD on 07/11/2019 22:41. Bureau of Prisons - NYM Reg #: Race: Facility: 76318-054 WHITE NYM EFTA00140205

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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 indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/SML Exp: 10/28/2019 SIG: shake well take 10ml 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. None Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order Order Date Frequency 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: Generated 08/10/2019 07:00 by EEE RN Bureau of Prisons - NYM Page 1 of 2 EFTA00140206

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Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: lower bunk —- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. -- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment 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: | RN 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 EE RN Bureau of Prisons - NYM Page 2 of 2 EFTA00140207

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Begin Date: 07/07/2019 Reg #: 76318-054 Bureau of Prisons Health Services End Date: Inmate Name: EPSTEIN, JEFFREY EOWARD Vitals All 08/10/2019 Temperature: Date 07/24/2019 Time 13:12 NYM Fahrenheit Celsius Location 36.6 Oral 97.8 Orig Entered: 07/24/2019 13:14 EST J. mie 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST [wie 07/09/2019 12:49 NYM 97.3 36.3 Oral Orig Entered: 07/09/2019 12:51 EST J vie Pulse: Date Time 07/30/2019 13:02 Orig Entered: 07/30/2019 09:40 Orig Entered: 07/30/2019 09:30 Orig Entered: 07/28/2019 20:28 Orig Entered: 07/28/2019 06:57 Orig Entered: 07/24/2019 13:12 Orig Entered: 07/23/2019 06:30 Orig Entered: 07/09/2019 12:49 Orig Entered: Respirations: Date 07/30/2019 Orig Entered: 20:28 NYM 07/28/2019 Orig Entered: 06:57 NYM Orig Entered: 06:30 NYM 07/28/2019 07/23/2019 Orig Entered: 12:49 NYM 07/09/2019 Orig Entered: Generated 08/10/2019 11:02 by EN Time 09:30 NYM Rate Per Minute 94 07/30/2019 13:04 EST 88 07/30/2019 13:04 EST 87 07/30/2019 12:59 EST 81 07/28/2019 20:29 EST 82 07/28/2019 06:58 EST 83 07/24/2019 13:14 EST 92 07/23/2019 08:33 EST 82 07/09/2019 12:51 EST Location es 0 Via Machine a 0 Via Machine es 0 a ee Via Machine ae wr Via Machine ae wr Via Machine a Regular Regular Regular Rate Per Minute Provider 07/30/2019 12:59 EST 07/28/2019 20:29 EST 07/28/2019 06:58 EST 07/23/2019 08:33 EST 07/09/2019 12:51 EST 2 TE 0 es 0 14 i 2 a &. RN Pe 16 TE wr a vr 16 ie Pe wr Bureau of Prisons - NYM Provider a vir a wr a vr Rhythm Provider a 0 es vo es 0 es es vie vie vie Page 1of 3 EFTA00140208

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Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: Date Time Value Location Position Cuff Size = Provider 07/30/2019 13:02NYM 114/84 Left Arm Standing ee Orig Entered: 07/30/2019 13:04 EST [) vo 07/30/2019 09:40 NYM 125/60 RightArm _ Standing a 10 Orig Entered: 07/30/2019 13:04 EST [vo 07/30/2019 09:30 NYM 108/86 — Left Arm Sitting a 10 Orig Entered: 07/30/2019 12:59 EST J vo 07/28/2019 20:28NYM 157/91 | sd Orig Entered: 07/28/2019 20:29 EST [A Rv 07/28/2019 06:57 NYM 138/80 ee = Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12NYM 132/89 Right Arm Sitting Orig Entered: 07/24/2019 13:14 EST [mip 07/23/2019 06:30NYM 140/85 RightArm _ Sitting Orig Entered: 07/23/2019 08:33 EST [wp es Adult-regular a. MLP Adult-regular P| MLP 07/09/2019 12:49NYM 117/66 Right Arm _ Sitting Adult-regular J. vce Orig Entered: 07/09/2019 12:51 EST [J ip Blood Glucose: Date Time Value (mg/dl) Type Regularinsulin Provider 08/04/2019 08:30 156 Non-Fasting a 2 Orig Entered: 08/04/2019 09:08 EST [I Rv 08/02/2019 06:30 97 Non-Fasting a. vie Orig Entered: 08/02/2019 08:16 EST [mip 08/01/2019 06:30 103 Non-Fasting a vir Orig Entered: 08/01/2019 09:00 EST [mp 07/31/2019 06:15 108 Non-Fasting a vir Orig Entered: 07/31/2019 08:36 EST [I mip $a02: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air ee 0 Orig Entered: 07/30/2019 12:59 EST / 07/28/2019 20:28 NYM 98 Orig Entered: 07/28/2019 20:29 EST RN 07/28/2019 06:57 NYM 98 eS RN Orig Entered: 07/28/2019 06:58 EST ae 07/24/2019 13:12 NYM 96 Room Air . MLP Orig Entered: 07/24/2019 13:14 EST J. ue 07/23/2019 06:30 NYM 96 Room Air vie Orig Entered: 07/23/2019 08:33 EST J. wie 07/09/2019 12:49NYM 97 Room Air | Orig Entered: 07/09/2019 12:51 EST J wie Height: Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 2 of 3 EFTA00140209

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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" 1778 we Orig Entered: 07/09/2019 12:51 EST J vce Weight: Date Time Lbs Kg Waist Circum, Provider 07/30/2019 09:30NYM 194.2 88.1 Ee V0 Orig Entered: 07/30/2019 12:59 EST MD 07/09/2019 12:49NYM 194.4 88.2 MLP Orig Entered: 07/09/2019 12:51 EST [mc Generated 08/10/2019 11:02 by NE Bureau of Prisons - NYM Page 3 of 3 EFTA00140210

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Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: Location Provider Reading: induration Provider 07/06/2019 21:39 Right Forearm | 07/09/2019 12:47 Omm | Orig Entered: 07/06/2019 21:43 EST [EN Pa-c Orig Entered: 07/09/2019 12:47 EST [RE up Total: 1 Generated 08/10/2019 11:02 by EEE RN/OPNDC Bureau of Prisons - NYM Page 1 of 1 EFTA00140211

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76318-054 _ EPSTEIN, JEFFREY me Nedication Administration Record JULY 2019 Medication Orders 123 4 5 6 7 8 9Q 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Inject regular insulin subc! a utaneously per sliding scale: twice dady “pil line" for 7 days Insulin Reg (10 ML) 100 UNITSAUL Inj Inject regular insulin subcutaneously per gucding ecole: each morning for 7 days ***pill Insulin Reg (10 ML) 100 UNITS/ML Inj Documentation Codes: ORD = Order | NI = Dose Not Indicated Report information is current a ‘of the ate end tne of prinving: 08/10/2019 11:02 EST EFTA00140212

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76318-054 EPSTEIN, JEFFREY ime vedication Administration Record AUGUST 2019 Medication Orders 12.3 4 5 6 7 8B 9 1011 12 13 14 15 16 17 18 19 insulin Reg (10 ML) 100 UNITSAML inj Papen rdomnation le cuvert 00 of he dole and time of pring: 08/10/2019 11:02 EST EFTA00140213

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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 Device/Equipment Start Date StopDate Date Returned Obtained From Comments C-Pap 07/30/2019 14:05 EST NE mo 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Generated 08/10/2019 11:02 by EE RNNOPNOC Bureau of Prisons - NYM Page 1 of 1 EFTA00140214

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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 Date Intervention Pain Quality Location Pre Post Provider 07/12/2019 13:25 | MEDROL DOSE PACK Shooting Back-Middle 5 Ee 0 Orig Entered: 07/12/2019 13:28 EST [J uo Generated 08/10/2019 11:02 by [EE RN1OP/bc Bureau of Prisons - NYM Page 1 of 1 EFTA00140215

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Bureau of Prisons Health Services Modified Diet Request Types of Diets: __ Clear Liquid Exp Date: __ Low Fat Exp Date: __. Mechanical Soft Exp Date: ___. Low Cholesterol Exp Date: ___. Low Triglyceride Exp Date: __ Renal Exp Date: ___ Full Liquid Exp Date: ___ Sodium Controlled Exp Date: __. Snack Exp Date: ____ Diabetic Exp Date: __ Calorie Controlled Exp Date: _X_ Other: — FISH ALLERGIES. Exp Date: 07/30/2020 Comments: a 0 Health Service Staff EPSTEIN, JEFFREY EDWARD 76318-054 07/30/2019 Inmate Name Reg# Date Generated 07/30/2019 14:57 by [EE mo Bureau of Prisons - NYM Page 1 of 1 EFTA00140216

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Bureau of Prisons Health Services Allergies Reg #: 76318-054 inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40EST [MM pa-c Total: 1 Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1 of 1 EFTA00140217

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Reg #: 76318-054 Bureau of Prisons Health Services Patient Education Assessments & Topics Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment LeamsBestBy PrimaryLanguage Yearsoffducation Barriers To Education 07/09/2019 Total: 1 Speaking/Listening English 12 Orig Entered: 07/09/2019 12:52 EST [A Date lnitiated = Format je - Handout/Topic 07/30/2019 07/30/2019 07/28/2019 07/28/2019 07/24/2019 07/24/2019 07/23/2019 07/23/2019 07/14/2019 07/12/2019 Generated 08/10/2019 11:02 by I RNOPnDc Counseling Access to Care Orig Entered: 07/30/2019 13:33 EST Counseling Plan of Care Orig Entered: 07/30/2019 13:34 EST Counseling Plan of Care Orig Entered: 07/28/2019 07:22 EST [x Counseling Plan of Care Orig Entered: 07/28/2019 20:30 EST Counseling Access to Care Orig Entered: 07/24/2019 13:23 EST [. Counseling Preventive Health Orig Entered: 07/24/2019 13:23 EST J. Counseling Access to Care Orig Entered: 07/23/2019 09:04 EST E- Counseling Plan of Care Orig Entered: 07/23/2019 09:04 EST J Counseling Diagnosis Orig Entered: 07/14/2019 18:11 EST Counseling Diagnosis None Topics Bureau of Prisons - NYM Outcome Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding TU Page 1 of 2 EFTA00140218

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707 968g WAN - Suosiig jo neasng Sa/cOuns A “9 20:11 610z/01/80 payeseve Ob *1B30) HE, ce:c1 6107/21/20 :posewa bu seo Mopuey yeuoy payenay ereq soido) OYvYMGa A3uvssdSP 'NISLSd3a -oweN eyeUEY vSO-BLE9. ‘# Bey EFTA00140219

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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 Time Value Type Comments 08/04/2019 08:30NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST [ Rv 08/02/2019 06:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST [vip 08/01/2019 06:30NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST [wip 07/31/2019 06:15NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST [NM vip Total: 4 Generated 06/10/2019 11:02 by (EEN RNAOP/IDC Bureau of Prisons - NYM Page 1 of 1 EFTA00140220

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Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST A vo ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST RD vio ICD-10 G4730 07/12/2019 Current Essential (primary) hypertension 07/30/2019 13:13 EST A vio ICD-10 110 07/30/2019 Current BY HX. Constipation, unspecified 07/09/2019 12:58 EST J. wip ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST Ay mo ICD-10 MS45 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST |! MO ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST —— PhDIChief | DSM-IV NoDx 07/09/2019 Current jogist Prediabetes 07/30/2019 13:26 EST J M0 ICD-10 R7303 07/30/2019 Current Injury, unspecified 07/23/2019 09:04 EST . MuP ICD-10 T1490 07/23/2019 Current RIO self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST I vo ICD-10 26827 07/30/2019 Current Total: 10 Generated 08/10/2019 11:02 by EY RNnoPnoc Bureau of Prisons - NYM Page 1 of 1 EFTA00140221