£00/100d JENNIFER L. SOLOMON, M.D. SPINE AND SPORTS MEDICINE HOSPITAL FOR SPECIAL SURGERY 429E.75™*STREET, 4°" EL. NEW Y, 2 TEL; FACSIMILE TRANSMITTAL SHEET FROM 4 oc Lee Cre Ada Mojica COMPANY: DATE; FAX NUMBER: PHONE NUMBER: SENDER'S PHONE NUMBER RE SENDER'S FAX NUMBER Ourcent Oror review O please COMMENT ~—CIPLEASE REPLY NOTES/COMMENTS Bo0Z:£0 9102 8 8m GLEBL6L909: xe4 TOTAL NO. OF PAGES INCLUDING COVER: 0 PLEASE RECYCLE EFTA00283009

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Ba HOSPITAL FOR Mn] SPECIAL SURGERY Jennifer L. Solomon, M.D. Spine and Sports Medicine Hospital for Special Surgery 535 EAST 70th STREET Tele: Name: Jeffrey Epstein DOB: 1/20/1953 Age: 63 Date of Visit: 7/7/2016 Referring Physician:Jennifer Solomon CHIEF COMPLAINT: Intermittent tingling bilateral lower extremities, HISTORY OF PRESENT ILLNESS: This is a 63-year-old gentleman who presents today for initial consultation regarding a several-year history of intermittent numbness and tingling. He has no pain. He denies any progressive weakness, bowel dysfunction. He denies any change in his quality of life. ALLERGIES: No Known Allergies Confirmed - 07/07/16 9:08:38 AM EST Forma! Heath Record - Epstein, Jefirey Page 3 of 6 £00/Z00d e00Z:£0 9102 8 8ny a NOMOTOS “4d EFTA00283010

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PAST MEDICAL HISTORY: Edema and parathyroid issues. PAST SURGICAL HISTORY: Appendectomy. ALLERGIES: He denies allergies to medications. FAMILY HISTORY: Diabetes. REVIEW OF SYSTEMS: Denies any weight loss, fevers, chills, bowel or bladder dysfunction. SOCIAL HISTORY: He exercises moderately. He is single. PHYSICAL EXAMINATION: He is 5'11", 175 Ib, blood pressure 117/61, pulse 51. The patient presents today in no acute distress, alert and oriented x 3. Cervical range of motion is full. Lumbar range of motion is full. Strength is 5/5. Sensation is grossly intact. Reflexes are symmetric. No evidence of muscle atrophy, asymmetry or fasciculations. RADIOGRAPHS: Radiographic evaluation shows grade | spondylolisthesis at 4-5 with spinal stenosis. IMPRESSION: Spinal stenosis. PLAN: At this time we reviewed all of his findings. We reviewed his films and surgical and nonsurgical options. At this time | would trial of Neurontin to see if we can decrease some of his symptoms. We discussed this at great length. Follow up on a basis. PROBLEM LIST: Spinal Stenosis Lumbar Region Dictated by: Jennifer L. Solomon, cc: Dr. Bruce Moskowitz. Formal Mearh Record - Epstein, Jefrey £00/€00d Bo0Z-£0 9102 8 8m a *e NOMOTOS * Page 4 of 6 EFTA00283011