Bureau of Prisons

# Health Services

# Vision Screens

Reg #: 76318-054

Inmate Name: EPSTEIN, JEFFREY EDWARD

# Vision Screens (cont.)

<table><tr><th colspan="9">Vision Screen on 07/09/2019 12:52</th></tr><tr><td colspan="9">Blindness:</td></tr><tr><td>Distance Vision:</td><td>OD: 20/100</td><td></td><td></td><td>OS:</td><td>20/70</td><td></td><td>OU:</td><td></td></tr><tr><td>Near Vision:</td><td>OD:</td><td></td><td></td><td>OS:</td><td></td><td></td><td>OU:</td><td></td></tr><tr><td>With Corrective</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Distance Vision:</td><td>OD:</td><td></td><td></td><td>OS:</td><td></td><td></td><td>OU:</td><td></td></tr><tr><td>Near Vision:</td><td>OD:</td><td></td><td></td><td>OS:</td><td></td><td></td><td>OU:</td><td></td></tr><tr><td colspan="3">Present Glasses - Distance</td><td></td><td colspan="3">Refraction Distance</td><td></td><td></td></tr><tr><td>Sphere</td><td>Cylinder</td><td>Axis</td><td>Add</td><td></td><td>Sphere</td><td>Cylinder</td><td>Axis</td><td>Add</td></tr><tr><td>R:</td><td></td><td></td><td></td><td></td><td>R:</td><td></td><td></td><td></td></tr><tr><td>L:</td><td></td><td></td><td></td><td></td><td>L:</td><td></td><td></td><td></td></tr><tr><td>Color Test:</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Tonometry: R:</td><td></td><td>L:</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="9">Comments: Needs evaluation with optometrist.</td></tr><tr><td colspan="9">Orig Entered: 07/09/2019 12:54 EST MLP</td></tr></table>

# Vision Screens (cont.)

Generated 08/10/2019 11:02 by

Bureau of Prisons - NYM

Page 1 of 1

CONFIDENTIAL

SDNY 00009458
EFTA00034968

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 Administered Location Dosage Drug Mfg. Lot # Exp Date
Hepatitis A and B (TwinRx) History Unknown

Orig Entered: 07/09/2019 12:51 EST MLP
Measles/Mumps/Rubella Series History Unknown

Orig Entered: 07/09/2019 12:51 EST MLP
Smallpox Series History Unknown

Orig Entered: 07/09/2019 12:51 EST MLP
Tetanus History Unknown

Orig Entered: 07/09/2019 12:51 EST MLP
Varicella Series History Unknown

Orig Entered: 07/09/2019 12:51 EST MLP
Total: 5

Generated 08/10/2019 11:02 by RN/IOP/IDC

Bureau of Prisons - NYM

Page 1 of 1

CONFIDENTIAL

SDNY 00009459
EFTA00034969

Bureau of Prisons

# Health Services

# Medical Duty Status

Reg #: 76318-054

Inmate Name: EPSTEIN, JEFFREY EDWARD

Housing Status:
 confined to the living quarters except [ ] meals [ ] pill line [ ] treatments 
Exp. Date: <empty>

[ ] on complete bed rest: [ ] bathroom privileges only
Exp. Date: <empty>

[x] cell: [ ] cell on first floor [x] single cell [x] lower bunk [ ] airborne infection isolation
Exp. Date: 10/09/2019

[ ] other: <empty>
Exp. Date: <empty>

Physical Limitation/Restriction:
[ ] all sports
Exp. Date: <empty>

[ ] weightlifting: [ ] upper body [ ] lower body
Exp. Date: <empty>

[ ] cardiovascular exercise: [ ] running [ ] jogging [ ] walking [ ] softball
Exp. Date: <empty>

[ ] football [ ] basketball [ ] handball [ ] stationary equipment
Exp. Date: <empty>

[ ] other: <empty>
Exp. Date: <empty>

May have the following equipment in his / her possession:

Equipment: C-Pap
Start Date: 07/30/2019
End Date: <empty>
Return Date: <empty>

PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE.
SERIAL #: P11312813B1ED.

Work Restriction / Limitation:
Cleared for Food Service: Yes
[x] No Restrictions

Comments: N/A

Health Services Staff: <empty>
Date: 07/30/2019

Inmate Name: EPSTEIN, JEFFREY EDWARD
Reg #: 76318-054
Quarters: Z04

ALL EXPIRATION DATES ARE AT 24:00

# Medical Duty Status (cont.)

Generated 08/10/2019 11:02 by



Bureau of Prisons - NYM

Page 1 of 1

CONFIDENTIAL

SDNY 00009460
EFTA00034970

Bureau of Prisons

# Health Services

# Medical Duty Status

Reg#: 76318-054

Inmate Name: EPSTEIN, JEFFREY EDWARD

Housing Status:
[ ] confined to the living quarters except [ ] meals [ ] pill line [ ] treatments
Exp. Date: <empty>

[ ] on complete bed rest: [ ] bathroom privileges only
Exp. Date: <empty>

[x] cell: [ ] cell on first floor [x] single cell [x] lower bunk [ ] airborne infection isolation
Exp. Date: 10/09/2019

[ ] other: <empty>
Exp. Date: <empty>

Physical Limitation/Restriction:
[ ] all sports
Exp. Date: <empty>

[ ] weightlifting: [ ] upper body [ ] lower body
Exp. Date: <empty>

[ ] cardiovascular exercise: [ ] running [ ] jogging [ ] walking [ ] softball
[ ] football [ ] basketball [ ] handball [ ] stationary equipment
Exp. Date: <empty>

[ ] other: <empty>
Exp. Date: <empty>

May have the following equipment in his / her possession:

Work Restriction / Limitation:
Cleared for Food Service: Yes
[x] No Restrictions

Comments: N/A

Health Services Staff: <empty> MLP
Date: 07/09/2019

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 1 of 1

CONFIDENTIAL

SDNY 00009461
EFTA00034971

# Bureau of Prisons
Health Services
Medication Summary
Historical

Complex: NYM--NEW YORK MCC
Inmate: EPSTEIN, JEFFREY EDWARD

Begin Date: 07/07/2019

Reg#: 76318-054

End Date: 08/10/2019

Quarter: Z04-206LAD

Medications listed reflect prescribed medications from the begin date to end date on this report. Allergies: Denied

# Bureau of Prisons
Health Services
Medication Summary
Historical (cont.)

<table><tr><th colspan="5">Active Prescriptions</th></tr><tr><td colspan="5">Bisacodyl E.C. 5 MG TAB</td></tr><tr><td colspan="5">Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days</td></tr><tr><td>Rx#:</td><td>121757-NYM</td><td>Doctor:</td><td>MLP</td><td></td></tr><tr><td>Start:</td><td>07/09/19</td><td>Exp: 07/19/19</td><td>D/C: 07/12/19</td><td>Pharmacy Dispensings: 10 TAB in 32 days</td></tr><tr><td colspan="4">Docusate Sodium 100 MG Cap</td><td></td></tr><tr><td colspan="4">Take one capsule (100 MG) by mouth twice daily for 30 days</td><td></td></tr><tr><td>Rx#:</td><td>121823-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/12/19</td><td>Exp: 08/11/19</td><td></td><td>Pharmacy Dispensings: 60 CAP in 29 days</td></tr><tr><td colspan="5">Docusate Sodium 100 MG Cap</td></tr><tr><td colspan="5">Take one capsule (100 MG) twice daily by mouth with plenty of water</td></tr><tr><td>Rx#:</td><td>122084-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/26/19</td><td>Exp: 01/22/20</td><td></td><td>Pharmacy Dispensings: 30 CAP in 15 days</td></tr><tr><td colspan="4">Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML
shake well take 2 tablespoonful twice daily by mouth</td><td></td></tr><tr><td>Rx#:</td><td>121835-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/12/19</td><td>Exp: 07/14/19</td><td></td><td>Pharmacy Dispensings: 473 ML in 29 days</td></tr><tr><td colspan="4">Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML
shake well take 10ml by mouth twice daily AS NEEDED</td><td></td></tr><tr><td>Rx#:</td><td>122150-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/30/19</td><td>Exp: 10/28/19</td><td></td><td>Pharmacy Dispensings: 473 ML in 11 days</td></tr><tr><td colspan="4">methylPREDNISolone 4 MG Tab (21 count Pack)</td><td></td></tr><tr><td colspan="4">Take the tablet by mouth as directed</td><td></td></tr><tr><td>Rx#:</td><td>121836-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/12/19</td><td>Exp: 07/18/19</td><td></td><td>Pharmacy Dispensings: 21 tab in 29 days</td></tr><tr><td colspan="4">methy|PREDNISolone 4 MG Tab (21 count Pack)</td><td></td></tr><tr><td colspan="4">Take the tablet by mouth as directed</td><td></td></tr><tr><td>Rx#:</td><td>122149-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/30/19</td><td>Exp: 08/05/19</td><td></td><td>Pharmacy Dispensings: 21 tab in 11 days</td></tr></table>

# Bureau of Prisons
Health Services
Medication Summary
Historical (cont.)

Generated 08/10/2019 11:02 by

Bureau of Prisons - NYM

Page 1 of 2

# CONFIDENTIAL

SDNY 00009462
EFTA00034972

Complex: NYM--NEW YORK MCC
Inmate: EPSTEIN, JEFFREY EDWARD

Begin Date: 07/07/2019

Reg #: 76318-054

End Date: 08/10/2019

Quarter: Z04-206LAD

# CONFIDENTIAL (cont.)

## Active Prescriptions

<table><tr><th colspan="5">Omega 3 (Vascepa) 1 GM Capsule</th></tr><tr><td colspan="5">Take two capsules (2 GM) twice daily by mouth with food</td></tr><tr><td>Rx#:</td><td>121885-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/17/19</td><td>Exp: 01/13/20</td><td></td><td>Pharmacy Dispensings: 180 Cap in 24 days</td></tr><tr><td colspan="5">Insulin Reg (10 ML) 100 UNITS/ML Inj</td></tr><tr><td colspan="5">Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days ***pill line***</td></tr><tr><td>Rx#:</td><td>122148-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/30/19</td><td>Exp: 08/06/19</td><td>D/C: 07/31/19</td><td>Pharmacy Dispensings: 0 ML in 11 days</td></tr><tr><td colspan="5">Insulin Reg (10 ML) 100 UNITS/ML Inj</td></tr><tr><td colspan="5">Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** ***pill line***</td></tr><tr><td>Rx#:</td><td>122160-NYM</td><td>Doctor:</td><td></td><td></td></tr><tr><td>Start:</td><td>07/31/19</td><td>Exp: 08/07/19</td><td></td><td>Pharmacy Dispensings: 0 ML in 10 days</td></tr></table>

# CONFIDENTIAL (cont.)

## Active Prescriptions (cont.)

Generated 08/10/2019 11:02 by



Bureau of Prisons - NYM

Page 2 of 2

# CONFIDENTIAL

SDNY 00009463
EFTA00034973

Bureau of Prisons
Health Services

# Dental Health History Screen

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/26/2019 07:54

Sex: M Race: WHITE
Provider: DDS

Reg #: 76318-054
Facility: NYM
Unit: H01

ASSESSMENTS:

Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems

# Dental Health History Screen (cont.)

<table><tr><th>Health Problems</th><th></th><th></th><th></th></tr><tr><td>Health Problem</td><td></td><td></td><td>Status</td></tr><tr><td>Hyperlipidemia, unspecified</td><td></td><td></td><td>Current</td></tr><tr><td>HYPERTRIGLYCERIDEMIA</td><td></td><td></td><td></td></tr><tr><td>Sleep apnea</td><td></td><td></td><td>Current</td></tr><tr><td>Constipation, unspecified</td><td></td><td></td><td>Current</td></tr><tr><td>Low back pain</td><td></td><td></td><td>Current</td></tr><tr><td>Neuralgia and neuritis, unspecified</td><td></td><td></td><td>Current</td></tr><tr><td>No Diagnosis</td><td></td><td></td><td>Current</td></tr><tr><td>Injury, unspecified</td><td></td><td></td><td>Current</td></tr><tr><td>R/O self inflicted injuries.</td><td></td><td></td><td></td></tr><tr><td colspan="3">Medical History as of Dental Health History Encounter date: 07/26/2019 07:54</td><td></td></tr><tr><td>Medical History:</td><td></td><td></td><td></td></tr><tr><td>Allergies:</td><td>Denied</td><td></td><td></td></tr><tr><td>Seizures:</td><td>Denied</td><td></td><td></td></tr><tr><td>Diabetes:</td><td>Denied</td><td></td><td></td></tr><tr><td>Cardiovascular:</td><td>Denied</td><td></td><td></td></tr><tr><td>CVA:</td><td>Denied</td><td></td><td></td></tr><tr><td>Hypertension:</td><td>Denied</td><td></td><td></td></tr><tr><td>Respiratory:</td><td>Denied</td><td></td><td></td></tr><tr><td>Sickle Cell Anemia:</td><td>Denied</td><td></td><td></td></tr><tr><td>Carcinoma/Lymphoma:</td><td>Denied</td><td></td><td></td></tr><tr><td>HIV History:</td><td></td><td></td><td></td></tr><tr><td>When Tested:</td><td>2019</td><td></td><td></td></tr><tr><td>Test Result:</td><td>Negative</td><td></td><td></td></tr><tr><td>When Diagnosed AIDS:</td><td></td><td></td><td></td></tr><tr><td>Last CD4:</td><td></td><td></td><td></td></tr><tr><td>Comments:</td><td></td><td></td><td></td></tr><tr><td>Hepatitis:</td><td>Denied</td><td></td><td></td></tr></table>

# Dental Health History Screen (cont.)

Generated 07/26/2019 07:59 by



DDS

Bureau of Prisons - NYM

Page 1 of 3

CONFIDENTIAL

SDNY_00009464
EFTA00034974

# Dental Health History Screen (cont.)

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/26/2019 07:54

Sex:
Provider:

M Race: WHITE

DDS

Reg #: 76318-054
Facility: NYM
Unit: H01

Other Infectious Diseases:

Syphilis: No

Syphilis Last Treatment: N/A

Genital Warts: No

Chlamydia: Yes

Gonorrhea: No

Herpes: No

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

Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54

History:

Alcohol: No

Methamphetamine: No

Tobacco products: No

Other drugs: No

Sensitive teeth: No

Bleeding gums: Yes

Food impaction: Yes

Pain around ear: No

Toothache: No

Wear partial dentures: No

Unusual sounds while eating: No

Snoring: Yes

Blisters on lips or mouth: No

Clenching or grinding: Yes

Swelling or lumps in mouth/throat: No

Burning tongue: No
Bad breath: No

Decayed teeth: No

Loose teeth: No

Wear dentures: No

None: No

Comments:

Generated 07/26/2019 07:59 by

DDS

Bureau of Prisons - NYM

Page 2 of 3

CONFIDENTIAL

SDNY 00009465
EFTA00034975

# Dental Health History Screen (cont.)

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/26/2019 07:54

Sex: M
Provider:

Race: WHITE

DDS

Reg #: 76318-054
Facility: NYM
Unit: H01

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 daily for 30 days 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.

Instructed inmate how to obtain medical, dental, and mental health care.

Copay Required: No
Telephone/Verbal Order: No

Cosign Required: No

Completed by

DDS on 07/26/2019 07:59

Generated 07/26/2019 07:59 by



DDS

Bureau of Prisons - NYM

Page 3 of 3

CONFIDENTIAL

SDNY 00009466
EFTA00034976

Bureau of Prisons
Health Services

# Dental A&O Exam

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/26/2019 07:47

Reg #: 76318-054

Sex: M Race: WHITE

Provider:

DDS

Facility: NYM
Unit: H01

Reviewed Health Status: Yes
Occlusion: Class I
Oral Hygiene: Fair
CPTIN:
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 DDS on 07/26/2019 07:47.

Generated 07/26/2019 08:00 by



DDS

Bureau of Prisons - NYM

Page 1 of 1

CONFIDENTIAL

SDNY 00009467
EFTA00034977

Bureau of Prisons

# Health Services
Dental Soap/Admin Encounter

Inmate Name: EPSTEIN, JEFFREY EDWARD

Date of Birth: 01/20/1953
Encounter Date: 07/18/2019 13:48

Sex:
Provider:

M

Race: WHITE
Dental Asst

Reg #: 76318-054
Facility: NYM
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

Dental Asst on 07/19/2019 13:49.

Generated 07/19/2019 13:49 by



Dental

Bureau of Prisons - NYM

Page 1 of 1

CONFIDENTIAL

SDNY_00009468
EFTA00034978

Federal
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons

1900 W. Sunshine Street
Springfield, MO 65807
417-874-1621

***Sensitive But Unclassified ***

Name EPSTEIN, JEFFREY
Reg # 76318-054
DOB 01/20/1953
Sex M

Facility MCC New York
Order Unit E06-547U
Provider MD

Collected 07/09/2019 13:34
Received 07/10/2019 10:44
Reported 07/10/2019 14:46
LIS ID 188191004

# U.S. Medical Center for Federal Prisons (cont.)

<table><tr><th></th><th colspan="6">CHEMISTRY</th></tr><tr><td>Sodium</td><td></td><td>137</td><td></td><td>137-148</td><td></td><td>mmol/L</td></tr><tr><td>Potassium</td><td></td><td>4.7</td><td></td><td>3.5-5.0</td><td></td><td>mmol/L</td></tr><tr><td>Chloride</td><td></td><td>99</td><td></td><td>99-114</td><td></td><td>mmol/L</td></tr><tr><td>CO2</td><td></td><td>27</td><td></td><td>22-30</td><td></td><td>mmol/L</td></tr><tr><td>BUN</td><td></td><td>17</td><td></td><td>7-22</td><td></td><td>mg/dL</td></tr><tr><td>Creatinine</td><td></td><td>1.05</td><td></td><td>0.66-1.25</td><td></td><td>mg/dL</td></tr><tr><td>eGFR (IDMS)</td><td></td><td>&gt;60</td><td></td><td></td><td></td><td></td></tr><tr><td colspan="7">GFR units measured as mL/min/1.73 m^2. If African American multiply by 1.210.
A calculated GFR &lt;60 suggests chronic kidney disease if found over a 3 month period.</td></tr><tr><td>Calcium</td><td></td><td>9.8</td><td></td><td>8.5-10.9</td><td></td><td>mg/dL</td></tr><tr><td>Glucose</td><td></td><td>102</td><td></td><td>70-110</td><td></td><td>mg/dL</td></tr><tr><td>AST</td><td>H</td><td>57</td><td></td><td>11-55</td><td></td><td>U/L</td></tr><tr><td>ALT</td><td></td><td>62</td><td></td><td>11-66</td><td></td><td>U/L</td></tr><tr><td>Alkaline Phosphatase</td><td></td><td>64</td><td></td><td>41-133</td><td></td><td>U/L</td></tr><tr><td>Bilirubin, Total</td><td></td><td>1.1</td><td></td><td>0.2-1.3</td><td></td><td>mg/dL</td></tr><tr><td>Total Protein</td><td></td><td>7.3</td><td></td><td>6.0-8.2</td><td></td><td>g/dL</td></tr><tr><td>Albumin</td><td></td><td>4.4</td><td></td><td>3.6-5.1</td><td></td><td>g/dL</td></tr><tr><td>Globulin</td><td></td><td>2.9</td><td></td><td>2.0-3.7</td><td></td><td>g/dL</td></tr><tr><td>Alb/Glob Ratio</td><td></td><td>1.50</td><td></td><td>1.00-2.30</td><td></td><td></td></tr><tr><td>Anion Gap</td><td></td><td>10.2</td><td></td><td>9.0-19.0</td><td></td><td></td></tr><tr><td>BUN/Creat Ratio</td><td></td><td>16.1</td><td></td><td>5.0-30.0</td><td></td><td></td></tr><tr><td>Cholesterol</td><td>H</td><td>216</td><td></td><td>&lt;200</td><td></td><td>mg/dL</td></tr><tr><td>Triglycerides</td><td>H</td><td>413</td><td></td><td>10-150</td><td></td><td>mg/dL</td></tr><tr><td>Calculation of LDL is</td><td colspan="6">not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated.</td></tr><tr><td>HDL Cholesterol</td><td>L</td><td>31</td><td></td><td>40-60</td><td></td><td>mg/dL</td></tr><tr><td>Chol/HDL Ratio</td><td>H</td><td>6.9</td><td></td><td>0.0-4.0</td><td></td><td></td></tr><tr><td colspan="7">HEMATOLOGY</td></tr><tr><td>WBC</td><td></td><td>7.6</td><td></td><td>4.3-11.1</td><td></td><td>K/UL</td></tr><tr><td>NRBC%</td><td></td><td>0.0</td><td></td><td></td><td></td><td>%</td></tr><tr><td>RBC</td><td></td><td>5.42</td><td></td><td>4.46-5.78</td><td></td><td>M/UL</td></tr><tr><td>Hemoglobin</td><td></td><td>15.6</td><td></td><td>13.6-17.6</td><td></td><td>g/dL</td></tr><tr><td>Hematocrit</td><td></td><td>47.8</td><td></td><td>40.2-51.4</td><td></td><td>%</td></tr><tr><td>MCV</td><td></td><td>88.2</td><td></td><td>82.5-96.5</td><td></td><td>fL</td></tr><tr><td>MCH</td><td></td><td>28.8</td><td></td><td>27.1-34.9</td><td></td><td>pg</td></tr><tr><td>MCHC</td><td>L</td><td>32.6</td><td></td><td>33.0-37.0</td><td></td><td>g/dL</td></tr><tr><td>RDW-CV</td><td></td><td>12.8</td><td></td><td>12.0-14.0</td><td></td><td>%</td></tr><tr><td>Platelet</td><td></td><td>338</td><td></td><td>130-374</td><td></td><td>K/uL</td></tr><tr><td>FLAG LEGEND</td><td>L=Low L!=Low Critical</td><td>H-High H!-High</td><td>Critical</td><td>A=Abnormal A!</td><td>=Abnormal</td><td>Critical</td></tr></table>

# U.S. Medical Center for Federal Prisons (cont.)

Page 1 of 3

# CONFIDENTIAL

SDNY_00009469
EFTA00034979

Federal
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons

1900 W. Sunshine Street

Springfield, MO 65807

417-874-1621

***Sensitive But Unclassified ***

Name EPSTEIN, JEFFREY
Reg # 76318-054
DOB 01/20/1953
Sex M

Facility MCC New York
Order Unit E06-547U

Provider

MD

Collected 07/09/2019 13:34
Received 07/10/2019 10:44
Reported 07/10/2019 14:46
LIS ID 188191004

# U.S. Medical Center for Federal Prisons (cont.)

<table><tr><th></th><th colspan="4">HEMATOLOGY</th></tr><tr><td>MPV</td><td></td><td>10.4</td><td>6.9-10.5</td><td>fL</td></tr><tr><td>%</td><td></td><td>58.7</td><td></td><td>% 87</td></tr><tr><td colspan="5">Neutrophils
Therapeutic decision making should be based on absolute values, rather than percentages</td></tr><tr><td>Lymphocytes %</td><td></td><td>25.0</td><td></td><td>%</td></tr><tr><td>Monocytes %</td><td></td><td>11.1</td><td></td><td>%</td></tr><tr><td>Eosinophils %</td><td></td><td>4.1</td><td></td><td>%</td></tr><tr><td>Basophils %</td><td></td><td>0.8</td><td></td><td>%</td></tr><tr><td>Immature Granulocytes %</td><td></td><td>0.3</td><td>0.0-5.0</td><td>%</td></tr><tr><td>Neutrophils #</td><td></td><td>4.4</td><td>1.9-6.7</td><td>K/UL</td></tr><tr><td>Lymphocytes #</td><td></td><td>1.9</td><td>1.3-3.7</td><td>K/uL</td></tr><tr><td>Monocytes #</td><td></td><td>0.8</td><td>0.3-1.1</td><td>K/UL</td></tr><tr><td>Eosinophils #</td><td></td><td>0.3</td><td>0.0-0.5</td><td>K/uL</td></tr><tr><td>Basophils #</td><td></td><td>0.1</td><td>0.0-0.1</td><td>K/UL</td></tr><tr><td>Immature Granulocytes #</td><td></td><td>0.02</td><td>0.00-0.50</td><td>10^3/uL</td></tr><tr><td></td><td colspan="4">HEMOGLOBIN A1C</td></tr><tr><td>Hemoglobin A1C</td><td>Н</td><td>6.3</td><td>&lt;5.7</td><td>%</td></tr><tr><td>5.7 6.4 Increased Risk
&gt; 6.4 Diabetes</td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td>SEROLOGY</td><td></td><td></td></tr><tr><td>RPR</td><td></td><td>Non-Reactive</td><td>Non-Reactive</td><td></td></tr></table>

# U.S. Medical Center for Federal Prisons (cont.)

Non-Reactive Results may be affected in patients with severely advanced immunosuppression.

FLAG LEGEND L=Low L! Low Critical H=High H!=High Critical A Abnormal A! =Abnormal Critical

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# CONFIDENTIAL

SDNY 00009470
EFTA00034980

Federal
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons

1900 W. Sunshine Street
Springfield, MO 65807
417-874-1621

***Sensitive But Unclassified ***

Name EPSTEIN, JEFFREY
Reg# 76318-054
DOB 01/20/1953
Sex M

Facility MCC New York
Order Unit E06-547U
Provider MD

Collected 07/09/2019 13:34
Received 07/10/2019 10:44
Reported 07/10/2019 14:46
LIS ID 188191004

HIV

HIV 1/2 Negative
Screening test-See confirmatory testing for Reactive results

Negative

FLAG LEGEND L=Low L!=Low Critical H-High H!=High Critical A=Abnormal A! =Abnormal Critical

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# CONFIDENTIAL

SDNY 00009471
EFTA00034981

# Bureau of Prisons
Health Services
Cosign/Review

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/10/2019 16:58

Sex: M
Provider: Lab Result Receive

Reg #: 76318-054
Race: WHITE
Facility: NYM

Cosigned by

on 07/14/2019 18:12.

Bureau of Prisons - NYM

# CONFIDENTIAL

SDNY 00009472
EFTA00034982

BP-S358.060
SEP 05

# MEDICAL TREATMENT REFUSAL

CDFRM

U.S. DEPARTMENT OF JUSTICE.

FEDERAL BUREAU OF PRISONS

7-24-2019
Date

I, 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.

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I 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 tions.

7-24-2019
Counseled by Date Date

07/4/19
Signature of Witness Date NYM--NEW YORK MCC

## CONFIDENTIAL

SDNY 00009473
EFTA00034983

BP-A0618

JUN 16
U.S. DEPARTMENT OF JUSTICE

# A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

FEDERAL BUREAU OF PRISONS

RIGHT:
1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16
32 31 30 29 28 27 26 25 24 23 22 21 20 19 18 17
Gold
LEFT:
Gold

Occclusion:
Oral Hygiene:
Good: <empty>
Fair: [x]
Poor: <empty>

CPITN:
Row 1:
Column 1: 3
Column 2: 2
Column 3: 3
Row 2:
Column 1: 3
Column 2: 2
Column 3: 3

Head & Neck / Soft Tissue:
D:: 0
M:: 1
F:: 14
Classification: CL I
Pain Scale: /10.

# A&O DENTAL EXAMINATION (cont.)

Dental Prostheses at intake:
[x] No
Yes
Type: <empty>
Age: <empty>
Condition: <empty>

Comments: advanced MGD to moderate gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
[ ] No
Yes

Radiographs Taken: (Document findings on A&O encounter)
[ ] No
Yes

Instructed how to obtain urgent and non-urgent dental care:
Yes: [x]
No: <empty>

Treatment Priorities:
None: <empty>
Non-urgent: non-urgent
Urgent: Referred to Sick Call: <empty>

Radiographs authorized:
PA: <empty>
BW: <empty>
Panorex: <empty>

Prophylaxis authorized: Yes [x] No
(Approval valid 18 months from examination date)

Patient Name: Epstein, Jeffrey E
Dentist Signature: <signature> DDS

Register Number: 76318-054
Institution: MCC NEW YORK
Date: 7-26-19.
Signature Block/Stamp: <signature> DDS.

Chief Dental Officer
MCC New York

MCC New York

PDF

# CONFIDENTIAL

Prescribed by P6400

Replaces BP-A0618 of JUN 10

SDNY 00009474
EFTA00034984