BP-S358.060
SEP 05

MEDICAL TREATMENT REFUSAL

CDFRM

U.S.DEPARTMENT OF  JUSTICE

FEDERAL BUREAU OF PRISONS
Date: 7-24-2019

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 accépt 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 expressed wishes and directions.

Counseled by: <empty>
Date: 7-24-2019

Patient's Signature: <signature>
Date: <empty>

NYM—NEW YORK MCC

EFTA00035497

BP-S358.060

# MEDICAL TREATMENT REFUSAL

CDFRM

SEP 05

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS
7-10-2019
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:
66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUTINE 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

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 expressed wishes and directions.

Counseled by: X-RAY
Date: 7-10-2019

7-10-19
Date

Patient's Signature: <signature>
Date: <empty>

NYM--NEW YORK MCC

EFTA00035498

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 expressed wishes and directions.

Counseled by: <empty>
Date: 7-24-2019

Patient's Signature: <signature>
Date: <empty>

Date: 07/24/19
NYM--NEW YORK MCC

EFTA00035499

BP-A0618

JUN 16

A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

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

Occclusion:
Oral Hygiene:
[ ] Good
[x] Fair
[ ] Poor

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.

Dental Prostheses at Intake:
[x] No

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

Intra-oral Photos Taken:
[ ] Yes
[x] No

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

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

Treatment Priorities:
None: [ ]
Non-urgent: non-urgent
Urgent Referred to Sick Call: [ ]

Radiographs authorized:
PAs: <empty>
BWs: <empty>
Panorex: <empty>

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

Patient Name: Epstein, Jeffrey E
Dentist: <empty> DDS

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

Chief Dental Officer

MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

EFTA00035500

BP-A0618

JUN 16

U.S. DEPARTMENT OF JUSTICE

# A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

FEDERAL BUREAU OF PRISONS

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

CPITN:
3: <empty>
2: <empty>
3: <empty>

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

牙齿排列图左侧标注：
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
牙齿排列图右侧标注：
Gold

Dental Prostheses at intake:
[x] No
Comments: advanced MGD to maxilla gingival recession observed. Lower anterior crowding observed

Type: <empty>
Age: <empty>
Condition: <empty>

Intra-oral Photos Taken:
[ ] Yes
[x] No
Radiographs Taken (Document findings on A&O encounter):
[ ] Yes
[x] No

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:
PAAs: <empty>
BWAs: <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.

1

Chief Dental Officer

MCC New York

PDF

Prescribed by P64C0

Replaces BP-A0618 ofJUN 10

EFTA00035501

BP-S358.060
SEP 05

MEDICAL TREATMENT REFUSAL

CDFRM

U.S.  DEPARTMENT  OFJUSTICE

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 expressed wishes and directions.

Counseled by: <empty>
Date: 7-24-2019

Patient's Signature: <signature>
Date: <empty>

Si

Date: 07/24/19

NYM-NEW YORK MCC

EFTA00035502



Federal 
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons

# W. Sunshine Street 1900 W. Sunshine Street 1900

# 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 Negative

Negative

Screening test - See confirmatory testing for Reactive results

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

Page 3 of 3

EFTA00035503

# Bureau of Prisons
Health Services
Cosign/Review

| Inmate Name:    | EPSTEIN, JEFFREY EDWARD   |           |                    | Reg #:    | 76318-054   |
|-|-|-|-|-|-|
| Date of Birth:  | 01/20/1953                | Sex:      | M                  | Race:     | WHITE       |
| Encounter Date: | 07/10/2019 16:58          | Provider: | Lab Result Receive | Facility: | NYM         |

Cosigned by: <empty>
on 07/14/2019 18:12.

Bureau of Prisons - NYM

EFTA00035504

BP-S358.060
SEP 05

MEDICAL TREATMENT REFUSAL

CDFRM

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS
Date: 7-24-2019

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 ex ressed wishes and directions.

Counseled By: <empty>
Date: 7-24-2019

Patient's Signature: <signature>
Date: <empty>

07/4/19

Date

NYM--NEW YORK MCC

EFTA00035505

BP-A0618

JUN 16

A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

U.S. DEPARTMENT OF JUSTICE

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
Gold

Occlusion:
Oral Hygiene:
[ ] Good
[x] Fair
[ ] Poor

CPITN:
[ ] 3
[ ] 2
[ ] 3
[ ] 3
[ ] 2
[ ] 3

Head & Neck / Soft Tissue:

D: 0
M: 1
F: 14
Classification: CL I
Pain Scale: /10

Dental Prostheses at Intake:
[x] No

Comments: advanced gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
[ ] Yes
[x] No

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

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

Treatment Priorities:
None: [ ]
Non-urgent: [ ]
Urgent: Referred to Sick Call: [ ]

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

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

Patient Name: Epstein, Jeffrey E
Dentist Signature: <signature> DDS
Date: 7-26-19.
Signature Block/Stamp: <signature> DDS.

Register Number: 76318-054
Institution: MCC NEW YORK
Chief Dental Officer

MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

EFTA00035506

BP-S358.060
SEP 05

MEDICAL TREATMENT REFUSAL

CDFRM

U.S. DEPARTMENT OF JUSTICE
FEDERAL BUREAU OF PRISONS
Date: 7-24-2019

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 expressed wishes and directions.

Counseled By: <empty>
Date: MD 7-24-2019

Patient's Signature: <signature>
Date: <empty>

Date: <signature>

NYM-NEW YORK MCC

EFTA00035507

BP-S358.060
SEP 05

# MEDICAL TREATMENT REFUSAL

CDFRM

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

7-10-2019
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:
66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUTINE 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

I understand tho 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 expressed wishes and directions.

Counseled by: X-RAY
Date: 7-10-2019

Patient's Signature: <signature>
Date: <empty>

NYM--NEW YORK MCC
Date: 7-10-19

EFTA00035508

BP-A0618

JUN 16

A&O DENTAL EXAMINATION

(Initial Clinical Dental Findings)

U.S. DEPARTMENT OF JUSTICE

FEDERAL BUREAU OF PRISONS

RIGHT LEFT
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 Gold

Occlusion:
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.

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

Comments: advanced gingival recession observed. Lower anterior crowding observed

Intra-oral Photos Taken:
Yes
[x] No

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

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

Treatment Priorities:
None:
[x]

Non-urgent:
non-urgent

Urgent Referred to Sick Call:

Radiographs authorized:
PAAs: <empty>
BWAs: <empty>
Panorex: <empty>

Prophylaxis authorized:
Yes [x]
No

(Approval valid 18 months from examination date)

Patient Name: Epstein, Jeffrey E
Dentist Signature: <empty> DDS
Register Number: 76318-054
Institution: MCC NEW YORK
Date: 7-26-19.
Signature Block/Stamp: <empty> DDS.

PDF Prescribed by P6400

Chief Dental Officer

MCC New York

Replaces BP-A0618 of JUN 10

EFTA00035509

# 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: 08/10/2019 07:25
Provider: RN
Unit: Z04

Emergency Code - Resuscitation Event encounter performed at Special Housing Unit.
SUBJECTIVE:

Emergency Note Provider: RN

Team Members:

Provider RN

Role: Team/Code Leader

## Code Events:

<table><tr><th>Tvoe</th><th>Value</th><th>Date</th></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 06:35</td></tr><tr><td>EKG/Monitor</td><td>Lifepak</td><td>08/10/201906:39</td></tr><tr><td>No shock advised</td><td></td><td></td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 06:40</td></tr><tr><td>Oxygen</td><td>15L</td><td>08/10/201906:47</td></tr><tr><td>IV Access</td><td>Peripheral IV</td><td>08/10/2019 06:48</td></tr><tr><td>18g Left AC</td><td></td><td></td></tr><tr><td>Airway</td><td>Endotracheal Tube</td><td>08/10/2019 07:08</td></tr><tr><td colspan="3">ET Tube 7.5 24CM to L Lip line Placed by Paramedics</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/201907:10</td></tr><tr><td>Epinephrine 3</td><td colspan="2">doses and Sodium bicarb 2 doses administered by paramedics</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:11</td></tr><tr><td>Medications</td><td>Sodium Bicarbonate 1 mEa/kg IV</td><td>08/10/2019 07:11</td></tr><tr><td>IV Fluids</td><td>Normal Saline 0.9% 1000 ml</td><td>08/10/2019 07:12</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:13</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:14</td></tr><tr><td>Medications</td><td>Sodium Bicarbonate 1 mEa/kg IV</td><td>08/10/2019 07:14</td></tr><tr><td>Medications</td><td>Epinephrine 1mg IV</td><td>08/10/2019 07:16</td></tr><tr><td>CPR</td><td>Compressions</td><td>08/10/2019 07:17</td></tr></table>

## 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 Bruising around the neck and posterior mottling, Pupils Fixed and dilated. No Palpable pulses, Call place for EMS, CPR Continued, AED Placed No shock advised, CPR Continued, inmate transported to HSU treatment room with CPR in progress, 18g hep lock to L AC, O2 15 Lt ViA BVM, Pulse Check NO SHOCK advised. EMS and Paramedics arrived 0656, Placed on cardiac monitor asystole Resumed CPR, Inmate was intubated by Medics, 3 Rounds of Epinephrine administered, 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 RN Bureau of Prisons - NYM Page 1 of 2

EFTA00035510

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

Date of Birth: 01/20/1953 
Sex: M 
Race: WHITE
Facility: NYM

Encounter Date: 08/10/2019 07:25
Provider: RN
Unit: Z04

Exam:
ASSESSMENT:
Cardiac Arrest

PLAN:

<table><tr><th>New Consultation Requests:
Consultation/Procedure</th><th></th><th>Target Date</th><th>Scheduled Target Date</th><th>Priority</th><th>Translator</th><th>Ianauage </th></tr><tr><td>Emergency Room</td><td></td><td>08/10/2019</td><td>08/10/2019</td><td>Emergent</td><td>No</td><td></td></tr><tr><td>Subtype:</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>AMBULANCE</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Reason for Request:</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="3">Cardiac arrest with CPR In progress</td><td></td><td></td><td></td><td></td></tr><tr><td>Copay Required:No</td><td></td><td>Cosign Required:</td><td>Yes</td><td></td><td></td><td></td></tr><tr><td>TelephoneNerbal Order: No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Completed by</td><td>RN on</td><td>08/10/2019 08:10</td><td></td><td></td><td></td><td></td></tr><tr><td>Requested to be cosigned by</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="4">Cosign documentation will be displayed on the following page.</td><td></td><td></td><td></td></tr></table>

Generated 08/10/2019 08:10 by RN

Bureau or Prisons • NYM

Pats 2 of 2

EFTA00035511

# 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: 07/30/2019 15:58
Provider: <empty>
Unit: Z01

Chronic Care - Chronic Care Clinic encounter performed at Health Services.

## SUBJECTIVE:

COMPLAINT 1 Provider:

Chief Complaint: Other Problem

Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN. BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES.. HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable

Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/Lipid

OBJECTIVE:

OBJECTIVE:
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, Unkempt, Acutely Ill
Nutrition
No: Appears Obese
Pulmonary
Auscultation
Yes: Clear to Auscultation
Cardiovascular
Auscultation
Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2
No: M/R/G
Musculoskeletal
Tibia / Fibula
No: Edema
Neurologic

Ginersted 07/30/2019 16:12 by Bureau of Prisons • NYM Pop 1 of 2

EFTA00035512

<table><tr><th>Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953 Sex:
Encounter Date: 07/30/2019 15:58 Provider:</th><th>M</th><th>Race: WHITE</th><th>Reg #: 76318-054
Facility: NYM
Unit: Z01</th></tr><tr><td>Exam:</td><td></td><td></td><td></td></tr><tr><td>Cranial Nerves (CN)</td><td></td><td></td><td></td></tr><tr><td>Yes: Within Normal Limits</td><td></td><td></td><td></td></tr><tr><td>Motor System-General</td><td></td><td></td><td></td></tr><tr><td>Yes: Normal Exam</td><td></td><td></td><td></td></tr><tr><td>Motor System-Strength</td><td></td><td></td><td></td></tr><tr><td>Yes: Normal Muscular Strength</td><td></td><td></td><td></td></tr><tr><td>ASSESSMENT:</td><td></td><td></td><td></td></tr><tr><td>Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current</td><td></td><td></td><td></td></tr><tr><td>Constipation, unspecified, K5900 - Current</td><td></td><td></td><td></td></tr><tr><td>Essential (primary) hypertension, 110 - Current - BY HX.</td><td></td><td></td><td></td></tr><tr><td>Hyperlipidemia, unspecified, E785 - Current</td><td></td><td></td><td></td></tr><tr><td>Low back pain, M545 - Current</td><td></td><td></td><td></td></tr><tr><td>Neuralgia and neuritis, unspecified, M792 - Current</td><td></td><td></td><td></td></tr><tr><td>Prediabetes, R7303 - Current</td><td></td><td></td><td></td></tr><tr><td>Sleep apnea, G4730 - Current</td><td></td><td></td><td></td></tr><tr><td>PLAN:</td><td></td><td></td><td></td></tr><tr><td>New Medication Orders:</td><td></td><td></td><td></td></tr><tr><td>RX# Medication </td><td></td><td>Order Date</td><td>Prescriber Order</td></tr><tr><td>INsulin REG - Human</td><td></td><td>07/30/2019 15:58</td><td>SLIDING SCALE
Subcutaneously each morning x
7 day(s) Pill Line Only</td></tr><tr><td>Indication: Prediabetes</td><td></td><td></td><td></td></tr><tr><td colspan="2">Discontinued Medication Orders:</td><td></td><td></td></tr><tr><td>Bat  RX# Medication</td><td></td><td>Order Date</td><td>Prescriber Order</td></tr><tr><td>122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj</td><td></td><td>07/30/2019 15:58</td><td>Inject regular insulin
subcutaneously per sliding scale:
twice daily "pill line"' for 7
days</td></tr><tr><td>Discontinue Type: When Pharmacy</td><td></td><td>Processes</td><td></td></tr><tr><td>Discontinue Reason:new order written
Indication: </td><td></td><td></td><td></td></tr><tr><td colspan="4">Copay Required: No Cosign Required: No</td></tr><tr><td>TelephoneNerbal Order: No</td><td></td><td></td><td></td></tr><tr><td>Completed by on 07/30/2019 16:12</td><td></td><td></td><td></td></tr></table>

Generated 07/30/2019 16:12 by Bureau or Prisons • NYM Page 2 of 2

EFTA00035513

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: | 07/30/2019 11:12          | Provider: |    |       |       | Unit:     | 201         |

Chronic Care • Chronic Care Clinic encounter performed at Health Services.

## SUBJECTIVE:

| COMPLAINT   | 1   | Provider:   |
|-|-|-|

Chief Complaint: Other Problem

<table><tr><th>Subjective:

Pain:</th><th colspan="4">PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION.
PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE
ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO.
STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING.
HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY
SPEAKING OR SWALLOWING.
HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA.
HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING
TOPROL.
HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS
ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I
INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO
HIM TONIGHT..
HE REPORT OTHER NON-MEDICAL ISSUES.
STATES HE FEELS OTHERWISE FINE.
Not Applicable

Amendment</th></tr><tr><td colspan="5">for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory</td></tr><tr><td>OBJECTIVE:</td><td></td><td></td><td></td><td></td></tr><tr><td>Date Time</td><td></td><td>Rate Per Minute</td><td>Location</td><td></td></tr><tr><td>07/30/2019 13:02</td><td></td><td>94</td><td></td><td></td></tr><tr><td>07/30/2019 09:40</td><td></td><td>88</td><td>Via Machine</td><td></td></tr><tr><td>07/30/2019 09:30</td><td></td><td>87</td><td>Via Machine</td><td></td></tr><tr><td>Respirations:</td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td>Rate Per</td><td>Minute Provider</td><td></td></tr></table>

<table><tr><th>Pain:</th><th colspan="5">HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING
TOPROL.
HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS
ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE.
INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO
HIM TONIGHT..
HE REPORT OTHER NON-MEDICAL ISSUES.
STATES HE FEELS OTHERWISE FINE.
Not Applicable

Amendment</th></tr><tr><td colspan="6">Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory</td></tr><tr><td>OBJECTIVE:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Pulse:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td></td><td>Rate Per Minute</td><td>Location</td><td></td></tr><tr><td>07/30/2019</td><td>13:02</td><td></td><td>94</td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:40</td><td></td><td>88</td><td>Via Machine</td><td></td></tr><tr><td>07/30/2019</td><td>09:30</td><td></td><td>87</td><td>Via Machine</td><td></td></tr><tr><td>Respirations:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td></td><td>Time</td><td>Rate Per</td><td>Minute Provider</td><td></td></tr></table>

## OBJECTIVE:

## Pulse:

## Respirations:

| Date       | Time      | Rate Per Minute   | Provider   |
|-|-|-|-|
| 07/30/2019 | 09:30 NYM | 12                |            |

## Blood Pressure:

| =St        | Time      | Mks    | Location   | Position   | Cuff Size   | provider    |
|-|-|-|-|-|-|-|
| 07/30/2019 | 13:02 NYM | 114/84 | Left Arm   | Standing   |             |             |
| 07/30/2019 | 09:40 NYM | 125/60 | Right Arm  | Standing   |             |             |
| 07/30/2019 | 09:30 NYM | 108/86 | Left Arm   | Sitting    |             |             |

## SaO2:

| Date       | Time      | Value(%)   | Air      | Provider   |
|-|-|-|-|-|
| 07/30/2019 | 09:30 NYM | 98         | Room Air |            |

## Weight:

| Date   | Time   | Lbs   | Kg   | Waist Circum.   |
|-|-|-|-|-|

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 1 of 3

EFTA00035514

<table><tr><th colspan="9">Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054
Facility: NYM</th></tr><tr><td rowspan="2" colspan="3">Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 11:12</td><td></td><td>Sex:</td><td>M</td><td>Race: WHITE</td><td></td><td></td></tr><tr><td></td><td>Provider:</td><td></td><td></td><td>Unit:</td><td>201</td></tr><tr><td>Date</td><td>Time</td><td>Lim</td><td>Kg</td><td>Waist</td><td>Circum</td><td>Provider </td><td></td><td></td></tr><tr><td>07/30/2019</td><td>09:30 NYM</td><td>194.2</td><td>88.1</td><td></td><td></td><td></td><td></td><td></td></tr></table>

## 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, Unkempt, Acutely III
Nutrition

No: Appears Obese
Pulmonary
Auscultation
Yes: Clear to Auscultation
Cardiovascular
Auscultation
Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2
No: M/R/G
Musculoskeletal
Tibia / Fibula See Amendment
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, Z6827 - 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:

Rx#

Medication

## Order Date

Prescriber Order

Generated 07/30/2019 14:05 by Bureau of Prisons • NYM Page 2 of 3

EFTA00035515

<table><tr><th>Inmate Name:</th><th>EPSTEIN. JEFFREY EDWARD</th><th></th><th>Reg #: 76318-054</th></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex: M Race: WHITE</td><td>Facility: NYM</td></tr><tr><td>Encounter Date:</td><td>07/30/2019 11:12</td><td>Provider:</td><td>Unit: Z01</td></tr><tr><td colspan="2">New Medication Orders:</td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td>Order Date</td><td>Prescriber Order</td></tr><tr><td></td><td>Magnesium Hydroxide Susp</td><td>conc 800 07/30/2019 11:12</td><td>10 CC Orally Two Times a</td></tr><tr><td></td><td>MG/5ML</td><td></td><td>Day PRN x 90 day(s)</td></tr><tr><td></td><td>Indication: Constipation,</td><td>unspecified</td><td></td></tr><tr><td></td><td>INsulin REG-Human</td><td>07/30/2019 11:12</td><td>SLIDING SCALE</td></tr><tr><td></td><td></td><td></td><td>Subcutaneously - Two Times a
Day x 7 day(s) Pill Line Only</td></tr><tr><td></td><td>Indication: Prediabetes</td><td></td><td></td></tr><tr><td colspan="2">Renew Medication Orders:</td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td>Order Date</td><td>Prescriber Order</td></tr><tr><td>121836-NYM</td><td>methylPREDNISolone 4 MG
Pack)</td><td>Tab (21 count 07/30/2019 11:12</td><td>Take the tablet by mouth as
directed x 6 day(s)</td></tr><tr><td colspan="4">See</td></tr><tr><td>New Laboratory</td><td>Requests:</td><td></td><td></td></tr><tr><td colspan="4">Details Frequency Due Date Priority</td></tr><tr><td>Lab Tests -</td><td>Short List-General-CBC w/diff</td><td>08/01/2019</td><td>00:00 Routine</td></tr><tr><td>Lab Tests-P-PSA,</td><td>Total</td><td></td><td></td></tr><tr><td colspan="4">Lab Tests-U-Uric Acid</td></tr><tr><td>Lab Tests -
Metabolic</td><td>Short List-General-Comprehensive
Profile (CMP)</td><td></td><td></td></tr><tr><td>Lab
New Radiology</td><td>Tests-U-Urinalysis w/Reflex to
Request Orders:</td><td>Microscopic</td><td></td></tr><tr><td>Details</td><td></td><td>Due</td><td>Date Priority</td></tr><tr><td>General</td><td>Radiology-Spine / Cervical-</td><td>One Time</td><td>08/29/2019 ⚫ Routine</td></tr><tr><td>General</td><td></td><td></td><td></td></tr><tr><td>Specific</td><td>reason(s) for request</td><td>(Complaints and findings):</td><td></td></tr><tr><td colspan="4">Amendment

66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUIMBNESS FOR 2-3 MINUTES 3 DAYS AGO.
PLEASE PERFORM C SPINE SERIES</td></tr><tr><td colspan="3">Disposition:</td><td></td></tr><tr><td colspan="4">Follow-up at Sick Call as Needed</td></tr><tr><td colspan="4">Patient Education Topics:</td></tr><tr><td>Date Initiated</td><td>Format</td><td>Handout/Topic</td><td>Outcome</td></tr><tr><td>07/30/2019</td><td>Counseling</td><td>Access to Care</td><td>Verbalizes
Understanding</td></tr><tr><td>07/30/2019</td><td>Counseling</td><td>Plan of Care</td><td>Verbalizes
Understanding</td></tr><tr><td>Copay Required:No</td><td>Cosign</td><td>Required: No</td><td></td></tr><tr><td>TelophoneNerbal</td><td>Order: No</td><td></td><td></td></tr><tr><td>Completed by</td><td>on</td><td>07/30/2019 14:05</td><td></td></tr></table>

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 3 of 3

EFTA00035516

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: | 07/30/2019 11:12          | Provider: |    |       |       | Unit:     | 201         |

Chronic Care - Chronic Care Clinic encounter performed at Health Services.

## SUBJECTIVE:

| COMPLAINT   | 1   | Provider:   |
|-|-|-|

Chief Complaint: Other Problem

Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS THI CPAP MACHINE. I

<table><tr><th>Pain:</th><th colspan="5">HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING
TOPROL.
HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS
ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS THI CPAP MACHINE.
INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO
HIM TONIGHT..
HE REPORT OTHER NON-MEDICAL ISSUES.
STATES HE FEELS OTHERWISE FINE.
Not Applicable

Amendment</th></tr><tr><td>for clinic(s):</td><td></td><td>Endocrine/Lipid,</td><td>Orthopedic/Rheumatology,</td><td></td><td>Pulmonary/Respiratory</td></tr><tr><td>OBJECTIVE:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td>Time</td><td></td><td>Rate Per Minute</td><td>Location</td><td>Provider</td></tr><tr><td>07/30/2019</td><td>13:02</td><td></td><td>94</td><td></td><td>MD</td></tr><tr><td>07/30/2019</td><td>09:40</td><td></td><td>88</td><td>Via Machine</td><td>MD</td></tr><tr><td>07/30/2019</td><td>09:30</td><td></td><td>87</td><td>Via Machine</td><td>MD</td></tr><tr><td>Respirations:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Date</td><td></td><td>Time</td><td>Rate Per</td><td>Minute Provider</td><td></td></tr><tr><td>07/30/2019</td><td></td><td>09:30 NYM</td><td></td><td>12</td><td></td></tr></table>

| Per minute | Location     | Rhythm | Provider        |
|------------|--------------|--------|-----------------|
| 94         | (not shown)  | (not shown) | [redacted] MD |
| 88         | Via Machine  | (not shown) | [redacted] MD |
| 87         | Via Machine  | (not shown) | [redacted] MD |

Key details:
- Seen for: Endocrine/Lipid; Orthopedic/Rheumatology; Pulmonary/Respiratory.
- Notes: Obstructive sleep apnea; patient reports not sleeping for ~3 weeks; CPAP machine received and will be given to patient.
- Other: "Non-medical issues" noted; otherwise fine.

Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory

## OBJECTIVE:

Pulse:

## Respirations:

| Date       | Time      | Rate Per Minute   | Provider   |
|-|-|-|-|
| 07/30/2019 | 09:30 NYM | 12                |            |

## Blood Pressure:

| Date       | im        | Value   | Location   | Position   | Cuff Size   | Provider    |
|-|-|-|-|-|-|-|
| 07/30/2019 | 13:02 NYM | 114/84  | Left Arm   | Standing   |             |             |
| 07/30/2019 | 09:40 NYM | 125/60  | Right Arm  | Standing   |             |             |
| 07/30/2019 | 09:30 NYM | 108/86  | Left Arm   | Sitting    |             |             |

## SaO2:

Date Time Value(%) Air Provider
07/30/2019 09:30 NYM 98 Room Air <empty>

## Weight:

| Date   | Time   | Lbs   | Kg   | Waist Circum.   | Provider   |
|-|-|-|-|-|-|

Generated 07/30/2019 14:05 by

Ehlteallof Prisons • NYM

Page 1 of 3

EFTA00035517

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/30/2019 11:12

Sex:
Provider:

M Race: WHITE

Reg #: 76318-054
Facility: NYM
Unit: Z01

| Date       | Time      | Lbs   | Kg   | Waist Circum.   | Provider   |
|-|-|-|-|-|-|
| 07/30/2019 | 09:30 NYM | 194.2 | 88.1 |                 |            |

## Exam:

<table><tr><th>General</th></tr><tr><td>Affect</td></tr><tr><td>Yes: Cooperative</td></tr><tr><td>Appearance</td></tr><tr><td>Yes: Appears Well, Alert and Oriented x 3</td></tr><tr><td>No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic,
Disheveled, Unkempt, Acutely III

See</td></tr><tr><td>Nutrition</td></tr><tr><td>No: Appears Obese</td></tr><tr><td>Pulmonary</td></tr><tr><td>Auscultation</td></tr><tr><td>Yes: Clear to Auscultation</td></tr><tr><td>Cardiovascular</td></tr><tr><td>Auscultation</td></tr><tr><td>Yes: Regular Rate and Rhythm (RRR), Normal $1 and S2</td></tr><tr><td>No: M/R/G</td></tr><tr><td>Musculoskeletal</td></tr><tr><td>Tibia / Fibula</td></tr><tr><td>No: Edema</td></tr><tr><td>Neurologic</td></tr><tr><td>Cranial Nerves (CN)</td></tr><tr><td>Yes: Within Normal Limits</td></tr><tr><td>Motor System-General</td></tr><tr><td>Yes: Normal Exam</td></tr><tr><td>Motor System-Strength</td></tr><tr><td>Yes: Normal Muscular Strength</td></tr><tr><td>ASSESSMENT:</td></tr><tr><td>Amendment

Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current</td></tr><tr><td>Constipation, unspecified, K5900 - Current</td></tr><tr><td>Essential (primary) hypertension, 110- Current - BY HX.</td></tr><tr><td>Hyperlipidemia, unspecified, E785 - Current</td></tr><tr><td>Low back pain, M545 - Current</td></tr><tr><td>Neuralgia and neuritis, unspecified, M792 - Current</td></tr><tr><td>Prediabetes, R7303 - Current</td></tr><tr><td>Sleep apnea, G4730 - Current</td></tr><tr><td>PLAN:</td></tr><tr><td>New Medication Orders:</td></tr><tr><td>Rx# Medication Order Date Prescriber Order</td></tr></table>

Generated 07/30/2019 14:05 by

Bureau of Prisons - NYM

Page 2 of 3

EFTA00035518

<table><tr><th>Inmate Name:</th><th>EPSTEIN, JEFFREY EDWARD</th><th></th><th></th><th>Reg #:</th><th>76318-054</th></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex: M</td><td>Race:</td><td>WHITE Facility: NYM</td><td></td></tr><tr><td>Encounter Date:</td><td>07/30/2019 11:12</td><td>Provider:</td><td></td><td>Unit: Z01</td><td></td></tr><tr><td colspan="3">New Medication Orders:</td><td></td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td></td><td>Order Date</td><td>Prescriber</td><td>Order</td></tr><tr><td></td><td>Magnesium Hydroxide Susp</td><td>conc 800</td><td>07/30/2019</td><td>11:12 10 CC</td><td>Orally-Two Times a</td></tr><tr><td></td><td>MG/5ML</td><td></td><td></td><td>Day PRN x</td><td>90 day(s)</td></tr><tr><td></td><td>Indication: Constipation,</td><td>unspecified</td><td></td><td></td><td></td></tr><tr><td></td><td>INsulin REG - Human</td><td></td><td>07/30/2019</td><td>11:12 SLIDING</td><td>SCALE</td></tr><tr><td></td><td></td><td></td><td></td><td>Subcutaneously
Day x 7 day(s)</td><td>Two Times a
Pill Line Only</td></tr><tr><td></td><td>Indication: Prediabetes</td><td></td><td></td><td></td><td></td></tr><tr><td>Renew Medication</td><td>Orders:</td><td></td><td></td><td></td><td></td></tr><tr><td>Rx#</td><td>Medication</td><td></td><td>Order Date</td><td>Prescriber</td><td>Order</td></tr><tr><td>121836-NYM</td><td>methylPREDNISolone 4 MG</td><td>Tab (21 count</td><td>07/30/2019</td><td>11:12 Take the tablet</td><td>by mouth as</td></tr><tr><td></td><td>Pack)</td><td></td><td></td><td>directed x 6</td><td>day(s)</td></tr><tr><td colspan="6">See</td></tr><tr><td>New Laboratory</td><td>Requests:</td><td></td><td></td><td></td><td></td></tr><tr><td>Details</td><td></td><td>Frequency</td><td></td><td>Due Date</td><td>Priority</td></tr><tr><td>Lab Tests</td><td>Short List-General-CBC w/diff</td><td></td><td></td><td>08/01/2019 00:00</td><td>Routine</td></tr><tr><td>Lab Tests-P-PSA,</td><td>Total</td><td></td><td></td><td></td><td></td></tr><tr><td colspan="6">Lab Tests-U-Uric Acid</td></tr><tr><td>Lab Tests -</td><td>Short List-General-Comprehensive</td><td></td><td></td><td></td><td></td></tr><tr><td>Metabolic</td><td>Profile (CMP)</td><td></td><td></td><td></td><td></td></tr><tr><td>Lab
New Radiology</td><td>Tests-U-Urinalysis w/Reflex to Microscopic
Request Orders:</td><td></td><td></td><td></td><td></td></tr><tr><td>Details</td><td></td><td>Frequency</td><td></td><td>Due Date</td><td>Priority</td></tr><tr><td>General</td><td>Radiology-Spine / Cervical-</td><td>One Time</td><td></td><td>08/29/2019</td><td>Routine</td></tr><tr><td>General</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Specific</td><td>reason(s) for request</td><td>(Complaints and</td><td>findings):</td><td></td><td></td></tr><tr><td colspan="6">Amendment

66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUIMBNESS FOR 2-3 MINUTES 3 DAYS AGO.
PLEASE PERFORM C SPINE SERIES</td></tr><tr><td>Disposition:</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Follow-up at</td><td>Sick Call as Needed</td><td></td><td></td><td></td><td></td></tr><tr><td colspan="6">Patient Education Topics:</td></tr><tr><td>Date Initiated</td><td>Format</td><td>Handout/Topic</td><td></td><td></td><td>Outcome</td></tr><tr><td>07/30/2019</td><td>Counseling</td><td>Access to Care</td><td></td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>07/30/2019</td><td>Counseling</td><td>Plan of Care</td><td></td><td></td><td>Verbalizes
Understanding</td></tr><tr><td>Copay Required:No</td><td>Cosign</td><td>Required: No</td><td></td><td></td><td></td></tr><tr><td>TelephoneNerbal</td><td>Order: No</td><td></td><td></td><td></td><td></td></tr><tr><td>Completed by</td><td>on</td><td>07/30/2019 14:05</td><td></td><td></td><td></td></tr></table>

Generated 07130/2019 14:05 by

Bureau of Prisons NYM -

Page 3 of 3

EFTA00035519

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: 07/30/2019 15:58
Facility: NYM

Amendment made to this note by on 07/30/201916:12.

Bureau of Prisons - NYM

EFTA00035520