# Bureau of Prisons
Health Services
Vision Screens

## Reg #: 76318-054

Inmate Name: EPSTEIN, JEFFREY EDWARD

Vision Screen on 07/09/2019 12:52

Blindness:
Distance Vision: OD: 20/100 OS: 20/70 OU: <empty>
Near Vision: OD: <empty> OS: <empty> OU: <empty>

With Corrective
Distance Vision: OD: <empty> OS: <empty> OU: <empty>
Near Vision: OD: <empty> OS: <empty> OU: <empty>

Present Glasses - Distance
Sphere Cylinder Axis Add R: <empty> L: <empty>
Refraction - Distance
Sphere Cylinder Axis Add R: <empty> L: <empty>

Color Test:
Tonometry: R: <empty> L: <empty>
Comments: Needs evaluation with optometrist.
Orig Entered: 07/09/2019 12:54 EST <empty> MLP

Generated Generated 08110/2019 11:02 by 08110/2019 11:02 by

Bureau of Prisons - NVM Bureau of Prisons - NVM

Page 1 of 1 Page 1 of 1 Page 1 of 1

CONFIDENTIAL

SDNY 00009458

EFTA00033843

# 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: Hepatitis A and B (TwinRx)
History Unknown
Orig Entered: 07/09/2019 12:51 EST
Administered: <empty>
Location: MLP
Dosage: <empty>
Drug Mfg.: <empty>
Lot #: <empty>
Exp Date: <empty>

Immunization: Measles/Mumps/Rubella Series
History Unknown
Orig Entered: 07/09/2019 12:51 EST
Administered: <empty>
Location: <empty>
Dosage: <empty>
Drug Mfg.: <empty>
Lot #: <empty>
Exp Date: <empty>

Immunization: Smallpox Series
History Unknown
Orig Entered: 07/09/2019 12:51 EST
Administered: <empty>
Location: <empty>
Dosage: <empty>
Drug Mfg.: <empty>
Lot #: <empty>
Exp Date: <empty>

Immunization: Tetanus
History Unknown
Orig Entered: 07/09/2019 12:51 EST
Administered: <empty>
Location: <empty>
Dosage: <empty>
Drug Mfg.: <empty>
Lot #: <empty>
Exp Date: <empty>

Immunization: Varicella Series
History Unknown
Orig Entered: 07/09/2019 12:51 EST
Administered: <empty>
Location: <empty>
Dosage: <empty>
Drug Mfg.: <empty>
Lot #: <empty>
Exp Date: <empty>

Total: 5

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

Bureau of Prisons NYM -

Page 1 of 1 Page 1 of 1

CONFIDENTIAL

SDNY 00009459
EFTA00033844

# 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
[ ] 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
[ ] 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

Generated 08/10/2019 11 02 by

Bureau of Prisons • NYM

CONFIDENTIAL

Page 1 of

SDNY 00009460

EFTA00033845

# 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 [ ] 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:

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 of1

CONFIDENTIAL

SONY 00009461

EFTA00033846

Bureau of Prisons

Health Services

# Medication Summary

# Historical

Complex: NYM--NEW YORK MCC
Begin Date: 07/07/2019
End Date: 08/10/2019

Inmate: EPSTEIN, JEFFREY EDWARD
Reg #: 76318-054
Quarter: Z04-206LAD

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
Rx#: 121757-NYM 
Doctor: <empty> . MLP
Start: 07/09/19 
Exp: 07/19/19 
D/C: 07/12/19 
Pharmacy Dispensings: 10 TAB in 32 days

Docusate Sodium 100 MG Cap
Take one capsule (100 MG) by mouth twice daily for 30 days
Rx#: 121823-NYM 
Doctor: <empty>
Start: 07/12/19 
Exp: 08/11/19 
Pharmacy Dispensings: 60 CAP in 29 days

Docusate Sodium 100 MG Cap
Take one capsule (100 MG) twice daily by mouth with plenty of water
Rx#: 122084-NYM 
Doctor: <empty>
Start: 07/26/19 
Exp: 01/22/20 
Pharmacy Dispensings: 30 CAP in 15 days

Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML
shake well take 2 tablespoonful twice daily by mouth
Rx#: 121835-NYM 
Doctor: <empty>
Start: 07/12/19 
Exp: 07/14/19 
Pharmacy Dispensings: 473 ML in 29 days

Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML
shake well take 10ml by mouth twice daily AS NEEDED
Rx#: 122150-NYM 
Doctor: <empty>
Start: 07/30/19 
Exp: 10/28/19 
Pharmacy Dispensings: 473 ML in 11 days

methylPREDNISolone 4 MG Tab ( 21 count Pack)
Take the tablet by mouth as directed
Rx#: 121836-NYM 
Doctor: <empty>
Start: 07/12/19 
Exp: 07/18/19 
Pharmacy Dispensings: 21 tab in 29 days

methylPREDNISolone 4 MG Tab ( 21 count Pack)
Take the tablet by mouth as directed
Rx#: 122149-NYM 
Doctor: <empty>
Start: 07/30/19 
Exp: 08/05/19 
Pharmacy Dispensings: 21 tab in 11 days

Generated 08/10/2019 11:02 by <empty>
Bureau of Prisons - NYM
Page 1 of 2

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SDNY 00009462

EFTA00033847

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

## 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>Inject</td><td>regular insulin</td><td colspan="3">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>Inject</td><td>regular insulin</td><td colspan="3">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>

Generated 08/10/2019 11:02 by Generated 08/10/2019 11:02 by

Bureau of Prisons - NYM Bureau of Prisons - NYM

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CONFIDENTIAL

SDNY 00009463

EFTA00033848

# Bureau of Prisons
Health Services
Dental Health History Screen

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

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

Encounter Date: 07/26/2019 07:54
Provider: DDS
Unit: H01

## ASSESSMENTS:

| Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54   | Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54   |
|-|-|
| Health Problems                                                                |                                                                                |
| hen Problem                                                                    | Status                                                                         |
| Hyperlipidemia, unspecified<br />HYPERTRIGLYCERIDEMIA                          | Current                                                                        |
| 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:<empty>
Last CD4:<empty>
Comments:<empty>
Hepatitis: Denied

Generated 07/26/2019 07:59 by DOS

Bureau of Prisons - NYM

Page 1of 3

CONFIDENTIAL

SDNY 00009464

EFTA00033849

<table><tr><th>Inmate Name: EPSTEIN, JEFFREY
Date of Birth: 01/20/1953
Encounter Date: 07/26/2019 07:54</th><th>EDWARD</th><th>Sex: M
Provider:</th><th>Race:</th><th>WHITE
DDS</th><th>Reg #:
Facility:
Unit:</th><th>76318-054
NYM
H01</th><th></th></tr><tr><td colspan="6">Other Infectious Diseases:</td><td></td><td></td></tr><tr><td>Syphilis:</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Syphilis Last Treatment:</td><td>N/A</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Genital Wads:</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Chlamydia:</td><td>Yes</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Gonorrhea:</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Herpes:</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Chicken Pox:</td><td>Yes</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Other:</td><td>No</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="2">Comments: Chlamydia in 2015, treated
Chicken pox in childhood</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Other Health Issues:</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="6">Other Medical Conditions And Treatment: sleep apnea</td><td></td><td></td></tr><tr><td>Current Medical Conditions:</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Other Current Treatments:</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Pregnant: N/A</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td colspan="8">Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54</td></tr><tr><td></td><td>History:</td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Alcohol:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Methamphetamine:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Tobacco products:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Other drugs:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Sensitive teeth:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Bleeding gums:</td><td></td><td>Yes</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Food impaction:</td><td></td><td>Yes</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Pain around ear:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Toothache:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Wear partial dentures:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Unusual sounds while eating:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Snoring:</td><td></td><td>Yes</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Blisters on lips or mouth:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Clenching or grinding:</td><td></td><td>Yes</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Swelling or lumps in mouth/throat:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Burning tongue:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Bad breath:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Decayed teeth:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Loose teeth:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Wear dentures:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>None:</td><td></td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Comments:</td><td></td><td></td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Generated 07/26/2019 07:59 by</td><td>DDS</td><td>Bureau of Prisons</td><td>- NYM</td><td></td><td></td><td>Page</td><td>2 of 3</td></tr></table>

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SDNY 00009465
EFTA00033850

<table><tr><th>Inmate Name: EPSTEIN. JEFFREY EDWARD</th><th></th><th></th><th></th><th></th><th>Reg #:</th><th>76318-054</th></tr><tr><td>Date of Birth: 01/20/1953</td><td>Sex: M</td><td>Race:</td><td>WHITE</td><td></td><td>Facility:</td><td>NYM</td></tr><tr><td>Encounter Date: 07/26/2019 07:54</td><td>Provider:</td><td></td><td></td><td>DDS</td><td>Unit:</td><td>H01</td></tr><tr><td>Cardiac Condition Requiring Prophylaxis:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Prosthetic joint(s):</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Radiation history of head or neck:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Excessive bleeding:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Bisphosphonates:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Comments: </td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>

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

Cosign Required: No

Telephone/Verbal Order: No

Completed by DDS on 07/26/2019 07:59

Generated 07/26/2019 07:59 by DOS

Bureau of Prisons - NYM

Page 3 or 3

CONFIDENTIAL

SDNY 00009466
EFTA00033851

# Bureau of Prisons
Health Services
Dental A&O Exam

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

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

Encounter Date: 07/26/2019 07:47
Provider: DDS
Unit: H01

Reviewed Health Status: Yes
Occlusion: Class I
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 <empty> DDS on
07/26/2019 07:47.

Generated 07/26/2019 08:00 by DOS

Bureau of Prisons - NYM

Page 1 of 1

CONFIDENTIAL

SDNY 00009467
EFTA00033852

# Bureau of Prisons
Health Services
Dental Soap/Admin Encounter

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

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

Encounter Date: 07/18/2019 13:48 
Provider: <empty> 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 Dental Asst on 07/19/2019 13:49.

Consumed  07/19/2019 13:49 by

Denial

Bureau of Prisons • NYM

Page 1 of 1

CONFIDENTIAL

SDNY_00009468
EFTA00033853



Federal 
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons U.S. Medical Center for Federal Prisons

# 1900 W. Sunshine Street 1900 W. Sunshine Street

Springfield, MO 65807

417-874-1621 "' Sensitive But Unclassified 1"

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

<table><tr><th></th><th colspan="5">CHEMISTRY</th></tr><tr><td>Sodium</td><td></td><td>137</td><td>137-148</td><td></td><td>mmol/L</td></tr><tr><td>Potassium</td><td></td><td>4.7</td><td>3.5-5.0</td><td></td><td>mmol/L</td></tr><tr><td>Chloride</td><td></td><td>99</td><td>99-114</td><td></td><td>mmol/L</td></tr><tr><td>CO2</td><td></td><td>27</td><td>22-30</td><td></td><td>mmol/L</td></tr><tr><td>BUN</td><td></td><td>17</td><td>7-22</td><td></td><td>mg/dL</td></tr><tr><td>Creatinine</td><td></td><td>1.05</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></tr><tr><td colspan="6">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>8.5-10.9</td><td></td><td>mg/dL</td></tr><tr><td>Glucose</td><td></td><td>102</td><td>70-110</td><td></td><td>mg/dL</td></tr><tr><td>AST</td><td>H</td><td>57</td><td>11-55</td><td></td><td>U/L</td></tr><tr><td>ALT</td><td></td><td>62</td><td>11-66</td><td></td><td>U/L</td></tr><tr><td>Alkaline Phosphatase</td><td></td><td>64</td><td>41-133</td><td></td><td>U/L</td></tr><tr><td>Bilirubin, Total</td><td></td><td>1.1</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>6.0-8.2</td><td></td><td>g/dL</td></tr><tr><td>Albumin</td><td></td><td>4.4</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>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>1.00-2.30</td><td></td><td></td></tr><tr><td>Anion Gap</td><td></td><td>10.2</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>5.0-30.0</td><td></td><td></td></tr><tr><td>Cholesterol</td><td>H</td><td>216</td><td>&lt;200</td><td></td><td>mg/dL</td></tr><tr><td>Triglycerides</td><td>H</td><td>413</td><td>10-150</td><td></td><td>mg/dL</td></tr><tr><td colspan="4">Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore</td><td>the LDL is not</td><td>calculated.</td></tr><tr><td>HDL Cholesterol</td><td>L</td><td>31</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>0.0-4.0</td><td></td><td></td></tr><tr><td colspan="4">HEMATOLOGY</td><td></td><td></td></tr><tr><td>WBC</td><td></td><td>7.6</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></tr><tr><td>RBC</td><td></td><td>5.42</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>13.6-17.6</td><td></td><td>g/dL</td></tr><tr><td>Hematocrit</td><td></td><td>47.8</td><td>40.2-51.4</td><td></td><td>%</td></tr><tr><td>MCV</td><td></td><td>88.2</td><td>82.5-96.5</td><td></td><td>fL</td></tr><tr><td>MCH</td><td></td><td>28.8</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>33.0-37.0</td><td></td><td>g/dL</td></tr><tr><td>RDW-CV</td><td></td><td>12.8</td><td>12.0-14.0</td><td></td><td>%</td></tr><tr><td>Platelet</td><td></td><td>338</td><td>130-374</td><td></td><td>K/uL</td></tr></table>

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

Page 1 of 3

CONFIDENTIAL

SDNY 00009469

EFTA00033854



Federal 
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons

# 1900 W. Sunshine Street

# Springfield, MO 65807

# 417-874-1621

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

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

***Sensitive But Unclassified ***

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

<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 87</td></tr><tr><td>Neutrophils %</td><td></td><td>58.7</td><td></td><td>%</td></tr><tr><td colspan="5">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></table>

SEROLOGY

RPR Non-Reactive Non-Reactive
Results may be affected in patients with severely advanced immunosuppression.
FLAG LEGEND Low Low Critical High High Critical Abnormal Abnormal Critical

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

Page 2 of 3

CONFIDENTIAL

SDNY 00009470

EFTA00033855



Federal
Bureau of
Prisons

# U.S. Medical Center for Federal Prisons U.S. Medical Center for Federal Prisons

# 1900 W. Sunshine Street 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 Negative

Negative

Screening lest - See confirmatory testing for Reactive results

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

Page 3 of 3

CONFIDENTIAL

SDNY 00009471

EFTA00033856

# 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

CONFIDENTIAL

SDNY 00009472
EFTA00033857

BP-S358.060

MEDICAL TREATMENT REFUSAL

CDFRM

SEP 05

U.S. U.S. DEPARTMENT DEPARTMENT OF OF JUSTICE 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

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

Date

| Field | Value |
|---|---|
| Signature of Witness | Blacked out |
| Date | 07/14/19 |

NYM--NEW YORK MCC

CONFIDENTIAL

SDNY 00009473
EFTA00033858

BP-A0618

A&O DENTAL EXAMINATION

JUN 16

U.S.  DEPARTMENT OF JUSTICE

(Initial Clinical Dental Findings)

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

Occclusion:
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

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

Chief Dental Officer
MCC New York

PDF

Prescribed by P6400

Replaces BP-A0618 of JUN 10

CONFIDENTIAL

SDNY 00009474

EFTA00033859