Epstein Secrets

8-054 Ord. Date 07/30/19 14:21 Exp. Date 07/31/19 10:01 NYM 122148- NYM Ord. Date 07/31/19 10:00 Exp. Date 08/07/19 09:59 NYM 122160- NYM EPSTEIN, JEFFREY Medication Orders ~u)(6), (b)(7)(C) Inject regular Insulin subcutaneously per sliding scale: twice daily ... pill line••• for 7 days I

8-054 WHITE NYM Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 07/24/2019 15:10 Sex: M Race:WHITE Provider: fb)(6); (b)(7)(C) IMD Admin Note - General Administrative Note encounter performed a

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/26/2019 08:57 Amendment made to this note b-YP,)(6); (b)(7)(C) jMD on 07/2

for Food Service: Yes --- x No Restrictions Comments: N/A ,b)(6); (b)(7)(C) I MLP 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EOW D Reg#: _____ ..__ ___ ~-- - - 76318-054 Quarters: null ALL EXPIRATION DA TES ARE AT 2•1:00 Generated 05/11/2020 09:57 by ~Jb_)(6_), __

A! =Abnormal Critical Page 1 of 3 @ Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Name EPSTEIN, JEFFREY Reg# 76318-054 DOB 01/20/1953 Sex M MPV Neutrophils % Springfield, MO 65807 417-874-1621 Facility MCC New York Order Unit E06-547U Provider rb

P-S489.061 of APR BP-S356.060 SEP 05 MEDICAL TREATMENT R FUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-9-2019 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 LAY

Saturday, August 10, 2019, at around 7:37 a.m. Mr. Epstein had been found unresponsive in his cell in the Sp

Richard M. Berman, District Judge Daniel Patrick Moynihan United States Courthouse 500 Pearl Street New York, New York 10007-1312 Re: EPSTEIN, Jeffrev, Federal Register No. 76318-054 United States v. Jeffrey Epstein, 19-cr-00490-RMB Dear Chief Judge McMahon and Judge Berman: U.S. Department of Ju

s not appropriate for samples with a triglyceride greater than 400 mg/dl. Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.

Page 2564 Inmate Name: EPSTEIN, JEFFREY EDWARD Bureau of Prisons Health Services Clinical Encounter Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Provider

Page 2564 Inmate Name: EPSTEIN, JEFFREY EDWARD Bureau of Prisons Health Services Clinical Encounter Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019

: Work Restriction / Limitation: Cleared for Food Service: Yes --- x No Restrictions Comments: N/A Health Services Staff Inmate Name: EPSTEIN, JEFFREY EOW D Reg#: _____ ....._ ___ ~-- - - ALL EXPIRATION DA TES ARE AT 2•1:00 Exp. Date: - - ---- Exp. Date: _____ _ Exp. Date: ------ softball Exp

l observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security

NYM Page 2667 BP-S358.060 SEP05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-201 9 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 LAY

onsulted. Psych Observation will be discontinued. Mr. Epstein was educated about both routine and emergency pr

s not appropriate for samples with a triglyceride greater than 400 mg/dl. Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dl Chol/HDL Ratio WBC NRBC¾ RSC Hemoglobin Hematocrit MCV MCH MCHC RDW-CV Platelet FLAG LEGEND H L 6.9 HEMATOLOGY 7.6 0.0 5.42 15.6 47.8 88.2 28.

09802 BioReference FINAL REPORT LAB ORATOR I ES on OPKOHHamh Compeny CLINICAL REPORT EOS !ubs "fitialiet EtidateberES Platelet Count MPV I EPSTEIN, 3EFFREY • DOD' 01/20/1953 Age: 64 x Sex: M U/FL: Bed: Ra: Patient ID: egss:9 EAST 71ST STREET, NEW YORK, NY 10021 P: • • 5.4 0.2 240

JamosIdNe;s6wrpor160. Rage 3 of 15 Laborstory Director printed 09/06/2017 16:22 EFTA00609803 BioReference E$ on OPKOHasith Company PSTEIN, JEFFREY FINAL REPORT ORSHER, STUART Specimen ID: 204364919 P DOB: 01/20/1953 Age: 64 V Sex: .M Date Of Report: 09/08/2017 11:30 - STUART ORSMER, M.D.

L <150 ii7ac mg/dL Test Not Performed: Unable to perform HDL test due to elevated Triglycerides (>1290). INDL a rt:of diolesterol. TNP Y14 • Chol/HDL Ratio TNP <7.4 ilIDL/HDL' Ratio <3.56 COL'thOiesterol 'dee sox NOTE: Unable to calculate us. due to a Triglyceride level of greater than 400 mg/dL.

nce LABORATORI ES en OPKO Health Cur.peny ER, STUART C3070 - STUART ORSHER, K.D. 9 EAST 79TH ST, NEW YORK, NY 10021 Acct 4: C3070 P: MO IA EPSTEIN, JEFFREY 00B: 01/20/1553 Age: 64 V Sex: M U/FL: Bed; Re: Patient ID: ddress:9 EAST 71ST STREET, NEW YORK, Me 10821 v: Notes: NON FASTING FI

5 Jamms1NoWsorgorht0. Laborstory Director printed 00/011/2017 16:22 EFTA00299747 BioReference LABORATORI E $ tin OPKci maim, Company PSTEIN, JEFFREY FINAL REPORT ORSHER, STUART Specimen ID: 204364919 P DOS: ex/20/1953 Age: G4 V Sek:M Date Of Report: 09/88/2017 11:30 C3070 - STUART ORSHER, M.

mg/dL <150 ii7ac mn/OL Test Not Performed: Unable to perform HDL test due to elevated Triglycerides (>1290). INDL airtof diolesterol. TNP >14 Chol/HDL Ratio TNP <7.4 0.0L/HOL' Ratio TNP <3.56 ibLthblesterol cib't tile <100 sox NOTE: Unable to calculate LDL due to a Triglyceride level of greater

ence PRELIMINARY L Aar, ,: ATC: 9 I ES C/PKO ORSHER, STUART C3070 - STUART ORSHER, M.D. 9 EAST 79TH ST, NEW YORK, NY 18021 Acct P. PO IIIII EPSTEIN, JEFFREY D08: 41/20/1953 Age:64 V skate i U/FL: Bed: RM: • Patient 10: Address:9 EAST 71ST STREET. INW YORK, HY 10021 P: Dotes: NON FASTING

KO Hecon Convene ORSHER, STUART 3078 - STUART ORSHER, M.D. 9 EAST 79TH ST, NEW YORK, NY 10021 Acct #: (03870) P. CLINICAL REPORT MO EPSTEIN, JEFFREY -----) DOB: 01/26/1953 Age: 64 V Six: M U/Fl: Bed: Rm: Patient ID: Address:, EAST Tut STREET, NEW YORK, NY 10021 11: -- eve IM a bodies s

17 1RVAW:felY"' Cholesterol iTriayearides NOL CHOL., DIRECT MK as % of cholesterol 13 • >la •.• • it Evaluation: MOVE AVO.(PODERATE RISK) :Chol/HDL Ratio 7.7 • <7.4 Evaluation: ABOVE 4vG.(RODERATE RISK) rlDIVA0L Aiii0 " - 0.0L%Chelestendk . can't calc Can't Cili <100 <3.50 iiT&-- Cortrinta

oReference PRELIMINARY LABORATORIES D 0 T C R FISCH, HARRY C1720 - HARRY FISCH, M.D. NEW YORK, NY 10028 Acct #: (C1720) P: S1 L EPSTEIN, JEFFREY P DOB: 01/20/1953 Age: 63 y Sex: M A U/FL: Bed: T Rm: I Patient ID: E Address:9 EAST 71ST STREET, N NEW YORK, NY 10021 P: (212)772-9416 (No

30 EFTA00599643 BioReference D LABORATORIES T C R FISCH, HARRY C1720 - HARRY FISCH, M.D. NEW YORK, NY 10028 Acct #: C1720 P: S1 I I T EPSTEIN, JEFFREY P DOB: 01/20/1953 Age: 63 y Sex: M A U/FL: Bed: T Rm: I Patient ID: E Address:9 EAST 71ST STREET, N NEW YORK, NY 10021 P: (212)772-

10/27/2015 HDL CHOL., DIRECT 24 LO >40 mg/dL 29 LO 10/27/2015 HDL as % of Cholesterol 17 >14 % 14 * 10/27/2015 Evaluation: AVERAGE RISK Chol/HDL Ratio 6.0 <7.4 I 7.2 10/27/2015 Evaluation: AVERAGE RISK LDL/HDL Ratio Can't Calc <3.56 3.83 HI 10/27/2015 LDL Cholesterol Can't Calc <100 m

nce LABORATORIES FINAL REPORT 0, FISCH, HARRY \ 0 HARRY FISCH, M.D. ( 944 PARK AVENUE New York, NY 10028 Acct P: (C1720-1) Si C P: R EPSTEIN, D08:01/20/1953 Address:9 s 'OM YORK IP: gliNS JEFFREY Specimen ID: 105819158 Age:63 Y Sex:Pt Date Of Report: 07/23/2016 E 71ST STREET Dat

ARRY A HARRY FISCH, H.D. L 944 PARK AVENUE York, NY 10028 T Acct a: C1720-1) S1 R EPSTEIN, D00:01/20:1953 Address:, NEW YORK P: (212) JEFFREY Age:63 Y Sex:m E 71ST STREET NY 10021 772-9c16 , ,s STRAKFTC4.4,0* iifkiiSii (>or=70 yrs) 64.5% 40.8% 29.7% 15.8% biopsy ible when the va

NEIL COL., DIRECT 28 LO >40 mg/dL 24 LO 01/27/2016 HDL as % of Cholesterol 13 Evaluation: ABOVE AV6.(MODERATE RISK) >14 X 17 01/27/2016 Chol/HDL Ratio 7.5 <7.4 6.0 01/27/2016 BioReference Laboratories, Inc. 481 Edward H. Ross Dr Elmwood Park, N7 07407 I (800) 2 9-5227 lames 4eisberger, Labo

(212) , LABORATORIES n FISCH, HARRY 0 HARRY FISCH, M.D. 944 PARK AVENUE New York, NY 10028 Acct I: (C1720-1) Si 0 P: (212) 879-0800 P, JEFFREY Age:63 Y Sex:/1 E 71ST STREET NY 10021 772-9415 S Specimen ID: 105819158 A Date Of Report: 07/23/2016 M Date Collected: 07/20/2016 Time Col

£91926ZI.a. L-Pstd kueH WdL£SO 9I.62 60 5rY EFTA01733942 9490L000 L2!—V.Ld3 FINAL REPORT J-11,01NA,w1kwl1/44.1%.As e ''W LABORATORIES • I ', EPSTEIN, • .3 D08:01/20/1953 Address:9 NEW YORK, P: (212) t ...e Ti —s.t. JEFFREY Age:63 Y Sex:M E 71ST STREET NY 10021 772-9416 RISCH, HARR

ve toots may rot babe aonnat laps muse 'mew tome report) Creatinine 0.62 LO BUN/Creat Ratio Cholesterol 210 HI Triglycerides HDL as % of 13 Chol/HDL Ratio Cholesterol MDC 35.2 HI Hemoglobin A1c 5.9 HI 33.9 HI ALT 42 HI 950 HI HDL CHOL., DIRECT 28 LO 7.5 NON FASTING CHEMISTRY -t"' - .syk'i