Epstein Secrets

ansaction Date Loa Trans Types Amount Reg * Inmate Nm Address City St Zip Phone • 7/8/2019 10:04:21 AM NYM Western Union $200.00 76318054 EPSTEIN: JEFFREY 130 EAST 75TH NEW NY 10021 9174147584 STREET YORK 716/201910:04:20 AM NYM Western Union $200.00 76220054 RUGARD, RUBEN 130 EAST 75TH

019 12:47 EST MM. MLP Total: 1 Generated 08/10/2019 11:02 by RN/IO PIIDC Bureau of Prisons - NYM Page 1 of 1 EFTA00050796 7631D064 EPSTEIN, JEF FREY Madimtian Orders Time 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 Medication Administration Record

S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 '" Sensitive But Unclassified •-• Name EPSTEIN, JEFFREY Reg A 76318-054 DO8 01/20/1953 Sex M Facility MCC New York Order Un Provider MD Collected 07/09120t9 13:34 Received 07/10/2019 10:44 Reported 0

EFTA00050839 8P-S358.080 MEDICAL TREATMENT REFUSAL CDFRM SEP 0.5 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF )'RISONS 7-24-20119 Date I, JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Fideral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

comfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm In diameter(mild). As per information from custody staff Inmate Epstein was found in his cell with a rope around his neck arid sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, uns

ney disease if found over a 3 month period. Calcium 9.8 8.5-10.9 mg/dL Glucose 102 70-110 mg/dL AST H 57 11-55 U/L ALT 62 11-66 UA. Alkaline Phosphatase 64 41-133 Wt. Bitiru bin, Total 1.1 0.2-1.3 mg/dL Total Protein 7.3 6.0-8.2 g1dL Albumin 4.4 3.6-5.1 g/dL Globulin 2.9 2.0-3.7 g/d

/2019 22:41. Burew W ftilscm - WM EFTA00059443 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

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: 07/09/2019 12:35 Provider: MLP Facility: N

NYM EFTA00059496 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP C6 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 LAY

ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look in any pain or distress. He s

h Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/

frican American multiply by 1.210. A calculated GFR <BO suggests chronic kidney disease if found over a 3 month period. Calcium Glucose AST ALT Alkaline Phosphatase Blirubin, Total Total Protein Albumin Globulin Alb/Glob Ratio Anion Gap BUN/Creat Ratio Cholesterol Triglycerides Calculation cf LDL is not

/2019 22:41. Burew W ftilscm - WM EFTA00105006 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Race: WHITE Reg #: 76318-054 Facility: NYM Unit:

NYM EFTA00105055 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP CS 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 LAY

ain Fxam Comments Follow up evaluation done for inmate Epstein. He does not look In any pain or distress. He s

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encount

frican American mulliply by 1.210. A calculated GFR <80 suggests chronic kidney disease if found over a 3 month period. Calcium Glucose AST ALT Alkaline Phosphatase Blirubin, Total Total Protein Albumin Globulin Alb/Glob Ratio Anion Gap BUN/Creat Ratio Cholesterol Triglycerides Calculation cf LDL is not

s Number 31143092 Account R Number Rowe I 68 Nbmc Um Nnw Epstein Anon Address Woodson Merrell 44 E 67th St New York NY 10065 PaimaimNme Jeffrey PuMwMADeNmx PadeaSP PricaMmac 212-750-9895 TwalVokame ar(Ymm) 63/07/19 Dared Binh 01/20/53 Sex M Fladas Yes Patna Address 9 E 71ST ST

l/L nm - 99 100 - 130 - 160 - 100 129 159 189 189 >39 0 - 149 100 - 199 >=30.5 <=527 >20.5 01 01 01 01 01 01 01 01 01 01 01 Epstein, Jeffrey 09/14/16 10:25 ET DUPLICATE FINAL REPORT This dcaunent contains private and confidential health information protected by slat and feder

cium, Serum Protein, Total, Serum Albumin, Serum Globulin, Total A/G Ratio Bilirubin, Total 17 139 4.4 99 22 9.5 6.7 4.3 2.4 1.8 0.8 Alkaline Phosphatase, S 63 AST (SGOT) 30 ALT (SGPT) 42 IFE and PE, Serum Immunoglobulin G, Qn, Serum 1056 Immunoglobulin A, Qn, Serum 224 Immunoglobulin M, Qn,

„,...„ Nth ,R., 263-480-2797-0 l'..n: II) II Connol NomIni CNT31143092 Acoand No 31143092 ”I —nnsni Minn< Nun d,r , 212-535-1012 Ho w 70 EPSTEIN mw ifi lddN m , A,,,. n. ..IA.w., Woodson Merrell 44 E 67th St New York NY 10065 I'.“ , r I \,n, JEFFREY l'ancout Allan.: bialvol.m. An-

Nun d,r , 212-535-1012 Ho w 70 EPSTEIN mw ifi lddN m , A,,,. n. ..IA.w., Woodson Merrell 44 E 67th St New York NY 10065 I'.“ , r I \,n, JEFFREY l'ancout Allan.: bialvol.m. An- 01101), 60/08/00 ItncAndth 01/20/53 'w ii M laginr. I'dficni Atkin:, 9 E 71ST ST NEW YORK NY 10065 Addi

oxide, Total 19 Calcium, Serum 10.1 Protein, Total, Serum 7.3 Albumin, Serum 4.5 Globulin, Total 2.8 A/G Ratio 1.6 Bilirubin, Total 0.6 Alkaline Phosphatase, S 58 LabCorp Raritan 69 First Avenue Raritan. NJ 08869-1800 Mow 877-547-6837 AST (SCOT) ALT (SGPT) PE+Interp(Rfx IFE),S Albumin Alpha-1-Gl

ethods or kits cannot be used interchangeably. Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. EPSTEIN, JEFFREY 294-142-382B-0 Seq 12713 10/26/10 10:17 ET DUPLICATE FINAL REPORT Ths d0CIAINIX COO Win pave Le and confideanal health infoonatIon poth

kits cannot be used interchangeably. Results cannot be interpreted as absolute evidence of the presence or absence of malignant disease. EPSTEIN, JEFFREY 294-142-382B-0 Seq 12713 10/26/10 10:17 ET DUPLICATE FINAL REPORT Ths d0CIAINIX COO Win pave Le and confideanal health infoonatIon pothered by s

c:I i 6.0 - 8.5 3.5 - 5.5 01 01 Globulin, Total 3.2 g/dL 1.5 - 4.5 A/G Ratio 1.4 1.1 - 2.5 Bilirubin, Total 0.9 mg/dL 0.0 - 1.2 01 Alkaline Phosphatase, S 60 IU/L 25 150 01 AST (SGOT) 22 IU/L 0 40 01 ALT (SGPT) 24 IU/L 0 - 55 01 Urinalysis, Routine Urinalysis Gross Exam 01 Specifi

89/18/2818 16:38 From: Uoodson C. Merrell M Uebfax Page: 3/11 ;11-abeforP Patient Report Pmteat EPSTEJK JEFFREY DOB- V/20,1953 PatOm ID: antyoUDF5531'43092 Specimen Ife 257480-23? 1-0 Date cotiected: 09;14'201E • 255 Lock, TESTS RESULT FLAG UNIT$ REFER

5 01 Albumin 4.3 g/dL 3.6 4.8 01 Globulin, Total 2.4 g/dL 1.5 4.5 A/G Ratio 1.8 1.2 2.2 Bilirubin, Total 0.3 mg/dL 0.0 - 1.2 01 Alkaline Phosphatase 71 IU/L 39 117 01 AST (SOOT) 26 IU/L 0 40 01 The specimen was lipemic. The lipenia was cleared by ultracentrifugation before testing. How