Epstein Secrets

ents: Case Number. NYM-19.0061; Case Type; Threat Assessment; Case Status: Interviews conducted case to be typed: Incident On July 23. 2019. inmate Epstein was bound with a homemade rope around his neck. Epstein 's ceIlmate was Tanaglione. NicholasS78514-054. Health Services Comments: Correctional Ser

STATES GOVERNMENT MEMORANDUM Metropolitan Correctional Center, New York, New York DATE: July 23, 2 TO: Operations Lie t, LT Anderson SUBJECT: Inmate Epstein reg# 76318-054 FROM: W. Silva, Senior Officer On July 23, 2019 at approximately 1:27 AM while assigned to the Special Housing Unit, myself and Seni

ately 1:27, I, S.O.S D. Clarke responded to a body alarm on the Special Housing Unit. While the 9-South officer was conducted rounds inmate Epstein, Jeffrey #76318-054 was found in his cell with a noose around his neck and appeared to be unresponsive. I assisted with taking inmate Epstein #76318-054 fro

n Review Team On August 14, 2019, a team of staff will arrive at MCC New York to perform an After Action Review, on the apparent suicide of Inmate Jeffrey Epstein Reg. No. 76318-054. The duration of this visit will be fluid and conclude once the assessments are complete. During this visit the teams will work larg

e: Suicide Autopsy Status: Aut0pSy Ordered RIS: na Antidapted Death: no DNR/LSO: no Preliminary Cause of Deathidleged Suicide Narrative: Inmate Jeffery Edward Espstien *73618-054 a 66 year old male with a Ittory of Obstructive Sleep Apnea on CPAP at night a history of Hypertriglyceddernia treated with Vascepa, no p

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

nt). ev.‘ r Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Stenosis. On July 23, 2019, at 2:00 a.m. he was placed on Suic

--:--:---:-~~=======.-__J I Recently, was denied bail. l(blC7KA) eating and drinking and that waking up to hear himself snore up on a stretcher. ( J Epstein adamantly denied suicidality, "lots to do for legal case, wonderful life, interesting people and projects in life, it would be crazy to take my life

fice: (646) 836 ~;[;(lei Fax: (646) 836-7712 E-mail r )(G); lb)(7)(C) p>bop.gov >> r s); (b)(7)(C) ~ /28/2019 7:49 AM > > > AW Skipper-Scott, Inmate Epstein seems psychologically stable. He complained that his right arm was numb and hanging earlier. Nurs~b)CG,; <bKn<c> ~aw him. Page 1120 He again sai

(7;(C) >>>1 ~/10/2019 3:05 PM >>> Inmate Name: Date of Birth: Date: Bureau of Prisons Psychology Services Suicide Risk Assessment EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: M Facilit 08/01/2019 13:29 Provider: b)(5>: (b)(7><c> NYM PsyD Type of Housing: SHU- Administrative Segregation Cell Accomm

) (b)(6): (b)(7)(C) (b)(6): (b)(7)(C) xec Assistant~ NYM/Exec Assistant~ 2019/07/23 18:05 Media inquiry - Washington Post - re: health status of Jeffrey Epstein TEXT.htm If you happen to get this tonight, maybe you can call me on my cell at 202-32.~lmir.1 My boss may want to answer this reporter tonight,

A Prohibit= -~ • The Inmate Was Advised Of The Above Right 12:40PM nant (Date/time)?/30/2019 24. Inmate Statement And Attitude: Inmate Epstein, Jeffery #76318- 054 was advised of his rights and understood his rights as read. Inmate Epstein stated "I no comment at this timen, Inmate Epstein had a po

g at about 8:30 AM on 8/01/19 that yesterday when Mr. Epstein was brought back from court the US Marshals aske

nst: 09/09/2019 Office of Quality Management MCC New York Health Services Mortality Review for Inmate Epstein #76318-054 MCC-NY Name: Epstein, Jeffrey Reg. #: 76318-054 DOD : 08/10/2019 DOB: 01/20/1953 Age: -~66 __ Sex: Male Place of Death: _ Inst. :L Community Hospital _ OTHER Name of co

ommit __ Transfer from ______ _ Holdover Status: __ Inpatient at: __ Inst. __ Community Hospital __ Outpatient AdmlttinR 1. Sleep Apnea 2. Hypertriglyceridemia 3. L4 - LS Lumbar Stenosis 4. ------------------------ --------- (Pis. continue on supplementary page if necessary) Past diaRnosls: 1. Sleep Apne

ant mental health _(Yes) (No) _(NA) Include specific Information as relevant to death: PDF Present/ea by P6013 EFTA00040930 Name: Epstein. Jeffrey Reg. #: 76318-054 DOB: 01/20/1953 Admitting diagnosis:(continue) Past diagnosis: (Continue) PDF Prescribeb by P6013 EFTA00040931 Description

Office of Quality Management From: MW New York Health Services Subject: Mortality Review for Inmate Epstein #76318.054 Inst. MW-NY Name: Epstein. Jeffrey DOD : 08110/2019 DOB: 01/20/1953 Place of Death: Inst. Name of community hospital: Nature of Death: ___ Accidental: - Homicide

ribe bnefly: Providers responding maintain current certification / credentials in BUS, ACLS (if required) Yes _No _NA SUMMARY REVIEW: Inmate Jeffery Edward Epstein I473618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vaseepa, n

and continued CM and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 am. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was incubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the in

tein #76318.054 Inst. MW-NY Name: Epstein. Jeffrey DOD : 08110/2019 DOB: 01/20/1953 Place of

Apnea 2. Hyperuiglyceridemia 3. L4 L5 Lumbar Stenosis 4. (Pls. continue on supplementary page if necessary) Past diagnosis: 1. Sleep Apnea 2. Hypertriglyceridemia 3. L4 - LS Lumbar &cassis 4. (Pls. continue on supplementary page if necessary) Significant mental health _(Yes) (No) _(NA) Include specific I

nst: 09/09/2019 Office of Quality Management MCC New York Health Services Mortality Review for Inmate Epstein #76318-054 MCC-NY Name: Epstein, Jeffrey Reg. #: 76318-054 DOD : 08/10/2019 DOB: 01/20/1953 Age: -~66 __ Sex: Male Place of Death: _ Inst. :L Community Hospital _ OTHER Name of co

bject: Inst: 09/09/2019 Office of Quality Management MCC New York Health Services Mortality Review for Inmate Epstein #76318-054 MCC-NY Name: Epstein, Jeffrey Reg. #: 76318-054 DOD : 08/10/2019 DOB: 01/20/1953 Age: -~66 __ Sex: Male Place of Death: _ Inst. :L Community Hospital _ OTH

.i.....No ...L.No _No _No _NA _No _NA __No __:l___NA _No ...LM _No _NA _No ...:L.J.JA __No _NA _No _NA ....L_No __No _NA Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP a;:..t ""ni:.i:=h"-=-=~<-='-----~ H rtri I ceridemia treated with V

nd continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the in

nmate Epstein #76318-054 MCC-NY Name: Epstein, Jeffrey Reg. #: 76318-054 DOD : 08/10/2019 DOB: 01/

commit __ Transfer from ______ _ Holdover Status: __ Inpatient at: __ Inst. __ Community Hospital __ Outpatient AdmlttinR 1. Sleep Apnea 2. Hypertriglyceridemia 3. L4 - LS Lumbar Stenosis 4. --------------------------------- (Pis. continue on supplementary page if necessary) Past diaRnosls: 1. Sleep Apnea

) (b)(6): (b)(7}(C) QTR Asslg. Inmate Name Reg. No Unit IA Date Status PRFOS OST Admitting Officer (b)(6); (b)(7)(C) Z04-206LAD EPSTEIN, JEFFREY EDWARD 76318-054 5 07-29-2019 AD Reason: PENDIN(l OHO FOR CODE 228 SELF-MUTILATION Psychology Services Comments: Health Services Comments: Unit Team

.1--------------1 -::::J O> . ..., 0) -- 8 .:!J EPSTEIN #76318--054 (C/F) f(' J.j'"' 5l '---------~ ~

of Incident j INMATE SUICIDE 1:============l~======= ==========l Date and Time of Incident 08/10/2019 6:33 AM Inmate Name I Reg. No. EPSTEIN, JEFFERY REG#76318-054 I Location of Incident ZA Photograph(s) by Lt. (ll,(6); (b)(7)(C) Date and Time of Photo 08/10/2019 6:49 AM (b)(6); (b)(7)(C )

Suicide Autopsy Status: Autopsy Ordered RIS: na Anticipated Death: no DNR/LSO: no Preliminary Cause of Death: Alleged Suicide Narrative: Inmate Jeffery Edward Espstien #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no

d continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the

this event). Inmate Jeffery Edward Epstein #73618-054 a 66 year old mal e with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4- L5 Stenosis.r ~~ b){7)(A) I On July 24, 2019 he was taken .___

.O 19 35 - tC6 a:30 5 6f 3 (-1- , a: ?S- 0 L- "7 SDNY_00016 075 EFTA00137963 From: To: Dale: Subject: 871020198:31 PM Last contact with Epstein I visited inmate Epstein in SHU on Thursday. He was getting ready to meet with his attorneys (or the day so I had gone to visit him right after the

pe: Suicide Autopsy Status: Autopsy Ordered RLS: na Anticiapted Death: no DNR/LSCE no PreWminary Cause of DeathAlleged Suicide Narrative Inmate Jeffery Edward Espstien *73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night a history of Hypertriglycendemia treated with Vascepa, no p

d continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the

OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein Autopsy Performed by: Kristin Rom

this event). Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Stenosis. On July 23, 2019, at 2:00 a.m. he was placed on Suic

Park Row NY, NY 10007 August 12, 2019 MEMORANDUM FOR FROM: MCC New York SUBJECT: 24-hour death report MEDICAL DIRECTOR Inmate Name (LN, FN) Epstein, Jeffery Edward Register Number 76318-054 DOD DOB 1953 Sex Male Race White Male Institution/Region MCC New York - Northeast Region Care L

pe: Suicide Autopsy Status: Aut0pSy Ordered RL5: na Anticiapted Death: no DNR/LSO: no PreRminary Cause of DeathAlleged Suicide Narrative Inmate Jeffery Edward Espstien *73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night a history of Hypertriglyceridemia treated with Vascepa, no

d continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the

this event). Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and 14-L5 Stenosis. On July 23, 2019, at 2:00 a.m. he was placed on Suic

I NY, NY 10007 MEMORANDUM FOR FROM: SUBJECT: August 12, 2019 , M.D., MEDICAL DIRECTOR MCC New York 24-hour death report Inmate Name (LN, FN) Epstein, Jeffery Edward Register Number i6318-054 DOD August 10, 2019 DOB January 01, 1953 Sex Male Race White Male Institution/Region MCC New Yo

: Suicide Autopsy Status: Autopsy Ordered R1S: na AMiciapted Death: no DNR/LSO: no Preliminary Cause of Death:Alleged Suicide Narrative. Inmate Jeffery Edward Espstien *73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night a history of Hypertriglyceridemia treated with Vascepa, no

d continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the

this event). Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Stenosis. On July 23, 2019, at 2:00 a.m. he was placed on Suic

NY, NY 10007 MEMORANDUM FOR FROM: SUBJECT: August 12, 2019 , M.D., MEDICAL DIRECTOR MCC New York 24-hour death report Inmate Name (LN, FN) Epstein, Jeffery Edward Register Number 76318-054 DOD August 10, 2019 DOB January 01, 1953 Sex Male Race White Male Institution/Region MCC New Yo

Suicide Autopsy Status Autopsy Ordered R15: na Anticiapted Death: no DNR/LSO-. no Preliminary Cause of Death:Alleged Suicide Narrative: Inmate Jeffery Edward Espstien #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglycerideinia treated with Vascepa, n

d continued CPR and the AED was applied. The Control Center called for an ambulance. The EMS arrived at 6:45 a.m. and the paramedics continued CPR. Inmate Epstein remained unresponsive. Inmate Epstein was intubated, and the ACLS Protocol was initiated by the EMS. No pulse found, no shock was advised and the

this event). Inmate Jeffery Edward Epstein #73618-054 a 66 year old male with a history of Obstructive Sleep Apnea on CPAP at night, a history of Hypertriglyceridemia treated with Vascepa, no past Mental Health History prior to incarceration and L4-L5 Stenosis. On July 23, 2019, at 2:00 a.m. he was placed on Suic