Epstein Secrets

t:Ikle lem mottoa:omsatte tla decollant Mein trensperted to tie ~cal ExteCnive Dttica. Version LO Lut sevised MAX& e..7r ii•eiteent L 2018 8504592 EPSTEJN, JEFFREY 08/10/2019 Tole 01/20/1953 M 421948243 07 27AM 0 M EFTA00063554 DEPARTMENT OF HEALTH AND MENTAL HYGIENE OFFICE OF CHIEF MEDICAL E

ice of the Chief Medical Examiner: M19-19432 I am writing to request the complete Medical Examiner's case file associated with the death of inmate Jeffrey Epstein, Metropolitan Correctional Center, New York, Federal Bureau of Prisons. Specifically, please provide the OIG with a copy of the complete Medical Exa

g the examiner's notes, any associated reports, photos, evidence, x-rays, and any other documentation utilized by the Medical Examiner to determine Epstein's cause of death. Please provide the documentation digitally to Special Agent Office of the Inspector General, U.S. Department of Justice, a or v

copies provided here represent all requested documents which are contained in: OCME medical examiner case file #: M-19-019432 concerning decedent: Jeffrey Edward Epstein K OCME forensic biology case file #: I have examined the original records maintained by OCME's Records and I attest that the records attached to t

0 EFTA00063528 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): Th

9-03508-001 W Typo: FT'R43334:600 Bid Source: PamOral M.E. CAS"' M-19-019432 DATE OF DEATIt 08/10/2019 7:36 AM NAME OF DECEDENT: Epstein, Jeffery Ape 86 Years Race White hoc F N AUTOPSY U NOAUTOPSY (Exam} U PURSUANT TO UAW • a MEOICAL EXAMINER: Dr. Roman, Kristin ME EXAM DATE: 0

isse Matins Page 5 of 5 EFTA00063550 Notice of Death Borough: Manhattan Report Date: 08/10/2019 Time: 08:31 polo M-19-019432 Name: Epstein, Jeffrey Edward Sex: Male Race• White Place of Death: 170 William Street, New York, NY 10038 Cross Street: Current Location of Decedent: Veteran: No Age: 66 Years

n inmate. Control called for ambulance 6:40 am: , AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport t

dent 08/10'2019 6:33 AM Inmate Name / Reg. No. EPSTEIN JEFFERY REG#76318-054 Location of Incident Z.4 Photogr

ution count announced 758 72/5 6:33 AM on Board at approximately 5:30am relievidg Lt o duty. Medical emergency announced for Unit 9 South inmate Epltein #76318-054 found unresponsive in cell 106-220 CPR in progress 6:35 AM 911 Emergency service notified 6:43 AM E.M.S ambulance arrives to the Health

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

uant to Rule 4518 of the New York Civil Practice Law and Rules. OCME has been ordered to produce certified copies of documents concerning decedent, Jeffrey Edward Epstein ME # M19-19432 OCME is a governmental office organized under the New York City Charter § 557 and the New York City Administrative Code §§17-201 -

0 EFTA00130085 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8120/2019): The unfixed brain wei

NMS v.18.0 EFTA00130085 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ON 811112019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. WITH DR. IN ATTENDANCE, ON 8120/2019): The u

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sitc\tie keiticufri El•Idge ILLS: M-19-019432 Din: EFTA00130093 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK - e 0 Nr or Demean: Epste Jeffery MEI M-19-019432 l sm coLon: WWII, TIMM' Pr TI OR Weintri leit IA ClitEI TES: AMES Ti_ Virki Torso: Ara Gamma& J r ) 1 ..„.

to report the number and a Lieutenant can only sign off on the count sheet when the number on the count sheet matches the number on the IN sheet. JEFFREY EPSTEIN (EPSTEIN, previously identified) was housed in SHU. EPSTEIN met with his lawyers everyday between 8am and 8pm on the third floor of MCC. was not pr

on inmate. Control called for ambulance 6:40 am: AW notified 6:45 am: EMS arrives, paramedics continue CPR. Inmate Epst in remains unresponsive. Inmate Epstein is intubated, given t ree rounds of Epinephrine, IV access started, IO initiated. No pulse found, no shock advised, inmate prepared for transport t

unced 758 72/5 Lieutenant on Board at approximately 5:30am relievi of duty. . g Lt 6:33 AM Medica emergency announced for Unit 9 South inmate Epltein #76318-054 found unresponsive in cell 206-220 CPR in progress 6:35 AM 911 Emergency service notified 6:43 AM E.M.S ambulance arrives to the Health

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

\ ht r b. * ,,,tv,NT 07: 4,0 .II '1r lga I I * Jeffrey Epstein Death Investigation New York Field Office EFTA00161494 • July 6, 2019 Epstein was arrested on federal sex trafficking charges in New York • Ju

\ ht r b. * ,,,tv,NT 07: 4,0 .II '1r lga I I * Jeffrey Epstein Death Investigation New York Field Office EFTA00161494 • July 6, 2019 Epstein was arrested on federal sex trafficking charges in New York • July 8, 2019 Epstein was detained at Metropolitan Correctional Center (MCC) in downt

of Incident INMATE SUICIDE Date and Time of Incident Inmate Name Rcg. No. Location of Incident Photograph(s) by 08/10/2019 6:33 A Al EPSTEIN, JEFFERY REG:;"6318-054 Date and Time of Photo 08102019 6:49 All I pe of Incident IN llA11. 5(.1011)1 Rae and Time of Incident (is 10 2019 6 33 AI Inma

ent 08./10/2019 6.33 AA/ Inmate Name !Reg. No. EPSTEIN JEFFERY REG;76318-054 Location of Incident ZA Photogra

ted to "notify the on-call psychologist and place inmate Epstein on a watch status until psychology can conduct a

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

.y-1£495 0c:? .001 " %ghl W:t 4 )-2))•Vb 0 EFTA00049614 OFFICE OF CHIEF MEDICAL EXAMINER CITY OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Performed by: Kristin Roman, M.D. Date of Autopsy: 08/11/2019 FINAL DIAGNOSES: I. HANGING: A. LIGATURE FURROW OF

0 EFTA00049624 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8120/2019): Th

NMS v.18.0 EFTA00049624 THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER NEUROPATHOLOGY REPORT CASE NUMBER: M-19-019432 NAME OF DECEDENT: EPSTEIN, JEFFREY EDWARD (AUTOPSY PERFORMED BY DR. ROMAN ON 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON

of 2 EFTA00049627 BP4358.060 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE CDFRM 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 LAYMA

OF NEW YORK REPORT OF AUTOPSY Name of Decedent: Jeffrey Edward Epstein M.E. #: M-19-019432 Autopsy Perf

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

) (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

TRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN} X. SEE T

.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

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00163486 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) •

Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00163486 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/09/19: Epstein placed with cellmate Nicholas Tartaglione • 07/23/19: Epstein's first suici

cident I Tate of Incident Inmate Name. Rcg. No. Location of Incident Photograph(s) by Date and Time of Photo .C1.411. 117O1. 0s /0 2019 6 33 JAI EPSTEIN. .11: FFERI REGP76318054 UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE EFTA00163494 Type of Incident INMATE SUICIDE Rue and Time of Incident 08/1020

ENFORCEMENT SENSITIVE EFTA00163494 Type of Incident INMATE SUICIDE Rue and Time of Incident 08/102019 6:33 AM Inmate Name / Reg. No. EPSTEIN. JEFFERY REG#763 18-05-1 Location of Incident Z I Photograph(s) by Lt. Date and Time of Photo ON 10 ?019 6:49 AA/ es r „......." .. -, _...— . . •

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

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4-.........y ... * 4?-8'4 V OF 1:t..1.., 1 Jeffrey Epstein Death Investigation New York Field Office 90A-NY-3151227 EFTA00163517 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/23/19: Epstein's first suicide attempt • 07/24-29/19: Epstein placed on suicide watch • 0

ORCEMENT SENSITIVE EFTA00163525 Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33.111 Inmate Name / Reg. No. EPSTEIN, JEFFERY REG4763I8-054 Location of Incident Z.1 Photograph(s) by 1.4 S. JEAN Date and Time of Photo OS /0 20/9 6:49.111 l it .• . ..---- ,--......"

) b Date and l'itne of Photo US 10 20194'33 AM EPSTEIN JEFFERY Ra;',2 76318-0.54 b. S. JEAN- ON /0 20/9 6 49 kt

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO

Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00164864 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) •

Jeffrey Epstein Death Investigation New York Field Office 90A-NY-315127 EFTA00164864 • 07/08/19: Epstein detained at Metropolitan Correctional Center (MCC) • 07/09/19: Epstein placed with cellmate • 07/23/19: Epstein's first suicide attempt • 07/24-2

-6318-054 08,102019 6:49 Al! I> Incident INMATE S(.1(11Th Date and I iine of Incident 08'10,2019 6 33 .I .t1 Inmate Name. Reg. No. EPSTEE1/41 JEFFERY REG;-'76318-054 Location of Incident Z4 Photograph(s) by Date and Time of Photo ON /0'0/46 PI All airP-EMS EMT 0-i4.44* -it UNCLASSIFIED//LA

dent 0811012019 633:14! Inmate Name ! Reg. No. EPSTEIN JEFFERY REG-476318-054 Location of Incident kt Photogr

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VA. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TOX

TIGATION Date of entry 09/10/2019 On August 28, 2019, Task Force Officer Detective obtained a certified copy of the finalized autopsy report of JEFFREY EDWARD EPSTEIN, Case No. M-19-019432, from the Office of the Chief Medical Examiner of the City of New York (OO4E). According to the OCME autopsy report, the caus

9-019432, from the Office of the Chief Medical Examiner of the City of New York (OO4E). According to the OCME autopsy report, the cause of death of EPSTEIN was hanging and the manner of death was suicide (hanged self). A digital copy is attached to this report and the certified hardcopy is in a physica

ed By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis: (U) On

ed By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Synopsis:

NTRICLE HYPERTROPHY (1.9 CM) C. RENAL ARTERIOLAR SCLEROSIS D. SLIGHT CORONARY ATHEROSCLEROSIS E. SLIGHT TO MODERATE AORTIC ATHEROSCLEROSIS VI. HEPATIC STEATOSIS (2480 GM) VII. CERVICAL LYMPHADENOPATHY VIII. REMOTE FRACTURE OF RIGHT FIRST RIB IX. REMOTE APPENDECTOMY (DATE AND INDICATION UNKNOWN) X. SEE TO