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

at will be reported as being positive. If the compound is listed as None Detected, it is not present above the Reporting LM'iit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present. Acode 9560B - Synthetic Cannabinotds Screen (2019 Scope),

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

Y, "; _ _ S rt 4417‘ r-ri-lk gt5T GO- MSS— EXAMINED ay DR. DATE <6- AI. /20(c) EFTA00130092 esm ice chi Cztr- , Mde d Diadem Epstein, Jeffery wsitc\tie keiticufri El•Idge ILLS: M-19-019432 Din: EFTA00130093 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK - e 0 Nr or Demea

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

hat will be reported as being positive. If the compound is listed as None Detected, It Is not present above the Reporting Limit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present. Acode 9560B - Synthetic Cannabinoids Screen (2019 Scope),

This memo summarizes the psychology contacts with Mr. Epstein. Mr. Epstein arrived on July 8, 2019, and was se

M-19-019432 JEFFREY EDWARD EPSTEIN Page 5 similar, % x W, faint, red contusion. Internally, there is a deep muscle hemorrhage of the left deltoid muscle. INTERNAL EXAMINATION: HEA

70 EFTA00137983 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 8/20/2019): The unfixed brain wei

5 Page 070 EFTA00137983 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 8/20/2019): The u

ziar itc‘ v-Air -76/4 5 Cir La cel --i 4-11 1 A1\264- MCDVCC t(%gos1 asstkyry25 respon5112i c$('1-/404inskie Evs1-6/\14-icsIt-651- iv\ cei*rli EpSieiv) lS Voccinci acov.nd -One Coonl I Am , 1:SO Infooke 4Steitel IS Sk4k\r DA One iCtod = 1 annmaire test- in is +A -t-he fs \fah* lAcc gri,E Ad.

3 AM Medical emergency announced for Unit 9 South inmate Epstein #76318-054 found unresponsive in cell Z06-220 CP

M-19-019432 JEFFREY EDWARD EPSTEIN Page 5 similar, % x W, faint, re

d that will be reported as being positive. If the compound is Wad as None Detected, it is not present above the Reporting Limit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present Acode 9560B - Synthetic Cernabinoids Screen (2019 Scope),

EFTA00133090 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 Ma 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/2019): The unfixed

00133084 FORENSIC TOXICOLOGY LABORATORY THE CITY OF NEW YORK OFFICE OF CHIEF MEDICAL EXAMINER 520 FIRST AVE NEW YORK, NY 10016 Decedent Name : Jeffrey Edward Epstein Laboratory No : FT19-03508 Medical Examiner :00IIME ME Case No : M-19-019432 Examination Date : 8/11/2019 Specimen Type : Blood(Femoral): FT19-0

A00133089 EFTA00133090 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 Ma 8/11/2019) MACROSCOPIC EXAMINATION (PERFORMED BY DR. FOLKERTH, WITH DR. ROMAN IN ATTENDANCE, ON 8/20/201

T: M.E. CASE # Ig•tt- 2_ t - °Jut, aluie.-/ b./4-51.2f Mikkivai s EXAMINED DY DR DATE / /2011 EFTA00133102 MIK of Decevern. Epstein, Jeffery fil1.110 N.L.N-12-0124 2 I.( 1 EFTA00133103 OFFICE OF CHIEF MEDICAL EXAMINER THE CITY OF NEW YORK AUTOPSY NOTES Slw-fr or DC Epstei Jeffe

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 El 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

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, IC initiated. No pulse found, no shock advised, inmate prepared for transport t

that will be reported as being positive. If the compound Is listed as None Detected, it is not present above the Reporting Limit Please refer to the Positive Findings section of the report for those compounds that were identified as being present Acode 95608 - Synthetic Cannabinoids Screen (2019 Scope),

.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

hat will be reported as being positive. If the compound is fisted as None Detected, it is not present above the Reporting Limit. Please refer to the Positive Findings section of the report for those compounds that were identified as being present Acode 9560B - Synthetic Carnabinoids Screen (2019 Scope),

) (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

that will be reported as being positive. If the compound is listed as None Detected, it is not present above the Reporting Limit Please refer to the Positive Findings section of the report for those compounds that were identified as being present Acode 9560B- Synthetic Cannabinaids Screen (2019 Scope), B