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

IDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM S.~ SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes ~ Pain A

Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an instit

rned fro Inmate Epstein returned from court after duty hours and denied suicidality. The aforementioned staff notifi -call psychologist and inmate Epstein was placed on a precautionary psychological observation status until psycho terview him this morning to conduct a suicide risk assessment. Develop

285 EFTA00138965 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 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 LAYMA

k, New York 10007 Office: Fax: E-mail: > > > 7/23/201910:17 PM >>> The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. SDNY_00017341 Page 16416 Page 298 EFTA00138978 E

ment "SENSITIVE BUT UNCLASSIFIED" Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M

e noted having normal sleeping and eating habits. Mr. EPSTEIN eation, planning, and intent. He was future-orie

ED • EIR GI SIDE EFFECTS. HX OF 1L UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessme

m, Good afternoon! We understand two employees of the Metropolitan Correctional Center in Manhattan are about to be charged re: lapses the night of Jeffrey Epstein's death. Are you representing either of them in the criminal matter? If not, who is? We'd like to reach out of fairness and to ensure we are separati

ger Craig Stewart Nicholas Roos As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to

Waist Circum Provider Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045498 Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD

l Condition: Denied N/A Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 3 of 13 EFTA00045540 Inmate Name: EPSTEIN. JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM Unit:

ction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date:

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

ED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessme

Bureau of Prisons Health Services Medication Summary Historical Complex: NYM--NEW YORK MCC Inmate: EPSTEIN. JEFFREYU Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Quarter: Z04-206LAD Medications listed reflect prescribed medications f

y FOIA Bureau of Prisons - NYM Page 2 of 2 EFTA00045569 Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Ancrum, Cheryl DDS

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 EFTA00045621 BP-S358.060 MEDICAL TREATMENT REFUSAL CDFRM SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-24-2019 Date JEFFREY EPSTEIN 76318-054 , refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

l Condition: Denied N/A Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 3 of 13 EFTA00045655 Inmate Name: EPSTEIN. JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM Unit:

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

ED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessme

Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date lime Value(%) Air Provider 07/06/2019 21:43 NYM 95 Room Air Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C

Begin Date: 07/01/2019 End Date: 07/24/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date lime Value(%) Air Provider 07/06/2019 21:43 NYM 95 Room Air Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Height:

ction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date:

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 EFTA00045710 BP-S358.060 SLP 05 MEDICAL TREATMENT REFUSAL CDFRM U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-10-2019 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

Lt. at about 2 AM on 7/23/19 to inform her that Mr. Epstein was being placed on Suicide Watch because he was

ED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessme

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

IDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - LS SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM S.~ SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes ~ Pain A

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

DS rr EIR GI SIDE EFFECTS. HX OF O UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 -1.5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessmen

July 23, 2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was

2019 at approx. 1:27 a.m., the Control Center announced a call for assistance on the Special Housing Unit. Upon my arrival to 9-South, I/M Epstein, Jeffrey #76318-054 was lying on the floor of his cell handcuffed. I assisted with carrying inmate Epstein to HA-Unit on a stretcher, where he was dressed in

NYM EFTA00048398 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 07/26/2019 08:57 Sex: Provider: M MD Reg #: Facility: Unit: 76318-054 NYM H01 Cosign Note - Clinical Encounter Cosign encount

Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08/08/2019 10:02 Provider: PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen today for a follow-up session in SHU. Subjective/Objective Presentation Inmate Epstein stated he is feeling okay and has been eating his m

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

ED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessme

C_7>c_c> ___ ~~ MD on 07/23/201915:44. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM Page 2675 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

10 / Page 2669 BP-S358.060 SEP05 MEDICAL TREATMENT REFUSAL CDFRM 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

olitan Correctional Center 150 Park Row New York, NY 10007 (P) 646-836 (b)(5J (b)(l )(C) (F) 646-836-7665 Page 16115 Page 2672 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Bureau of Prisons Health Services Clinical Encounter Sex: M Race:

(5>: (b;(7)cc) pbop.gov > r s); (b){?)(C) v /23/2019 10:17 PM > > > The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. Page 16416 Page 2680 Excuse the crude headline .

of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proce

IDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - LS SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM S.~ SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes ~ Pain A

2019-05665 Item 9, 13, 17 (partial), 18 (partial) EFTA00073831 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 08/10/2019 07:25 Provider Reg #: 76318-054 M Race: WHITE Facility: NYM RN

NYM EFTA00073871 Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY EDWARD 01/20/1953 Sex: Rana. WH ITF 07/12/2019 09:06 Provider: Reg #: Facility: Unit: 76318.054 NYM Z05 Admin Note - Orders encounter performed

Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08/08/2019 10:02 Provider: PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen today for a follow-up session in SHU. Subjective/Objective Presentation Inmate Epstein stated he is feeling okay and has been eating his m

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

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

IDE MED EIR GI SIDE EFFECTS. HX OF UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Asses