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

moved to facilitate examination. The specimens were examined radiographically. macroscopically and microscopically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red lines). Figure 2. Overview of the submitted hyoi

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

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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

moved to facilitate examination. The specimens were examined radiographically. macroscopically and microscopically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red lines). FINDINGS: Hyoid The greater horns of t

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

moved to facilitate examination. The specimens were examined radiographically. macroscopically and microscopically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the apps walnuts: fracture locations (red lints). Figure 2. Overview of the submitted hy

\ 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

s a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Figure I. Diagram of the submitted hyoid and larpn (anterior slew) showing the approximate fracture locations I red lint"). BACKGROUND: On 12 August 2019. the Fore

) (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

oved to facilitate examination. The specimens were examined radiographically, macroscopically and micros.copically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and larynx (anterior view) showing the approximate fracture locations (red lines). FINDINGS: Hyoid b;(6); (b)(7)(C ) Fig

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 „......." .. -, _...— . . •

s a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Figure I. Diagram of the submitted hyoid and larpn (anterior slew) showing the approximate fracture locations I red lint"). BACKGROUND: On 12 August 2019. the Fore

T OiN......\ lij e 4• * 'Pt' 4* . 6 * “...". .S• / Ili ..:) rtkr 4, `'. IIII Ai. •46. it 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)

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

moved to facilitate examination. The specimens were examined radiographically. macroscopically and microscopically. Hyoid Thyroid Cricoid Figure I. Diagram of the submitted hyoid and lary nx (anterior sits.) .shooing the approximate fracture locations I red lines:. Figure 2. (hen imc of the submitted

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

s a fracture of the left greater horn. The thyroid exhibits two fractures: one to the right superior horn and one to the left superior horn. Figure I. Diagram of the submitted hyoid and larpn (anterior slew) showing the approximate fracture locations I red lint"). BACKGROUND: On 12 August 2019. the Fore