Epstein Secrets

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/14/2019 17:36 Provider: Beau

19 22:41. Bureau of Pnsons - NYM EFTA00049269 Bureau of Prisons Health Services Inmate Local Hospital Reg ff: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguard Transfer To: Health Problems Healtbfatiem Hype

n, Y. MLP Total: 1 Generated 08/102019 11:02 by Thomas, Terrance RN/COP/CDC Bureau of Prisons - NYM Page 1 of EFTA00049275 78318-054 EPSTEIN, JEF FREY Madi tion Orders Medication Administration Record JULY 2019 Time 1 2 3 4 5 8 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

- NYM EFTA00049318 8P-S358.GS0 MEDICAL TREATMENT REFUSAL CDFRM SEP GS U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS 7-Z4-20119 Date JEFFREY EPSTEIN 70318.054 , refuse treatment recommended by the Fideral Bureau of Prisons Medical staff for the following condition(s): DESCRIBE CONDITION IN LAY

g on the floor leaning to the side with his eyes opened, but wasn't responding. He stated that the last time he saw him he was snoring really loud. Inmate Epstein stated that he came in from a legal visit at approx. 8:00PM and staff handed him a copy of the Daily News. "Nick" was on the floor reading the Daily

Photo Sheet Lieutenant's Office Type of Incident INMATE SUICIDE Date and Time of Incident 08/10/2019 6:33 AM Inmate Name / Reg. No. EPSTEIN, JEFFERY REGI176318-05-1 Location of Incident LI Photograph(s) by D. S. JEAN Date and Time of Photo 08:10.20/9 6:49:131 Isit R II ;Ale. At . -S11%

1.1 0.2-1.3 mg/dL Total Protein 7.3 6.0-8.2 g/dL Albumin 4.4 3.6-5.1 g/dL Globulin 2.9 2.0-3.7 gkil Alb/Glob Ratio 1.50 1.00-2.30 Anton Gap 10.2 9.0-19.0 BUN/Croat Ratio 16.1 5.0-30.0 Cholesterol H 216 <200 mg/dl Triglycerides H 413 10-150 mg/dL Calculation of LOL is not a

M SDNY_00000942 EFFA_00000 1 5 1 EFTA00134686 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information Is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Race: WHITE Reg 4: 76, Facility: Unit: HO 18-05

0200 EFTA00134735 BP-S358.060 MEDICAL TREATMENT REFUSAL COMM SEP C6 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

S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 ••• Sensitive But Unclassified "• Name EPSTEIN, JEFFREY Reg IS 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider la filla MD Collected 07/09/2019 13:34 Received 07/10

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

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

ose 102 AST H 57 ALT 62 Alkaline Phosphatase 64 Blirubin, Total 1.1 Total Protein 7.3 Albumin 4.4 Globulin 2.9 Alb/Glob Ratio 1.50 Anton Gap 10.2 BUN/Creat Ratio 16.1 Cholesterol H 216 Triglycerides Calculation cf LDL is not appropriate for samples with a triglyceride greater than

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

1.1 0.2-1.3 mg/dL Total Protein 7.3 6.0-8.2 g1dL Albumin 4.4 3.6-5.1 g/dL Globulin 2.9 2.0-3.7 g/dL Alb/Glob Ratio 1.50 1.00-2.30 Anton Gap 10.2 9.0-19.0 BUN/Creat Ratio 16.1 5.0-30.0 Cholesterol H 216 <200 mg/dL Triglycerides H 413 10-150 mgid L Calculation of L0L Is not

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: MLP Facility: N

/2019 22:41. Burew W ftilscm - WM EFTA00132608 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Healt

5 ED-1036 (Rev. 10-16-2009) UNCLASSIFIED FEDERAL BUREAU OF INVESTIGATION Import Form Form Type: OTHER - Other Title:(U) Medical Notes Regarding Jeffrey Epstein Approved By: SSA Drafted By: Case ID #: 90A-NY-3151227 (U) UNSUB(S); JEFFREY EPSTEIN - VICTIM; DEATH INVESTIGATION Date: 09/06/2019 Synopsis:

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

h Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/

f found over a 3 month period. Calcium Glucose AST ALT Alkaline Phosphatase Btlirubin, Total Total Protein Albumin Globulin Alb/Glob Ratio Anton Gap BUN/Creat Ratio Cholesterol Triglycerides Calculation cf LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore