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mily History - Sibling: Number of Siblings: 1 Significant illnesses: Comments: Past Hospitalization: 'Mason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by Joaquin, Y. MLP Bureau of Prisons • NYM Page 7

TEIN. JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/24/2019 13:08 Provider: Joaquin. Y. MLP Unit: H01 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format EggslotdELoP lc Provider Outcome 07/24/20

n, Y. MLP Blood Pressure: Rate Time Value Location Position Cuff Size Provider 07/24/2019 13:12 NYM 132/89 Right Arm Silting Adult-regular Joaquin, Y. MLP SaO2: Pats Time Value(%) Air Provider 07/24/2019 13:12 NYM 96 Room Air Joaquin, Y. MLP Exam: General Affect Yes: Cooperative Ap

mily History - Sibling: Number of Siblings: I Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 7

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: H01 Mental Health: Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal Gen

ect regular Insulin subcutaneously per sliding scale: each morning for 7 days "'pill line- Insubn Reg (10 ML) 100 UNITSTAL In PRN Providers: YJ = Joaquin. Y. Documentation Codes: ORD = Order I NI = Dose Not Indicated Registration N: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOS: 01/2O53 Report informat

mily History - Sibling: Number of Siblings: I Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 7

s: Denied Active Prescriptions Bisacodyl E.C. 5 MG TAB Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Rx#: 121757-NYM Doctor: Joaquin, Y. MLP Start: 07/09/19 Exp: 07/19/19 WC: 07/12/19 Pharmacy Dispensings: 10 TAB in 22 days Docusate Sodium 100 MG Cap Take one capsule (100 MG)

rovider: Joaquin, Y. MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Joaquin, Y. MLP Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Locatio

ts: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Generated 07/0912019 13:03 by MLP Bureau of Prisons NYM Pale 7 of 13

ky lesutn subcutan petrify per sliding sct6a: each rnofelnd for ? clay' •••p!l/ Ifne—• SLIJ:11 Rog (10 Sll )100 UN (TS/ML In; PRN Ploy-Wert: YJ =Joaquin, Y. DocumeMaiion Codes: ORD = Order I NI = Dose Not Irescatad FtegIstralion II: 76318454 Pt. Name: EPSYtIN,JEFFREY DOB: 0120/53 Report intommtio

mily History - Sibling: Number of Siblings: I Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 7

, Y. MLP Blood Pressure: Date Time Melee Location Position Cuff Size Provider 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Date Time Value(%) Ak Provider 07/24/2019 13:12 NYM 96 Room Air Joaquin, Y. MLP Exam: General Affect Yes: Cooperative App

of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: on Speaking/Listening English None Reason Location Acute Appendicitis Mount Sinai Hospital Complications: None Comments: Head: Normal: Yes Comments: When 1990 Ger-waled 07/C9/2019 13.03 by MLP Bureau of Prisons • NYM Page 7 of 13

EFTA00132638 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318064 Facility: NYM Unit: H01 Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Adminis