Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 151 0 Provider: Beaudouin, Robert MD Unit: H01 Admin Note - General Administrative Note encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD PATIENT WAS OFFERED TO HAVE AN OPTOMETRIST EVALUATION. HE REFUSED. REFUSAL FORM SIGNED. Copay Required:No Cosign Required: No TelephoneNerbal Order No Completed by Beaudouin, Robert MD on 07/24/2019 15:17 Generated 07/24/2019 15:17 by fleautloon. Robert MD Bureau M Prisons - NYM Page 1 ol 1 EFTA00049663

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/24/2019 13:08 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge. SUBJECTIVE: COMPLAINT 1 Provider: Joaquin, Y. MLP Chief Complaint: Other Problem Subjective: I still do not want to talk about. But, between you and me. I think my room mate had to do with what happened to me. Do not ask me. I am not go:rig to say anything. Pain: No OBJECTIVE: Temperature: Date Lae Fahrenheit Celsius Wootton. provide( 07/24/2019 13:12 NYM 97.8 36.6 Oral Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Ebxthm provider 07/24/2019 13:12 83 Via Machine Regular Joaquin, 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 Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Exam Comments Follow up evaluation done for inmate Epstein. He does not look in any pair or distress. He still has the erythema around his neck. Central part of this erythema has some abrasion. Patient does not complaint of any respiratory problem or distress. He still does not want to explain how the skin injury on his neck happed. he insinuates that injuries on his neck have to do with his room mate. But does not want to talk about it. ASSESSMENT: Injury, unspecified, T1490 - Current PLAN: Disposition: Generated 07/241201913:24 by Joaquin, Y. MLP Bureau of Prisons - NYM Page I of 2 EFTA00049664

Inmate Name: EPSTEIN. 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 07/24/2019 Counseling Access to Care Joaquin, Y. Verbalizes Understanding 07/24/2019 Counseling Preventive Health Joaquin, Y. Verbalizes Understanding Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin. Y. MLP on 07/24/2019 13:24 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be disp:ayed on the following page. Generale(' 01/2412019 13:24 by Joaquin. Y. MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00049665

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: 07/24/2019 13:08 Provider. Joaquin. Y. MLP Facility: NYM Cosigned with New Encounter Note by Beaudouin, Robert MD on 07/24/2019 16:10. Bureau of Prisons • NYM EFTA00049666

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/201906:20 Provider: Joaquin, Y. MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY I 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 Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how Injury occurred): "I do not know. Just went to drink a little water and wake up snorting". Symptoms (as reported by inmate): None OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral Joaquin, Y. MLP Pulse: Dale Time Hate Per Minute Location Rhythm provider 07/23/2019 06:30 92 Via Machine Regular Joaquin, Y. MLP Respirations: Pala Time Batatritimita Proxiciat 07/23/2019 06:30 NYM 16 Joaquin, Y. MLP Blood Pressure: Data Time Value ks/GAZ211 Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular Joaquin. Y. MLP SaO2: Date Time Valuei%1 Aft Provider 07/23/2019 06:30 NYM 96 Room Air Joaquin, Y. MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09.05 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00049667

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clew to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing EXam Comments Inmate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. 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 and sitting on the floor. Inmate is currently placed on suicide watch. ASSESSMENT: Injury, unspecified, 11490 - Current - self inflicted injuries. PLAN: Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours Other: For follow up with psychology service. Patient Education Topics: Date Initiated Format Handout/Tooic Provider Outcome 07/23/2019 Counseling Access to Care Joaquin, Y. Verbalizes Understanding 07/23/2019 Counseling Plan of Care Joaquin, Y. Verbalizes Understanding Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/23/2019 09:05 Requested to be cosigned by Beaudouin. Robert MD. Cosign documentation will be displayed on the following page. Generated 07/2312019 09:05 by Joaquin. Y MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00049668

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: 07/23/2019 06:20 Provider: Joaquin. Y. MLP Facility: NYM Cosigned by Beaudouin, Robert MD on 07/23/2019 15:44. Bureau of Prisons • NYM EFTA00049669

Bureau of Prisons Health Services Clinical Encounter 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: Beaudouin, Robert MD Unit: 205 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid Added to clinic(s): Orthopedlc/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/14/2019 18:11 by Eleaudouin. Robert MO Bureau of Prisons - NYM Page 1 of 3 EFTA00049670

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Provider: Beaudouin, Robert MD Reg #: 76318-054 Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Exlraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: WR/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Muscutoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, 04730 - Current PLAN: New Medication Orders: Medication Omega 3 ( Vascepa) 1 GM Capsule Order Date 07/14/2019 17:36 Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Lab Tests-H-Hemoglobin A1C One Time Lab Tests-L-Lipid Profile Additional Information: Generated 07(1412019 18:11 by Beaudouin, Robert MD Bureau of Prisons NYM Due Date 10/10/2019 00:00 Routine Prescriber Order TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) - TAKE WITH FOOD. Priority Page 2 of 3 EFTA00049671

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Provider: Beaudouin, Robert MD Reg #: 76318-054 Facility: NYM Unit: 205 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H•Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: ,EMtLeft Clinical Encounter 66 YR OLD MALE FOR ROUTINE SCREENING. Chronic Care Visit 01/07/2020 00:00 Mid-Level Provider 6 MONTH F/U. Chronic Care Visit 07101/2020 00:00 Physician 01 Other: PENDING EKG AND FOBT. CXR WAS REFUSED. One Time 08/08/2019 00:00 Routine pate Scheduled Scheduled Provider 07/24/201900:00 Optometrist Patient Education Topics: Date Initiated Format Handout/Toole 07/14/2019 Counseling Diagnosis Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/14/2019 18:11 Cosign Required: No Provider Outcome Beaudouin, Robert Verbalizes Understanding Generated 07/1412019 18:11 by Beauclown. Robert MO Bureau of Prisons - NYM Page 3 or 3 EFTA00049672

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HITE MALE WITH HX OF HYPERT CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , . STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS • 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 THE Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMI S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam; General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic. Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic. Diaphoretic, Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Generated 07/12/2019 14-20 by Boaudouin Robed MO Bureau of Prisons • NYM Page 1 of 3 EFTA00049673

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Reg $1: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin. Robert MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rats t Rhythm (RRR), Normal S1 and S2 No: M/R/G f. Abdomen Auscultation Yes: Normo-Active B Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain. M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Indication: Constipation, unspecified MethyiPREDNISolone Tab 4 MG ( Dose 07/12/2019 13:10 Pack 21 tab) Indication: Neuralgia and neuritis, unspecified Disposition: Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) AS DIRECTED Orally - daily x 6 day(s) Generated 07/72/2019 14 20 by Beaudouin. Robert MO Bureau of Prisons - NYM Page 2 ol 3 EFTA00049674

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z05 Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/12/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required: No Cosign Required: No TelephoneNerbal Order: Completed by Beaudouin, n 07/12/2019 14:20 d o Generated 07/12/201914:20 by Beaudouin, Robed MD Bureau of Prisons - NYM Page 3 of 3 EFTA00049675

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/12/2019 13:10 Provider: Beaudouin, Robert MD Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OL HITE MALE WITH HX OF HYPERT ca CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , !II c STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS • 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 THE Y HAS L4 - L5 SEVERE SIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMI S. SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, OrthopedidRheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic. Appears in Pain, Writhing in Pain, Pale. Pallor, Cyanotic. Diaphoretic. Disheveled, Unkempt, Acutely III Nutrition No: Appears Obese Generated 07/12/2019 14:20 by Beaudouin Robed MD Bureau of Prisons - NYM Page 1 of 3 EFTA00049676

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rat Rhythm (RRR), Normal S1 and S2 No: M/Ft/G Abdomen Auscultation Yes: Normo-Active B Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness ithi Neurologic 1°) Cranial Nerves (CN) Yes: W ASSESSMENT: Constipation, unspecified, K5900 • Current 0 # 101 )6) Motor System-General n Normal Limits Yes: Normal Exam Neuralgia and neuritis, unspecified, M792 - Current Low back pain, M545 - Current 4 • >e Hyperlipidemia, unspecified, E785 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Magnesium Hydroxide Susp 07/12/2019 13:10 Disposition: Prescriber Order 30 CC Orally - Two Times a Day PRN x 2 day(s) Indication: Constipation, unspecified MethyiPREDNISolone Tab 4 MG ( (Dose 07/12/2019 13:10 AS DIRECTED Orally - daily x Pack 21 lab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Generated 07/122019 14.20 by Beaudouin, Robed MD Bureau of Prisons - NYM Page 2 of 3 EFTA00049677

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg It: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Dale: 07/12/2019 13:10 Provider: Beaudouin, Robert MD Unit: Z0S Follow-up at Sick Call as Needed Other: WILL CONTINUE NOTES TO ADDRESS THE NFDR AND FOLLOW-UP. Patient Education Topics: Date Initiated Format 07/12/2019 Counseling Copay Required: No TelephoneNerbal Order: Completed by Beaudouin, Handout/Topic Provider Outcome Diagnosis Beaudouin, Robert Verbalizes Understanding Cosign Required: No tit)07/12/2019 14:20 Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00049678

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/14/2019 17:36 Facility: NYM Amendment made to this note by Beaudouin, Robert MD on 07(14/2019 18:11. Btneass of Prisons NYM EFTA00049679

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Note Date: 07/12/2019 09:06 Provider: Beaudouin, Robert MD Reg #: Facility: Unit: 76318.054 NYM 205 Admin Note - Orders encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD PATIENT REQUESTED TO HAVE A COLACE RX , INSTEAD OF TEH BISACODYL FOR CONSTIPATION. New Medication Orders: Medication Docusate Sodium Capsule Indication: Constipation, unspecified Discontinued Medication Orders: &ft Medication 121757-NYM Bisacodyl E.C. 5 MG TAB Order Date 07/12/2019 09:06 Order Date 07/12/2019 09:06 Discontinue Type: When Pharmacy Processes Discontinue Reason:discontinue Indication: Copay Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/12/2019 09:10 Cosign Required: No prescriber Order TAKE ONE 100 MG CAP Orally - Two Times a Day x 30 day(s) Prescriber Order Take one tablel (5 MG) by mouth at bedtime AS NEEDED for 10 days Generated 07/1212019 09:10 by Beaudotin Robert MD Bureau of Prisons • NYM Paget01 EFTA00049680

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/07/2019 00:17 Provider: Beaudouin, Robed MD Unit: E06 Cosign Note - Intake Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: MED CL:1 NO CCC APPT. Discontinued Laboratory Requests: Details Beaudouin, Robert MD Freauencv Matt Priority Lab Tests-H-Hemoglobin MC One Time 08/05/2019 00:00 Routine Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: Beaudouin, Robert MD New Laboratory Requests: Details Freauencv pus Date Priority Chronic Care Clinics-Diabetic-CBC w/diff One Time 07/25/2019 00:00 Routine Chronic Care Clinics-Diabetic-Lipid Profile Chronic Care Clinics-Diabetic-Hemoglobin A1C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Freauency And Date Due Date Priority General Radiology-Chest-2 Views One Time 07/25/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH NO PMHX , REFERRED FOR ROUITNE CXR. Copay Required: No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/07/2019 00:30 Generated 07/07/2019 OCY.30 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00049681

Bureau of Prisons Health Services History & Physical 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 #: 76318-054 Facility: NYM Unit: H01 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Hx of Previous Disease: No Blood•tinged Sputum: No Night Sweats: No Weight Loss:No Fever: No Cough:No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/0912019 13:03 by Joaquin. Y. MLP Bureau of Prisons NYM Page 1 or 13 EFTA00049682

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07109/2019 12:35 Provider: Joaquin, Y. MLP Unit: H01 HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CO4: Comments: Hepatitis: Denied Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chlamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Abuse History: Denied Physical: No Emotional: No Sexual: No Comments: Denies Generated 07/09/2019 13:03 by Joaquin, Y. MLP Clureau of Prisons • NYM Pago 2 of 13 EFTA00049683

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 #: 76318-054 Facility: NYM Unit: H01 Mental Health: Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Hx of Mental Health Treatment: None Hx of Head Injury: None Current Mental Health Treatment: No Current Mental Health Complaint: No Hx of Loss of Consciousness: No Hx of Hearing Voices: No Past History of Suicide Attempt: No Current Suicide Ideation: No Suicide Prevention Initiated:No Comments: Substance Use History: Denied Current Painful Condition: Denied Other Health issues: Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Condition: Denied Generated 07109/2019 13:03 by Joaquin. Y. M[P Bureau of Prisons - NYM Page 3 of 13 EFTA00049684

Inmate Name: EPSTEIN. JEFFREY EDWARD Reg It 76318.054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: Joaquin. Y. MLP Unit: H01 Observations: Draining Skin Lesions: No Signs of Lice: No Signs of Scabies: No Signs of Recent Trauma: No Recent Tattoos: No Needle Marks: No Signs of Rash: No Open Sores: No Wounds: No Body Deformities: No Tremors: No Sweating: No Comments: Generated 07/09/2019 13:03 by Joaquin. Y. MLP Bureau of Prisons • NYM Page 4 at 13 EFTA00049685

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: Encounter Date: 07/09/2019 12:35 Provider: Reg #: 76318-054 M Race: WHITE Facility: NYM Joaquin, Y. MLP Unit: H01 Immunizations: Hepatitis A and B (TwinRx) Series Administration: History Unkrown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Measles/Mumps/Rubella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number. Dosage: Route: Exp Dl: Comments: Smallpox Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Tetanus Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Generated 07/09(2019 13.03 by Joaquin, Y. MLP Bureau of Prisons • NYM Page 5 of 13 EFTA00049686

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 #: 76318.054 Fealty: NYM Unit: 1101 Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Varicella Series Administration: History Unknown, Not Administered Documented Date: 07/09/2019 12:51 EST Immunization Date: Provider: Joaquin, Y. MLP Location: Drug Mfg: Lot Number: Dosage: Route: Exp Dt: Comments: Temperature: DAM Titer Fahrenheit Celsius Location Provider 07/09/2019 12:49 NYM 97.3 36.3 Oral Joaquin, Y. MLP Pulse: pale Time Rate Per Minute Logeton Rhythm provider 07/09/2019 12:49 82 Via Machine Regular Joaquin, Y. MLP Respirations: pals Time Rate Per Minute Provider 07/09/2019 12:49 NYM 16 Joaquin, Y. MLP Blood Pressure: Dais mut Value Location Position Cuff Size provider 07/09/2019 12:49 NYM 117166 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Pala Time Value(%) Air psovi r 07/09/2019 12:49 NYM 97 Room Air Joaquin, Y. MLP Height: Dale Time frichec Cm provider 07/09/2019 12:49 NYM /0.0 177.8 Joaquin. Y. MLP Generated 07109/201913:03 by Joabuin, Y. AALP Bureau of Prisons - NYM Page 6of 13 EFTA00049687

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 #: 76318-054 Facility: NYM Unit: 1101 nate Time inches Cm Provider Weight: aaig Time UM Kg Waist Circunt, Provider 07/09/2019 12:49 NYM 194.4 88.2 Joaquin, Y. MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Oak Ed Yrs Occupation Learns Rest By Primary Language Barriers to Education 07/09/2019 12 Banker Speaking/Listening English None Family History - Father. Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family 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 of 13 EFTA00049688

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 #: 76318-054 Facility: NYM Unit: H01 Eyes: EOM': Yes Icterus:No Conjunctival Inflammation: No Pupils PERRLA: Yes Pupil Size Rt: Pupil Size Lt: Pupils Comments: Fundi Vessels Nicking: No Fundi Vessels Discs Flat:Yes Fundi Vessels Discs Sharp Margins: Yes Fundi Vessels Grounds Abnormal: No Eyes Comments: Vision Screen 07/09/2019 12:52 Blindness: With Corrective Distance Vision: OD: 100 OS: 70 OU: OD: OS OU: Near Vision: OD: OS: OU: OD: OS: OU: Ishihara Color Test: Tonometry: L: R: Comments: Needs evaluation with optometrist. Ears: Right Ear: Canal patent Left Ear: Canal patent Ears Comments: Nose: Nares Patent: Yes Septum Midline:Yes Septum Intact: Yes Drainage/Discharge:No Polyps: No Nose Comments: Generated 07/09/2019 1103 by Joaquin. Y. MLP Bureau of FYesons • NYM Page 8 of 13 EFTA00049689

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Dale: 07/09/2019 12:35 Provider: Joaquin. Y. MLP Unit: H01 Mouth Lesions: No OraliBuccal Mucosa:Yes Gums Normal: Yes Tonsils Present: Yes Tonsils Normal: Yes Pharynx: Normal Color Teeth Poor Dentition: No Teeth Count:Mostly Present Dentures: No Mouth Comments: Cranial Nerves: Intact lI-XII: Yes Cranial Nerves Comments: Neck: Full ROM:Yes Masses/Nodes: No Trachea:Midline Thyroid: Normal Size Comments: Breasts: Normal: Yes Masses:No Tenderness:No Scars: No Dimpling:No Nipple Discharge: No Nipple Retraction:No Instructions for Self Breast Exam Given: Comments: No Generated 07/092019 13.03 by .Joaquin. Y. MLP Bureau of Prisons • NYM Page 9 of 13 EFTA00049690

Inmate Name. EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Unit: H01 Thorax: Contour N ormat:Yes Increased AP Diameter: No Asymmetrical Expansion: No Lungs Clear: Yes Wheezes: No Crackles: No Rhonchi: No Rates: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tenderness:No Comments: Cardiovascular. RRR: Yes Normal S11S2: Yes Murmurs: No Carotid Bruits: No JVD: No Arteries: Right Le Radial: Femoral: Dorsalis Pedis: Post. Tibialis: Comments: Generated 07109/2019 13.03 by Joaquin. Y. MLP Bureau of Prisons • NYM Page 10 of 13 EFTA00049691

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg It: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Unit: H01 Abdomen: Normal Contour:Yes Scaphoid: No Obese: No Gravid: No Hernias: No Bruits: No Masses:No Scars: No Tenderness: No Organomegaly: No Active Bowel Sounds: Yes Comments: Extremities: Nails Clubbing: No Nails Cyanosis: No Lower Extremity Edema - Right: None Lower Extremity Edema - Left: None Atrophy: No Amputations: No Other Deformities: No Varicosities: No Calf Tenderness: No Pulse Deficit: No Strength: Riaht Left Arm: Leg: Full ROM: Eight Left Arm: Yes Yes Leg: Yes Yes Comments: Generated 07/09/2019 13.03 by Joaquin. Y. MLP Bureau of Prisons - NYM Page 11 of 13 EFTA00049692

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 76318.054 Facility: NYM Unit: H01 Reflexes: Right L2ft Biceps: Patellar: Brachioradialis: Achilles: Sensation: Vibratory: Yes Light Touch: Yes Pin Prick: Yes Comments: GU: Chaperoned By: Rectum: Not Done Comments: Refused. Male Genitalia: Not Done Comments: Refused. Skin: Normal: Yes Rash: No Redness:No Abnormal Pigmentation: No Abnormal Lesions/Growths: No Comments: Lymphatics: Adenopathy: No Comments: Potential Items For Follow-up: Kam Travel Outside US Other Infectious Disease History Rectum Not Done Mate Genitalia Not Done PPG Administration Not Performed Comments: Patient has a history of constipation. Generated 07/09/2019 13 03 by Joaquin. Y. MLP Bureau of Prisons-NYM Page 12 or 13 EFTA00049693

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 #: 76318-054 Facility: NYM Unit: H01 Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter- Health Problem Constipation, unspecified - Current - New Medication Orders: Hitt Medication Order Date Prescriber Order Bisacodyl E.C. Tablet 07/09/2019 12:35 5 mg Orally at bedtime PRN x 10 day(s) Indication: Constipation, unspecified Disposition: Follow-up at Sick Call as Needed Instructed inmate how to obtain medical, dental, and mental health care. Copay Required: No Cosign Required: Yes TelephoneNerbal Order: No Completed by Joaquin, Y. MLP on 07/09/2019 13:03 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 01109,2019 1103 by Joaquin, Y. HIP Bureau of Prisons - NYM Page 13 of t3 EFTA00049694

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: Joaquin, Y. MLP Facility: NYM Cosigned by Beaudouin, Robert MD on 07/11/2019 22:41. Bureau of Prisons - NYM EFTA00049695

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 Health Problems Health_ Emblem Status Hyperlipldemla. unspecified Current HYPERTRIG LYCERIDEM IA Sleep apnea Current Essential (primary) hypertension Current BY HX. Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified Current Ft/O self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10mI by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments A(ga Time Activity 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 06110/2019 07.00 by Columba. Joseph RN Bureau of Pawns - NYM Page 1 or 2 EFTA00049696

Reg if: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Celt: lower bunk -- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. --- 07/30/2020 Comments: Allergies No Known Allergies Devices I Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 15O PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: Columbo, Joseph RN Dale: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg ti: 76318-054 DOB: 01/20/1953 Sex: M Generated 08/10/2019 07:00 by Colombo, Joseph RN Bureau or Prisons - NYK4 Page 2 of 2 EFTA00049697

Bureau of Prisons Health Services Vitals All Begin Date: 07/07/2019 End Date: 08110/2019 Reg IS: 76318-054 Inmate Name: EPSTEIN. JEFFREY EDWARD Temperature: Pate Time Fahrenheit Celsius Location provider 07/24/2019 13:12 NYM 97.8 36.6 Oral Joaquin, Y. MLP Orig Entered: 07/24/2019 13:14 EST -Joaquin, Y. MLP 07/23/2019 06:30 NYM 97.5 36.4 Oral Joaquin, Y. MLP Orig Entered: 07/23/2019 08:33 EST Joaquin, Y. MLP 07/09/2019 12:49 NYM 97.3 36.3 Oral Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Pulse: Date Time 07/30/2019 13:02 Rate Per Minute !Location Rhythm Provider 94 ()rig Entered: 07/30/2019 13:04 EST Beaudouin, Robert MD 07/30/2019 09:40 88 Via Machine Orig Entered: 07/3012019 13:04 EST Beaudouin, Robert MD 07/30/2019 09:30 87 Via Machine Orig Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST Columbo, Joseph RN 07/28/2019 06:57 82 Orig Entered: 07/28/2019 06:58 EST Columbo, Joseph RN 07/24/2019 13:12 83 Via Machine Regular Orig Entered: 07/24/2019 13:14 EST Joaquin, Y. MLP 07/23/2019 06:30 92 Via Machine Orig Entered: 07/23/2019 08:33 EST Joaquin. Y. MLP 07/09/2019 12:49 82 Via Machine Orig Entered: 07/09/2019 12:51 EST Joaquin. Y. MLP Respirations: Data 07/30/2019 Orig 07/28/2019 Orig 07/28/2019 Orig 07/23/2019 Orig 07/09/2019 Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robert MD Columbo, Joseph RN Colombo. Joseph RN Joaquin, Y. MLP Regular Joaquin. Y. MLP Regular Joaquin, Y. MLP Time Rate Per Minute Provider 09:30 NYM 12 Beaudouin, Robert MD Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 20:28 NYM 14 Columbo, Joseph RN Entered: 07/28/2019 20:29 EST Columbo, Joseph RN 06:57 NYM 14 Columba, Joseph RN Entered: 07/28/2019 06:58 EST Columbo, Joseph RN 06:30 NYM 16 Joaquin, Y. MLP Entered: 07/23/2019 08:33 EST Joaquin. Y. MLP 12:49 NYM 16 Joaquin. Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Generated 08/10/2019 11:02 by Thomas, Terrence Bureau of Prisons • NYM Page 1 of 3 EFTA00049698

Begin Date: 07/07/2019 Reg #: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Blood Pressure: pate Time Value Location 07/30/2019 13:02 NYM 114/84 Lett Arm Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:40 NYM 125/60 Right Arm Orig Entered: 07/30/2019 13:04 EST 07/30/2019 09:30 NYM 108/86 Left Arm Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM 157191 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 138/80 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 13:12 NYM 132/89 Right Arm Orig Entered: 07/24/2019 13:14 EST 07/23/2019 06:30 NYM 140/85 Right Arm Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM 117/66 Right Arm Orig Entered: 07/09/2019 12:51 EST Position Cuff Size Provider Standing Beaudouin, Robert MD Standing Beaudouin, Robert MD Silting Beaudouin, Robert MD Columbo, Joseph RN Columbo, Joseph RN Silting Joaquin, Y. MLP Silting Joaquin, Y. MLP Silting Joaquin. Y. MLP Blood Glucose: Pate Time Value (mgldU Type 08/04/2019 08:30 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST Columbo. Joseph R 08/02/2019 06:30 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST Joaquin, Y. MLP 08/01/2019 06:30 103 Non-Fasting Orig Entered: 08/01/201909:00 EST Joaquin, Y. MLP 07/31/2019 06:15 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST Joaquin, Y. MLP SaO2: Date Dm" 07/30/2019 09:30 NYM Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robert MD Columbo, Joseph RN Columbo, Joseph RN Adult-regular Joaquin, Y. MLP Adult-regular Joaquin, Y. MLP Adult-regular Joaquin, Y. MLP Regular Insulin Provider Columbo, Joseph RN N Joaquin, Y. MLP Joaquin, Y. MLP Joaquin, Y. MLP Valuera Provider 98 Room Air Beaudouin, Robert MD Orig Entered: 07/30/2019 07/28/2019 20:28 NYM Orig Entered: 07/28/2019 07/28/2019 06:57 NYM Orig Entered: 07/28/2019 07/24/2019 13:12 NYM Orig Entered: 07/24/2019 07/23/2019 06:30 NYM Orig Entered: 07/23/2019 07/09/2019 12:49 NYM Orig Entered: 07/09/2019 Height: Generated 08/10/2019 11:02 by Thomas. Terrance 12:59 EST Beaudouin, Robert MD 98 Columbo, Joseph RN 20:29 EST Columbo, Joseph RN 98 Columbo. Joseph RN 06:58 EST Columbo, Joseph RN 96 Room Air Joaquin, Y. MLP 13:14 EST Joaquin, Y. MLP 96 Room Air Joaquin. Y. MLP 08:33 EST Joaquin, Y. MLP 97 Room Air Joaquin. Y. MLP 12:51 EST Joaquin, Y. MLP Bureau of Prisons • NYM Page 2 or 3 EFTA00049699

Begin Date: 07/07/2019 End Date: 08/10/2019 Reg It: 76318-054 inmate Name: EPSTEIN. JEFFREY EDWARD nate DM Mahn Cm Provider 07/09/2019 12:49 NYM 70.0 . 177.8 Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Weight: Data im LOA Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robed MD Orig Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 07/09/2019 12:49 NYM 194.4 88.2 Joaquin, Y. MLP Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Generated 0811012019 1f:02 by Thomas. Terrance Bureau of Prisons • NYM Page 3 of 3 EFTA00049700

Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: bosigion Provider Reading. Induration Provider 07/06/2019 21:39 Right Forearm Kang, Yoon PA-C 07/09/2019 12:47 0 mm Joaquin, Y. MLP Orig Entered: 07/06/2019 21:43 EST Kang, Yoon PA-C Orig Entered: 07/09/2019 12:47 EST Joaquin, Y. MLP Total: 1 Generated 08/10/2019 11:02 by Thomas. Terrance RN/1O19/10C Bt.reau of Prisms - NYM Page 1 of 1 EFTA00049701

76318-054 E'S- EIN. JEFFREY Medication Orders Medication Administration Record JULY 2019 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 Ord. Date 07/30/19 14.21 Fad. Oast 07131/19 1001 NYM '22149- "WM Beaudoon.RoPert MO NON regular Insulin selact.taneously per sliding scale: Pelee dilly t"plll line"' for 7 days .nsuun Reg ('O ML) 100 UNITS/Mt loi PRN Ord. Odle 07/31/19 10.00 Era. Oa:e 08,37/19 09.59 'OM '22180- NYM Eleaodout- , Roden MD Neel regular Insulin sbcouareausty per sliding scale: each morning for 7 days ''pill 8 ne'•• nsuld Reg PO M1.11C0 UNITS/Mt lei PRN P-oviders YJ Joaqi. in. Y. Documentation Codes: ORD - Order I Ni - Dose Not Indicated Registration 1$ 76318-054 Pt. Name: EPSI EINE JEFFREY DOB'. 01/20/53 Report inkrrralion is current as of the date and t.me o' printing. 08/10/2019 11.02 CST EFTA00049702

76318.054 EPSTEIN. JEFFREY Medication Orders Medication Administration Record AUGUST 2019 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 Oro. Date Bouudoton. Rood 07131/19 :0;00 Inject regular Insulin subcutaneously per Eap Date sliding scale: each morning for 7 days *nod! 08.07/19 Una- 09:69 NYM 122160- NYM Insult Hey 00 MU 100 UNITS/ML Int PRN Providers' YJ = Joaquin. Y. Documentation Codes' ORD = Order NI • Dose Not Ind:Gated Registration P. 76318-054 Pt Name E STEIN. JEFFREY Cal- 01720;53 Report information is current as or the dale and limo of pnnung 08/1072019 11.02 EST EFTA00049703

Bureau of Prisons Health Services Devices and Equipment Start Date: 07/07/2019 Stop Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Device/Eouipment Start Date Stoo Date Pate Returnee Obtained From Comments C-Pap 07/30/2019 14:05 EST Beaudouin, Robed MD 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1E0. Total: 1 Generaled 08110/2019 11:02 by Thomas. Terrance RN/1O1, 0OC Bureau of Prisons - NYM Page 1 of I EFTA00049704

Bureau of Prisons Health Services Pain Management Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Pate Intervention 07/12/2019 13:25 MEDROL DOSE PACK Orig Entered: 07/12/2019 13:28 EST Seaudouin, Robert MD Pain Qoality kosaticm Pie Post Provider Shooting Back-Middle 5 Beaudouin, Robert MD Generated 08110/2019 11.02 by Thomas. Terrance RN/1OP/10C. Bureau of Prisons - NYM Page 1 of I EFTA00049705

Bureau of Prisons Health Services Modified Diet Request Types of Diets: Clear Liquid Exp Date: Low Fat Exp Date: Mechanical Soft Exp Date: Low Cholesterol Exp Date: Low Triglyceride Exp Date: Renal Exp Date: Full Liquid Exp Date: Sodium Controlled Exp Date: Snack Exp Date: Diabetic Exp Date: Calorie Controlled Exp Date: X Other: FISH ALLERGIES. Exp Date: 07/30/2020 Comments: Beaudouin, Robert MD Health Service Staff EPSTEIN. JEFFREY EDWARD Inmate Name 76318-054 07/30/2019 Reg# Date Generated 07/30/2019 14:57 by Seaudouin Robert MI) Bureau of Prisons NYM Page 1 of 1 EFTA00049706

Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Merge Date Noted Reaction No Known Allergies 07/06/2019 Ong Entered: 07/06/2019 21:40 EST Kang. Yoon PA-C Total: 1 Generated 08/10/2019 11:02 by Thomas, Terrance Bureau of Prisons • NYAI Page 1 of 1 EFTA00049707

Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessment Learns Best By 07/09/2019 Speaking/Listening Total: 1 Erimaryiangstaa English Orig Entered: 07/09/2019 12:52 EST Joaquin, Y. Pate Initiated 07/30/2019 07/30/2019 07/28/2019 07/28/2019 07/24/2019 07/24/2019 07/23/2019 07/23/2019 07/14/2019 07/12/2019 Format Counseling Orig Entered: 07/30/2019 Counseling Orig Entered: 07/30/2019 Counseling Ong Entered: 07/28/2019 Counseling Orig Entered: 07/28/2019 Counseling Orig Entered: 07/24/2019 Counseling Orig Entered: 07/24/2019 Counseling Ong Entered: 07/23/2019 Counseling Orig Entered: 07/23/2019 Counseling Ong Entered: 07/14/2019 Counseling Assessments Years of Education Barriers To Education 12 None Handout/Took Access to Care 13:33 EST Beaudouin, Robert Plan of Care 13:34 EST Beaudouin, Robert Plan of Care 07:22 EST Columba, Joseph Plan of Care 20:30 EST Columba, Joseph Access to Care 13:23 EST Joaquin, Y. Preventive Health 13:23 EST Joaquin, Y. Access to Care 09:04 EST Joaquin, Y. Plan of Care 09:04 EST Joaquin. Y. Diagnosis 18:11 EST Beaudouin, Robert Diagnosis Topics Outcome Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Verbalizes Understanding Provider Joaquin, Y. Provider Beaudouin, Robert Beaudouin, Robert Columbo, Joseph Columbo, Joseph Joaquin. Y. Joaquin, Y. Joaquin, Y. Joaquin, Y. Beaudouin, Robert Beaudouin, Robert Generated 08/10/2019 11:02 by Thomas. Torrance RN/10P/IDC Bureau of Prisons - NYM Page 1 of 2 EFTA00049708

Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Dauaitleted Format Bandout/Tooic Outcome Provider OrIg Entered: 07/12/2019 13:33 EST Beaudouin, Robert Total: 10 Generated 08,10/2019 11:02 by Thomas, Terance RN/IOP/iDC Bureau of Prisons - NYM Page 2 of 2 EFTA00049709

Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Rarge: Random or Fasting 70 - 100, 2 hour post-prandial 70 140) Batt Time Value Tvoe 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST Columbo, Joseph RN 08/02/2019 06:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST Joaquin, Y. MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST Joaquin, Y. MLP 07/31/2019 06:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST Joaquin, Y. MLP Total: 4 Comment% Clereraled 08/10J201911:02 by Thomas. Terrence RN/IOP/IDC flume,/ of Prisons - NYM Page 1 of 1 EFTA00049710

Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Hyperlipidemia, unspecified 07/12/2019 13:48 EST Beaudouin, Robert MD HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST Beaudouin, Robert MD Essential (primary) hypertension 07/30/2019 13:13 EST Beaudouin, Robert MD BY FIX. Constipation, unspecified 07/09/2019 12:58 EST Joaquin, Y. MLP Low back pain 07/12/2019 13:30 EST Beaudouin, Robert MD Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST Beaudouin, Robert MD No Diagnosis 07/09/2019 10:28 EST Miller, Elissa PhD/Chief Psychologist Prediabetes 07/30/2019 13:26 EST Beaudouin, Robert MD Injury, unspecified 07/23/2019 09:04 EST Joaquin. Y. MLP R/O self inflicted injuries. Body mass index (BMI) 27.0.27.9, adult 07/30/2019 13:14 EST Beaudouin, Robert MD Total: 10 Current Code Tvoe ICD-10 IC0-10 ICD-10 ICD-10 ICD-10 ICD-10 I DSM-IV IC0-10 ICD-10 Code Dim Date Status E785 07/12/2019 Current G4730 07/12/2019 Current 110 07/30/2019 Current K5900 07/09/2019 Current M545 07/12/2019 Current M792 07/12/2019 Current No Dx 07/09/2019 Current R7303 07/30/2019 Current 11490 07/23/2019 Current ICD-10 26827 07/30/2019 Current Status Date Generated 08/10/2019 11:02 by Thomas, Terrance RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 EFTA00049711

Bureau of Prisons Health Services Vision Screens Reg it: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST Joaquin. Y. MLP Generated 08/102019 11:02 by Thomas. Terrance Bureau of Prisons - NNW Page 1 of 1 EFTA00049712

Bureau of Prisons Health Services Immunizations Begin Date: 07/07/2019 Reg #: 76318-054 End Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Hepatitis A and B (TwinRx) Orig Entered: 07/09/2019 12:51 EST Measles/Mumps/Rubella Series Orig Entered: 07/09/2019 12:51 EST Smallpox Series Orig Entered: 07/09/2019 12:51 EST Tetanus Orig Entered: 07/09/2019 12:51 EST Varic,ella Series Orig Entered: 07/09/2019 12:51 EST Total: 5 Immunization Date Administered Location History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP History Unknown Joaquin, Y. MLP History Unknown Joaquin. Y. MLP Osman Drug Mfg. Lot it Fxp Date Generated 08/10/2019 11:02 by Thomas. Tenanee RN/1OP/IOC Bureau of Prisons - NMI Page 1 of 1 EFTA00049713

Bureau of Prisons Health Services Medical Duty Status Reg It 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status confined to the living quarters except _meals pill line _ _treatments Exp. Dale: on complete bed rest: _bathroom privileges only Exp. Date: _ X cell: cell on first floor single cell X lower bunk airborne infection isolation Exp. Date: 10/09/2019 other: Exp. Date: Physical Limitation/Restriction all sports Exp. Date: weightlifting: _upper body _lower body Exp. Date: cardiovascular exercise: _running _jogging _walking _softball Exp. Date: _football _basketball _handball _stationary equipment other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouin, Robert MD 07/30/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/1012019 11:02 by Thomas. Terrance Bureau of Prisons • NYM Page 1 of 1 EFTA00049714

Bureau of Prisons Health Services Medical Duty Status Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status confined to the living quarters except _meals pill line _ _ _treatments Exp. Date: _ on complete bed rest: _bathroom privileges only Exp. Date: X cell: cell on first floor single cell X lower bunk airborne infection isolation Exp. Date: 10/09/2019 other: Exp. Date: Physical Limitation/Restriction all sports Exp. Date: weightlifting: upper body _lower body Exp. Date: cardiovascular exercise: _running _jogging _walking _softball Exp. Date: football _basketball _handball _stationary equipment other: Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Joaquin, Y. MLP 07/09/2019 Health Services Staff Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 0&10/2019 11.02 by Thomas. Terrance Bureau of Prisons NYM Page 1 of 1 EFTA00049715

Bureau of Prisons Health Services Medication Summary Historical Complex: NYM--NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318.054 Quarter: Z04-206LAD Medications listed reflect prescribed medications from the begin date to end date on this report. Allergies: 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 D/C: 07/12/19 Pharmacy Dispensings: 10 TAB in 32 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) by mouth twice daily for 30 days Rx#: 121823-NYM Doctor. Beaudouin, Robert MD Start: 07/12/19 Exp: 08/11/19 Pharmacy Dispensings: 60 CAP in 29 days Docusate Sodium 100 MG Cap Take one capsule (100 MG) twice daily by mouth with plenty of water Rx#: 122084-NYM Doctor: Beaudouin, Robert MD Start: 07/26/19 Exp: 01/22/20 Pharmacy Dispensings: 30 CAP in 15 days Mdk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 2 tablespoonful twice daily by mouth Rx#: 121835-NYM Doctor: Beaudouin, Robert MD Start: 07/12/19 Exp: 07/14/19 Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML shake well take 10ml by mouth twice daily AS NEEDED Rx#: 122150-NYM Start: 07/30/19 Doctor: Beaudouin, Robert MD Exp: 10/28/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 121836-NYM Start: 07/12/19 Doctor: Beaudouin, Robert MD Exp: 07/18/19 methylPREDNISolone 4 MG Tab ( 21 count Pack) Take the tablet by mouth as directed Rx#: 122149-NYM Doctor: Beaudouin, Robert MD Stan: 07/30/19 Exp: 08/05/19 Pharmacy Dlspensings: 473 ML in 29 days Pharmacy Dispensings: 473 ML in 11 days Pharmacy Dispensings: 21 tab in 29 days Pharmacy Dispensings: 21 tab in 11 days Generated 08/10/2019 11:02 by Thomas, Terrance Bureau of Prisons NYM Page 1 or 2 EFTA00049716

Complex: NYM--NEW YORK MCC Inmate: EPSTEIN, JEFFREY EDWARD Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Quarter: Z04.206LAD Active Prescriptions Omega 3 (Vascepa) 1 GM Capsule Take two capsules (2 GM) twice daily by mouth with food Rx#: 121885-NYM Doctor: Beaudouin, Robert MD Start: 07/17/19 Exp: 01/13/20 Pharmacy Dispensings: 180 Cap in 24 days Insulin Reg (10 ML} 100 UNITS/ML Inj Inject regular insulin subcutaneously per sliding scale: twice daily "pill line" for 7 days 'pill linens Rx#: 122148-NYM Doctor: Beaudouin, Robert MD Start: 07/30/19 Exp: 08/06/19 D/C: 07/31/19 Pharmacy Dispensings: 0 MI in 11 days Insulin Reg (10 ML) 100 UNITS/ML lnj Inject regular insulin subcutaneously per sliding scale: each morning for 7 days "pill linen "pill linen* Rx#: 122160-NYM Doctor: Beaudouin, Robert MD Start: 07/31/19 Exp: 08/07/19 Pharmacy Dispensings: 0 ML in 10 days Generated 08110/2019 11:02 by Thomas. Terrance Bureau of Prisons - NYM Page 2 of 2 EFTA00049717

Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: Ancrum. Cheryl DDS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Statue Hyperlipidemia, unspecified Current HYPERTRIGLYCERIDEMIA Steep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified Current WO self inflicted injuries. Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Gettersled 07/26/2019 0739 by Annum, Cheryl DDS Bureau of Prisons - NYM Page 1 or 3 EFTA00049718

Inmate Name: EPSTEIN. JEFFREY EDWARD Reg it: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider: Ancrum, Cheryl DDS Unit: H01 Other Infectious Diseases: Syphilis: No Syphilis Last Treatment: N/A Genital Warts: No Chtamydia: Yes Gonorrhea: No Herpes: No Chicken Pox: Yes Other: No Comments: Chlamydia in 2015, treated Chicken pox in childhood Other Health Issues: Other Medical Conditions And Treatment:sleep apnea Current Medical Conditions: Other Current Treatments: Pregnant: N/A Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54 History: Alcohol: No Methamphetamine: No Tobacco products: No Other drugs: No Sensitive teeth: No Bleeding gums: Yes Food impaction: Yes Pain around ear: No Toothache: No Wear partial dentures: No Unusual sounds while eating: No Snoring: Yes Blisters on lips or mouth: No Clenching or grinding: Yes Swelling or lumps in mouth/throat: No Burning tongue: No Bad breath: No Decayed teeth: No Loose teeth: No Wear dentures: No None: No Comments: Generated 07/76/2019 07:59 by Ancrura Cheryl DOS Bureau of Prisons • NYM Page 2 of 3 EFTA00049719

Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:54 Provider Antrum, Cheryl DDS Unit: H01 Cardiac Condition Requiring Prophylaxis: No Prosthetic joint(s): No Radiation history of head or neck: No Excessive bleeding: No Bisphosphonates: No Comments: Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications: Docusale Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take ono capsule (100 MG) by mouth twice daily for 30 days Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this Inmate is currently taking. Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Ancrum, Cheryl DOS on 07/26/2019 07:59 Generated 07/262019 07:59 by Antrum. Cheryl 0DS Bureau of Prisons • NYM Page 3 of 3 EFTA00049720

Bureau of Prisons Health Services Dental A&O Exam Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/26/2019 07:47 Provider: Antrum. Cheryl DDS Unit: H01 Reviewed Health Status: Yes Occlusion: Class I Oral Hygiene: Fair CPITN: 3 2 3 3 1 2 1 3 Hard and soft tissue examination performed and documented on BP618 form: Yes Head & Neck/Soft Tissue within normal limits? No Comments: moderate to advanced upper posterior gingival recession Decayed: Missing: Filled: 0 1 14 Comments: Lower anterior crowding Approved for hygiene appointment and radiographs: Yes Instructed inmate how to obtain routine and emergency dental care. Oral hygiene instructions given: Yes Dental A&O Screening Exam findings entered on EPSTEIN, JEFFREY EDWARD by Antrum, Cheryl DDS on 07/26/2019 07:47. Generated 07/26/2019 08:00 by Antrum, Cheryl DDS Bureau of Prisons - NYM Page 1 of 1 EFTA00049721

Bureau of Prisons Health Services Dental Soap/Admin Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/18/2019 13:48 Provider DeBruce, Juanita Dental Asst Unit. Z05 Screening encounter at Dental Clinic. Reason Not Done: Unavailable Comments: Patient has had several call outs for his Dental A 8 O screening but has not been escorted to the dental clinic. Cosign Required: No Completed by DeBruce, Juanita Dental Asst on 07/19/2019 13:49. Generated 07119/2019 I 3A9 by DeBruce. Juanita Denial Bureau of Prisons • NYM Page I of 1 EFTA00049722

O Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874.1621 "' Sensitive But Unclassified "' Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46 LIS ID 188191004 CHEMISTRY Sodium Potassium Chloride CO2 BUN Creatinine eGFR (IDMS) 137 4.7 99 27 17 1.05 >60 137-148 3.5-5.0 99.114 22-30 7-22 0.66-1.25 mmo!/L mmol/L mmol/L mmol/L mg/dL mg/dL GFR units measured as mUmin/1.73 mh2. If African American mtUt ply by 1.210. A calculated GFR <60 suggests chronic kidney disease if found over a 3 month period. Calcium 9.8 8.5-10.9 mg/dL Glucose 102 70-110 mg/dL AST H 57 11-55 U/L ALT 62 11-66 U/L Alkaline Phosphatase 64 41.133 U/L Bilirubin, Total 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 g/dL Alb/Glob Ratio 1.50 1.00-230 Anion Gap 10.2 9.0-19.0 BUNUCreat Ratio 16.1 5.0-30.0 Cholesterol H 216 <200 mg/dL Triglycerides H 413 10-150 mg/dL Calculation of L0L is not appropriate for samples with a ifglyceride greater than 400 mg/dL. Therefore the LDL is not calculated. HDL Cholesterol L 31 40-60 mg/dL ChoUHDL Ratio H 6.9 0.0-4.0 HEMATOLOGY WBC 7.6 4.3-11.1 K/uL NRBC% 0.0 'Ye RBC 5.42 4.46-5.78 Hemoglobin 4.5.6 13.6-17.6 g/dL Hematocrit 47.8 40.2-51.4 MCV 88.2 82.5.96.5 fL MCH 28.8 27.1-34.9 P9 MCHC 32.6 33.0-37.0 g/dL RDW-CV 12.8 12.0-14.0 Platelet 338 130-374 K/uL FLAG LEGEND L=Low LI.=Low Critical H=High H!=High Critical A=Abnormal A! =Abnormal Critical Page 1 of 3 EFTA00049723

@ Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 "'Sensitive But Unclassified 6" Name EPSTEIN, JEFFREY Reg # 76318-054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-547U Provider Robert Beaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/201914:46 LIS ID 188191004 HEMATOLOGY MPV 10.4 6.9-10.5 Neutrophils % 58.7 Therapeutic decision making should be based on absolute values, rather than percentages Lymphocytes % 25.0 Monocytes % 11.1 Eosinophils % 4.1 Basophils % 0.8 sk Immature Granulocytes % 0.3 0.0-5.0 ok Neutrophils # 4.4 1.9-6.7 K/uL Lymphocytes # 1.9 1.3-3.7 K/uL Monocytes # 0.8 0.3-1.1 K/uL Eosinophils # 0.3 0.0-0.5 K/uL Basophits # 0.1 0.0-0.1 K/uL Immature Granulocytes # 0.02 0.00-0.50 10"3/uL HEMOGLOBIN MC Hemoglobin A1C H 6.3 <5.7 5.7 - 6.4 increased Risk > 6.4 Diabetes SEROLOGY RPR Non-Reactive Non-Reactive Results may be affected in patients with severely advanced immunosuppression. FLAG LEGEND L=Low LI=Low Critical H=High HI=High Critical A=Abnormal Al =Abnormal Critical Page 2 of 3 EFTA00049724

C Federal Bureau of Prisons U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621 "' Sensitive But Unclassified "' Name EPSTEIN, JEFFREY Reg # 76318.054 DOB 01/20/1953 Sex M Facility MCC New York Order Unit E06-5470 Provider Robert Seaudouin, MD Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/201914:46 LIS ID 188191004 HIV HIV 1/2 Negative Screening test - See confirmatory testing for Reactive results Negative FLAG LEGEND L=Low L!=Low Critical H=High knatigh Critical A=Abnormal A! =Abnormal Critical Page 3 of 3 EFTA00049725

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: 07/10/2019 16:58 Provider: Lab Result Receive Facility: NYM Cosigned by Beaudouin, Robert MD on 07/14/2019 18:12. Bureau of Prisons • NYM EFTA00049726

I BP-5358.050 MEDICAL TREATMENT REFUSAL SEP 05 U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS CDFRM 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 LAYMAN'S TERMINOLOGY: EYE DOCTOR EVALUATION. The following treatment(s) was/were recommended: EYE DOCTOR EVALUATION. Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment: INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES. I understand the possible consequences andlor complications, listed above, and still refuse recommended treatment I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my expressed wishes and directions. BEAUDOUIN, ROBERT MD 7-24-2019 Counseled by Dale Signature of Wine S Date —71,ceock/c 6 6-e6ers /re NYM-NEW YORK MCC 1 EFTA00049727

BP-A0618 JUN 16 U.S. DEPARTMENT OF JUSTICE A&O DENTAL EXAMINATION (Initial Clinical Dental Findings) FEDERAL BUREAU OF PRISONS ;04 2 1 2 3 4 5 6 7 6 0 10 11 1213 t4 15 18; E-2 32 31 30 20 28 27 2625 2423 22 21 20 10 18 ccifil 4f1"111. Occlusion: OralHygiene: Good Fair Poor CPITN 3 3 Head 8 Neck / Sol Tissue: t ) F: Classifi tion: CL Pain Scale /10 Dental Prostheses a Intake: Yes G Type: Age: Condrtion: CommAntli i v 0.w r-cCe SS/on Z ter Cr% Col 01) Ac/L an Seiti-e- c c4. iivca or ca-oa./Ai ob.e-Aleg Intra-oral Photos Taken: Yes Radiographs Taken: (Document findings on A80 encounter) Yes No nslructed how to obtain urgent and non-urgent dental care: Yes: I No: Treatment Pricaes: None: Non-urgent non-urgent Urgent Referred to Sick Cal: Radiographs Pte: BWs: Panorex-. authorized: Prophylaxis authorized. Yes I No (Approval valid 18 months from examination date) Peent iitt7 S Name: -ea n i -3-e_Y-cl- w_ti E Dentist Signature: 0 ia.t.c o,...cLAtt.. 1>DS 7( z) Number. 3 ICC-, 0c- \ Institution: / MCC NEW YORK Date: 7_ 2 6 —I 9. Signature Block/Stamp: C. Ancrum DDS. PDF Presented by P6403 jet D iet DentalOfficer MCC New York Replaces RP-A0610 el .:11N '0 EFTA00049728

OBSERVATION STARTED: PLEASE RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. THANK YOU. ITEMS ALLOWED: Regular Clothes Safety Toothbrush Newspaper/Magazine Books (softcover only) Safety Pen and Paper _Toilet Paper Legal Mail Other SW Blanket & SW Mattress must be used even on Psych Observations. If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket are allowed. EFTA00049729

Name of inmate On Suicide Watch or Psych Observation:ftiSErte Registration #: 1931S- n5t/ EAT NG/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED SHOWER RECEIVED SHOWER • - • 7-• -.^. Please check the appropriate box if the person on Suicide Watch/Psych Observation actually eats his meal. Do not check the box if he just received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00049730

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C'0004..Ivvmovjce on we bed F q.j5 .IvvroAe tVS-Cein the floor)) orni ALf 13,11 0, SLOLfer (SYM1 U1 11 AL 5Q-4- t3C‘ C-(6tti0--t ; y5 I immale iS Hing dfrc4eci Eoc 40m\ief \hs;-t 0791 9:00 11-annov\-e E-9stem has en-FereJ c ceo,ulocc \Nang umi--ar4 Enc\ oC m\Dec-A-mcbticTi_i * W6 $05y EFTA00049741

yt:Fi. OBSERVATION LOG I NAME: REGISTRATION::: 7V?) - sel OBSERVATION STARTED: - 2017 OBSERVATION ENDED: 7 PLEASE. RETURN LOG TO PSYCHOLOGY AFTER THE OBSERVATION HAS ENDED. TKANK YOU. ITEMS ALLOWED:: __Regular Clothes Safett, Toothbrush __Newspaper/Magazine `__Books (softcover only);. b Safety Pen and Paper II, Toilet Paper Legal Mai: Other SW Blanket & SW Mattress must he used even on Psych Observations. If nothing is checked with a silver marker, only a Suicide Smock and Suicide Blanket sue allowed. EFTA00049742

Name of Inmate On Suicide Watch or Psych Observation: *),Yele-i2 Registration I4: 1-4-6 pi EATING/SHOWER CHART DATE BREAKFAST LUNCH DINNER LIQUIDS OFFERED SHOWER RECEIVED SHOWER 1 X7 V C.X . vt l 4' 7 t./..,- - --------- A7 j../ - .L . - • -_,,-- 7 •-,,.1.-:,.., =' ..--, ---.Z...;- 17_24 Please check the appropriate box if the person on SuicideVatch/Psych Observation actually eats his Tneal. Do not check the box if helust received it, but did not eat it. Place a check in the "Liquids" box each time the person drinks. Thank you. EFTA00049743

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