Distribution Type CC Recipient Type User Expire 0 Delay delivery until 0 Delegated false Archived false Read true Deleted fake Opened true Completed fake Security Normal Box ()DP Inbox Return notification "hen opened fake Return notification "hen deleted false Return notification "hen completed false Return notification "hen declined fake Return notification "hen accepted false Archive Version 5.3 Internal ID 5D52D714.NYMDOMLNYMADM1.100.1656968.1.4 58DA.1@1:7.NYMDOMLNYMADM1.100.0.1.0.1@1 6 Source received Class Public Account Shirley [email protected] Location ID 1540842862118 Class Name GW.MESSAGE.MAIL Enclosing Folders I Folder MalLox ID 7.NYMDOMLNYMADM1.180.0.1.0.1@l6 Name Mailbox Type MalLox System MC Share Type NoiShared Page 15957 EFTA00045468

Audits Dale Action Auditor Note 2019-08-2018:1744 EDT Created en-Archive Agent_2-Zero Day Archivc5.cn-Jobs.cn-GWOpenNodeen-archiv hg.o=netmaa Generated by Nonni Inc. [en-Archive Age!" 2-Zem Day Archi;e5,en-Jobs.en-GWOpenNoie.en-archn ingo-nctmai) 2019-08-21 IO3256 EDT Exported netimin:timilnetmil Exported by rictnnenctimenctonil 2019-09-20083437 EDT Exported netmailneunadnetmail Exported by nctnothicunnl.neunall 2020.0519 153646 EDT Tag BOP01703.MXRADMI.MXRDOMI Responsive 202005-19153636 EDT Tag BOP01703.MXRADMI.MXRDOMI Responsive 2020.05-19 15:30136 EDT Tag BOP01703.MXRADMI.MXRDOMI Responsive 2020-05-19144136 EDT Tag BOP01703.MXRADMI.MXRDOM I iligged 202043549 143838 EDT Tag BOP01703.MXRADMI.MXRDOM I Ekigged Page 15958 EFTA00045469

Statement from Attorney General William P. Barr on the Death of Jeffrey Epstein I OPA Department of Justice From Hugh Hurwitz To Kevin Pistro, Sonya Thompson Date 2019/08/10 12:56 Subject: Statement from Attorney General William P. Barr on the Death of Jeffrey Epstein I OPA I Department of Justice Attachments: TEXT.htm https://www.justice.gov/opa/pr/statement-attomey-general-william-p-barr-death-jeffrey-epstein Hugh Sent from my Verizon, Samsung Galaxy smartphonc Page 15959 EFTA00045470

Properties Property Value MessagelD 5D4EBF15.B0PMSCO.PO4.103.1316B72.1.49C40 .1 Message Path xmiCabinchNER0/5D4EBF15.BOPMSCO.PO4.10 OA 316B72.1.49C40. l.xml From Hugh Hunt Display Name Hugh Finn Email Elliunvinglsop.gov UUID B922A560.1581.0000-B66C-FACF6A00A51C Reply To HHunvitifa bop.gov Text Hugh Hurwitz To Kevin Pisan; Sonya Thompson Subject Statement from Attorney General William P. Barr on the Death of Jeffrey Eva& I OPA I Department of Justice Scheduled date 20194)8.1012:5642 Creation date 2019-08.1012:56:42 Modified date 2019-08.10134558 Delivered date 2019-08-10 125653 Message size 145 Attachments ski 518 Total size 674 Attachments I Attachment TF-XT.htin Name TEXT.htm Content ID 5D4EBF15.BOPMSCO.PO4.204200000111.3B236 [email protected]. PO4. IC0.1316B72. 1.49C40.1(0)15B00946F.DOPMSCO.PO4.100.131 6872.1.389C5.1@13 Is Inline false Type hie Size 518 CA d09908005c53bbeac3b599c25ea9c608 Hash D5E62598CC2C35E4EE2146A6C680F581D18D9127 A6D4I-179CBD08681797DD5B28B22.85AEF Recipients 2 Recipient Kevin Pstro Display Name Kern Pistro Email lipetogbop.gov UUID 1663D3A0-100243004CA3-000000I00002 Distribution Type TO Recipient Type User Delivered 2019-08.10125654 DonnloadedBylltirdPart • 20194$-10125655 Opened 2019-08-10 13:1334 Recipient Sonya TbsalPsell Display Name Sonya Thompson Email sahompsoragbonov UUID F55D4040-146D-0000-SvID5-03008324673C Distribution Type TO Recipient Type User Delivered 201948.10 125653 DonnloadedByThirdP • 2019-08-10 125614 Opened 2019-08-10 1320:18 Expire 0 Delay delivery until 0 Delegated fake Archived fake Read true Deleted fake Opened true Completed false Security Normal Box type Sent Items Return notification when opened fake Return notification "hen deleted fake Return notification when completed fake Return notification ashen declined false Return notification ashen accepted fake Archive Version 5.3 Page 15960 EFTA00045471

Internal II) 5D4EBF15.B0PMSCO.PO4.103.B161372.1.49C40 .1 @15B00946F.BOPMSCO.PO4.10R 13161372.1. 389C5.1@13 Source sent Class Public Account Hugh Iltawiht(0B0P55178.PO4.B0PMSCO Location II) 1540843449744 Class Name GW.MESSAGEMA1L Enclosing Folders I Folder NERO ID 5B00946F.ROPMSCO.PO4.1021316872.1.389C5 .l@13 Name NERO Type Normal System fake Share Type NotShared Page 15961 EFTA00045472

Audits Date Action Auditor Note 2019-08-24 003IA4 EDT Created cn=Archive Agent_I-Daly Archive8 Job.cn-lcbs.cn-GWOpenNodeen-archiving.ciAgent- =netmai Generated by Neared Inc. [crrArchive I -Daily Arciliw8 Joben-Jobs.cn-GWOpenNocletn-archivinge -netrnail] 2019-09.271400:12 EDT Exported mow inetma dneured Exported by netmainetmainctmail 2020-05-19 143434 EDT Tag BOP01703.NIXRADM I.MXRDOM I Flagged 2020.051915:1706 EDT Tag BOP01703.MXRADM I.MXRDOM I Responsive 2020-05-19152&$9 EDT Tag BOP0170334XRADMI.MXRDOMI Respcatave Page 15962 EFTA00045473

Fwd: MCC Visit Thursday From Adam Johnson To Darrin Howard Date 2019/08/14 09:18 Subject: Fwd: MCC Visit Thursday Attachments: TEXT.htm Page 15963 EFTA00045474

Darrin, I just wanted to keep you in the loop as to the visit arranged for tomorrow with the USAO. Thanks, Adam Adam M. Johnson Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836-6455 f: (646)836-7665 '» Adam, (USANYS)" ‹ > 8/13/2019 2:05 PM >>> The list of visitors from our office is below: Geoffrey Berman Audrey Strauss Laura Birger Craig Stewart Nicholas Roos As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to any of the guards present given the ongoing investigations. Please give me a call with any questions, and let us know what time and where we should go, and if it would be easier for us to enter via the 3rd floor bridge. Thanks, Assistant United States Attorney Southern District of New York Tel: (212) 637-2423 Page 15964 EFTA00045475

Properties Property Value Message ID 5D53D IFLNYMDOM LNYMADM1.100.1373875.1.7 AA2F. I Message Path ianVMakbox/5D53DIFI.NYMDOMLNYMADMI.100 .1373875.1.7AA2F.I.xred From Adam Johmon Display Name Adam Johnson Email a 10joInseetvlsop.gov WAD 2750CAD0.09C40000-A8F4-1ACF31EA7575 Reply To a 10johnscatx;bop.gov Text Adam Johnson To Dorris Howard Subject Fwd: MCC Visk Thursday Scheduled date 201948-14 09:18011 Creation date 201908-14 09:18.41 Modified date 2019.08-14 092642 Delivered date 201908-1409:18.41 Message sine 1161 Attachments size 3745 Total size 4917 Attachments I Attachment TEXT.htm Name TEX'T.hian Content ID 5D53DIFLNYMDOMLNYMADMI.203.20C00A0.1.1 47832.1€455D53DIFLNYMDOMLNYMADM1.100. 1373875.1.7AA2F.1@1:7.NYMDOMLNYMADMI.10 0.0.1.016%16 Is Inline false Type file Size 3745 Date 2019-08-14 05:18:39 CA 71dfed49dB68ca9591t401b60113flb Hash EDE7BIA98A480DC6539B76FEBF7126481399D98B 4BEEFE6688E53E0BE6BE338C1801502D Recipients I Recipient Darras Howard Display Name Darin Howard Email d3howartYAbop.gov WAD 6F2C7E60-125F-0000-8901-IICODFOOF4C0 Distribution Type TO Recipient Type User Delivered 2019-08-1409:18344 DossnloadedByThIrdParty 2019-00-1409:18.45 Opened 2019-08-14092133 Expire 0 Delay delivery until 0 Delegated false Archived false Read true Deleted fake Opened true Completed fake Security Normal Box type Sent Items Return notification when opened false Return notification nhen deleted fake Return notification nhen completed fake Return notification nhen declined false Return notification nhen accepted false Archive Version 5.3 Internal ID 5D53D I FLNYMDOM I.NYMADM1.100.B73875. I.7 [email protected]. Ilig I 6 Source sent Class Public Account Adam JohnscagflOPI8939.NYMADMINYMDOM I Location ID 1540042683886 Class Name GW.MESSAGE.MAIL Enclosing Folders I Folder Mahon Page 15965 EFTA00045476

ID 7.NYMDOMLNYMADM1.100.0.1.0. I @ 16 Name Maim Type Maims System tme Share Type NotShared Page 15966 EFTA00045477

Audits Date Action Auditor Note 2019.08.2320A81)0 EDT Created cn=Archive Agent 1-Daly Archive3 Job.en-lebs.orGi/OpenNodern-archivingdAgent- =netmai Generated by Netrre8 Inc. [cn=Archive I -DailY Archive3 Johen-Jobs.cn-GWOpenNode.cn-archisinga -netrnaill 2019-09.16153726 EDT Exported trona inetma dmetntad Exported by netmaineunainetmail 2020-05-19153606 EDT Tag BOP01703.NIXRADM I.MXRDOM I 2020.0549 1536:36 EDT Tag B0P01703.MXRADM I.MXRDOM I R Responsive sive 202605-1915301)6 EDT Tag BOP01703.NOCRADMI.MXRDOMI Rep esixn s:sive 2020.0549 14/41:56 EDT Tag BOP01703.MXRADMI.MXRDOMI Flawed 2020-05-19 1438:38 EDT Tag B0P01703.MXRADMI.MXRDOMI Flago:d Page 15967 EFTA00045478

Re: MCC Visit Thursday From Adam Johnson To Nicolas Roos, Scannell Date 2019/08/13 15:37 Subject: Re: MCC Visit Thursday Attachments: TEXT.htm , Stephanie Page 15968 EFTA00045479

Hi M, It should not be a problem. Does 10 am work for Mr. Berman and the rest of his staff? Thank you, Adam Adam M. Johnson Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836-6455 f: (646)836-7665 '» Adam, (USANYS)" ‹ > 8/13/2019 2:05 PM >>> The list of visitors from our office is below: Geoffrey Berman Audrey Strauss Laura Birger Craig Stewart Nicholas Roos As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to any of the guards present given the ongoing investigations. Please give me a call with any questions, and let us know what time and where we should go, and if it would be easier for us to enter via the 3rd floor bridge. Thanks, Assistant United States Attorney Southern District of New York Tel: (212) 637-2423 Page 15969 EFTA00045480

Properties Property Value MessagelD 5D52D945.NYMDOMI.NYMADM1.100.1373875.1.7A9CA.1 Message Path xmlMaibox3D52D945.NYMDOMI,NYMADM1.100 .I3738751.7A9CA.I.xml From Adam Johrbon Display Name Adam Johnson Email al0jelnscaighop.gov UUID 2750CAD409CA.0000-A8F4-1ACF31EA7575 Reply To a l0tolmstaSi boisgov Text Adam Johbon To '-; Stephanie Scannell Cc Nicolas Ross. Subject Re: MCC Visit Thtrsday Scheduled date 201948-13 1537:41 Creation date 2019-08-13 15:37A1 Modified date 2019.08-13 1538:18 Delis c red date 2019-08-13 1537)41 Message size 1165 Attachments sin 3769 Total size 4945 Attachments I Attachment TEXT.lam Name TEXT.htm Content II) 5D52D945.NYMDOMI.NYMADM1.200.20000A0.1.1 [email protected]. 1373875. I.7A9CA. l@1:7.NYMDOM1 .NYMADM1. 10 0.0.1.0.1(416 Is Inline false Type file Size 3769 Date 2019-08.13 113739 CA 5bed83753a00affjef2e4cfrat 1651080 Hash 4C2C08584C6F2F45IFF28809F9380D0C26I WIC 1014B3DA5BCD405EFD5C7744B4533C5F Recipients 3 Recipient Nicolas Rocs Display Name Nicolas Roos Email (Jul) 5FOrl HItan:\-111 xi 8502-12686DC3DC35 Distribution Tye CC Recipient Type User Delivered 2019-08-1315382 Transferred 2019-08-13 1537:43 Recipient Display Name Email UUID 9AA42C84-I608-0000-B60A-89A1718CFAEF Distribution Type TO Recipient Type User Delivered 2019-08-13 1538143 Trans (erred 201948-131537:43 Recipient Stephanie Scannell Display Name Stephanie Scannell Email sscanneltrboixgov UUID I5A65E10-0C33-0000-A3E7-68A606415CAD Distribution Type TO Recipient Type User Delivered 2019-08.131537#1 Opened 2019-08-13 1538:19 Expire 0 Delay delivery until 0 Delegated fake Archived fake Read true Deleted false Opened true Completed false Security Normal Box type Sent herrn Page 15970 EFTA00045481

Return notification %%hen opened false Return notification ashen deleted fake Return notification when completed false Return notification %%hen declined fake Return notification pike n accepted fake Archive Version 5.3 Internal ID 5D52D945.NYMDOMLNYMADM1.100.1373875.1.7 A9CA.1@1:7.NYMDOMLNYMADMI.100.0.1.0.142≥ I 6 Source sent Class Public Account Adam [email protected] LNYMDOM1 Location II) 1540842683886 Class Name GW.MESSAGE.MAIL Enclosing Folder. I Folder Madbox ID 7.NYMDOMLNYMADM1.100.0.10.106 Name Ma Lon Type Mahal{ System true Share Type NotShared Page 15971 EFTA00045482

Audits Date Action Auditor Note 2019-08-23 20A8:44 EDT Created cn=Archive Agent 1-Daly Archive3 Job.cn-lebs.craT/OpenNodetn-archivingdAgent- =netmai Generated by Netrre8 Inc. [cn=Archive I -DailY Archive3 Johen-Jobs.cn-GWOpenNede.cn-archivings) -netinail] 2019-09-16153726 EDT Exported nom inetma 8 nomad Exported by netmaineunainetmail 2020-05-191536/16 EDT Tag BOP01703.MXRADM I.MXRDOM I Responsive sponsive 2020.0549 1536:36 EDT Tag BOP01703.MXRADM I.MXRDOM I Respi 2020-05-19 1530/16 EDT Tag BOP01703.143CRADMI.MXRDOMI Re.ponsive 2020.05.1914/1156 EDT Tag BOP01703.MXRADMI.MXRDOMI Flawed 2020-05-19 1438:38 EDT Tag BOP01703.MXRADMI.MXRDOMI Flago:d Page 15972 EFTA00045483

Fwd: MCC Visit Thursday From Adam Johnson To Date 2019/08/13 14:12 Subject: Fwd: MCC Visit Thursday Attachments: TEXT.htm Page 15973 EFTA00045484

Warden, Can we chat about the below at your convenience? Thank you, Adam Adam M. Johnson Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836-6455 f: (646)836-7665 '» Adam, (USANYS)" ‹ > 8/13/2019 2:05 PM >>> The list of visitors from our office is below: Geoffrey Berman Audrey Strauss Laura Birger Craig Stewart Nicholas Roos As discussed, we would like to see the 2nd floor pscyh observation and suicide watch area; the 9th floor SHU, and Epstein's cell, which we understand to still be cordoned off. As discussed, we would appreciate if only MCC legal would escort us, and we will not speak to any of the guards present given the ongoing investigations. Please give me a call with any questions, and let us know what time and where we should go, and if it would be easier for us to enter via the 3rd floor bridge. Thanks, Assistant United States Attorney Southern District of New York Tel: (212) 637-2423 Page 15974 EFTA00045485

Properties Property Value MessagelD 5D52C54D.NYMDOMI.NYMADM1.100.1373875.1.7 A9B3.1 Message Path xml'Maiboxi5D52C54D.NYMDOMENYMADM1,100.1373875.1.7A9B3.1.xrn1 From Adam Johrnon Display Name Adam Johnson Email alOjoinscstnbop.gov UUID 2750CADO4NC'A.0000.A8F4-1ACF31EA7575 Reply To a Injoimson'a bop.gov Text Adam Ju'anon To End: MCC Via Thursday Subject Scheduled date 2019-08-13 14:1229 Creation date 2019-08-13 14:1229 Modified date 2019.08-13 14:511M Delivered date 2019.08-13 14:1229 Message sine 1121 Attachments size 3696 Total size 4828 Attachments I Attachment TEXT.htm Name TEXT.htm Content ID 5D52C54D.NYMDOMI.NYMADM1.200.20300A0.1.1 [email protected]. [email protected] 1.NYMADM1.100.0.1.0.I@I6 Is Inline fake Type file Size 36% Date 2019-08-13 10:1227 CA 931368h08fa2578123066aalfeed754b Hash DE5D6A67861-2BACIII7DDF51C3096CE90559D738C 07DEB6C04F06960A3DA75C382001879C Recipients I Recipient Display Name Email ind9Ye@k11/509 UUID 610E9350-0B4F-000LLAB39-F80F2A59A443 Distribution Type TO Recipient Type User Delivered 2019-08-1314:1229 DisisnloadedB)ThIrdPatty 2019-08-13 14:12:30 Opened 2019-08.13145114 Expire 0 Delay delivery until 0 Delegated false Archived fake Read true Deleted fake Opened true Completed fake Security Normal Box type Sent Items Return notification when opened false Return notification "hen deleted fake Return notification when completed fake Return notification when declined false Return notification when accepted fake Archive Version 5.3 Internal ID 5D52C54D.NYMDOMI.NYMADM1.100.1373875.1.7A9B3.1@1:7.NYMDOMI.NYMADMI.100.0.1.0.1@1 6 Source sent Class Public Account Adam JohnscagB0P18939.NYMADMINYMDOMI Location ID 1540842683886 Class Name GW.MESSAGE.MAIL Enclosing Folders 1 Folder Mahon Page 15975 EFTA00045486

ID 7.NYMDOMLNYMADM1.100.0.1.0. I @ 16 Name Maim Type Maims System tme Share Type NotShared Page 15976 EFTA00045487

Audits Date Action Auditor Note 2019-08-23 20A835 EDT Created cn=Arehive Agent 1-Daly Archive3 Job.cn-lebs.orGii/OpenNodetn-archivingdAgent- =netmai Generated by Netrre8 Inc. [cn=Archive I -DailY Archive3 Johen-Jobs.cn-GWOpenNoie.cn-archivings) -netinail] 2019-09.16153726 EDT Exported netma inetma 8 nomad Exported by netmainetmainetmail 2020-05-191536/16 EDT Tag 11OP01703.NIXRADM I.MXRDOM I Responsive 2020.0549 1536:36 EDT Tag BO1101703.MXRADM I.MXRDOM I Resportsive 2020-05-19 1530/16 EDT Tag BO1701703.143CRADMI.MXRDOMI Revonsive 2020.05.1914/1156 EDT Tag BOP01703.MXRADMI.MXRDOMI Flawed 2020-05-19 1438:38 EDT Tag BOP01703.MXRADMI.MXRDOMI Flago:d Page 15977 EFTA00045488

Fwd: MCC COs From Adam Johnson To Lee Plourde Date 2019/11/19 07:32 Subject: Fwd: MCC COs Attachments: TEXT.htm >> > "Sisak, Michael" <[email protected]> 11/18/2019 4:57 PM >> > Adam, Good afternoon! We understand two employees of the Metropolitan Correctional Center in Manhattan are about to be charged re: lapses the night of Jeffrey Epstein's death. Are you representing either of them in the criminal matter? If not, who is? We'd like to reach out of fairness and to ensure we are separating fact from rumors. Any guidance/point in the right direction would be most appreciated. Best, Mike Michael Sisak Associated Press o) 212-621-1979 c) 215-756-5830 Twitter @mikesisak The information contained in this communication is intended for the use of the designated recipients named above. If the reader of this communication is not the intended recipient, you are hereby notified that you have received this communication in error, and that any review, dissemination, distribution or copying of this communication is strictly prohibited. If you have received this communication in error, please notify The Associated Press immediately by telephone at +1-212-621-1500 and delete this email. Thank you. Page 15978 EFTA00045489

Properties Property Value Message ID 5DD39A9C.NYMDOMLNYMADMIA00.1373875.1.7 F135B.1 Message Path xmliMaibosS5DD39A9C.NYMDOMI.NYMADM1.100 .1373875.1.7F856.1.xml From Adam Johmon Display Name Adam Johnson Email a 10joInsceinkbop.gov UUID 2750CAD0439CA-0000-A8F4-1ACF31EA7575 Reply To [email protected] Text Adam Johnson To Lee Plourde Subject flvd: MCC COs Scheduled date 2019-11-190732244 Creation date 2019-11-190732+44 Modified date 2019-11-19 07Al55 Delivered date 2019-11-190732+44 Message sine 1103 Attachments slat 3049 Total silt' 4163 Attachments 1 Attachment TEXT.htm Name TEX'T.hlm Content ID 5DD39A9C.NYMDOMI.NYMADM1.20,120000A0.1.1 4FCD5.14055DD39A9C.NYMDOMLNYMADMI.100. 1373875.I.7F135BAQ la.NYMDOM I.NYMADM1.10 0.0.1.0.1 @lb Is Inline fake Type file Size 3049 Date 2019-11-190232242 CA e839&614d042854bObbf7b8c4559940 Hash 2880A992DB6E2&SFE7CDDE959FC9OCBF3E329F87 C5050A42EAA3E01D8DEF33542FCICCOC Recipients 1 Recipient Lee Mode Display Name Lee Pburcle Email Iplourdektbw.gov UUID 9D77B200-I9CI-0000-A989-0200000058D0 Distribution Type TO Recipient Type User Delivered 2019-11-190732244 DossnloadedByThIrdParty 2019-11-190732-45 Opened 2019-11-190735J70 Expire 0 Delay deliver. until 0 Delegated false Archived false Read true Deleted fake Opened true Completed false Security Normal Box type Sent Items Return notification %Wen opened false Return notification nhen deleted fake Return notification hen Completed fake Return notification nhen declined false Return notification %%hen accepted fake Archive Version 5.3 Internal ID 5OD39A9C.NYMOOMI.NYMADM1.100.1373875.1.7 F85B.1@1:7.NYMDOM LNYMADM1.100.0.1.0.1@ I 6 Sourer sent Class Public Account Adam JohnscagflOP I8939.NYMADMI.NYMDOM I Location ID 1540842683E:86 Class Name GW.MESSAGE.MAIL Enclosing Folders I Folder Mahon Page 15979 EFTA00045490

ID 7.NYMDOMLNYMADM1.100.0.1.0. I @ 16 Name Maim Type Maims System tme Share Type NotShared Page 15980 EFTA00045491

Audits Date Action Auditor Note 2019-11-29 2205:B EST Created en-Archive Agent_I-Daly Archive3 Joken-lobs.en-GWOpenNodexn-archivings,Airtn_I-Daily semi Generated by Netgovem [en-Archive Archi.c3 Job.cn-Jobs.en-GWOpenNoie.cn-archhing.0 —netmail] 2020.0519153006 EDT Tag BOP01703.MXRADMI.NIXRDOMI Responsive 2020-05-19 153421 EDT Tag BOP01703.MXRADMI.N1 Ni XRIX) 1 Responsive 2020-05-19 1437:18 EDT Tag BOP01703.1vDCRADMI.AIRRIXRA 1 Rigged Page 15981 EFTA00045492

Medical Record request for Inmate Jeffrey Epstein, Reg. No. 76318-054 07/02/19 - 07/30/19 From Joy Aassiddaa To Adam Johnson Date 2019/07/30 15:34 Subject: Medical Record request for Inmate Jeffrey Epstein, Reg. No. 76318- 054 07/02/19 - 07/30/19 Attachments: TEXT.htm, PrintChartGetReport.faces.pdf Please see attached. Thank You!! Joy Aossiddoo, Legal Assistant CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 (P) 646-836-6458 (F) 646-836-7665 Page 15982 EFTA00045493

Properties Property Value Message ID 5D40638C.NYMDOMI.NYMADM1.100.1373875.1.7 9E14.1 Message Path xmlfMailbox/5040638C.NYMDOM I.NYMADM 1.100 .1373875.1.79E14.1.xml From Joy Aassiddaa Display Name Joy Aassiddaa Email iaassildail@b0Pgav UUID 263DFECO-05FA-0000-B8E9-E3DDF99F0ABB Reply To iaasaiddaa0lhoPPov Text Joy Aassiddaa To Adam Johnson Subject Medical Record request for Inmate Jeffrey Epstein. Reg. No. 76318-054 07/02/19 - 07/30119 Scheduled date 2019-07-30153436 Creation date 2019-07-30153436 Modified date 2019-07-301537:19 Delivered date 2019-07-30 153437 Message sire I77 Attachments slat 385563 Total size 385751 Attachments 2 Attachment TEXT.htm Name TEX^f.htm Content ID 5D40638C.NYMDOMI.NYMADM1.200.200000F.I.I 05334.1€0551340638C.NYMDOMI.NYMADM1.100. 1373875.1.79E14.1 @1:7.NYMDOMI.NYMADM1.10 0.0.1.0 I@16 Is Inline false Type ft Size 631 Date 2019-07-30 1134:13 CA ab66443184887e997b1a107362114960 Hash 50057100CCA7E672DEDF090A I I4DA054BE247904 23114A369791AABC2B4B98226F23C006 Attachment PritChartGetReport.faces.pdf Name PrixClunGetRepon.faces.pdf Content ID 5D40638C.NYMDOMI.NYMADMI .200.2C0000F. I . I 05335.445:5D40638C.NYMDOM I.NYMADMI .100. 1373875. I.79E '4.1 @1:7.NYNIDOM I.NYMADM I. 10 0.01.0.1@l6 Is Inline false Type roe Sire 384932 Date 2019-07-30 113333 CA 3721641e8b0a9ce56962291863694cd2 Hash 57A 1BFA 198BF10155BB3632DCFEA8EFIF09B6417 8224D1 1 1E6165DEEAB25C7A4B7024EFA Recipients 1 Recipient Adam Johnson Display Name Adam Johnson Email a lOphnsor46bop.gov CUM 2750CADO-09CA-0000-A8F4-1ACF3lEA7575 Distribution Type TO Recipient Type User Expire 0 Delay delivery until 0 Delegated false Archived false Read tone Deleted false Opened tone Completed false Security Normal Box type lnbox Return notification %Wen opened false Return notification hhen deleted false Return notification when completed fake Return notification when declined false Return notification %Wen accepted false Archive Version 5.3 Internal ID 5D40638C.NYMDOMI.NYMADM1.100.1373875.1.7 9E14.1@1:7.NYMDOMI.NYMADM1.100.0.1.0.1@1 6 Page 15983 EFTA00045494

Source received Class Public Account Adam Johnscri@BOP I8939.NYMADM LNYMDOM I Location ID 1540842683886 Class Name GW.MESSAGEMAIL Enclosing Folders I Folder Miaaox II) 7.NYMDOMLNYMADMI.I00.01.0.1@l6 Name Mailbox Type Mailbox System true Share Type NotSharcd Page 15984 EFTA00045495

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Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, Pulmonary/Respiratory OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/30/2019 13:02 94 Beaudouin, Robert MD 07/30/2019 09:40 88 Via Machine Beaudouin, Robert MD 07/30/2019 09:30 87 Via Machine Beaudouin, Robert MD Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 Beaudouin, Robert MD Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing Beaudouin, Robert MD 07/30/2019 09:40 NYM 125/60 Right Arm Standing Beaudouin, Robert MD 07/30/2019 09:30 NYM 108/86 Left Arm Sitting Beaudouin, Robert MD SaO2: Date TIme Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air Beaudouin, Robert MD Weight: Date Time Lks Kg Waist Circum Provider Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045498

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Beaudouin, Robert MD Unit: Z01 Date Time 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert MD Lae Kg Waist Circum Provider Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0.27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, 110 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, 87303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: 13x# Medication Order Date Prescriber Order Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045499

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11:12 Provider: Beaudouin, Robert MD Reg 4: 76318-054 Facility: NYM Unit: Z01 New Medication Orders: Medication Order Date Magnesium Hydroxide Susp conc 800 07/30/2019 11:12 MG/5ML Indication: Constipation, unspecified INsulin REG - Human 07/30/2019 11:12 Indication: Prediabetes Renew Medication Orders: Eixf Medication 121836-NYM methylPREDNISolone 4 MG Tab ( 21 count Pack) Indication: Neuralgia and neuritis, unspecified New Laboratory Requests: Details Lab Tests - Short List-General-CBC w/diff Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency General Radiology-Spine / Cervical- General Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUIMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Order Date 07/30/2019 11:12 Prescriber Order 10 CC Orally - Two Times a Day PRN x 90 day(s) SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Prescriber Order Take the tablet by mouth as directed x 6 day(s) Frequency Due Date One Time 08/01/2019 00:00 End Date Due Date Priority Routine Disposition: Follow-up at Sick Call as Needed One Time Patient Education Topics: Date Initiated Format Handout/Topic 07/30/2019 Counseling Access to Care 07/30/2019 Counseling Plan of Care Copay Required:No Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 07/30/2019 14:05 Cosign Required: No 08/29/2019 Priority Routine Provider Outcome Beaudouin, Robert Verbalizes Understanding Beaudouin, Robert Verbalizes Understanding Generated 07/30/2019 14:05 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045500

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Unit: H01 Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Columbo, Joseph RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: Inmate seen for F/U after returning from attorney conference offers no new complaints or worsening S/S stats My R hand still has pins and needles sometimes" No change in appearance from previous exam. Pain: No OBJECTIVE: Pulse: Date lime Rate Per Minute Location Rhythm Provider 07/28/2019 20:28 81 Columbo, Joseph RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 20:28 NYM 14 Columbo, Joseph RN Blood Pressure: Date lime Value Location Position Cuff Size Provider 07/28/2019 20:28 NYM 157/91 Columbo, Joseph RN SaO2: Date Time Value(%) ALE Provider 07/28/2019 20:28 NYM 98 Columbo, Joseph RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Nutrition Yes: Within Normal Limits Skin General Yes: Within Normal Limits, Dry, Skin Intact ASSESSMENT: No Significant Findings/No Apparent Distress PLAN: Disposition: To be Evaluated by Provider Generated 07/28/2019 20:30 by Columbo, Joseph RN Bureau of Prisons - NYM Page 1 of 2 EFTA00045501

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Unit: H01 Follow-up in 12-24 Hours Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care Columbo, Joseph Verbalizes Understanding Copay Required:No Cosign Required: Yes TelephoneNerbal Order: No Completed by Columbo, Joseph RN on 07/28/2019 20:30 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 20:30 by Columbo, Joseph RN Bureau of Prisons - NYM Page 2 of 2 EFTA00045502

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 20:25 Provider: Columbo, Joseph RN Facility: NYM Cosigned by Beaudouin. Robert MD on 07 28x2019 20:50. Bureau of Prisons - NYM EFTA00045503

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: Columbo, Joseph RN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Subjective: " I woke up and I had no control over my Right arm for a few minutes it was just doing what it wanted to do" Pain: No OBJECTIVE: Pulse: Dale Time Rate Per Minute Location Rhythm Provider 07/28/2019 06:57 82 Columbo, Joseph RN Respirations: Date Time Rate Per Minute Provider 07/28/2019 06:57 NYM 14 Columbo, Joseph RN Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/28/2019 06:57 NYM 138/80 Columbo, Joseph RN SaO2: Date Time Valuer/O1 Alt Provider 07/28/2019 06:57 NYM 98 Columbo, Joseph RN Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Yes: Symmetry of Motor Function, Atraumatic/Normocephalic No: Facial Asymmetry, Battle's Sign, Raccoon Eyes, Deformity Eyes General Yes: PERRLA, Extraocular Movements Intact Face General Yes: Symmetric Generated 07/2812019 07:22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 1 of 3 EFTA00045504

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R WrisVHand/Finders Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently CIO Right arm numbness after waking up from "sleeping on my side" that has since subsided. inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care Columbo. Joseph Verbalizes Understanding Generated 07/28/2019 07:22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 2 of 3 EFTA00045505

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/28/2019 06:51 Provider: Columbo, Joseph RN Unit: H01 Date Initiated Format Handout/Topic Provider Outcome Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Completed by Columbo, Joseph RN on 07/28/2019 07:22 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/28/2019 07:22 by Columbo, Joseph RN Bureau of Prisons - NYM Page 3 of 3 EFTA00045506

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: Columb0, Joseph RN Facility: NYM Cosigned by Beaudouin. Robert MD on 07.28.2019 20:51. Bureau of Prisons - NYM EFTA00045507

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/26/2019 08:57 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. New Medication Orders: &it Medication Order Date Prescriber Order Docusate Sodium Capsule 07/26/2019 08:57 TAKE ONE 100 MG CAP Orally - Two Times a Day x 180 day(s) Indication: Constipation, unspecified Copay Required:No Cosign Required: No TelephoneNerbal Order: No Completed by Beaudouin, Robert MD on 07/26/2019 08:58 Generated 07/26/2019 08:58 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045508

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 16:10 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robe Cosign Required: No 0 24/2019 16:12 Generated 07/24/2019 16:12 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045509

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 16:10 Provider: Beaudouin, Robert MD Unit: H01 Cosign Note - Clinical Encounter Cosign encounter performed at Health Services. Administrative Notes: ADMINISTRATIVE NOTE 1 Provider: Beaudouin, Robert MD THE MLP NOTIFIED THE OP LT OF THE INMATE STATEMENT REGARDING WHAT HAPPENED TO HIM 2 NIGHTS AGO. Copay Required:No TelephoneNerbal Order: No Completed by Beaudouin, Robe Cosign Required: No 0 24/2019 16:12 Generated 07/24/2019 16:12 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045510

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/26/2019 08:57 Facility: NYM Amendment made to this note by Beaudouin, Robert MD on 07 26 2019 08:58. Bureau of Prisons - NYM EFTA00045511

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/24/2019 15:10 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 Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045512

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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: H0I 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 going to say anything. Pain: No OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/24/2019 13:12 NYM 97.8 36.6 Oral Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/24/2019 13:12 83 Via Machine Regular Joaquin, 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 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 pain 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 07/24/2019 13:24 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00045513

Inmate Name: EPSTEIN, JEFFREY 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 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic 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 displayed on the following page. Generated 07/24/2019 13:24 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00045514

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY 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 EFTA00045515

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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 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 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: pate Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular Joaquin, Y. MLP Respirations: Date lime Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Date Time Value(%) Air 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 07/2312019 09:05 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 1 of 2 EFTA00045516

Inmate Name: EPSTEIN, JEFFREY Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Reg #: 76318-054 Sex: M Race: WHITE Facility: NYM Provider: Joaquin, Y. MLP Unit: H01 Exam: Acutely III Pulmonary Auscultation Yes: Clear 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, T1490 - Current - RIO 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 Flandout/Topic 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 Telephone/Verbal 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 07/23/2019 09:05 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2 EFTA00045517

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY 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 23x2019 15:44. Bureau of Prisons - NYM EFTA00045518

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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: 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 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): Orthopedic/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 III Nutrition No: Appears Obese Generated 07/14/2019 18:11 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045519

Inmate Name: EPSTEIN, JEFFREY 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: Z0S Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds 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: EXtf 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 07/14/2019 18:11 by Beaudouin, Robert MD Prescriber Order TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD. Due Date Priority 10/10/2019 00:00 Routine Bureau of Prisons - NYM Page 2 of 3 EFTA00045520

Inmate Name: EPSTEIN, JEFFREY 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: Z05 FASTING. Lab Tests-H-Hep B surface Ab One Time 08/08/2019 00:00 Routine Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile Schedule: Activity Date Scheduled Scheduled Provider Clinical Encounter 07/24/2019 00:00 Optometrist 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 07/01/2020 00:00 Physician 01 Other: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/14/2019 Counseling Diagnosis Beaudouin, Robert Verbalizes Understanding Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 07/14/2019 18:11 Generated 07/14/2019 18:11 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045521

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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 O HITE MALE WITH HX OF HYPER CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain 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 Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045522

Inmate Name: EPSTEIN, JEFFREY 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: Z0S 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/R/G Abdomen Auscultation Yes: Normo-Active Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Crania O l Nerves (CN) Yes: Within Normal Limits Motor System-General ASSESSMENT: Constipation, unspecified, K5900 - Current 05 1 ) )60 Yes: Normal Exam Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current d ), Sleep apnea, G4730 - Current PLAN: New Medication Orders: EXtt Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 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 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045523

Inmate Name: EPSTEIN, JEFFREY 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 Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045524

Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY 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 O HITE MALE WITH HX OF HYPER CERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MED • EIR GI SIDE EFFECTS. HX OF IL UVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES TH Y HAS L4 - L5 SEVERE iSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREM SURGICAL HX: NONE MENTAL HEALTH HX: Pain: Yes Pain 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 Beaudouin, Robert MD Bureau of Prisons - NYM Page 1 of 3 EFTA00045525

Inmate Name: EPSTEIN, JEFFREY 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: Z0S 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/R/G Abdomen Auscultation Yes: Normo-Active Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Crania O l Nerves (CN) Yes: Within Normal Limits Motor System-General ASSESSMENT: Constipation, unspecified, K5900 - Current 05 1 ) )60 Yes: Normal Exam Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current d ), Sleep apnea, G4730 - Current PLAN: New Medication Orders: EXtt Medication Order Date Prescriber Order Magnesium Hydroxide Susp 07/12/2019 13:10 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 tab) 6 day(s) Indication: Neuralgia and neuritis, unspecified Disposition: Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 2 of 3 EFTA00045526

Inmate Name: EPSTEIN, JEFFREY 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 Telephone/Verbal Order: Completed by Beaudouin, Cosign Required: No 07/12/2019 14:20 0 Generated 07/12/2019 14:20 by Beaudouin, Robert MD Bureau of Prisons - NYM Page 3 of 3 EFTA00045527

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY 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. Bureau of Prisons - NYM EFTA00045528

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: Date of Birth: Note Date: EPSTEIN, JEFFREY 01/20/1953 07/12/2019 09:06 Reg #: Sex: M Race:WHITE Facility: Provider: Beaudouin, Robert MD Unit: 76318-054 NYM Z05 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: I3x# Medication Docusate Sodium Capsule Indication: Constipation, unspecified Discontinued Medication Orders: Eta 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 tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days Generated 07/12/2019 09:10 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045529

Bureau of Prisons Health Services Clinical Encounter - Administrative Note Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race:WHITE Facility: NYM Note Date: 07/07/2019 00:17 Provider: Beaudouin, Robert 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 Frequency Due Date Priority Lab Tests-H-Hemoglobin AlC 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/Rellex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: Beaudouin, Robert MD New Laboratory Requests: Details Frequency Due 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 Al C Lab Tests-H-HIV 1/2 Lab Tests-R-RPR Chronic Care Clinics-Diabetic-Comprehensive Metabolic Profile (CMP) New Radiology Request Orders: Details Frequency End 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 07107/2019 00:30 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045530

Bureau of Prisons Health Services Health Screen Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied PPD Administration: Date/Time: 07/06/2019 21:39 Provider: Kang, Yoon PA-C Location: Right Forearm Drug Mfg: Sanofi Pasteur Lot Number: C5474BA Dosage: 0.1mL Route: ID Exp Dt: 10/2020 Comments: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss:No Fever: No Cough:No Comments: Generated 07/06/2019 21:56 by Kang. Yoon PA•C Bureau of Prisons - NYM Page 1 of 6 EFTA00045531

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM 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 HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: 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 07/06/2019 21:56 by Kang. Yoon PA•C Bureau of Prisons - NYM Page 2 of 6 EFTA00045532

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM 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: Dental Condition: Denied N/A Generated 07/06/2019 21:56 by Kong. Yoon PA•C Bureau of Prisons - NYM Page 3 of 6 EFTA00045533

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM 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: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/06/2019 21:43 90 Via Machine Kang, Yoon PA-C Respirations: Date Time Rate Per Minute Provider 07/06/2019 21:43 NYM 15 Kang, Yoon PA-C Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/06/2019 21:45 NYM 164/90 Right Arm Sitting Adult-regular Kang, Yoon PA-C 07/06/2019 21:43 NYM 155/83 Left Arm Sitting Adult-regular Kang, Yoon PA-C SaO2: Date 07/06/2019 lime 21:43 NYM Value(%) Air Provider 95 Room Air Kang, Yoon PA-C Height: Date lime Inches Cm Provider 07/06/2019 Weight: 21:43 NYM 72.0 182.9 Kang, Yoon PA-C Date Time Uzi Kg. Waist Cireums Provider 07/06/2019 21:43 NYM 200.0 90.7 Kang, Yoon PA-C Prosthetic Devices/Equipment: Denied Potential Items For Follow-up: Item Travel Outside US Other Infectious Disease History Comments: I have reviewed 0 pages of intake paperworks Generated 07/06/2019 21:56 by Kang. Yoon PA-C Bureau of Prisons - NYM Page 4 of 6 EFTA00045534

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Health Problems Newly Identified During This Encounter: Health Problem Medication Reconciliation. The patient's known medication list including OTC items was compiled and compared to new and changed BOP orders. Reconciled Medications: Source Action JyRe Bit Medication OTC No known OTCs Order Detali New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin Al C 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 Non-Medication Orders: Order Frequency Duration Details Ordered By EKG One Time 66 y/o male Kang, Yoon PA-C Order Date: 07/06/2019 Fecal Occult Blood One Time 3 different stools Kang, Yoon PA-C Order Date: 07/06/2019 Schedule: Activity Date Scheduled Scheduled Provider Vision Screen 07/06/2019 00:00 Optometrist 66 y/o male PPD Reading 07/08/2019 00:00 Nurse Follow-up 07/09/2019 00:00 Mid-Level Provider BP check Other: BP noticed to be elevated. IM denies Hx of HTN or any significant chronic medical conditions. He is currently asymptomatic and denies any bodily complaints at this time. Will recheck BP in 2-3 days. Disposition: Follow-up at Sick Call as Needed To be Evaluated by Provider Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Generated 07/06/2019 21:56 by Kang. Yoon PA-C Bureau of Prisons - NYM Page 5 of 6 EFTA00045535

Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/06/2019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Completed by Kang, Yoon PA-C on 07/06/2019 21:56 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page. Generated 07/06/2019 21:56 by Kang. Yoon PA•C Bureau of Prisons - NYM Page 6 of 6 EFTA00045536

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/062019 21:38 Provider: Kang, Yoon PA-C Facility: NYM Cosigned with New Encounter Note by Beaudouin, Robert MD on 07 .07.2019 00:17. Bureau of Prisons - NYM EFTA00045537

Bureau of Prisons Health Services History & Physical 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 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Fix 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): 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 07/09/2019 13:03 by Joaquin. Y. MLP Bureau of Prisons • NYM Page 1 of 13 EFTA00045538

Inmate Name: EPSTEIN. JEFFREY 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 HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: 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 Bureau of Prisons NYM Page 2 of 13 EFTA00045539

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 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: Dental Condition: Denied N/A Generated 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 3 of 13 EFTA00045540

Inmate Name: EPSTEIN. JEFFREY Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg #: 76318-054 Facility: NYM Unit: 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 of 13 EFTA00045541

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 Immunizations: Hepatitis A and B (TwinRx) 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: 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 Dt: 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 EFTA00045542

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 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: Date Time Fahrenheit Celsius Location Provider 07/09/2019 12:49 NYM 97.3 36.3 Oral Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/09/2019 12:49 82 Via Machine Regular Joaquin, Y. MLP Respirations: Date Time Hate Per Minute Provider 07/09/2019 12:49 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Date Time Value(%) Air Provider 07/09/2019 12:49 NYM 97 Room Air Joaquin, Y. MLP Height: Date Time Mahal Cm Provider 07/09/2019 12:49 NYM 70.0 177.8 Joaquin, Y. MLP Generated 07/09/2019 13:03 by Joaquin, Y. MLP Bureau of Prisons NYM Page 6 of 13 EFTA00045543

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 Date lime inches Om Provider Weight: Date Time the Kg Waist Circum. 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: Date Ed Yrs Occupation Learns Best 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: 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 of 13 EFTA00045544

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 Eyes: EOMI: 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 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 8 of 13 EFTA00045545

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 Mouth Lesions: No Oral/Buccal 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 II-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 07/09/2019 13:03 by Joaquin, Y. MLP Bureau of Prisons • NYM Page 9 of 13 EFTA00045546

Inmate Name: EPSTEIN. JEFFRE Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/09/2019 12:35 Provider: Joaquin, Y. MLP Reg 4: 76318-054 Facility: NYM Unit: H01 Thorax: Contour Normal:Yes Increased AP Diameter: No Asymmetrical Expansion:No Lungs Clear: Yes Wheezes: No Crackles: No Rhonchi: No Rales: No Accessory Muscle Use: No Comments: Spine: Deformity: No Full ROM:Yes Tenderness:No Comments: Cardiovascular: RRR: Yes Normal S1 /S2: Yes Murmurs: No Carotid Bruits:No JVD: No Arteries: Hight Leh Radial: Femoral: Dorsalis Pedls: Post. Tibialis: Comments: Generated 07,09,2019 13:03 by Joaquin. Y. MLP Bureau of Prisons NYM Page 10 of 13 EFTA00045547

Inmate Name: VS- JEFFI ) 3E 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 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 - Lett: None Atrophy: No Amputations: No Other Deformities: No Varicosities: No Calf Tenderness:No Pulse Deficit: No Strength: Bight Left Arm: Leg: Full ROM: Hight Left Arm: Yes Yes Leg: Yes Yes Comments: Generated 07/0912019 13:03 by Joaquin. Y. MLP Bureau of Prisons • NYM Page 11 of 13 EFTA00045548

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 Reflexes: Ri ght Biceps: Patellar: Brachioradialls: 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: Item Travel Outside US Other Infectious Disease History Rectum Not Done Male Genitalia Not Done PPD 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 of 13 EFTA00045549

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 Cleared For Food Services: Yes Health Problems Newly Identified During This Encounter: Health Problem Constipation, unspecified - Current - New Medication Orders: f3X# 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 Telephone/Verbal 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 07/0912019 13:03 by Joaquin. Y. MUD Bureau of Prisons • NYM Page 13 of 13 EFTA00045550

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY 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 EFTA00045551

Bureau of Prisons Health Services Vitals All Begin Date: 07/02/2019 Reg #: 76318-054 End Date: 07/30/2019 Inmate Name: EPSTEIN, JEFFREY Temperature: Date 07/24/2019 Time Fahrenheit Celsius Location 13:12 NYM 97.8 36.6 Oral Orig Entered: 07/24/2019 13:14 EST Joaquin, Y. MLP 07/23/2019 06:30 NYM 97.5 36.4 Oral Orig Entered: 07/23/2019 08:33 EST Joaquin, Y. MLP 07/09/2019 12:49 NYM 97.3 36.3 Oral Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP Pulse: Date Time 07/30/2019 13:02 Provider Joaquin, Y. MLP Joaquin, Y. MLP Joaquin, Y. MLP Rate Per Minute Location Rhythm Provider 94 D D D Orig Entered: 07/30/2019 13:04 EST Beaudouin, Robert M 07/30/2019 09:40 88 Via Machine Orig Entered: 07/30/2019 13:04 EST Beaudouin, Robert M 07/30/2019 09:30 87 Via Machine Orig Entered: 07/30/2019 12:59 EST Beaudouin, Robert M 07/28/2019 20:28 81 Orig Entered: 07/28/2019 20:29 EST Columba, 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 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 07/06/2019 21:43 90 Via Machine Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Respirations: Data Time 07/30/2019 09:30 NYM Beaudouin, Robert MD Beaudouin, Robert MD Beaudouin, Robert MD Columbo, Joseph RN Columbo, Joseph RN Regular Joaquin, Y. MLP Regular Joaquin, Y. MLP Regular Joaquin, Y. MLP Kang, Yoon PA-C Rate Per Minute Provider 12 Beaudouin, Robert MD Orig Entered: 07/30/2019 12:59 EST Beaudouin, Robert MD 07/28/2019 20:28 NYM 14 Columba, Joseph RN Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM Orig Entered: 07/28/2019 06:58 EST 07/23/2019 06:30 NYM Orig Entered: 07/23/2019 08:33 EST 07/09/2019 12:49 NYM Columbo, Joseph RN 14 Columbo, Joseph RN Columbo, Joseph RN 16 Joaquin, Y. MLP Joaquin, Y. MLP 16 Joaquin, Y. MLP Generated 07/30/2019 15:33 by Aassiddaa, Joy FOR Bureau of Prisons - NYM Page 1 of 3 EFTA00045552

Begin Date: 07/02/2019 Reg #: 76318-054 End Date: 07/30/2019 Inmate Name: EPSTEIN, JEFFREY Date Time Rate Per Minute Provider Orig Entered: 07/09/2019 12:51 EST Joaquin, Y. MLP 07/06/2019 21:43 NYM 15 Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Blood Pressure: Date lime Value 07/30/2019 13:02 NYM 114/84 Location Left 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 157/91 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 07/06/2019 21:45 NYM 164/90 Right Arm Orig Entered: 07/06/2019 21:48 EST 07/06/2019 21:43 NYM 155/83 Left Arm Orig Entered: 07/06/2019 21:48 EST SaO2: Date lime 07/30/2019 09:30 NYM Position Cuff Size Provider Standing Beaudouin, Robert MD Standing Beaudouin, Robert MD Sitting Beaudouin, Robert MD Columbo, Joseph RN Columbo, Joseph RN Sitting Joaquin, Y. MLP Sitting Joaquin, Y. MLP Sitting Joaquin, Y. MLP Sitting Kang, Yoon PA-C Sitting Kang, Yoon PA-C Value(%) Air 98 Room Air Orig Entered: 07/30/2019 12:59 EST 07/28/2019 20:28 NYM 98 Orig Entered: 07/28/2019 20:29 EST 07/28/2019 06:57 NYM 98 Orig Entered: 07/28/2019 06:58 EST 07/24/2019 Orig 07/23/2019 Orig 07/09/2019 Orig 07/06/2019 Orig 13:12 NYM Entered: 07/24/2019 06:30 NYM Entered: 07/23/2019 12:49 NYM Entered: 07/09/2019 21:43 NYM Entered: 07/06/2019 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 Adult-regular Kang, Yoon PA-C Adult-regular Kang, Yoon PA-C Provider Beaudouin, Robert MD Beaudouin, Robert MD Columbo, Joseph RN Columbo, Joseph RN Columbo, Joseph RN 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 95 Room Air Kang, Yoon PA-C 21:48 EST Kang, Yoon PA-C Height: Generated 07/30/2019 15:33 by Aassiddaa, Joy FOR Bureau of Prisons - NYM Page 2 of 3 EFTA00045553

Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date lime Inches 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 07/06/2019 21:43 NYM 72.0 182.9 Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Weight: Date lime Lbi Kg Waist Circum Provider 07/30/2019 09:30 NYM 194.2 88.1 Beaudouin, Robert 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 07/06/2019 21:43 NYM 200.0 90.7 Kang, Yoon PA-C Orig Entered: 07/06/2019 21:48 EST Kang, Yoon PA-C Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 3 of 3 EFTA00045554

Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Admin.; Location 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: 07/062019 21:43 EST Kang. Yoon PA-C Orig Entered: 07/09/2019 12:47 EST Joaquin. Y. MLP Total: 1 Generated 07.3(Y2019 15:33 by Aassiddaa. Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 el 1 EFTA00045555

76318-054 EPSTEIN. 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 O7 30 19 '421 E.17 Date LB O6'19 '420 Beaudouin. Robert MD Inject regular insulin subcutaneously per sliding scale: twice daily line— for 7 days NYM 122148- NYM InauIrn Reg (10 ML) 100 UNITSML In( PRN Providers: Documentation Codes: ORD = Order Registration N: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOS: 01/2O53 Report information is current as of the date and time of printing: 07/30/2019 15:33 EST EFTA00045556

Bureau of Prisons Health Services Devices and Equipment Start Date: 07/02/2019 Stop Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Device/Equipment Start Date Stop Date Date Returned Obtained From Comments C-Pap 07/30/2019 14:05 EST Beaudouin, Robert MD 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Generated 07/30/2019 15:33 by Aassiddaa. Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045557

Bureau of Prisons Health Services Pain Management Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Date Intervention 07;12:2019 13:25 MEDROL DOSE PACK Orig Entered: 07/12/2019 13:28 EST Beaudouin, Robert MD Pain Quality Location AF v Post Provider Shooting Back-Middle 5 Beaudouin. Robert MD Generated 07,302019 15:33 by Aassiddaa. Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045558

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 76318-054 07/30/2019 Inmate Name Reg# Date Generated 07/30/2019 14:57 by Beaudouin. Robert MD Bureau of Prisons - NYM Page 1 of 1 EFTA00045559

Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Allergy. Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07:06,2019 21:40 EST Kang. Yoon PA-C Total: 1 Generated 07/30/2019 15:33 by Aasstddaa. Joy FOIA Bureau of Prisons - NYM Page 1 of 1 EFTA00045560

Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Assessments Assessment 07/09/2019 Total: 1 Learns Best By Primary Language Years of Education Barriers To Education Speaking/Listening English 12 None Orig Entered: 07/09/2019 12:52 EST Joaquin, Y. Date Initiated Emmet Handout/Topic 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 Counseling Access to Care Orig Entered: 07/30/2019 13:33 EST Beaudouin, Robert Counseling Plan of Care Orig Entered: 07/30/2019 13:34 EST Beaudouin, Robert Counseling Plan of Care Orig Entered: 07/28/2019 20:30 EST Columbo, Joseph Counseling Plan of Care Orig Entered: 07/28/2019 07:22 EST Columbo, Joseph Counseling Preventive Health Orig Entered: 07/24/2019 13:23 EST Joaquin, Y. Counseling Access to Care Orig Entered: 07/24/2019 13:23 EST Joaquin, Y. Counseling Plan of Care Orig Entered: 07/23/2019 09:04 EST Joaquin, Y. Counseling Access to Care Orig Entered: 07/23/2019 09:04 EST Joaquin, Y. Counseling Diagnosis Orig Entered: 07/14/2019 18:11 EST Beaudouin, Robert Counseling Diagnosis Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Coordinator Topics Bureau of Prisons - NYM 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 Page 1 of 2 EFTA00045561

Reg #: 76318-054 Inmate Name: EPSTEIN. JEFFREY Topics Date Initiated Format Handout/Topic Datums Provider Orig Entered: 07/12/2019 13:33 EST Beaudouin, Robert Total: 10 Generated 07/30/2019 15:33 by Aassiddaa. Joy FOIA Coordinator Bureau of Prisons - NYM Page 2 of 2 EFTA00045562

Bureau of Prisons Health Services Health Problems Reg #: 76318.054 Inmate Name: EPSTEIN, JEFFREY Description Axis Code Type Code Diag. Date Status Status Date Current 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 HX. 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 ICD-10 E785 07/12/2019 Current ICD-10 G4730 07/12/2019 Current ICD-10 110 07/30/2019 Current ICD-10 K5900 07/09/2019 Current ICD-10 M545 07/12/2019 Current ICD-10 M792 07/12/2019 Current I DSM-IV No Dx 07/09/2019 Current ICD-10 R7303 07/30/2019 Current ICD-10 T1490 07/23/2019 Current ICD-10 Z6827 07/30/2019 Current Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045563

Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY 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: R: L: Comments: Needs evaluation with optometrist. Or's' Entered: 07/09/2019 12:54 EST Joaquin, Y. MLP Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Bureau of Prisons - NYM Page 1 of 1 EFTA00045564

Bureau of Prisons Health Services Immunizations Begin Date: 07/02/2019 Reg #: 76318-054 End Date: 07/30/2019 Inmate Name: EPSTEIN, JEFFREY 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 Varicella 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 Dosage Drug Mfg, Lot/ Exp Date Generated 07/30/2019 15:33 by Aassiddaa, Joy FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 EFTA00045565

Burcuu of Prisons Hean Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY 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: '0,19/2019 other: Exp. Date: Physical Limitation/Restriction all sports weightlifting: upper body _lower body cardiovascular exercise: _running _jogging _walking _softball _football _basketball _handball _stationary equipment other: May have the following equipment in his / her possession: Equipment Start Date C-Pap 07/30/2(149 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. w SERIAL #: P1131281361ED. Work Restriction I Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Beaudouin Robert MD Health Services Staff Inmate Name: EPSTEIN, JEFFREY ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Dale: Exp. Date: Exp. Date: Exp. Date: End Date 07/30/2019 Date Quarters: Z04 Return Date Generated 07/30/2019 15:33 by Aassiddaa. Joy FOIA 4.1 Bureau of Prisons • NYM Page 1 of 1 EFTA00045566

Burcuu of Prisons Hean Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY Housing Status confined to the living quarters except _meals pill line treatments on complete bed rest: _bathroom privileges only X cell: cell on first floor single cell X lower bunk airborne infection isolation other: Physical Limitation/Restriction all sports weightlifting: upper body _lower body cardiovascular exercise: _running _jogging _walking _softball _football _basketball _handball _stationary equipment other: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A Health Services Staff Joaquin, Y. MLP Inmate Name: EPSTEIN, JEFFREY EDWARD ALL EXPIRATION DATES ARE AT 24:00 Reg #: 76318-054 Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: Exp. Date: 07/09/2019 Date Quarters: Z04 10:09/2019 Generated 07/30/2019 15:33 by Aassiddaa. Joy FOIA Bureau of Prisons • NYM Page t of 1 EFTA00045567