Sent: Subject: From: To: Mon, 05 Aug 2019 08:46:28 -0400 Jeffrey Epstein, 76318-054 ,!,okb.,.,.)(,.,..6)..,,.; (b.,..,){7.,,..X,.;,.C,...) -------,[email protected]> ..... ~b_)(6_),_(b_){7_)(_C) _____ _,~bop.gov> Mr. i b><5>; (b){7)(C) I I understand that Mr. Epstein has not yet had the opportunity to establish a telephone account. Unit Mgr. K~~~~ ~~ - I (or ,bi~t,,, began the process last week, but did not have a chance to finish it. If you could arrange for someone to help Mr. Epstein set up the account, we'd really appreciate it. Thank you for all your help. b)(6); (b)(7)(C)

Re: Jeffrey Epstein, 76318-054 From X6); (b)(7)(C) To Date Subject: )(6); (b)(7)(C) 2019/07/28 23:46 Re: Jeffrey Epstein, 76318-054 Attachments: TEXT.htm, Mime.822 If you let Mr b><5>;(b)(7)(C) ow that I'll be there around 12:30, I'd appreciate it. Thank you! b)(6); (b)(7)(C) Fromfb)(6), (b)(7)(C) JPbop.gov Sent: July 26, 2019 2:03 PM To: kb)(6); (b)(7)(C) [email protected] Subject: Re: Jeffrey Epstein, 76318-054 You can bring it to the lobby and as for Mr. b)<5>, (b)<7><C> ur Assistant Health Services Administrator. >>~b><5>;<b>(7><c) [email protected]> 7/26/2019 12:02 PM >>> Yes, I will have the machine delivered on Monday. Please give me a name and a place for the delivery. Thanks again for your help. b )(6); (b )(7)(C) From Sent: .......,.---,,.,.....-...,.....r-,1,. To:rb) ; gmajl.com Subject: Re: Jeffrey Epstein, 76318-054 G d . M b)(6); (b)(7)(C) oo morning r With apologies for the delay, medical staff can accept his CPAP machine. Would you or one of your associates be able to bring it in next week? It must be provided to medical staff rather than directly to your client. Thank ou, b)(6);(b)(7)(C) Page 15911

> > > b)(6), (b)(7)(C) M b)(6); (b )(7)(C) mail.com> 7/26/2019 9:50 AM>>> Is Mr. Epstein approved to receive a CPAP machine? If so, should we send it directly to him through the inmate mail system? Please confirm. Thank you. b)(6): (b)(7)(C) Page 15912

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Inmate Name: EPSTEIN, JEFFREY EDWARD Bureau of Prisons Health Services Clinical Encounter Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Provider: b)(6); (b)(7)(C) MD Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: fb)(6); (b)(7)(C) Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. Reg#: 76318-054 Facility: NYM Unit: Z01 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 HOF 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 HASS 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): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/Lipid OBJECTIVE: 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 Ill 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 Generated 07/30/2019 16:12 byfb)(6); (b)(7)(C) 'MD Bureau of Prisons - NYM Page 1 of 2

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 15:58 Provider: fb)(6); (b)(7)(C) IMD Exam: 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, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication INsulin REG - Human Indication: Prediabetes Discontinued Medication Orders: Rx# Medication 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML lnj Order Date 07/30/2019 15:58 Order Date 07/30/2019 15:58 Discontinue Type: When Pharmacy Processes Discontinue Reason:new order written Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by~b)(6); (b)(7)(C) I MD on 07/30/2019 16:12 Generated 07/30/2019 16:12 bf b)(6) (b)(7)(C) 'MD Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: Z01 Prescriber Order SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Prescriber Order Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days Page 2 of 2

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11 :12 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: Jb)(6)· (b)(7)(C) !MD Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: , b)(6); (b)(7)(C) IMO Chief Complaint: Other Problem Subjective: PATIENT REFERRED BY THE WARDEN FOR EVALUATION. Reg#: 76318-054 Facility: NYM Unit: Z01 PATIE RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALS S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DEN SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OWING. HE REPORT IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP :A.ND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASS EEN CE HE DIE NOT HAVE ACCESS THI CPAP MACHINE. I HIM TONIGHT .. HE REPORT OTHER NON-ME I ES. STATES HE FEELS OTHERWISE N Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, OBJECTIVE: Pulse: Date. Time 07/30/2019 13:02 07/30/2019 09:40 07/30/2019 09 :30 Respirations: Time Rate Per Minute Location 94 88 87 Via Machine Via Machine Rate Per Minute Provider Q.am 07/30/2019 09:30 NYM 12 r.,,..,..,., )(6"""");""""(b""")(7"'"')("""' C)----,1MD Blood Pressure: Q.am Time YalY.e. 07/30/2019 13:02 NYM 114/84 07/30/2019 09:40 NYM 125/60 07/30/2019 09:30 NYM 108/86 SaO2: Loi:.alion Left Arm Right Arm Left Arm Time Value(%) Air Po~ilion Cuff Size Standing Standing Sitting Provider Provider b)(6); (b)(7)(C) Provider )(6); (b)(7)(C) Date 07/30/2019 09:30 NYM 98 Room Air '-b)_(6_); _Cb)(7)( _ C_> __ ~~ D Weight: Date Lbs Kg_ Waist Circum. Provider Generated 07/30/2019 14:05 b~ b)(6); (b)(7)(C) IMD Bureau of Prisons - NYM MD MD MD D D D Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11 :12 Sex: M Race: WHITE Provider: )(6); (b)(7)(C) MD Date Time Kg Waist Circum. Provider Reg#: 76318-054 Facility: NYM Unit: Z01 07/30/2019 09:30 NYM Lbs 194.2 88. 1 """fb.,.,., )(6,..,....);..,,.. (b'"" )(7,,...,)(C=)--...... IM D Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears ~ Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely Ill Nutrition No: Appears O ~ Pulmonary \. ~ Auscultation ~ Yes: Clear to Auscultation\. 'V Cardiovascular Auscultation 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, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication (9~ ~ Order Date Generated 07/30/2019 14:05 byf )(6); (b)(7)(C) !MD Bureau of Prisons - NYM Prescriber Order Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Race: WHITE Reg#: 76318-054 Facility: NYM Encounter Date: 07/30/2019 11 :12 Provider: )(6); (b)(7)(C) MD Unit: Z01 New Medication Orders: Rx# Medication Magnesium Hydroxide Susp cone 800 MG/5ML Indication: Constipation, unspecified INsulin REG - Human Indication: Prediabetes Renew Medication Orders: Order Date 07/30/2019 11:12 07/30/2019 11 :1 2 Rx# Medicat~1on Order Date 121836-NYM methylP ne 4 MG Tab ( 21 count 07/30/2019 11 :12 Pack) ~ Indication: ~~ia and neuritis, unspecified New Laboratory Requests: 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) Details Frequency Due Date 08/01/2019 00:00 Priority Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid ~ Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency Due Date General Radiology-Spine / Cervical- One Time 08/29/2019 General Specific reason(s) for request (Complaints and findings . Priority Routine 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI "i2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: ~ Follow-up at Sick Call as Needed \. ~ Patient Education Topics: Date Initiated Format Handout/Topic Pr vi ~-~----- 07/30/2019 Counseling Access to Care b)(6); (b)(7)(C) 07/30/2019 Counseling Plan of Care Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed byfb)(6); (b)(7)(C) ~D on 07/30/2019 14:05 Generated 07/30/201 9 14:05 b~ b)(6); (b)(7)(C) I MD Bureau of Prisons - NYM Outcome Verbalizes Understanding Verbalizes Understanding Page 3 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11 :12 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: fb)(6); (b)(7)(C) IMO Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: , b)(6); (b)(7)(C) IMO Chief Complaint: Other Problem Subjective: PATIENT REFERRED BY THE WARDEN FOR EVALUATION. Reg#: 76318-054 Facility: NYM Unit: Z01 PATIE RTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALS S NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STAT BNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DEN SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OWING. HE REPORT IA OF ABOUT 5 TIMES,. HE DENIES DYSURIA. HE REPORTS H NEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP :A.ND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASS EEN CE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I HIM TONIGHT .. HE REPORT OTHER NON-ME I ES. STATES HE FEELS OTHERWISE N Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orthopedic/Rheumatology, OBJECTIVE: Pulse: Date. Time 07/30/2019 13:02 07/30/2019 09:40 07/30/2019 09 :30 Respirations: Q.am 07/30/2019 Blood Pressure: Rate Per Minute Location Time 09:30 NYM 94 88 87 Via Machine Via Machine Rate Per Minute Provider 12 .,,.. fb'"" )<6,,...); ..,,... (b=)(7=-xc=)---,I Mo Provider )(6), (b)(7)(C) Q.am Time YalY.e. 07/30/2019 13:02 NYM 114/84 Loi:.alion Po~ilion Cuff Size Provider 07/30/2019 09:40 NYM 125/60 07/30/2019 09:30 NYM 108/86 SaO2: Left Arm Right Arm Left Arm Time Value(%) Air Standing b)(6); (b)(7)(C) Standing Sitting Provider Date 07/30/2019 09:30 NYM 98 Room Air .... ~b-)(6_);_(b_)(7)_(C_ > __ ....... IM 0 Weight: Date Lbs Kg_ Waist Circum. Provider Generated 07/30/2019 14:05 b b)(6) (b)(7)(C) MD Bureau of Prisons - NYM MD MD MD MD MD MD Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/30/2019 11 :12 Date 07/30/2019 Exam: General Affect Time 09:30 NYM Yes: Cooperative Appearance Lbs 194.2 Provider: ~ )(6); (b)(7)(C) IMD Kg Waist Circum. Provider 88.1 fb)(6); (b)(7)(C) Yes: Appears Well, Alert and Oriented x 3 Reg#: 76318-054 Facility: NYM Unit: Z01 No: Appears ~ Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unk cutely Ill Nutrition No: Appears O ~ Pulmonary \. ~ Auscultation ~ Yes: Clear to Auscultation\. 'V Cardiovascular Auscultation 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, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication (9~ ~ Order Date Generated 07/30/2019 14:05 byf )(6); (b)(7)(C) !MD Bureau of Prisons - NYM Prescriber Order Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Race: WHITE Reg#: 76318-054 Facility: NYM Encounter Date: 07/30/2019 11 :12 Provider: b)(6); (b)(7)(C) MD Unit: Z01 New Medication Orders: Rx# Medication Magnesium Hydroxide Susp cone 800 MG/5ML Indication: Constipation, unspecified INsulin REG - Human Indication: Prediabetes Renew Medication Orders: Order Date 07/30/2019 11:12 07/30/2019 11 :1 2 Rx# Medicat~1on Order Date 121836-NYM methylP ne 4 MG Tab ( 21 count 07/30/2019 11 :12 Pack) ~ Indication: ~~ia and neuritis, unspecified New Laboratory Requests: 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) Details Frequency Due Date 08/01/2019 00:00 Priority Routine Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid ~ Lab Tests - Short List-General-Comprehensiv Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic New Radiology Request Orders: Details Frequency Due Date General Radiology-Spine / Cervical- One Time 08/29/2019 General Specific reason(s) for request (Complaints and findings . Priority Routine 66 YR OLD MALE WITH COMPLAITN OF RIGHT ARM NUI "i2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: ~ Follow-up at Sick Call as Needed \. ~ Patient Education Topics: Date Initiated Format Handout/Topic Pr vi ~--....... IIE..-~ 07/30/2019 Counseling Access to Care b)(6) (b)(7)(C) 07/30/2019 Counseling Plan of Care Copay Required:No Cosign Required: No Telephone/Verbal Order: No Completed by~b)(6); (b)(7)(C) IMD on 07/30/2019 14:05 Generated 07/30/201 9 14:05 bf )(6); (b)(7)(C) IMD Bureau of Prisons - NYM Outcome Verbalizes Understanding Verbalizes Understanding Page 3 of 3

Bureau of Prisons Health Services See Amendment Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Encounter Date: 07/30/2019 15:58 Amendment made to this note byr X6); (b)(7)(C) jMD on 07/30/2019 16:12. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: b)(6); (b)(7)(C) RN Nursing - Follow up encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: f ><6); (b)(7)(C) Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Reg#: 76318-054 Facility: NYM Unit: H01 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: ~ Time 07/28/2019 20:28 Respirations: Time Rate Per Minute 81 Location Date 07/28/2019 20:28 NYM Rate Per Minute Provider 14 r )(6); (b)(7)(C) Blood Pressure: Date Time 07/28/2019 20:28 NYM Sa02: Value 157/91 Location Position Rhythm Provider ~ ..... bx_e>_; <_bw_x_c> _ ____.IRN Cuff Size Provider f ..... b)(-6)_. (b_W_X_C) __ IRN ~ Time Value(%) Air 98 Provider 07/28/2019 Exam: General Affect 20:28 NYM 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, b)(6); (b)(7)(C) IRN Bureau of Prisons - NYM Page 1 of 2

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 20:25 Follow-up in 12-24 Hours Patient Education Topics: Date Initiated Format 07/28/2019 Counseling Copay Required: No Telephone/Verbal Order: No Sex: M Race: WHITE Provider: b)(a)· (b)(7)(C) RN Handoutaopic Plan of Care Cosign Required: Yes Completed by~b)(6); (b)(7)(C) !RN on 07/28/2019 20:30 Requested to be cosigned by ~b)(6); (b)(7)(C) MD. Cosign documentation will be displayed on the following page. Generated 07/28/201 9 20:30 by,b)(6); (b)(7)(C) I RN Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Provider Outcome Verbalizes Understanding Page 2 of 2

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M Encounter Date: 07/28/2019 20:25 Provider: ~b)(6); (b)(7)(C) Cosigned b f b)(6); (b)(7)(C) IMD on 07/28/2019 20:50. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Bureau of Prisons Health Services Clinical Encounter Sex: M Race: WHITE Provider: )(6) (b)(7)(C) N Nursing - Triage Note encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: ~b)(6); (b)(7)(C) IRN Chief Complaint: Neuropathy - Tingling/Numbness of Extremity(ies) Reg#: 76318-054 Facility: NYM Unit: H01 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: M.e. I.i.m.e. 07/28/2019 06:57 Respirations: Date 07/28/2019 Blood Pressure: Time Rate Per Minute 82 Location 06:57 NYM Rate Per Minute Provider 14 ~b)(6), (b)(7)(C) Rhythm Provider ._ rbx_s_); <_b)(7_ ><_c> _ __,I RN Date Time Value Location Position Cuff Size Provider 07/28/2019 06:57 NYM 138/80 SaO2: M.e. 07/28/2019 Exam: General Affect Time 06:57 NYM Yes: Cooperative Appearance Value(%) Air 98 Yes: Appears Well, Alert and Oriented x 3 Skin General Yes: Within Normal Limits, Dry, Skin Intact Head General Provider 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 07/28/2019 07:22 b;f(,.,,.b..,.,)(6=)"""' ; (b,...,.)(7= )=cc""'")--,IRN Bureau of Prisons - NYM f .... b_xa_>._<b_)(7_x_c _> _ ___.I RN Page 1 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: X6); (b)(7)(C) RN 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 Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R Reg#: 76318-054 Facility: NYM Unit: H01 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 C/O 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 PEARLA. 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 07/28/2019 Counseling Generated 07/28/2019 07:22 byf )(6); (b)(7)(C) f N Handout/Topic Plan of Care Bureau of Prisons - NYM Provider ~ )(6); (b)(7)(C) Outcome Verbalizes Understanding Page 2 of 3

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Encounter Date: 07/28/2019 06:51 Provider: rb)(6); (b)(7)(C) jRN Date Initiated Format Copay Required: No Handout/Topic Cosign Required: Yes Telephone/Verbal Order: No Completed by~b)(6); (b)(7)(C) I RN on 07/28/2019 07:22 Requested to be cosigned by ~b)(6); (b)(7)(C) IMD. Cosign documentation will be displayed on the following page. Generated 07/28/201 9 07:22 bf b)(6) (b)(7)(C) f N Bureau of Prisons - NYM Reg#: 76318-054 Facility: NYM Unit: H01 Provider Outcome Page 3 of 3

Bureau of Prisons Health Services Cosign/Review Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01 /20/1953 Sex: M ..,,...,..,,,,,.....,.-,-=,-~----, Encounter Date: 07/28/2019 06:51 Provider: b)(6); (b){7)(C) RN Cosigned byfb)(a); (b)(7)(C) ~Don 07/28/2019 20:51. Bureau of Prisons - NYM Reg#: Race: Facility: 76318-054 WHITE NYM