Bureau of Prisons medical records for Jeffrey Epstein at MCC New York, July 2019

Bureau of Prisons Health Services¶

Vision Screens¶

Reg #: 76318-054				Inmate Name: EPSTEIN, JEFFREY EDWARD
Vision Screen on 07/09/2019 12:52
Blindness:
Distance Vision:	OD: 20/100			OS: 20/70		OU:
Near Vision:	OD:		OS:			OU:
With Corrective
Distance Vision:	OD:		OS:			OU:
Near Vision:	OD:		OS:			OU:
Present Glasses - Distance				Refraction - Distance
Sphere	Cylinder	Axis	Add	Sphere	Cylinder	Axis	Add
R:				R:
L:				L:
Color Test:
Tonometry:	R:	L:
Comments: Orig Entered:		Needs evaluation with optometrist. 07/09/2019 12:54 EST		MLP

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CONFIDENTIAL SDNY_00009458¶

Bureau of Prisons Health Services Immunizations¶

Begin Date: 07/07/2019 End Date: 08/10/2019
Reg #: Inmate Name: EPSTEIN, JEFFREY EDWARD 76318-054
immunization Hepatitis A and B (TwinRx)	immunization Date	Administered History Unknown	JLocation	Dosaae Drug Mfg	Lai	Axp Date
Measles/Mumps/Rubeila Series	Orig Entered: 07/09/2019 12:51 EST MM.	MLP History Unknown
Orig Entered: 07/09/2019 12:51 EST Smallpox Series		. MLP History Unknown
Tetanus	Orig Entered: 07/09/2019 12:51 EST	MLP History Unknown
Varicella Series	Orig Entered: 07/09/2019 12:51 EST	MLP History Unknown
Total: 5	Orig Entered: 07/09/2019 12:51 EST	MLP

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CONFIDENTIAL SDNY_00009459¶

Bureau of Prisons Health Services¶

Medical Duty Status¶

Reg #: 76318-054	Inmate Name: EPSTEIN. JEFFREY EDWARD
Housing Status confined to the living quarters except meals	_treatments pill line	Exp. Date:
_bathroom privileges only on complete bed rest: cell on first floor _single cell X lower bunk X cell: other:	airborne infection isolation	Exp. Date: Exp. Date: 10/09/2019 Exp. Date:
Physical Limitation/Restriction all sports _upper body weightlifting: lower body running _jogging walking cardiovascular exercise:	softball	Exp. Date: Exp. Date: Exp. Date:
_football _basketball _handball other:	stationary equipment	Exp. Date:
May have the following equipment in his / her possession: Equipment	End Date Start Date	Return Dale
C-Pap PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL ti: P1131281381ED.	07/30/2019
Work Restriction / Limitation: Yes Cleared for Food Service: X No Restrictions
Comments: N/A
Health Services Staff		07/30/2019 Date
EPSTEIN, JEFFREY EDWARD Reg 4: Inmate Name:	76318.054 Quarters:	Z04

ALL EXPIRATION DATES ARE AT 24:00¶

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Bureau of Prisons Health Services Medical Duty Status¶

Reg #: 76318-054	Inmate Name: EPSTEIN, JEFFREY EDWARD
Housing Status confined to the living quarters except on complete bed rest:	_pill line _meals _treatments ___bathroom privileges only	Exp. Date: Exp. Date:
cell on first floor _single cell X lower bunk X cell: other:	airborne infection isolation	Exp. Date: 10/09/2019 Exp. Date:
Physical Limitation/Restriction all sports weightlifting: upper body	lower body	Exp. Date: Exp. Date:
running _jogging cardiovascular exercise: football	walking softball stationary equipment handball basketball	Exp. Date:
other: May have the following equipment in his / her possession:		Exp. Date:
Work Restriction / Limitation: Yes Cleared for Food Service: X No Restrictions
Comments: N/A	MLP	07/09/2019
Health Services Staff EPSTEIN, JEFFREY EDWARD Inmate Name:	Reg #: 76318-054	Date Z04 Quarters:

ALL EXPIRATION DATES ARE AT 24:00¶

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Bureau of Prisons Health Services Medication Summary Historical¶

	Complex: NYM—NEW YORK MCC			Begin Date: 07/07/2019	End Date: 08/10/2019
Inmate:		EPSTEIN. JEFFREY EDWARD	Reg #:	76318-054	Quarter: Z04-206LAD
			Medications listed reflect prescribed medications from the begin date to end date on this report.
Allergies:		Denied
	Active Prescriptions
	Bisacodyl E.C. 5 MG TAB
			Take one tablet (5 MG) by mouth at bedtime AS NEEDED for 10 days
Rx#:	121757-NYM	Doctor:	MLP
	Start: 07/09/19	Exp: 07/19/19	D/C: 07/12/19		Pharmacy Dispensings: 10 TAB in 32 days
	Docusate Sodium 100 MG Cap
		Take one capsule (100 MG) by mouth twice daily for 30 days
Rx#:	121823-NYM	Doctor:
	Start: 07/12/19	Exp: 08/11/19			Pharmacy Dispensings: 60 CAP in 29 days
	Docusate Sodium 100 MG Cap
			Take one capsule (100 MG) twice daily by mouth with plenty of water
Rx#:	122084-NYM	Doctor:
	Start: 07/26/19	Exp: 01/22/20			Pharmacy DIspensIngs: 30 CAP in 15 days
		Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML
		shake well take 2 tablespoonful twice daily by mouth
Rx#:	121835-NYM	Doctor:
	Start: 07/12/19	Exp: 07/14/19			Pharmacy Dispensings: 473 ML in 29 days
		Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML
		shake well take 10mi by mouth twice daily AS NEEDED
Rx#:	122150-NYM	Doctor:
	Start: 07/30/19	Exp: 10/28/19			Pharmacy Dispensings: 473 ML in 11 days
		methylPREDNISolone 4 MG Tab ( 21 count Pack)
	Take the tablet by mouth as directed
Rx#:	121836-NYM	Doctor:
	Start: 07/12/19	Exp: 07/18/19			Pharmacy Dispensings: 21 tab in 29 days
		methylPREDNISolone 4 MG Tab ( 21 count Pack)
	Take the tablet by mouth as directed
Rx#:	122149-NYM	Doctor:
	Start: 07/30/19	Exp: 08/05/19			Pharmacy Dispensings: 21 tab in 11 days

Bureau of Prisons - NYM Page 1 of 2¶

CONFIDENTIAL SDNY_00009462¶

	Complex: NYM—NEW YORK MCC			Begin Date: 07/07/2019		End Date: 08/10/2019
Inmate:		EPSTEIN, JEFFREY EDWARD	Reg #:	76318-054	Quarter:	204-206LAD
	Active Prescriptions
	Omega 3 (Vascepa) 1 GM Capsule
		Take two capsules (2 GM) twice daily by mouth with food
Rx#:	121885-NYM	Doctor:
	Start: 07/17/19	Exp: 01/13/20		Pharmacy Dispensings: 180 Cap in 24 days
	Insulin Reg (10 ML) 100 UNITS/ML Inj
daily ‘“pill linen’ for 7 days “‘pill linen’ Inject regular insulin subcutaneously per sliding scale: twice
Rx#:	122148-NYM	Doctor:
	Start: 07/30/19	Exp: 08/06/19 D/C: 07/31/19		Pharmacy Dispensings: 0 ML in 11 days
Insulin Reg (10 ML) 100 UNITS/ML lnj
Inject regular insulin subcutaneously per sliding scale: each morning for 7 days “‘pill linen’ “‘pill linen’
Rx#:	122160-NYM	Doctor:
	Start: 07/31/19	Exp: 08/07/19		Pharmacy Dispensings: 0 ML in 10 days

Bureau of Prisons Health Services Dental Health History Screen¶

Inmate Name: Date of Birth:	EPSTEIN, JEFFREY EDWARD 01/20/1953 Encounter Date: 07/26/2019 07:54		M Sex: Provider:	Race.	WHITE DDS	Reg #: Facility: Unit:	76318-054 NYM H01
ASSESSMENTS:
	Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54
Health Problems
hen			Status
Hyperlipidemia, unspecified	HYPERTRIGLYCERIDEMIA		Current
Sleep apnea						Current
Constipation, unspecified						Current
Low back pain						Current
	Neuralgia and neuritis, unspecified					Current
No Diagnosis						Current
Injury, unspecified	R/O self inflicted injuries.					Current
Medical History:	Medical History as of Dental Health History Encounter date				07/26/2019 07:54
Allergies:		Denied
Seizures:		Denied
Diabetes:		Denied
Cardiovascular:		Denied
CVA:		Denied
Hypertension:		Denied
Respiratory:		Denied
Sickle Cell Anemia:		Denied
Carcinoma/Lymphoma:		Denied
HIV History:
When Tested:		2019
Test Result:		Negative
When Diagnosed AIDS:
Last CD4:
Comments:
Hepatitis:		Denied

Inmate Name: Date of Birth:	EPSTEIN, JEFFREY EDWARD 01/20/1953 Encounter Date: 07/26/2019 07:54		Sex: Provider:	M	Race:	WHITE DDS	Reg #: Facility: Unit:	76318-054 NYM H01
Other Infectious Diseases:
Syphilis:		No
Syphilis Last Treatment: N/A
Genital Wads: No
Chlamydia: Yes
Gonorrhea:		No
Herpes: No
Chicken Pox: Yes
Other:		No
Comments: Chlamydia in 2015, treated Chicken pox in childhood
Other Health Issues:
	Other Medical Conditions And Treatment: sleep apnea

Current Medical Conditions: Other Current Treatments:¶

Pregnant: N/A¶

Dental Observations as of Dental Health History Encounter date: 07/26/2019 07:54¶

	History:
Alcohol:	No
Methamphetamine:	No
Tobacco products:	No
Other drugs:	No
Sensitive teeth:	No
Bleeding gums:	Yes
Food impaction:	Yes
Pain around ear:	No
Toothache:	No
Wear partial dentures:	No
Unusual sounds while eating:	No
Snoring:	Yes
Blisters on lips or mouth:	No
Clenching or grinding:	Yes
Swelling or lumps in mouth/throat:	No
Burning tongue:	No
Bad breath:	No
Decayed teeth:	No
Loose teeth:	No
Wear dentures:	No
None:	No
Comments:

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CONFIDENTIAL SDNY_00009465¶

Inmate Name: Date of Birth:	EPSTEIN. JEFFREY EDWARD 01/20/1953 Encounter Date: 07/26/2019 07:54	M Sex: Provider:	Race:	WHITE DDS	Reg #: Facility: Unit:	76318-054 NYM H01
	Cardiac Condition Requiring Prophylaxis: No
Prosthetic joint(s):		No
Radiation history of head or neck:		No
Excessive bleeding:		No
Bisphosphonates:		No
Comments:

Medications as of Dental Health History Encounter date: 07/26/2019 07:54 Medications:¶

Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food¶

OTCs: Listing of all known OTCs this inmate is currently taking.¶

Instructed inmate how to obtain medical, dental, and mental health care.¶

Copay Required:No	Cosign Required: No
TelephoneNerbal Order: No
Completed by	DDS on 07/26/2019 07:59

Bureau of Prisons Health Services Dental A&O Exam¶

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

Bureau of Prisons Health Services Dental Soap/Admin Encounter¶

Inmate Name:	EPSTEIN, JEFFREY EDWARD				Reg #:	76318-054
Date of Birth:	01/20/1953	Sex:	M	Race: WHITE	Facility:	NYM
	Encounter Date: 07/18/2019 13:48	Provider:		Dental Asst	Unit:	205

Screening encounter at Dental Clinic. Reason Not Done: Unavailable¶

Comments: Patient has had several call outs for his Dental A & O screening but has not been escorted to the dental clinic. Cosign Required: No¶

Completed by Dental Asst on 07/19/2019 13:49.¶

CONFIDENTIAL SDNY_00009468¶

Federal Bureau of Prisons¶

U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621¶

			”’ Sensitive But Unclassified 1”
Facility Name EPSTEIN, JEFFREY MCC New York Order Unit E06-547U Reg # 76318-054 Provider MD DOB 01/20/1953 M Sex		LIS ID 188191004	Collected 07/09/2019 13:34 Received 07/10/2019 10:44 Reported 07/10/2019 14:46
		CHEMISTRY
Sodium		137	137-148	mmol/L
Potassium		4.7	3.5-5.0	mmoUL
Chloride		99	99-114	mmol/L
CO2		27	22-30	mmoUL
BUN		17	7-22	mg/dL
Creatinine		1.05	0.66-1.25	mg/dL
eGFR (IDMS)		>60
GFR units measured as mUmin/1.73 mA2. If African American multiply by 1.210. A calculated GFR <60 suggests chronic kidney disease if found over a 3 month period.
Calcium		9.8	8.5-10.9	mg/dL
Glucose		102	70-110	mg/dL
AST	H	57	11-55	U/L
ALT		62	11-66	U/L
Alkaline Phosphatase		64	41-133	U/L
Bilirubin, Total		1.1	0.2-1.3	mg/dL
Total Protein		7.3	6.0-8.2	g/dL
Albumin		4.4	3.6-5.1	g/dL
Globulin		2.9	2.0-3.7	g/dL
Alb/Glob Ratio		1.50	1.00-2.30
Anion Gap		10.2	9.0-19.0
BUN/Creat Ratio		16.1	5.0-30.0
Cholesterol	H	216	<200	mg/dL
Trighicerides	H	413	10-150	mg/dL
			Calculation of LOL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL Is not calculated.
HDL Cholesterol	L	31	40-60	mg/dL
Chol/HDL Ratio	H	6.9	0.0-4.0

HEMATOLOGY
WBC		7.6	4.3-11.1	K/uL
NRBC%		0.0
RBC		5.42	4.46-5.78	M/ut.
Hemoglobin		15.6	13.6-17.6	g/dL
Hematocsit		47.8	40.2-51.4
MCV		88.2	82.5-96.5	iL
MCH		28.8	27.1-34.9	P9
MCHC	L	32.6	33.0-37.0	g/dL
RDW-CV		12.8	12.0-14.0
Platelet		338	130-374	K/uL
FLAG LEGEND	L=Low L!=Low Critical	H=High HI=High Critical	A=Abnormal Al =Abnormal Critical

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CONFIDENTIAL SDNY_00009469¶

Federal Bureau of Prisons	U.S. Medical Center for Federal Prisons 1900 W. Sunshine Street Springfield, MO 65807 417-874-1621	••• Sensitive But Unclassified •••
Name EPSTEIN, JEFFREY	Facility MCC New York	Collected 07/09/2019 13:34
Reg # 76318-054	Order Unit E06-547U	Received 07/10/2019 10:44
DOB 01/20/1953	Provider MD	Reported 07/10/2019 14:46
M Sex		LIS ID 188191004
	HEMATOLOGY
MPV	10.4	6.9-10.5	fL
Neutrophils %	58.7
	Therapeutic decision making should be based on absolute values, rather than percentages
Lymphocytes %	25.0
Monocytes %	11.1		ok
Eosinophils %	4.1
Basophils %	0.8
Immature Granulocytes %	0.3	0.0-5.0
Neutrophils #	4.4	1.9-6.7	K/uL
Lymphocytes #	1.9	1.3-3.7	K/uL
Monocytes #	0.8	0.3-1.1	K/uL
Eosinophils #	0.3	0.0-0.5	K/uL
Basophils #	0.1	0.0-0.1	K/uL
Immature Granulocytes #	0.02	0.00-0.50	10^3/uL
	HEMOGLOBIN A1C
Hemoglobin A1C	H 6.3	<5.7
5.7 - 6.4 Increased Risk 6.4 Diabetes
	SEROLOGY
RPR	Non-Reactive	Non-Reactive

Results may be affected in patients with severely advanced immunosuppression.¶

FLAG LEGEND L=Low L!=Low Critical H=High Fil=High Critical A=Abnormal A! =Abnormal Critical¶

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CONFIDENTIAL SDNY_00009470¶

U.S. Medical Center for Federal Prisons itaE)Federal p Bureau of 1900 W. Sunshine Street Prisons Springfield, MO 65807 417.874-1621
		••• Sensitive But Unclassified ’•‘
Name EPSTEIN, JEFFREY	Facility MCC New York	Collected 07/09/2019 13:34
Reg # 76318-054	Order Unit E06-547U	Received 07/10/2019 10:44
DOB 01/20/1953	Provider MD	Reported 07/10/2019 14:46
Sex M		LIS ID 188191004
	HIV
HIV 1/2	Negative	Negative
Screening lest - See confirmatory testing for Reactive results

FLAG LEGEND L=Low LI=Low Critical H=High H!=High Critical A=Abnonnal A! =Abnormal Critical¶

Page 3 of 3¶

CONFIDENTIAL SCINY_00009471¶

Bureau of Prisons Health Services Cosign/Review¶

Facility: NYM Provider: Lab Result Receive Encounter Date: 07/10/2019 16:58	Inmate Name: Date of Birth:	EPSTEIN, JEFFREY EDWARD 01/20/1953	Sex:	M	Reg #: Race:	76318-054 WHITE
-----------------------------------------------------------------------------------------	--------------------------------	---------------------------------------	------	---	-----------------	--------------------

Cosigned by on 07/141201918:12.¶

Bureau of Prisons NYM¶

I¶

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶

7-24-2019 Date¶

I, JEFFREY EPSTEIN 76318-054 refuse treatment recommended by the Federal Bureau of Prisons Medical staff for the following condition(s):¶

DESCRIBE CONDITION IN LAYMAN’S TERMINOLOGY:¶

EYE DOCTOR EVALUATION.¶

The following treatment(s) was/were recommended:¶

EYE DOCTOR EVALUATION.¶

Federal Bureau of Prisons Medical staff members have carefully explained to me that the following possible consequences and/or complications may result because of my refusal to accept treatment:¶

INABILITY TO DIAGNOSE CURRENT OPTHALMOLOGIC DISEASES.¶

I understand the possible consequences and/or complications, listed above, and still refuse recommended treatment. I hereby assume all responsibility for my physical and/or mental condition, and release the Bureau of Prisons and its employees from any and all liability for respecting and following my¶

	ions.
Counseled by	7-24-2019 Date		Date
Signature ofVVitne s	Date	NYM—NEW YORK MCC

CONFIDENTIAL SDNY_00009473¶

EFTA00033858¶

1¶

BP-A0618 A&O DENTAL EXAMINATION¶

JUN 16 (Initial Clinical Dental Findings)¶

U.S. DEPARTMENT OF JUSTICE FEDERAL BUREAU OF PRISONS¶

Occlusion: • MN x 1 2 3 4 5 0 7 8 0 1011 12 13 14 15 18 WI - 32 31 30 2D 28 27 28 25 24 23 22 21 20 ID 18 17 7 054 Oral Hygiene: Good Fair E 00r CP:TN: 3 3 3 2- 3 Head & Neck / Soft Tissue: cAk, p Classification: CL -7— Pain Scale: /10 Dental Prostheses at Intake: Yes No Type: Age: Condition: Comrant .1O :44 0.* 75 / V41 r ie. 02 SS/ on 017Serum Lat-ste—r C+N. AC1or catsliAc 0.10w Intra-oral Photos Taken: Yes 0 Radiographs Taken: (Document findings on ASO encounter) Yes 9 Instructed how to obtain urgent and non-urgent dental care: Yes: I No: Treatment Priorities: None: Non-urgent non-urgent Urgent Referred to Sick Call: Radiographs authorized: PM: Prophylaxis authorized: Yes i No (Approval valid 18 months from examination date) BWs: Panorer Patient Name: s—terni . - ) C-C1PW-v E - - • -1 9. DS Fiegsti: Number , 76 3 ISE; ock-\ Institution: / MCC NEW YORK a e: —7- z6 gnature Block/Stamp: IDS. ief DentalOfficer MCC New York¶

PDF Mescal:it’d by PeAci0¶

Replaces BP-A0618 of JUN 10¶

CONFIDENTIAL SDNY_00009474¶