Bureau of Prisons
Health Services
Cosign/Review

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

Cosigned by MD on 07/11/2019 22:41.

Bureau of Prisons
Health Services
Inmate Local Hospital

Reg #: 76318-054  Inmate Name: EPSTEIN, JEFFREY EDWARD

SENSITIVE BUT UNCLASSIFIED – This information is confidential and must be appropriately safeguarded.

Transfer To: ___ Transfer Date: 08/10/2019

Health Problems

Health Problem Status
Hyperlipidemia, unspecified Current
HYPERTRIGLYCERIDEMIA
Sleep apnea Current
Essential (primary) hypertension Current
BY HX.
Constipation, unspecified Current
Low back pain Current
Neuralgia and neuritis, unspecified Current
No Diagnosis Current
Prediabetes Current
Injury, unspecified Current
RIO self inflicted injuries.
Body mass index (BMI) 27.0-27.9, adult Current

Medications: All medications to be continued until evaluated by a physician unless otherwise indicated.
Bolded drugs required for transport.
Docusat Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days
Docusat Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water
Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED
Omega 3 (Vascapa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food

OTCs: Listing of all known OTCs this inmate is currently taking.
None

Pending Appointments

Date Time Activity Provider
07/24/2019 00:00 Clinical Encounter Optometrist
01/07/2020 00:00 Chronic Care Visit Mid-Level Provider
07/01/2020 00:00 Chronic Care Visit Physician 01
07/09/2020 00:00 PPD Administration Nurse

Pending Non-Medication Orders:

Order Order Date Frequency Duration Details
EKG 07/06/2019 One Time 66 y/o male
Fecal Occult Blood 07/06/2019 One Time 3 different stools

TB Clearance: Yes

Last PPD Date: 07/09/2019 Induration: 0mm
Last Chest X-Ray Date: Results:
TB Treatment: Sx free for 30 days: Yes

TB Follow-up Recommended: No

Sickle Cell:
Sickle Cell Trait/Disease: No

EFTA00059444

SENSITIVE BUT UNCLASSIFIED — This information is confidential and must be appropriately safeguarded.

Limitations/Restrictions/Diets:
Cell: lower bunk — 10/09/2019
Cleared for Food Service: Yes
Other diet restrictions: FISH ALLERGIES. — 07/30/2020

Comments:

Allergies
No Known Allergies

Devices / Equipment
C-Pap

Travel:
Direct Travel: No
Travel Restrictions: None

UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE:

Transfer From Institution: NEW YORK MCC
Address 1: 150 PARK ROW
Address 2:
City/State/Zip: NEW YORK, New York 10007

Name/Title of Person Completing Form: RN
Date: 08/10/2019

Inmate Name: EPSTEIN, JEFFREY EDWARD
Reg #: 76318-054
DOB: 01/20/1953
Sex: M

Generated 08/10/2019 07:00 by RN Bureau of Prisons - NYM