EFTA00073856

<table border="1"><tr><td>Inmate Name:</td><td>EPSTEIN, JEFFREY EDWARD</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td></tr><tr><td>Encounter Date:</td><td>07/24/2019 13:08</td></tr></table>

Sex:

Provider:

<table border="1"><tr><td>Reg #:</td><td>76318-054</td></tr><tr><td>Facility:</td><td>NYM</td></tr><tr><td>Unit:</td><td>H01</td></tr></table>

Follow-up at Sick Call as Needed

Handout/Topic

Access to Care

07/24/2019 Counseling

Preventive Health



<table><tr><td>Copay Required:No</td><td>Cosign Required:Yes</td></tr></table>

Telephone/Verbal Order: No

Completed by on 07/24/2019 13:24

Requested to be cosigned by

Cosign documentation will be displayed on the following page.

<table><thead><tr><th>Outcome</th></tr></thead><tbody><tr><td>Verbalizes</td></tr><tr><td>Understanding</td></tr><tr><td>Verbalizes</td></tr><tr><td>Understanding</td></tr></tbody></table>

# Page 026 of 148

Withheld pursuant to exemption

(b)(6) ; (b)(7)(A) ; (b)(7)(C)

Freedom of Information and Privacy Act

Generated 07/24/2019 13:24 by

Bureau of Prisons - NYM

Page 2 of 2

EFTA00073857

# Bureau of Prisons
Health Services
Cosign/Review

Inmate Name: EPSTEIN, JEFFREY EDWARD

Date of Birth: 01/20/1953

Sex:

Provider:

Encounter Date: 07/24/2019 13:08

<table border="1"><tr><td>Reg #:</td><td>76318-054</td></tr><tr><td>Race:</td><td>WHITE</td></tr><tr><td>Facility:</td><td>NYM</td></tr></table>

Cosigned with New Encounter Note by

on 07/24/2019 16:10.

Page 027 of 148

Withheld pursuant to exemption

(b)(6) ; (b)(7)(A) ; (b)(7)(C)

freedom of Information and Privacy Act

of the Freedom of Information and Privacy Act

Bureau of Prisons - NYM

EFTA00073858

# Bureau of Prisons Health Services Clinical Encounter

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |

| :--- | :--- |

| Date of Birth: | 01/20/1953 |

| Encounter Date: | 07/23/2019 06:20 |

Sex:

Provider:

M Race: WHITE

<table><tr><td>Reg #:</td><td>76318-054</td></tr><tr><td>Facility:</td><td>NYM</td></tr><tr><td>Unit:</td><td>H01</td></tr></table>

Injury Assessment - Non-work related encounter performed at Health Services.

## SUBJECTIVE:

# INJURY 1 Provider:

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

Page 028 of 148

## OBJECTIVE:

## Temperature:

Withheld pursuant to exemption

<table border="1"><tr><td>Date</td><td>Time</td><td>Fahrenheit</td><td>Celsius</td><td>Location</td><td>Provider</td></tr><tr><td>07/23/2019</td><td>06:30 NYM</td><td colspan="4">of the Freedom of Information and Privacy Act Y. MLP</td></tr></table>

## Pulse:

<table><thead><tr><th>Date</th><th>Time</th><th>Rate Per Minute</th><th>Location</th><th>Rhythm</th><th>Provider</th></tr></thead><tbody><tr><td>07/23/2019</td><td>06:30</td><td>92</td><td>Via Machine</td><td>Regular</td><td></td></tr></tbody></table>

## Respirations:

<table><thead><tr><th>Date</th><th>Time</th><th>Rate Per Minute</th><th>Provider</th></tr></thead><tbody><tr><td>07/23/2019</td><td>06:30 NYM</td><td>16</td><td></td></tr></tbody></table>

## Blood Pressure:

<table border="1"><tr><td>Date</td><td>Time</td><td>Value</td><td>Location</td><td>Position</td><td>Cuff Size</td><td>Provider</td></tr><tr><td>07/23/2019</td><td>06:30 NYM</td><td>140/85</td><td>Right Arm</td><td>Sitting</td><td>Adult-regular</td><td></td></tr></table>



SaO2:


<table><thead><tr><th>Date</th><th>Time</th><th>Value(%)</th><th>Air</th><th>Provider</th></tr></thead><tbody><tr><td>07/23/2019</td><td>06:30 NYM</td><td>96</td><td>Room Air</td><td></td></tr></tbody></table>

## Exam:

## General

Affect

Yes: Cooperative

## Appearance

<table border="1"><tr><td>Yes: Appears Well, Alert and Oriented x 3</td></tr><tr><td>No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled,</td></tr></table>

Generated 07/23/2019 09:05 by

Bureau of Prisons - NYM

Page 1 of 2

EFTA00073859

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/23/2019 06:20 |

Sex:
Provider:

<table border="1"><tr><td>Reg #:</td><td>76318-054</td></tr><tr><td>Facility:</td><td>NYM</td></tr><tr><td>Unit:</td><td>H01</td></tr></table>

## Exam:

## Pulmonary

## Exam Comments

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

As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor.

## ASSESSMENT:

Page 029 of 148

Injury, unspecified, T1490 - Current - /O self inflicted injuries.

Withheld pursuant to exemption

## PLAN:



(b)(6) ; (b)(7)(A) ; (b)(7)(C)



## Disposition:

of the Freedom of Information and Privacy Act

Follow-up in 2-4 Hours

For follow up with psychology service.

## Patient Education Topics:





## Copay Required: No



Cosign Required: Yes

## Telephone/Verbal Order: No

Completed by on 07/23/2019 09:05

Cosign documentation will be displayed on the following page.

Generated 07/23/2019 09:05 by

Bureau of Prisons - NYM

Page 2 of 2

EFTA00073860

# Bureau of Prisons
Health Services
Cosign/Review

Inmate Name: EPSTEIN, JEFFREY EDWARD

Date of Birth: 01/20/1953



Reg #: 76318-054



Sex:

Provider:

Encounter Date: 07/23/2019 06:20

Race: WHITE

Cosigned by

on 07/23/2019 15:44.

Facility: NYM

Withheld pursuant to exemption

(b) (6) ; (b)(7)(A) ; (b)(7)(C)

of the Freedom of Information and Privacy Act

Bureau of Prisons - NYM