EFTA00073878¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/06/2019 21:38 |
Sex: Provider:¶
| Reg #: | 76318-054 |
| Race: | WHITE |
| Facility: | NYM |
Completed by PA-C on 07/06/2019 21:56¶
Requested to be cosigned by .¶
Cosign documentation will be displayed on the following page.¶
Page 048 of 148¶
Withheld pursuant to exemption¶
(b)(6) ; (b)(7)(A) ; (b)(7)(C)¶
freedom of Information and Privacy Act¶
Generated 07/06/2019 21:56 bj¶
PA-C¶
Bureau of Prisons - NYM¶
Page 6 of 6¶
EFTA00073879¶
Bureau of Prisons Health Services Cosign/Review¶
Inmate Name: EPSTEIN, JEFFREY EDWARD¶
Sex:¶
Provider:¶
Encounter Date: 07/06/2019 21:38¶
Cosigned with New Encounter Note by¶
on 07/07/2019 00:17.¶
Page 049 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¶
EFTA00073880¶
Bureau of Prisons Health Services History & Physical¶
| Inmate Name: EPSTEIN, JEFFREY EDWARD | Sex: M | Race: WHITE | Reg #: 76318-054 |
|---|---|---|---|
| Date of Birth: 01/20/1953 | Provider: | Facility: NYM | Unit: H01 |
| Encounter Date: 07/09/2019 12:35 |
Seizures: Denied¶
Diabetes: Denied¶
Cardiovascular: Denied¶
CVA: Denied¶
Hypertension: Denied¶
Respiratory: Denied¶
Sickle Cell Anemia: Denied¶
Carcinoma/Lymphoma: Denied¶
Allergies: Denied¶
Tuberculosis:¶
- Hx of Previous Disease: No
- Blood-tinged Sputum: No
- Night Sweats: No Page 050 of 148
- Weight Loss: No Withheld pursuant to exemption
- Fever: No (b)(6); (b)(7)(A); (b)(7)(C)
- Cough: No of the Freedom of Information and Privacy Act
- Comments: of the Freedom of Information and Privacy Act
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
Generated 07/09/2019 13:03 by¶
Page 1 of 13¶
Bureau of Prisons - NYM¶
EFTA00073881¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
| Comments: | Chlamydia in 2015, treated Chicken pox in childhood | Withheld pursuant to exemption |
Abuse History: Denied¶
Physical: No¶
Emotional: No¶
Sexual: No¶
of the Freedom of Information and Privacy Act¶
Comments: Denies¶
Generated 07/09/2019 13:03 by¶
Bureau of Prisons - NYM¶
Page 2 of 13¶
EFTA00073882¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
Sex:¶
Provider:¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Mental Health:¶
Level of Consciousness: Alert and Oriented¶
Psychomotor Activity: Normal¶
Behavior: Cooperative¶
General Appearance: Normal¶
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:¶
Page 052 of 148¶
Withheld pursuant to exemption¶
Substance Use History: Denied¶
(b) (6) ; (b)(7)(A) ; (b)(7)(C)¶
Current Painful Condition: Depied of the Freedom of Information and Privacy Act¶
Other Health Issues:¶
Current Medical Conditions:¶
Other Current Treatments:¶
| Pregnant: | N/A |
Dental Condition: Denied¶
Generated 07/09/2019 13:03 by¶
Bureau of Prisons - NYM¶
Page 3 of 13¶
EFTA00073883¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
Sex:¶
Provider:¶
M Race: WHITE¶
| 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:¶
Page 053 of 148¶
Withheld pursuant to exemption¶
(b) (6) ; (b)(7)(A) ; (b)(7)(C)¶
of the Freedom of Information and Privacy Act¶
Generated 07/09/2019 13:03 by¶
Bureau of Prisons - NYM¶
Page 4 of 13¶
EFTA00073884¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
| 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: [black text]
- 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: [black text] Page 054 of 148
- Location: Withheld pursuant to exemption
- Drug Mfg: $(b)(6);(b)(7)(A);(b)(7)(C)$
- Lot Number: of the Freedom of Information and Privacy Act
- Dosage:
- Route:
- Exp Dt:
- Comments:
Smallpox Series Administration: History Unknown, Not Administered¶
- Documented Date: 07/09/2019 12:51 EST
- Immunization Date:
- Provider: [black text]
- 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¶
Bureau of Prisons - NYM¶
Page 5 of 13¶
EFTA00073885¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
Sex:¶
Provider:¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Page 6 of 13¶
EFTA00073886¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
Sex:¶
Provider:¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
| Date | Time | Inches | Cm | Provider | |
|---|---|---|---|---|---|
| Weight: | |||||
| Date | Time | Lbs | Kg | Waist Circum. | Provider |
| 07/09/2019 | 12:49 NYM | 194.4 | 88.2 | ||
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 |
| Age at Death: | 74 |
| Cause of Death: | Diabetes complications |
| Significant Illnesses: | |
| Diabetes | |
| Heart Disease |
| Age at Death: | 81 |
| Cause of Death: | Kidney Failure |
| Significant Illnesses: | Heart Disease |
| Comments: | |
| Family History - Sibling: | |
| Number of Siblings: | 1 |
| Significant Illnesses: |
Comments:¶
Past Hospitalization:¶
Reason¶
Acute Appendicitis¶
Complications: None¶
Comments:¶
Head:¶
Normal: Yes¶
Comments:¶
Generated 07/09/2019 13:03 by¶
Bureau of Prisons - NYM¶
Page 7 of 13¶
EFTA00073887¶
| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |
Sex:¶
Provider:¶
M Race: WHITE¶
| Reg #: | 76318-054 |
| Facility: | NYM |
| Unit: | H01 |
Eyes:¶
| EOMI: Yes |
| Icterus: No |
| Conjunctival Inflammation: No |
| Pupils : 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: | ||||||
|---|---|---|---|---|---|---|
| Distance Vision: | OD: 100 | OS: 70 | OU: | OD: | OS | OU: |
| Near Vision: | OD: | OS: | OU: | OD: | OS: | OU: |
Ishihara Color Test:¶
Withheld pursuant to exemption¶
| Comments: | Needs evaluation with optometrist. |
| Ears: | of the Freedom of Information and Privacy Act |
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 07/09/2019 13:03 by¶
Page 8 of 13¶
Bureau of Prisons - NYM¶