EFTA00073912

# Bureau of Prisons Health Services Medical Duty Status



Reg #: 76318-054



## Inmate Name: EPSTEIN, JEFFREY EDWARD

## Housing Status

<table><tr><td>___ confined to the living quarters except</td><td>___ meals</td><td>___ pill line</td><td>___ treatments</td></tr></table>

Exp. Date: ___



___ on complete bed rest: ___ bathroom privileges only



Exp. Date: ___

X cell: cell on first floor single cell lower bunk airborne infection isolation other: ___

Exp. Date: 10.09/2019

Exp. Date:

## Physical Limitation/Restriction



all sports





__ weightlifting: __ upper body __ lower body



Exp. Date: ___



cardiovascular exercise: __running __jogging __walking __softball



Exp. Date: ___



__ football __ basketball __ handball __ stationary equipment



Exp. Date: ___

Exp. Date: ___

## May have the following equipment in his / her possession:

Equipment

C-Pap

PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE.

SERIAL #: P11312813B1ED.

Page 082 of 148

## Work Restriction / Limitation:

Withheld pursuant to exemption

Cleared for Food Service: Yes



X No Restrictions





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



Comments: N/A of the Freedom of Information and Privacy Act

Health Services Staff

Date

Inmate Name: EPSTEIN, JEF REY EDWARD Reg #: 76318-054 Quarters: null

ALL EXPIRATION DATES ARE AT 24:00

Generated 05/11/2020 09:57 by



OGC


Page 1 of 1

Bureau of Prisons - DAN

EFTA00073913

# Bureau of Prisons Health Services Medical Duty Status



Reg #: 76318-054



## Inmate Name: EPSTEIN, JEFFREY EDWARD

## Housing Status

<table><tr><td>___ confined to the living quarters except</td><td>___ meals</td><td>___ pill line</td><td>___ treatments</td></tr></table>

Exp. Date: ___

___ on complete bed rest: ___bathroom privileges only

X cell: ___cell on first floor ___single cell X lower bunk ___airborne infection isolation other: ___

Exp. Date: ___

Exp. Date: 10.09/2019

Exp. Date:

## Physical Limitation/Restriction



all sports





__ weightlifting: __ upper body __ lower body



Exp. Date: ___



cardiovascular exercise: running jogging walking softball



Exp. Date: ___



__ football __ basketball __ handball __ stationary equipment



Exp. Date: ___

other: ___

Exp. Date: ___

May have the following equipment in his / her possession:

## Work Restriction / Limitation:

Cleared for Food Service: Yes



X No Restrictions



Page 083 of 148

Comments: N/A

Withheld pursuant to exemption



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





07/09/2019



Health Services Staff

Date

Inmate Name: EPSTEIN, JEFFR167the Pleadm of Information a76316v854 Act Quarters: null

ALL EXPIRATION DATES ARE AT 24:00

Generated 05/11/2020 09:57 by

OGC

Page 1 of 1

Bureau of Prisons - DAN

EFTA00073914

# Bureau of Prisons
Health Services
Medication Summary
Historical

<table><tr><td>Complex:</td><td>NYM--NEW YORK MCC</td></tr><tr><td>Inmate:</td><td>EPSTEIN, JEFFREY EDWARD</td></tr></table>

<table><tr><td>Begin Date:</td><td>07/06/2019</td></tr><tr><td>Reg #:</td><td>76318-054</td></tr></table>

<table><thead><tr><th>End Date:</th><td>05/11/2020</td></tr></thead><tbody><tr><td>Quarter:</td><td>???-????</td></tr></tbody></table>

<table border="1"><tr><td colspan="2">Medications listed reflect prescribed medications from the begin date to end date on this report.</td></tr><tr><td>Allergies:</td><td>Denied</td></tr></table>

## 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



<table><thead><tr><th>Start:</th><th>07/09/19</th><th>Exp: 07/19/19</th><th>D/C: 07/12/19</th><th>Pharmacy Dispensings: 10 TAB in 307 days</th></tr></thead></table>

## Docusate Sodium 100 MG Cap

Take one capsule (100 MG) by mouth twice daily for 30 days



Rx#: 121823-NYM



Doctor:

<table><thead><tr><th>Start:</th><th>07/12/19</th><th>Exp: 08/11/19</th><th>D/C: 08/10/19</th><th>Pharmacy Dispensings: 60 CAP in 304 days</th></tr></thead></table>

Page 084 of 148

## Docusate Sodium 100 MG Cap

Take one capsule (100 MG) twice daily by mouth withheld pursuant to exemption

Doctor: Beaudouin, Robert MD



Rx#: 122084-NYM



<table><thead><tr><th>Start:</th><th>07/26/19</th><th>Exp: 01/22/20</th><th>D/C: 08/10/19</th><th>Pharmacy Dispensings: 30 CAP in 290 days of the Freedom of Information and Privacy Act</th></tr></thead></table>

## 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 304 days

## Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML

shake well take 10ml by mouth twice daily AS NEEDED



Rx#: 122150-NYM



Doctor:

Start: 07/30/19

| Exp: 10/28/19 | D/C: 08/10/19 |

| :--- | :--- |

Pharmacy Dispensings: 473 ML in 286 days



methylPREDNISolone 4 MG Tab [ 21 count Pack]


Take the tablet by mouth as directed



Rx#: 121836-NYM



Start: 07/12/19



Exp: 07/18/19



Doctor:



methylPREDNISolone 4 MG Tab [ 21 count Pack]


Pharmacy Dispensings: 21 tab in 304 days

Take the tablet by mouth as directed



Rx#: 122149-NYM



Doctor:

Start: 07/30/19



Exp: 08/05/19



Pharmacy Dispensings: 21 tab in 286 days

Generated 05/11/2020 09:57 by

Page 1 of 2

Bureau of Prisons - DAN

EFTA00073915

<table><tr><td>Complex:</td><td>NYM--NEW YORK MCC</td></tr><tr><td>Inmate:</td><td>EPSTEIN, JEFFREY EDWARD</td></tr></table>

<table border="1"><tr><td>Begin Date:</td><td>07/06/2019</td></tr><tr><td>Reg #:</td><td>76318-054</td></tr></table>

End Date: 05/11/2020

Quarter: ???-????

## Active Prescriptions

| | |

| :--- | :--- |

| Omega 3 (Vascepa) | 1 GM Capsule |

Take two capsules (2 GM) twice daily by mouth with food



Rx#: 121885-NYM



Doctor:

<table border="1"><tr><td>Start:</td><td>07/17/19</td><td>Exp:</td><td>01/13/20</td><td>D/C:</td><td>08/10/19</td><td>Pharmacy Dispensings:</td><td>180 Cap in 299 days</td></tr></table>



Insulin Reg (10 ML) 100 UNITS/ML Inj



Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days ***pill line***

Rx#: 122148-NYM

<table><tr><td>Start: 07/30/19</td><td>Exp: 08/06/19</td><td>D/C: 07/31/19</td><td>Pharmacy Dispensings: 0 ML in 286 days</td></tr></table>



Insulin Reg (10 ML) 100 UNITS/ML Inj



Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** ***pill line***



Rx#: 122160-NYM



Start: 07/31/19



Exp: 08/07/19



Pharmacy Dispensings: 0 ML in 285 days

Page 085 of 148

Withheld pursuant to exemption

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

of the Freedom of Information and Privacy Act

Generated 05/11/2020 09:57 by

OGC

Page 2 of 2

Bureau of Prisons - DAN

EFTA00073916

# Bureau of Prisons
Health Services
Dental Health History Screen

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/26/2019 07:54 |

| Sex: M | Race: WHITE |
| :--- | :--- |
| Provider: | DDS |

Reg #: 76318-054
Facility: NYM
Unit: H01

## ASSESSMENTS:

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

<table border="1"><tr><td>Health Problem</td><td>Status</td></tr><tr><td>Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA</td><td>Current</td></tr><tr><td>Sleep apnea</td><td>Current</td></tr><tr><td>Constipation, unspecified</td><td>Current</td></tr><tr><td>Low back pain</td><td>Current</td></tr><tr><td>Neuralgia and neuritis, unspecified</td><td>Current</td></tr><tr><td>No Diagnosis</td><td>Current</td></tr><tr><td>Injury, unspecified R/O self inflicted injuries.</td><td>Current</td></tr></table>

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

Medical History:

<table><thead><tr><th>Allergies:</th><th>Denied</th><th>Page 086 of 148</th></tr></thead></table>

<table><tr><td>Diabetes:</td><td>Denied</td><td>Withheld pursuant to exemption</td></tr></table>

<table><thead><tr><th>Cardiovascular:</th><th>Denied</th><th>(b)(6); (b)(7)(A); (b)(7)(C)</th></tr></thead></table>

CVA: of The Freedom of Information and Privacy Act

**Hypertension:** Denied

<table><thead><tr><th>Respiratory:</th><th>Denied</th></tr></thead></table>

| Sickle Cell Anemia: | Denied |

| :--- | :--- |

| Carcinoma/Lymphoma: | Denied |

| :--- | :--- |

HIV History:

When Tested: 2019

<table><thead><tr><th>Test Result:</th><th>Negative</th></tr></thead></table>

When Diagnosed AIDS:

Last CD4:

Comments:

| Hepatitis: | Denied |

| :--- | :--- |

Generated 07/26/2019 07:59 by

DDS

Page 1 of 3

Bureau of Prisons - NYM

EFTA00073917

### Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/26/2019 07:54

#### Other Infectious Diseases:

- Syphilis: No
- Syphilis Last Treatment: N/A
- Genital Warts: 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 Encouragement

### History

Withheld pursuant to exemption

- Alcohol: No
- Methamphetamine: No
- Tobacco products: of the Freedom of Information and Privacy Act

- 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:**

EFTA00073918

<table border="1"><tr><td>Inmate Name:</td><td colspan="4">EPSTEIN, JEFFREY EDWARD</td><td>Reg #:</td><td>76318-054</td></tr><tr><td>Date of Birth:</td><td>01/20/1953</td><td>Sex:</td><td>M</td><td>Race: WHITE</td><td>Facility:</td><td>NYM</td></tr><tr><td>Encounter Date:</td><td>07/26/2019 07:54</td><td>Provider:</td><td colspan="2"></td><td>Unit:</td><td>H01</td></tr><tr><td>Cardiac Condition Requiring Prophylaxis:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Prosthetic joint(s):</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Radiation history of head or neck:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Excessive bleeding:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Bisphosphonates:</td><td>No</td><td></td><td></td><td></td><td></td><td></td></tr><tr><td>Comments:</td><td></td><td></td><td></td><td></td><td></td><td></td></tr></table>

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

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

Telephone/Verbal Order: No

Cosign Required: No

Completed by

DDS on 07/26/2019 07:59

Page 088 of 148

Withheld pursuant to exemption



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



of the Freedom of Information and Privacy Act

Generated 07/26/2019 07:59 by

DDS

Page 3 of 3

Bureau of Prisons - NYM