EFTA00134726¶
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:¶
Reg #: 76318-054 Facility: NYM Unit: H01¶
ASSESSMENTS:¶
Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54¶
Health Problems¶
| Health Problem | Status |
|---|---|
| Hyperlipidemia, unspecified | Current |
| HYPERTRIGLYCERIDEMIA | |
| Sleep apnea | Current |
| Constipation, unspecified | Current |
| Low back pain | Current |
| Neuralgia and neuritis, unspecified | Current |
| No Diagnosis | Current |
| Injury, unspecified | Current |
| R/O self Inflicted Injuries. |
Medical History as of Dental Health History Encounter date: 07/26/2019 07:54¶
Medical History:¶
| Medical History: |
|---|
| Allergies: |
| Seizures: |
| Diabetes: |
| Cardiovascular: |
| CVA: |
| Hypertension: |
| Respiratory: |
| Sickle Cell Anemia: |
| Carcinoma/Lymphoma: |
HIV History:¶
| When Tested: | 2019 | | Test Result: | Negative | | When Diagnosed AIDS: | | | Last CD4: | | | Comments: | |¶
Hepatitis: | Denied |¶
Generated 07/26/2019 07:59 by Ancrum, Cheryl DDS¶
Page 1 of 3¶
$$DNY_00000983$$¶
Bureau of Prisons - NYM¶
EFTA_00000192¶
EFTA00134727¶
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 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:¶
Generated 07/26/2019 07:59 by Bureau of Prisons - NYM¶
SDNY_00000984¶
EFTA_00000193¶
EFTA00134728¶
| Inmate Name: EPSTEIN, JEFFREY EDWARD | Sex: M | Race: WHITE | Reg #: 76318-054 |
|---|---|---|---|
| Date of Birth: 01/20/1953 | Facility: NYM | ||
| Encounter Date: 07/26/2019 07:54 | Provider: | Unit: 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¶
Telephone/Verbal Order: No¶
Completed by on 07/26/2019 07:59¶
Generated 07/26/2019 07:59 by¶
Page 3 of 3¶
Bureau of Prisons - NYM¶
SDNY_00000985¶
EFTA_00000194¶