EFTA00138961

U.S. Medical Center for Federal Prisons
1900 W. Sunshine Street
Springfield, MO 65807
417-874-1621

<table><tr><td>Name</td><td>EPSTEIN, JEFFREY</td><td>Facility</td><td>MCC New York</td><td>Collected</td><td>07/09/2019 13:34</td></tr><tr><td>Reg #</td><td>76318-054</td><td colspan="2">Order Unit E06-547U</td><td>Received</td><td>07/10/2019 10:44</td></tr><tr><td>DOB</td><td></td><td colspan="2">Provider</td><td>Reported</td><td>07/10/2019 14:46</td></tr><tr><td>Sex</td><td>M</td><td></td><td></td><td>LIS ID</td><td>188191004</td></tr></table>

<table border="1"><tr><td colspan="5">CHEMISTRY</td></tr><tr><td>Sodium</td><td></td><td>137</td><td>137-148</td><td>mmol/L</td></tr><tr><td>Potassium</td><td></td><td>4.7</td><td>3.5-5.0</td><td>mmol/L</td></tr><tr><td>Chloride</td><td></td><td>99</td><td>99-114</td><td>mmol/L</td></tr><tr><td>CO2</td><td></td><td>27</td><td>22-30</td><td>mmol/L</td></tr><tr><td>BUN</td><td></td><td>17</td><td>7-22</td><td>mg/dL</td></tr><tr><td>Creatinine</td><td></td><td>1.05</td><td>0.66-1.25</td><td>mg/dL</td></tr><tr><td>eGFR(IDMS)</td><td></td><td>&gt;60</td><td></td><td></td></tr><tr><td colspan="5">GFR units measured as mL/min/1.73m^2. If African American multiply by 1.210.A calculated GFR&lt;60 suggests chronic kidney disease if found over a 3 month period.</td></tr><tr><td>Calcium</td><td></td><td>9.8</td><td>8.5-10.9</td><td>mg/dL</td></tr><tr><td>Glucose</td><td></td><td>102</td><td>70-110</td><td>mg/dL</td></tr><tr><td>AST</td><td>H</td><td>57</td><td>11-55</td><td>U/L</td></tr><tr><td>ALT</td><td></td><td>62</td><td>11-66</td><td>U/L</td></tr><tr><td>Alkaline Phosphatase</td><td></td><td>64</td><td>41-133</td><td>U/L</td></tr><tr><td>Bilirubin, Total</td><td></td><td>1.1</td><td>0.2-1.3</td><td>mg/dL</td></tr><tr><td>Total Protein</td><td></td><td>7.3</td><td>6.0-8.2</td><td>g/dL</td></tr><tr><td>Albumin</td><td></td><td>4.4</td><td>3.6-5.1</td><td>g/dL</td></tr><tr><td>Globulin</td><td></td><td>2.9</td><td>2.0-3.7</td><td>g/dL</td></tr><tr><td>Alb/Glob Ratio</td><td></td><td>1.50</td><td>1.00-2.30</td><td></td></tr><tr><td>Anion Gap</td><td></td><td>10.2</td><td>9.0-19.0</td><td></td></tr><tr><td>BUN/Creat Ratio</td><td></td><td>16.1</td><td>5.0-30.0</td><td></td></tr><tr><td>Cholesterol</td><td>H</td><td>216</td><td>&lt;200</td><td>mg/dL</td></tr><tr><td>Triglycerides</td><td>H</td><td>413</td><td>10-150</td><td>mg/dL</td></tr><tr><td colspan="5">Calculation of LDL is not appropriate for samples with a triglyceride greater than 400 mg/dL. Therefore the LDL is not calculated.</td></tr><tr><td>HDL Cholesterol</td><td>L</td><td>31</td><td>40-60</td><td>mg/dL</td></tr><tr><td>Chol/HDL Ratio</td><td>H</td><td>6.9</td><td>0.0-4.0</td><td></td></tr></table>

<table border="1"><tr><td colspan="5">HEMATOLOGY</td></tr><tr><td>WBC</td><td></td><td>7.6</td><td>4.3-11.1</td><td>K/uL</td></tr><tr><td>NRBC%</td><td></td><td>0.0</td><td></td><td>%</td></tr><tr><td>RBC</td><td></td><td>5.42</td><td>4.46-5.78</td><td>M/uL</td></tr><tr><td>Hemoglobin</td><td></td><td>15.6</td><td>13.6-17.6</td><td>g/dL</td></tr><tr><td>Hematocrit</td><td></td><td>47.8</td><td>40.2-51.4</td><td>%</td></tr><tr><td>MCV</td><td></td><td>88.2</td><td>82.5-96.5</td><td>fL</td></tr><tr><td>MCH</td><td></td><td>28.8</td><td>27.1-34.9</td><td>pg</td></tr><tr><td>MCHC</td><td>L</td><td>32.6</td><td>33.0-37.0</td><td>g/dL</td></tr><tr><td>RDW-CV</td><td></td><td>12.8</td><td>12.0-14.0</td><td>%</td></tr><tr><td>Platelet</td><td></td><td>338</td><td>130-374</td><td>K/uL</td></tr></table>

<table><thead><tr><th>FLAG LEGEND</th><th>L=Low</th><th>L!=Low Critical</th><th>H=High</th><th>H!=High Critical</th><th>A=Abnormal</th><th>A!=Abnormal Critical</th></tr></thead></table>

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SDNY_00017325

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EFTA00138962

U.S. Medical Center for Federal Prisons
1900 W. Sunshine Street
Springfield, MO 65807
417-874-1621

<table><tr><td>Name</td><td>EPSTEIN, JEFFREY</td><td>Facility</td><td>MCC New York</td><td>Collected</td><td>07/09/2019 13:34</td></tr><tr><td>Reg #</td><td>76318-054</td><td colspan="2">Order Unit</td><td>E06-547U</td><td>Received</td></tr><tr><td>DOB</td><td></td><td colspan="2">Provider</td><td>, MD</td><td>Reported</td></tr><tr><td>Sex</td><td>M</td><td></td><td></td><td></td><td>LIS ID 188191004</td></tr></table>

<table border="1"><tr><td colspan="4">HEMATOLOGY</td></tr><tr><td>MPV</td><td>10.4</td><td>6.9-10.5</td><td>fL</td></tr><tr><td>Neutrophils %</td><td>58.7</td><td></td><td>%</td></tr><tr><td colspan="4">Therapeutic decision making should be based on absolute values, rather than percentages</td></tr><tr><td>Lymphocytes %</td><td>25.0</td><td></td><td>%</td></tr><tr><td>Monocytes %</td><td>11.1</td><td></td><td>%</td></tr><tr><td>Eosinophils %</td><td>4.1</td><td></td><td>%</td></tr><tr><td>Basophils %</td><td>0.8</td><td></td><td>%</td></tr><tr><td>Immature Granulocytes %</td><td>0.3</td><td>0.0-5.0</td><td>%</td></tr><tr><td>Neutrophils #</td><td>4.4</td><td>1.9-6.7</td><td>K/uL</td></tr><tr><td>Lymphocytes #</td><td>1.9</td><td>1.3-3.7</td><td>K/uL</td></tr><tr><td>Monocytes #</td><td>0.8</td><td>0.3-1.1</td><td>K/uL</td></tr><tr><td>Eosinophils #</td><td>0.3</td><td>0.0-0.5</td><td>K/uL</td></tr><tr><td>Basophils #</td><td>0.1</td><td>0.0-0.1</td><td>K/uL</td></tr><tr><td>Immature Granulocytes #</td><td>0.02</td><td>0.00-0.50</td><td>10^3/uL</td></tr></table>

<table border="1"><tr><td></td><td colspan="4">HEMOGLOBIN A1C</td></tr><tr><td>Hemoglobin A1C</td><td>H</td><td>6.3</td><td>&lt;5.7</td><td>%</td></tr><tr><td>5.7-6.4 Increased Risk&gt;6.4 Diabetes</td><td></td><td></td><td></td><td></td></tr></table>

<table border="1"><tr><td colspan="3">SEROLOGY</td></tr><tr><td>RPR</td><td>Non-Reactive</td><td>Non-Reactive</td></tr><tr><td colspan="2">Results may be affected in patients with severely advanced immunosuppression.</td><td></td></tr></table>

<table><thead><tr><th>FLAG LEGEND</th><th>L=Low</th><th>L!=Low Critical</th><th>H=High</th><th>H!=High Critical</th><th>A=Abnormal</th><th>A! =Abnormal Critical</th></tr></thead></table>

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SDNY_00017326

Page 283

EFTA00138963

U.S. Medical Center for Federal Prisons
1900 W. Sunshine Street
Springfield, MO 65807
417-874-1621

<table border="1"><tr><td colspan="4">Sensitive But Unclassified</td></tr><tr><td>Name</td><td>EPSTEIN, JEFFREY</td><td>Facility</td><td>MCC New York</td></tr><tr><td>Reg #</td><td>76318-054</td><td>Order Unit</td><td>E06-547U</td></tr><tr><td>DOB</td><td></td><td>Provider</td><td>, MD</td></tr><tr><td>Sex</td><td>M</td><td></td><td>LIS ID 188191004</td></tr><tr><td colspan="4">HIV</td></tr><tr><td>HIV 1/2</td><td colspan="2">Negative</td><td>Negative</td></tr><tr><td colspan="4">Screening test - See confirmatory testing for Reactive results</td></tr></table>

HIV 1/2 Negative Negative

Screening test - See confirmatory testing for Reactive results

FLAG LEGEND
L=Low L!=Low Critical H=High H!=High Critical A=Abnormal A!=Abnormal Critical

Page 3 of 3
SDNY_00017327

Page 284

EFTA00138964

# Bureau of Prisons
Health Services
Cosign/Review

<table><tr><td>Inmate Name:</td><td colspan="3">EPSTEIN, JEFFREY EDWARD</td><td>Reg #:</td><td>76318-054</td></tr><tr><td>Date of Birth:</td><td></td><td>Sex:</td><td>M</td><td>Race:</td><td>WHITE</td></tr><tr><td>Encounter Date:</td><td>07/10/2019</td><td>16:58</td><td>Provider:</td><td>Lab Result Receive</td><td>Facility:</td><td>NYM</td></tr></table>

Cosigned by MD on 07/14/2019 18:12.

Bureau of Prisons - NYM



SDNY_00017328




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