EFTA00139039

# Bureau of Prisons Health Services History & Physical

<table><thead><tr><th>Inmate Name: EPSTEIN, JEFFREY EDWARD</th><th>Sex: M</th><th>Race: WHITE</th><th>Reg #: 76318-054</th></tr><tr><th>Date of Birth: 01/20/1953</th><th>Provider:</th><th>MLP</th><th>Facility: NYM</th></tr><tr><th>Encounter Date: 07/09/2019 12:35</th><th></th><th></th><th>Unit: H01</th></tr></thead><tbody><tr><td>Seizures: Denied</td><td></td><td></td><td></td></tr><tr><td>Diabetes: Denied</td><td></td><td></td><td></td></tr><tr><td>Cardiovascular: Denied</td><td></td><td></td><td></td></tr><tr><td>CVA: Denied</td><td></td><td></td><td></td></tr><tr><td>Hypertension: Denied</td><td></td><td></td><td></td></tr><tr><td>Respiratory: Denied</td><td></td><td></td><td></td></tr><tr><td>Sickle Cell Anemia: Denied</td><td></td><td></td><td></td></tr><tr><td>Carcinoma/Lymphoma: Denied</td><td></td><td></td><td></td></tr><tr><td>Allergies: Denied</td><td></td><td></td><td></td></tr><tr><td>Tuberculosis:</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Hx of Previous Disease: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Blood-tinged Sputum: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Night Sweats: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Weight Loss: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Fever: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Cough: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Comments:</td><td></td><td></td><td></td></tr><tr><td>Infectious Disease Risk Factors:</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;IV Drug Use: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;IV Drug Use Needles:</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Sexual Partner IV Drug Use: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Sexual Partner IV Drug Use Needles:</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Female Sexual Partners (Last 5 Yrs): 10+</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Male Sexual Partners (Last 5 Yrs): 0</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Condom Use: Sometimes</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Sexual Contact With HIV+ Individual: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Blood Product Transfusion: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Travel Outside US: Yes</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Tattoos: No</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;Comments: Born in US<br>High school diploma<br>Banker<br>Traveled to Paris x 3 weeks up until arrest</td><td></td><td></td><td></td></tr><tr><td>&nbsp;&nbsp;No tattoos</td><td></td><td></td><td></td></tr></tbody></table>

Generated 07/09/2019 13:03 by



SDNY_00017403
Page 1 of 13


MLP

Bureau of Prisons - NYM

EFTA00139040

| Inmate Name: EPSTEIN, JEFFREY EDWARD | Date of Birth: 01/20/1953 | Sex: M | Race: WHITE | Reg #: 76318-054 | Facility: NYM |
| :--- | :--- | :--- | :--- | :--- | :--- |
| Encounter Date: 07/09/2019 12:35 | Provider: | MLP | | Unit: H01 |

### HIV History:

**When Tested:** 2019

**Test Result:** Negative

**When Diagnosed AIDS:**

**Last CD4:**

**Comments:**

**Hepatitis:** Denied

### 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

### Abuse History: Denied



Comments: Denies



Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017404
Page 2 of 13


EFTA00139041

<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>07/09/2019 12:35</td></tr></table>

## Mental Health:

<table border="1"><tr><td>Level of Consciousness: Alert and Oriented</td></tr><tr><td>Psychomotor Activity: Normal</td></tr><tr><td>General Appearance: Normal</td></tr><tr><td>Behavior: Cooperative</td></tr><tr><td>Mood: Appropriate to Content</td></tr><tr><td>Thought Process: Goal Directed</td></tr><tr><td>Thought Content: Normal</td></tr><tr><td>Hx of Mental Health Treatment: None</td></tr><tr><td>Hx of Head Injury: None</td></tr><tr><td>Current Mental Health Treatment: No</td></tr><tr><td>Current Mental Health Complaint: No</td></tr><tr><td>Hx of Loss of Consciousness: No</td></tr><tr><td>Hx of Hearing Voices: No</td></tr><tr><td>Past History of Suicide Attempt: No</td></tr><tr><td>Current Suicide Ideation: No</td></tr><tr><td>Suicide Prevention Initiated:No</td></tr><tr><td>Comments:</td></tr></table>

<table><tr><td>Substance Use History: Denied</td></tr><tr><td>Current Painful Condition: Denied</td></tr></table>

Other Health Issues:

Current Medical Conditions:

Other Current Treatments:

<table><thead><tr><th>Pregnant:</th><th>N/A</th></tr></thead></table>

Dental Condition: Denied

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017405
Page 3 of 13


EFTA00139042

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |

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

| 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:

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017406
Page 4 of 13


EFTA00139043

<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>07/09/2019 12:35</td></tr></table>

# Immunizations:

**Hepatitis A and B (TwinRx) Series Administration: History Unknown, Not Administered**

- Documented Date: 07/09/2019 12:51 EST
- Immunization Date:
  - Provider: [ ] .MLP
  - 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: [ ] .MLP
  - Location:
    - Drug Mfg:
    - Lot Number:
    - Dosage:
    - Route:
    - Exp Dt:
    - Comments:

**Smallpox Series Administration: History Unknown, Not Administered**

- Documented Date: 07/09/2019 12:51 EST
- Immunization Date:
  - Provider: [ ] .MLP
  - 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

MLP



SDNY_00017407

Page 5 of 13



EFTA00139044

<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>07/09/2019 12:35</td></tr></table>

## Immunization Date:

## Temperature:

<table><thead><tr><th>Date</th><th>Time</th><th>Fahrenheit</th><th>Celsius</th><th>Location</th><th>Provider</th></tr></thead><tbody><tr><td>07/09/2019</td><td>12:49 NYM</td><td>97.3</td><td>36.3</td><td>Oral</td><td>.MLP</td></tr></tbody></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>07/09/2019</td><td>12:49</td><td>82</td><td>Via Machine</td><td>Regular</td><td>. MLP</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>07/09/2019</td><td>12:49 NYM</td><td>16</td><td>. MLP</td></tr></tbody></table>

## Blood Pressure:

<table><thead><tr><th>Date</th><th>Time</th><th>Value</th><th>Location</th><th>Position</th><th>Cuff Size</th><th>Provider</th></tr></thead><tbody><tr><td>07/09/2019</td><td>12:49 NYM</td><td>117/66</td><td>Right Arm</td><td>Sitting</td><td>Adult-regular</td><td>. MLP</td></tr></tbody></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>07/09/2019</td><td>12:49 NYM</td><td>97</td><td>Room Air</td><td>. MLP</td></tr></tbody></table>

## Height:

<table><thead><tr><th>Date</th><th>Time</th><th>Inches</th><th>Cm</th><th>Provider</th></tr></thead><tbody><tr><td>07/09/2019</td><td>12:49 NYM</td><td>70.0</td><td>177.8</td><td>.MLP</td></tr></tbody></table>



SDNY_00017408

Page 6 of 13



EFTA00139045

<table><thead><tr><th>Date</th><th>Time</th><th>Inches</th><th>Cm</th><th>Provider</th><th></th><th></th></tr></thead><tbody><tr><td colspan="7">Weight:</td></tr><tr><td>Date</td><td>Time</td><td>Lbs</td><td>Kg</td><td>Waist Circum.</td><td>Provider</td><td></td></tr><tr><td>07/09/2019</td><td>12:49 NYM</td><td>194.4</td><td>88.2</td><td></td><td>MLP</td><td></td></tr><tr><td colspan="7">Prosthetic Devices/Equipment: Denied</td></tr><tr><td colspan="7">Tobacco Usage: Denied</td></tr><tr><td colspan="7">General Social History:</td></tr><tr><td colspan="7">Foreign Travel:</td></tr><tr><td colspan="7">Born in USA: Yes</td></tr><tr><td colspan="7">Country of Birth: USA</td></tr><tr><td colspan="7">Patient Education Assessments:</td></tr><tr><td>Date</td><td>Ed Yrs</td><td>Occupation</td><td>Learns Best By</td><td>Primary Language</td><td>Barriers to Education</td><td></td></tr><tr><td>07/09/2019</td><td>12</td><td>Banker</td><td>Speaking/Listening</td><td>English</td><td>None</td><td></td></tr><tr><td colspan="7">Family History - Father:</td></tr><tr><td colspan="7">Age at Death: 74</td></tr><tr><td colspan="7">Cause of Death: Diabetes complications</td></tr><tr><td colspan="7">Significant Illnesses:</td></tr><tr><td colspan="7">Diabetes</td></tr><tr><td colspan="7">Heart Disease</td></tr><tr><td colspan="7">Comments:</td></tr><tr><td colspan="7">Family History - Mother:</td></tr><tr><td colspan="7">Age at Death: 81</td></tr><tr><td colspan="7">Cause of Death: Kidney Failure</td></tr><tr><td colspan="7">Significant Illnesses:</td></tr><tr><td colspan="7">Heart Disease</td></tr><tr><td colspan="7">Comments:</td></tr><tr><td colspan="7">Family History - Sibling:</td></tr><tr><td colspan="7">Number of Siblings: 1</td></tr><tr><td colspan="7">Significant Illnesses:</td></tr><tr><td colspan="7">Comments:</td></tr><tr><td colspan="7">Past Hospitalization:</td></tr><tr><td>Reason</td><td></td><td></td><td>Location</td><td colspan="3">When</td></tr><tr><td>Acute Appendicitis</td><td></td><td></td><td>Mount Sinai Hospital</td><td colspan="3">1990</td></tr><tr><td>Complications: None</td><td></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><tr><td colspan="7">Head:</td></tr><tr><td colspan="7">Normal: Yes</td></tr><tr><td colspan="7">Comments:</td></tr></tbody></table>

Generated 07/09/2019 13:03 by

Bureau of Prisons - NYM

MLP



SDNY_00017409

Page 7 of 13



EFTA00139046

<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>07/09/2019 12:35</td></tr></table>

| Description | Information |

| :--- | :--- |

| EOMI: Yes | |

| Icterus: No | |

| Conjunctival Inflammation: No | |

| Pupils PERRLA: 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

Near Vision: OD: OS:

**Ishihara Color Test:**

Tonometry: L: R:

Comments: Needs evaluation with optometri

**Ears:**

Right Ear: Canal patent

Left Ear: Canal na'

<table border="1"><tr><td>Right Ear:</td><td>Canal patent</td></tr><tr><td>Left Ear:</td><td>Canal patent</td></tr><tr><td>Ears Comments:</td><td></td></tr></table>

## Nose:

<table><tr><td>Nares Patent: Yes</td></tr><tr><td>Septum Midline: Yes</td></tr><tr><td>Septum Intact: Yes</td></tr><tr><td>Drainage/Discharge: No</td></tr><tr><td>Polyps: No</td></tr><tr><td>Nose Comments:</td></tr></table>

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017410
Page 8 of 13


EFTA00139047

<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>07/09/2019 12:35</td></tr></table>

Sex:

Provider:



M Race: WHITE

Y. MLP



<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>

## Mouth

<table><tr><td>Lesions: No</td></tr><tr><td>Oral/Buccal Mucosa: Yes</td></tr><tr><td>Gums Normal: Yes</td></tr><tr><td>Tonsils Present: Yes</td></tr><tr><td>&nbsp;&nbsp;&nbsp;&nbsp;Tonsils Normal: Yes</td></tr><tr><td>Pharynx: Normal Color</td></tr><tr><td>Teeth Poor Dentition: No</td></tr><tr><td>Teeth Count: Mostly Present</td></tr><tr><td>Dentures: No</td></tr><tr><td>Mouth Comments:</td></tr></table>

# Cranial Nerves:

Intact II-XII: Yes

Cranial Nerves Comments:

## Neck:

<table><tr><td>Full ROM: Yes</td></tr><tr><td>Masses/Nodes: No</td></tr><tr><td>Trachea: Midline</td></tr><tr><td>Thyroid: Normal Size</td></tr><tr><td>Comments:</td></tr></table>

## Breasts:

<table><tr><td>Normal: Yes</td></tr><tr><td>Masses: No</td></tr><tr><td>Tenderness: No</td></tr><tr><td>Scars: No</td></tr><tr><td>Dimpling: No</td></tr><tr><td>Nipple Discharge: No</td></tr><tr><td>Nipple Retraction: No</td></tr></table>

Instructions for Self Breast Exam Given: No

Comments:

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017411
Page 9 of 13


EFTA00139048

<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>07/09/2019 12:35</td></tr></table>

<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>

## Thorax:

<table><tr><td>Contour Normal: Yes</td></tr><tr><td>Increased AP Diameter: No</td></tr><tr><td>Asymmetrical Expansion: No</td></tr><tr><td>Lungs Clear: Yes</td></tr><tr><td>Wheezes: No</td></tr><tr><td>Crackles: No</td></tr><tr><td>Rhonchi: No</td></tr><tr><td>Rales: No</td></tr><tr><td>Accessory Muscle Use: No</td></tr><tr><td>Comments:</td></tr></table>

## Spine:

<table><tr><td>Deformity: No</td></tr><tr><td>Full ROM: Yes</td></tr><tr><td>Tenderness: No</td></tr><tr><td>Comments:</td></tr></table>

## Cardiovascular:

<table><tr><td>RRR: Yes</td></tr><tr><td>Normal S1/S2: Yes</td></tr><tr><td>Murmurs: No</td></tr><tr><td>Carotid Bruits: No</td></tr></table>

<table><tr><td>Radial:</td></tr><tr><td>Femoral:</td></tr><tr><td>Dorsalis Pedis:</td></tr><tr><td>Post. Tibialis:</td></tr></table>

## Comments:

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017412
Page 10 of 13


EFTA00139049

<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>07/09/2019 12:35</td></tr></table>



M Race: WHITE

Y. MLP



<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>

## Abdomen:

<table border="1"><tr><td>Normal Contour:Yes</td></tr><tr><td>Scaphoid:No</td></tr><tr><td>Obese:No</td></tr><tr><td>Gravid:No</td></tr><tr><td>Hernias:No</td></tr><tr><td>Bruits:No</td></tr><tr><td>Masses:No</td></tr><tr><td>Scars:No</td></tr><tr><td>Tenderness:No</td></tr><tr><td>Organomegaly:No</td></tr><tr><td>Active Bowel Sounds:Yes</td></tr><tr><td>Comments:</td></tr></table>

## Extremities:

<table><tr><td>Nails Clubbing: No</td></tr><tr><td>Nails Cyanosis: No</td></tr><tr><td>Lower Extremity Edema - Right: None</td></tr><tr><td>Lower Extremity Edema - Left: None</td></tr><tr><td>Atrophy: No</td></tr><tr><td>Amputations: No</td></tr><tr><td>Other Deformities: No</td></tr><tr><td>Varicosities: No</td></tr><tr><td>Calf Tenderness: No</td></tr><tr><td>Pulse Deficit: No</td></tr></table>



Right





Left





Right



Arm:

Yes



Left



Leg:

Yes

Yes

Comments:

Yes

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY 00017413
Page 11 of 13


EFTA00139050

<table><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>07/09/2019 12:35</td></tr></table>

Sex:

Provider:

M Race: WHITE

1. MLP

<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>

## Reflexes:

<table><thead><tr><th></th><th>Right</th><th>Left</th></tr></thead><tbody><tr><td colspan="3">Biceps:</td></tr><tr><td colspan="3">Patellar:</td></tr><tr><td colspan="3">Brachioradialis:</td></tr><tr><td colspan="3">Achilles:</td></tr><tr><td colspan="3">Sensation:</td></tr><tr><td></td><td>Vibratory: Yes</td><td></td></tr><tr><td></td><td>Light Touch: Yes</td><td></td></tr><tr><td></td><td>Pin Prick: Yes</td><td></td></tr><tr><td colspan="3">Comments:</td></tr><tr><td colspan="3">GU:</td></tr><tr><td colspan="3">Chaperoned By:</td></tr><tr><td colspan="3">Rectum: Not Done</td></tr><tr><td colspan="3">Comments: Refused.</td></tr><tr><td colspan="3">Male Genitalia: Not Done</td></tr><tr><td colspan="3">Comments: Refused.</td></tr><tr><td colspan="3">Skin:</td></tr><tr><td></td><td>Normal: Yes</td><td></td></tr><tr><td></td><td>Rash: No</td><td></td></tr><tr><td></td><td>Redness: No</td><td></td></tr><tr><td></td><td>Abnormal Pigmentation: No</td><td></td></tr><tr><td></td><td>Abnormal Lesions/Growths: No</td><td></td></tr><tr><td colspan="3">Comments:</td></tr><tr><td colspan="3">Lymphatics:</td></tr><tr><td></td><td>Adenopathy: No</td><td></td></tr><tr><td colspan="3">Comments:</td></tr><tr><td colspan="3">Potential Items For Follow-up:</td></tr><tr><td colspan="3">Item</td></tr><tr><td></td><td>Travel Outside US</td><td></td></tr><tr><td></td><td>Other Infectious Disease History</td><td></td></tr><tr><td></td><td>Rectum Not Done</td><td></td></tr><tr><td></td><td>Male Genitalia Not Done</td><td></td></tr><tr><td></td><td>PPD Administration Not Performed</td><td></td></tr><tr><td colspan="3">Comments:</td></tr><tr><td></td><td>Patient has a history of constipation.</td><td></td></tr></tbody></table>

Generated 07/09/2019 13:03 by

MLP



SDNY_00017414
Page 12 of 13


Bureau of Prisons - NYM

EFTA00139051

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |
| :--- | :--- |
| Date of Birth: | 01/20/1953 |
| Encounter Date: | 07/09/2019 12:35 |

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

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

## Cleared For Food Services: Yes

# Health Problems Newly Identified During This Encounter:

**Health Problem**

Constipation, unspecified - Current -

<table><thead><tr><th>Rx#</th><th>Medication</th></tr></thead><tbody><tr><td></td><td>Bisacodyl E.C. Tablet</td></tr></tbody></table>

<table><thead><tr><th>Order Date</th></tr></thead><tbody><tr><td>07/09/2019 12:35</td></tr></tbody></table>

Prescriber Order

**Indication:** Constipation, unspecified

5 mg Orally at bedtime PRN x 10 day(s)

## Disposition:

Follow-up at Sick Call as Needed

Instructed inmate how to obtain medical, dental, and mental health care.

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

Telephone/Verbal Order: No

Completed by . MLP on 07/09/2019 13:03

Requested to be cosigned by MD.

Cosign documentation will be displayed on the following page.

Generated 07/09/2019 13:03 by

MLP

Bureau of Prisons - NYM



SDNY_00017415
Page 13 of 13


EFTA00139052

Bureau of Prisons
Health Services
Cosign/Review

Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/09/2019 12:35
Sex: M
Provider: MLP
Reg #: 76318-054
Race: WHITE
Facility: NYM

Cosigned by MD on 07/11/2019 22:41.

Bureau of Prisons - NYM



SDNY_00017416