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AEb4NmMJF2x5kcp19M13RiXZuAGyajWSKLaioqBrpump
Document DOJ-OGR-00024130
AI Analysis
Summary: This medical encounter record documents the evaluation of inmate Jeffrey Epstein on July 6, 2019, noting elevated blood pressure and ordering various laboratory tests and follow-up care. The record includes details on medication reconciliation, new laboratory requests, and instructions for the inmate to obtain medical care as needed. The document was generated by a Physician Assistant (PA-C) within the Bureau of Prisons.
Significance: This document provides insight into Jeffrey Epstein's medical condition and care while incarcerated, potentially relevant to understanding his health status and any subsequent medical issues.
Key Topics:
Medical evaluation of inmate Jeffrey Epstein
Medication reconciliation and new laboratory requests
Follow-up care and instructions for inmate
Key People:
- Jeffrey Edward Epstein - Inmate being evaluated
- (b)(6) (b)(7)(C) PA-C - Provider conducting the medical evaluation
- (b)(6) (b)(7)(C) MD - Physician to review laboratory results
Full Text
Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/06/2019 21:38
Sex: M
Provider: (b)(6) (b)(7)(C) PA-C
Reg #: 76318-054
Race: WHITE
Facility: NYM
Health Problems Newly Identified During This Encounter:
Health Problem
Medication Reconciliation.
The patient's known medication list including OTC items was compiled and compared to new and changed BOP orders.
Reconciled Medications:
Source Action Type Rx# Medication Order Detail
OTC No known OTCs
New Laboratory Requests:
Details Frequency Due Date Priority
Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Routine
Lab Tests-C-CBC w/diff
Lab Tests-L-Lipid Profile
Lab Tests-C-Comprehensive Metabolic Profile (CMP)
Lab Tests-U-Urinalysis w/Reflex to Microscopic
Additional Information:
66 y/o male, elevated BP
Labs requested to be reviewed by: (b)(6) (b)(7)(C) MD
New Non-Medication Orders:
Order Frequency Duration Details Ordered By
EKG One Time 66 y/o male (b)(6) (b)(7)(C) PA-C
Order Date: 07/06/2019
Fecal Occult Blood One Time 3 different stools
Order Date: 07/06/2019
Schedule:
Activity Date Scheduled Scheduled Provider
Vision Screen 07/06/2019 00:00 Optometrist
66 y/o male
PPD Reading 07/08/2019 00:00 Nurse
Follow-up 07/09/2019 00:00 Mid-Level Provider
BP check
Other:
BP noticed to be elevated.
IM denies Hx of HTN or any significant chronic medical conditions.
He is currently asymptomatic and denies any bodily complaints at this time.
Will recheck BP in 2-3 days.
Disposition:
Follow-up at Sick Call as Needed
To be Evaluated by Provider
Instructed inmate how to obtain medical, dental, and mental health care.
Copay Required:No Cosign Required: Yes
Telephone/Verbal Order: No
Generated 07/06/2019 21:56 by (b)(6) PA-C Bureau of Prisons - NYM Page 5 of 6