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Document DOJ-OGR-00026089
AI Analysis
Summary: This medical record documents Jeffrey Epstein's examination and treatment on July 30, 2019, at the NYM facility. The assessment lists various health conditions, including hypertension, hyperlipidemia, and prediabetes. New medication orders were issued, including insulin for prediabetes.
Significance: This document provides insight into Jeffrey Epstein's health conditions and medical treatment while incarcerated, potentially relevant to understanding his overall health and any potential medical negligence or malpractice.
Key Topics:
Medical examination
Medication orders
Health conditions
Key People:
- Jeffrey Edward Epstein - Inmate being treated
- (b)(6); (b)(7)(C) MD - Treating physician
Full Text
Page 2413
Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054
Encounter Date: 07/30/2019 15:58 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01
Exam:
Cranial Nerves (CN) Yes: Within Normal Limits
Motor System-General Yes: Normal Exam
Motor System-Strength Yes: Normal Muscular Strength
ASSESSMENT:
Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current
Constipation, unspecified, K5900 - Current
Essential (primary) hypertension, I10 - Current - BY HX.
Hyperlipidemia, unspecified, E785 - Current
Low back pain, M545 - Current
Neuralgia and neuritis, unspecified, M792 - Current
Prediabetes, R7303 - Current
Sleep apnea, G4730 - Current
PLAN:
New Medication Orders:
Rx# Medication Order Date Prescriber Order
INsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only
Indication: Prediabetes
Discontinued Medication Orders:
Rx# Medication Order Date Prescriber Order
122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days
Discontinue Type: When Pharmacy Processes
Discontinue Reason: new order written
Indication:
Copay Required: No Cosign Required: No
Telephone/Verbal Order: No
Completed by (b)(6); (b)(7)(C) MD on 07/30/2019 16:12
Generated 07/30/2019 16:12 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 2