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Document DOJ-OGR-00026331
AI Analysis
Summary: This clinical encounter document from the Bureau of Prisons details a medical evaluation of Jeffrey Epstein on July 14, 2019. It covers his medical history, current complaints, and treatment for conditions including hypertension, obstructive sleep apnea, and lower back pain. The document provides a snapshot of Epstein's health status and the care he received while incarcerated.
Significance: This document provides insight into Jeffrey Epstein's health conditions and medical treatment while in prison, which could be relevant to understanding his overall health and potential claims or issues related to his care.
Key Topics:
Jeffrey Epstein's medical history and current health issues
His treatment and medication for various health conditions
Specific complaints and symptoms reported during the clinical encounter
Key People:
- Jeffrey Edward Epstein - Inmate being treated
- [b](6); (b)(7)(C) MD - Provider/Doctor conducting the clinical encounter
Full Text
Page 2675
Bureau of Prisons
Health Services
Clinical Encounter
Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953
Encounter Date: 07/14/2019 17:36
Sex: M
Race: WHITE
Reg #: 76318-054
Provider: [b](6); (b)(7)(C)
MD
Facility: NYM
Unit: Z05
Chronic Care - 14 Day Physician Eval encounter performed at Health Services.
SUBJECTIVE:
COMPLAINT 1
Provider: [b](6); (b)(7)(C)
MD
Chief Complaint: ENDO/LIPID
Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERTRIGLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , NOW 431. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS.
HX OF OBSTRUCTUVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED.
STATES THE FBI LOKELY HAS L4 - L5 SEVERE STENOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES.
SURGICAL HX: NONE
MENTAL HEALTH HX: NONE
Pain: Yes
Pain Assessment
Date: 07/12/2019 13:25
Location: Back-Middle
Quality of Pain: Shooting
Pain Scale: 5
Intervention: MEDROL DOSE PACK
Trauma Date/Year:
Injury:
Mechanism:
Onset: 5+ Years
Duration: 5+ Years
Exacerbating Factors: NO EXERCISE
Relieving Factors: MEDROL DOSE PACK
Reason Not Done:
Comments:
Seen for clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid
Added to clinic(s): Orthopedic/Rheumatology, Pulmonary/Respiratory, Endocrine/Lipid
OBJECTIVE:
Exam:
General
Appearance
Yes: Appears Well, Alert and Oriented x 3
No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill
Nutrition
No: Appears Obese
Generated 07/14/2019 18:11 by [b](6); (b)(7)(C)
MD
Bureau of Prisons - NYM
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