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Document 76318-054

AI Analysis

Summary: The document contains Jeffrey Epstein's medical records from the Bureau of Prisons, including medication orders, health problems, and medical screenings. The records detail his medical history, diagnoses, and treatments during his incarceration. The documents were generated between July 2019 and May 2020.
Significance: These documents provide detailed medical records of Jeffrey Epstein's health issues, treatments, and medications while in prison, potentially relevant to investigations or lawsuits related to his health and death.
Key Topics: Jeffrey Epstein's medical treatment and medication Health problems and diagnoses Medical history and records
Key People:
  • Jeffrey Epstein - Inmate/Patient
  • (b)(6), (b)(7)(C) - Medical Providers and Administrators
Document Type
Financial Record
Date
May 11, 2020
Pages
133
Folder
IMAGES009, IMAGES010

Full Text

76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Ord. Date 07/30/19 14:21 Exp. Date 07/31/19 10:01 NYM 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Ord. Date 07/31/19 10:00 Exp. Date 08/07/19 09:59 NYM 122160-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PRN (b)(6) (b)(7)(C-) MD PRN (b)(6) (b)(7)(C-) MD Providers: (b)(6) (b)(7)(C-) Documentation Codes: ORD = Order | NI = Dose Not Indicated Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 05/11/2020 09:57 EST DOJ-OGR-00024151 --- PAGE BREAK --- 76318-054 EPSTEIN, JEFFREY Medication Administration Record AUGUST 2019 Medication Orders Ord. Date 07/31/19 Exp. Date 08/07/19 10:00 09:59 Inject regular insulin subcutaneously per sliding scale: each morning for 7 days **pill line*** NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Time PRN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (b)(6) (b)(7)(C) MD (b)(6) Providers: YJ = Joaquin, Y. Documentation Codes: ORD = Order | NI = Dose Not Indicated Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 05/11/2020 09:57 EST DOJ-OGR-00024152 --- PAGE BREAK --- (b)(6), (b)(7)(C) (b)(6), (b)(7)(C) Epselen (b)(6), (b)(7)(C) 76318-054 1/21/13 2:13 DOJ-OGR-00024233 --- PAGE BREAK --- (b)(6), (b)(7)(C) 7-10-19 Epstein 76318-054 N/0 (b)(6), (b)(7)(C) DOJ-OGR-00027130 --- PAGE BREAK --- 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: [redacted] MD Facility: NYM Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [redacted] 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 [redacted] MD Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024114 --- PAGE BREAK --- Bureau of Prisons Health Services Health Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 Sex: M Reg #: 76318-054 Provider: [b(6) (b)(7)(C) PA-C Race: WHITE Facility: NYM Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied PPD Administration: Date/Time: 07/06/2019 21:39 Provider: [b(6) (b)(7)(C) PA-C Location: Right Forearm Drug Mfg: Sanofi Pasteur Lot Number: C5474BA Dosage: 0.1mL Route: ID Exp Dt: 10/2020 Comments: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough: No Comments: Generated 07/06/2019 21:56 by [b)(6) PA-C Bureau of Prisons - NYM Page 1 of 6 DOJ-OGR-00024126 --- PAGE BREAK --- Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/09/2019 12:35 Provider: (b)(6) (b)(7)(C) MLP Facility: NYM Unit: H01 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough: No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by (b)(6)(b)(7)(C) MLP Bureau of Prisons - NYM Page 1 of 13 DOJ-OGR-00024133 --- PAGE BREAK --- Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: 07/06/2019 21:39 Location Right Forearm Provider [b(6), b(7)(C)] PA-C Orig Entered: 07/06/2019 21:43 EST [b(6), b(7)(C)] PA-C Total: 1 Reading: 07/09/2019 12:47 Induration 0 mm Provider [b(6), b(7)(C)] MLP Orig Entered: 07/09/2019 12:47 EST [b(6), b(7)(C)] MLP Generated 05/11/2020 09:57 by [b(6)] OGGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024150 --- PAGE BREAK --- Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST (b)(6), (b)(7)(C) PA-C Total: 1 Generated 05/11/2020 09:57 by (b)(6), (b)(7)(C) OGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024156 --- PAGE BREAK --- Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Primary Language Years of Education Barriers To Education Provider 07/09/2019 Speaking/Listening English 12 None (b)(6) (b)(7)(C) Orig Entered: 07/09/2019 12:52 EST Joaquin, Y. Total: 1 Topics Date Initiated Format Handout/Topic Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/30/2019 13:33 EST (b)(6) (b)(7)(C) 07/30/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/30/2019 13:34 EST (b)(6) (b)(7)(C) 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/28/2019 07:22 EST (b)(6) (b)(7)(C) 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/28/2019 20:30 EST (b)(6) (b)(7)(C) 07/24/2019 Counseling Access to Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST (b)(6) (b)(7)(C) 07/24/2019 Counseling Preventive Health Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST (b)(6) (b)(7)(C) 07/23/2019 Counseling Access to Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST (b)(6) (b)(7)(C) 07/23/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST (b)(6) (b)(7)(C) 07/14/2019 Counseling Diagnosis Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/14/2019 18:11 EST (b)(6) (b)(7)(C) 07/12/2019 Counseling Diagnosis Verbalizes Understanding Generated 05/11/2020 09:57 by (b)(6) (b)(7)(C) BOPC Bureau of Prisons - DAN Page 1 of 2 DOJ-OGR-00024157 --- PAGE BREAK --- Bureau of Prisons Health Services Blood Glucose Begin Date: 07/06/2019 End Date: 05/11/2020 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Time Value Type Comments 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST (b)(6), (b)(7)(C) RN 08/02/2019 06:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST (b)(6), (b)(7)(C) MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST (b)(6) MLP 07/31/2019 06:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST (b)(6) MLP Total: 4 Generated 05/11/2020 09:57 by (b)(6), (b)(7)(C) C Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024159 --- PAGE BREAK --- Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Diag. Date Status Status Date Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST (b)(6) (b)(7)(C) MD ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST (b)(6) (b)(7)(C) MD ICD-10 G4730 07/12/2019 Current Essential (primary) hypertension 07/30/2019 13:13 EST (b)(6) (b)(7)(C) MD ICD-10 I10 07/30/2019 Current BY HX. Constipation, unspecified 07/09/2019 12:58 EST (b)(6) (b)(7)(C) MLP ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST (b)(6) (b)(7)(C) MD ICD-10 M545 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST (b)(6) (b)(7)(C) MD ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST (b)(6) (b)(7)(C) PhD/Chief Psychologist I DSM-IV No Dx 07/09/2019 Current Prediabetes 07/30/2019 13:26 EST (b)(6) (b)(7)(C) (b)(7)(A) (b)(7)(C) MD ICD-10 R7303 07/30/2019 Current Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST (b)(6) (b)(7)(C) MD ICD-10 Z6827 07/30/2019 Current Total: 10 Generated 05/11/2020 09:57 by (b)(6) (b)(7)(C) GC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024160 --- PAGE BREAK --- Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Sphere Cylinder Axis Add Refraction - Distance Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST (b)(6) (b)(7)(C) MLP Generated 05/11/2020 09:57 by (b)(6) (b)(7)(C) Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024161 --- PAGE BREAK --- Bureau of Prisons Health Services Immunizations Begin Date: 07/06/2019 End Date: 05/11/2020 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Immunization Date Administered Location Dosage Drug Mfg. Lot # Exp Date Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Smallpox Series History Unknown Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Total: 5 Generated 05/11/2020 09:57 by (b)(6). (b)(7)(C) GGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024162 --- PAGE BREAK --- Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___meals ___ pill line ___treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A (b)(6), (b)(7)(C) MD 07/30/2019 Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: null ALL EXPIRATION DATES ARE AT 24:00 Generated 05/11/2020 09:57 by (b)(6); (b)(7)(C)-DGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024163 --- PAGE BREAK --- Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___meals ___ pill line ___treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A [b)(6); (b)(7)(C) MLP 07/09/2019 Date Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: null ALL EXPIRATION DATES ARE AT 24:00 Generated 05/11/2020 09:57 by [b)(6] OGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024164 --- PAGE BREAK --- NYMD4 535.03 * INMATE PROFILE * 08-10-2019 PAGE 001 OF 001 76318-054 07:15:51 REGNO: 76318-054 REG FUNCTION: PRT DOB/AGE.: 01-20-1953 / 66 NAME.: EPSTEIN, JEFFREY EDWARD R/S/ETH.: W/M/O WALSH: YES RSP...: NYM-NEW YORK MCC MILEAGE.: 5 MILES PHONE: 646-836-6300 FAX: 646-836-7751 PROJ REL METHOD : UNKNOWN FBI NO.: PROJ REL DATE.: UNKNOWN INS NO.: PAR ELIG DATE.: SSN......: 090443348 PAR HEAR DATE.: DETAINER: NO CMC..: NO OFFN/CHG RMKS: SEX TRAFFICKING CONSP. PSYCH: NO OFFN/CHG RMKS: SEX TRAFFICKING OF MINORS FACL CATEGORY --- CURRENT ASSIGNMENT --- --- EFF DATE TIME NYM ADM-REL A-PRE PRE-SENT ADMIT, ADULT 07-08-2019 1749 NYM CARE LEVEL CARE1-MH CARE1-MENTAL HEALTH 07-08-2019 0934 NYM COR COUNSL UNT 5N VACANT 07-22-2019 1805 NYM CASE MGT CFSA CERT FOOD SINCERITY APPROVAL 07-19-2019 1209 NYM CASEWORKER UNT 5 (b)(6) (b)(7)(C) 07-22-2019 1806 NYM CUSTODY IN CUSTODY 07-06-2019 2124 NYM EDUC INFO GED UNK GED STATUS UNKNOWN 07-06-2019 2124 NYM FIN RESP UNASSG FINANC RESP-UNASSIGNED 07-06-2019 2124 NYM LEVEL UNASSG UNASSIGNED 07-06-2019 2124 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 07-06-2019 2124 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-19-2019 1804 NYM QUARTERS Z04-206LAD HOUSE Z/RANGE 04/BED 206L AD 07-29-2019 1221 NYM RELIGION UNKNOWN RELIGION UNKNOWN 07-06-2019 2124 NYM SECOND RSP 54N USM NYS 54N NEW YORK, NY 07-08-2019 1749 NYM UNIT 5 UNIT MGR. (b)(6) (b)(7)(C) 07-22-2019 1806 NYM WRK DETAIL UNASSG UNASSIGNED WORK DETAIL 07-08-2019 1749 Report# Amb. Care Report CAD - 97774214 0470 Shield # 7046 G0000 TRANSACTION SUCCESSFULLY COMPLETED --- PAGE BREAK --- Page 2468 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Essential (primary) hypertension BY HX. Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified R/O self inflicted injuries. Current Body mass index (BMI) 27.0-27.9, adult Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 08/10/2019 07:00 by (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 1 of 2 Page 1 of 2 DOJ-OGR-00026144 --- PAGE BREAK --- Page 2608 Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Diag. Date Status Status Date Hyperlipidemia, unspecified 07/12/2019 13:48 EST ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA MD Sleep apnea 07/12/2019 13:56 EST ICD-10 G4730 07/12/2019 Current MD Essential (primary) hypertension 07/30/2019 13:13 EST ICD-10 I10 07/30/2019 Current BY HX. MD Constipation, unspecified 07/09/2019 12:58 EST ICD-10 K5900 07/09/2019 Current MLP Low back pain 07/12/2019 13:30 EST ICD-10 M545 07/12/2019 Current MD Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST ICD-10 M792 07/12/2019 Current MD No Diagnosis 07/09/2019 10:28 EST DSM-IV No Dx 07/09/2019 Current PhD/Chief Psychologist Prediabetes 07/30/2019 13:26 EST ICD-10 R7303 07/30/2019 Current MD Injury, unspecified 07/23/2019 09:04 EST ICD-10 T1490 07/23/2019 Current R/O self inflicted injuries. MLP Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST ICD-10 Z6827 07/30/2019 Current MD Total: 10 Generated 07/30/2019 15:33 DIA Coordinator Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026268 --- PAGE BREAK --- Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 (b)(6). (b)(7)(C) MD Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024100 --- PAGE BREAK --- Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Sex: M Race: WHITE Reg #: 76318-054 Provider: [Redacted] Facility: NYM Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from "sleeping on my side" that has since subsided. Inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care [Redacted] Verbalizes Understanding Generated 07/28/2019 07:22 by [Redacted] RN Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024107 --- PAGE BREAK --- Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 Sex: M Provider: [redacted] PA-C Reg #: 76318-054 Race: WHITE Facility: NYM Infectious Disease Risk Factors: - IV Drug Use: No - IV Drug Use Needles: - Sexual Partner IV Drug Use: No - Sexual Partner IV Drug Use Needles: - Female Sexual Partners (Last 5 Yrs): 10+ - Male Sexual Partners (Last 5 Yrs): 0 - Condom Use: Sometimes - Sexual Contact With HIV+ Individual: No - Blood Product Transfusion: No - Travel Outside US: Yes - Tattoos: No - Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos 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 - Physical: No - Emotional: No - Sexual: No - Comments: Denies Generated 07/06/2019 21:56 by [redacted] PA-C Bureau of Prisons - NYM Page 2 of 6 DOJ-OGR-00024127 --- PAGE BREAK --- Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST (b)(6). (b)(7)(C) Total: 10 Generated 05/11/2020 09:57 by (b)(6). (b)(7)(C) GGC Bureau of Prisons - DAN Page 2 of 2 DOJ-OGR-00024158 --- PAGE BREAK --- Page 521 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08/01/2019 13:29 Provider: (b)(6); (b)(7)(C) Reg #: 76318-054 Unit Team: 5 coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He did not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Sleep problems The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment Risk Factors (b)(7)(A) (b)(7)(A) He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate talks at night. Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion. Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS 1. Suicide Watch is not indicated at this time. 2. Supportive and educative interventions were provided. 3. He was educated about both routine and emergency procedures for contacting Psychology staff. 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed. 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. 6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. Suicide Watch: A suicide watch is not warranted at this time Generated 08/01/2019 16:21 by (b)(6); (b)(7)(C) PsyD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024978 --- PAGE BREAK --- Page 2469 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: lower bunk --- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. --- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: [b(6); (b)(7)(C)] RN Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Sex: M Generated 08/10/2019 07:00 by [b(6); (b)(7)(C)] RN Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026145 --- PAGE BREAK --- Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST Total: 10 Generated 08/10/2019 11:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026157 Page 2481 --- PAGE BREAK --- Re: Epstein, Reg. No. 76318-054 From Ray Ormond To Lamine N'Diaye Date 2019/08/10 18:51 Subject: Re: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm The time line we sent DOJ says 7/29? Where did we get that date? Sent from my Verizon, Samsung Galaxy smartphone ------- Original message ------- From: Lamine N'Diaye (b)(6); (b)(7)(C) @bop.gov> Date: 8/10/19 6:46 PM (GMT-05:00) To: Ray Ormond (b)(6); (b)(7)(C) @bop.gov> Subject: Fwd: Epstein, Reg. No. 76318-054 >>> "Lamine N'Diaye" 08/10/2019 18:46 >>> Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 785 DOJ-OGR-00024852 --- PAGE BREAK --- Page 361 Re: Epstein, Jeffrey 76318-054 From Charisma Edge To [b(6), (b)(7)(C)] Date 2019/11/06 08:07 Subject: Re: Epstein, Jeffrey 76318-054 Attachments: TEXT.htm Page 933 DOJ-OGR-00024865 --- PAGE BREAK --- Page 456 Epstein Reconstruction 76318-054 draft7 From [b(6); (b)(7)(C) To Hugh Hurwitz [b(6); (b)(7)(C) Date 2019/09/10 15:53 Subject: Epstein Reconstruction 76318-054 draft7 Attachments: TEXT.htm, Epstein Reconstruction 76318-054 draft7.docx Hugh, Here is the reconstruction on Mr. Epstein. If you want any change, just let me know. Thank you, [b(6); (b)(7)(C) Page 1260 DOJ-OGR-00024931 --- PAGE BREAK --- Page 457 Mail Attachment Epstein Reconstruction 76318-054 draft7.docx Page 1264 DOJ-OGR-00024932 --- PAGE BREAK --- Page 506 I/M Epstein #76318-054 From (b)(6); (b)(7)(C) To (b)(6); (b)(7)(C) NYM/Lieutenants Date 2019/07/23 22:17 Subject: I/M Epstein #76318-054 Attachments: TEXT.htm The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. Page 1408 DOJ-OGR-00024963 --- PAGE BREAK --- Page 517 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Essential (primary) hypertension BY HX. Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified R/O self inflicted injuries. Current Body mass index (BMI) 27.0-27.9, adult Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 08/10/2019 07:00 by [redacted] RN Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00024974 --- PAGE BREAK --- Page 518 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: lower bunk --- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. --- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: (b)(6); (b)(7)(C) RN Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Sex: M Generated 08/10/2019 07:00 by (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00024975 --- PAGE BREAK --- Page 534 Bureau of Prisons Psychology Services **SENSITIVE BUT UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/26/2019 09:09 Sex: M Facility: NYM Provider: [b(6); b(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). [b(7)(A)] [b(7)(A)] y symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, laughing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. [b(7)(A)] [b(7)(A)] Completed by: [b(6); b(7)(C)] PhD/Chief Psychologist on 07/26/2019 10:05 Generated 07/26/2019 10:05 by [b(6); b(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00024991 --- PAGE BREAK --- Page 536 Bureau of Prisons Psychology Services Post Suicide Watch Report **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/24/2019 09:23 Provider: [b(6); (b)(7)(C) Ph.D. Unit Team: 5 Watch Start Date: 07/23/2019 01:40 Watch Stop Date: 07/24/2019 08:45 Total Time on Watch: 31 hrs 5 minutes Transferred to Medical Center: No Watch Conducted By: Both inmates and staff Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. Risk Factors Assessed: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self harm. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Fear for own safety The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment Risk Factors: [b(7)(A)] [b(7)(A)] Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide attempts. He stated, "I have no interest in killing myself." He explained, although his situation is "not perfect" due to his being incarcerated, he noted he has "lots to do for [his] legal case." He described having a "wonderful life," to include interactions with "interesting people and projects." He said it would be "crazy" to take his life. He furthered, "I would not do that to myself." He denied feelings of hopelessness, although did report being "depressed" and "unhappy" about his current legal situation. He previously denied a history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appear future-oriented as he endorses an interest in being housed in general population. Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied suicidality. However, [b(7)(A)] [b(7)(A)] Generated 07/24/2019 12:09 by [b(6); (b)(7)(C) Ph.D. Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024993 --- PAGE BREAK --- Page 547 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/10/2019 08:38 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolax he received from medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange uniform to his legal visits because he is treated "like a punished inmate"; he wants a phone call before he leaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. Intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions and was able to elucidate his various needs. He did not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the jail. Progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025000 --- PAGE BREAK --- Page 548 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: [redacted] Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by [redacted] PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by [redacted] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025001 --- PAGE BREAK --- Page 549 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: [b(6); (b)(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025002 --- PAGE BREAK --- Page 550 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025003 --- PAGE BREAK --- Page 554 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: [b(6); (b)(7)(C) PhD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by [b(6); (b)(7)(C) PhD/Chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 by [b(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00025007 --- PAGE BREAK --- Page 556 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/09/2019 08:41 Provider: [redacted] PhD/Chief Psychologist Unit Team: A&O Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing intact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by [redacted] PhD/Chief Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00025009 --- PAGE BREAK --- Page 559 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 08:41 Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing intact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00025012 --- PAGE BREAK --- Page 563 Bureau of Prisons Psychology Services **SENSITIVE BUT UNCLASSIFIED** Risk of Sexual Abusiveness Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/08/2019 09:35 Sex: M Facility: NYM Reg #: 76318-054 Unit Team: A&O Provider: (b)(6); (b)(7)(C) PsyD/PhD Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X) Having a history of prior sexual abuse perpetration in the community (X) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison (X) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at: (X) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations. The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by (b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00025016 --- PAGE BREAK --- Page 564 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/08/2019 09:35 Provider: [b)(6); (b)(7)(C) PsyD/PhD Unit Team: A&O Completed by [b)(6); (b)(7)(C) PsyD/PhD on 07/08/2019 09:41 Generated 07/08/2019 09:41 by [b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00025017 --- PAGE BREAK --- Page 566 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/08/2019 09:24 Provider: (b)(6); (b)(7)(C) PsyD/PhD Unit Team: A&O Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by (b)(6); (b)(7)(C) PsyD/PhD on 07/08/2019 09:30 Generated 07/08/2019 09:30 by (b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00025019 --- PAGE BREAK --- Page 894 Mail Attachment Epstein Reconstruction 76318-054 draft5.docx Page 1913 DOJ-OGR-00025183 --- PAGE BREAK --- Epstein, Jeffrey, Register No. 76318-054 From Shirley V. Skipper-Scott To [redacted] Date 2019/08/10 10:15 Subject: Epstein, Jeffrey, Register No. 76318-054 Attachments: TEXT.htm Good morning, This is just a follow-up to our conversation this morning concerning Epstein, Jeffrey, Register No. 76318-054, who was found unresponsive in his cell at 6:33 a.m. Life-saving measures were performed by institution staff and EMS staff. He was escorted to the local hospital where he was later pronounced dead at 7:36 a.m. Should you require any additional information, please contact me. Thanks. Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836[redacted] Black Berry: 646-423[redacted] @bop.gov --- PAGE BREAK --- Page 990 Re: Epstein #76318-054 From [b)(6); (b)(7)(C) To [b)(6); (b)(7)(C) Date 2019/07/24 12:00 Subject: Re: Epstein #76318-054 Attachments: TEXT.htm Page 2218 DOJ-OGR-00025234 --- PAGE BREAK --- Page 1001 Mail Attachment Epstein Reconstruction 76318-054 draft7 OGC Comments.docx Page 2271 DOJ-OGR-00025245 --- PAGE BREAK --- DHO Packet for Epstein, Jeffrey 76318-054 From [b)(6); (b)(7)(C) To [b)(6); (b)(7)(C) Shirley V. Skipper-Scott, [b)(6); (b)(7)(C) Date 2019/07/30 18:00 Subject: DHO Packet for Epstein, Jeffrey 76318-054 Attachments: TEXT.htm, Epstein 76318-054 IR328255.pdf Please see attached. Hard Copy will be placed in the DHO mailbox. [b)(6); (b)(7)(C) Unit Manager Metropolitan Correctional Center 150 Park Row New York N.Y. 10007 TEL:(646) 836-6300 [b)(6); (b)(7)(C) --- PAGE BREAK --- Epstein, Jeffrey- Reg 76318-054 From [b](6); (b)(7)(C) To [b](6); (b)(7)(C) Lamine N'Diaye [b](6); (b)(7)(C) Date 2019/07/08 14:12 Subject: Epstein, Jeffrey- Reg 76318-054 Attachments: TEXT.htm Good afternoon, Mr. Epstein Reg. 76318-054 arrived here at MCC New York on 7/6/2019 at 9:24 PM, he was placed in Special housing unit until we can better evaluate him and find suitable housing for him. Today he was arraigned in court and upon his arrival will be seen by Psychology and they will conduct a suicide risk assessment with this inmate when he returns from court. Should he return from court and psychology is gone for the day, he is to go on PSYCHOLOGICAL OBSERVATION unless, of course, he reports he is suicidal. In that case, he is to go on Suicide Watch. There has been a few media inquires via phone calls however no information given. Media was staged around the back side of our building and in front of the court house which is less then 100 yards apart from each other. If you should have any additional questions and or concerns please feel free to contact me. Thank you Page 2698 DOJ-OGR-00025320 --- PAGE BREAK --- Page 1157 Mail Attachment Epstein Reconstruction 76318-054 draft7 OGC Comments.docx Page 2995 DOJ-OGR-00025379 --- PAGE BREAK --- Fwd: Epstein, Jeffrey, Register No. 76318-054 From Shirley V. Skipper-Scott To [redacted] Date 2019/08/10 20:07 Subject: Fwd: Epstein, Jeffrey, Register No. 76318-054 Attachments: TEXT.htm Page 3293 DOJ-OGR-00025415 --- PAGE BREAK --- Fwd: Epstein, Jeffrey, Register No. 76318-054 From Shirley V. Skipper-Scott To [redacted] Date 2019/08/10 20:07 Subject: Fwd: Epstein, Jeffrey, Register No. 76318-054 Attachments: TEXT.htm Page 3353 DOJ-OGR-00025429 --- PAGE BREAK --- Page 1541 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 7040 DOJ-OGR-00025618 --- PAGE BREAK --- Page 1542 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. (b)(6) (b)(6); (b)(7)(C) bop.gov NYM/AW-Programs~@bop.gov Page 7044 DOJ-OGR-00025619 --- PAGE BREAK --- Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. (b)(6); (b)(7)(C) (b)(6); (b)(7)(C)@bop.gov NYM/AW-Programs~@bop.gov --- PAGE BREAK --- Page 1643 Inmate Epstein #76318-054 From [b)(6); (b)(7)(C) To [b)(6); (b)(7)(C) Date 2019/08/01 13:33 Subject: Inmate Epstein #76318-054 Attachments: TEXT.htm Lt. [b)(6); (b)(7)(C) He said his cellmate is up all night talking which keeps him awake. When I offered to request a new cellmate for him, he stated he will try staying with his current cellmate 3 to 4 more days and will let staff know if it is getting too difficult. Thanks, [b)(6); (b)(7)(C) Page 8270 DOJ-OGR-00025693 --- PAGE BREAK --- Page 1683 Fwd: Epstein #76318-054 From [b(6); (b)(7)(C)] To Charisma Edge, James Petrucci, Shirley V. Skipper-Scott, [b(6); (b)(7)(C)] Date 2019/08/15 09:06 Subject: Fwd: Epstein #76318-054 Attachments: TEXT.htm [b(6); (b)(7)(C)] 8/15/2019 9:03 AM >>> Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01-001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am U01-001L [b(6); (b)(7)(C)] Psy.D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836-[b(6); (b)(7)(C)] Fax- 646-836-7712 email: [b(6); (b)(7)(C)]@bop.gov Page 8693 DOJ-OGR-00025730 --- PAGE BREAK --- Page 1715 Re: Epstein #76318-054 From (b)(6); (b)(7)(C) To (b)(6); (b)(7)(C) Date 2019/08/15 09:04 Subject: Re: Epstein #76318-054 Attachments: TEXT.htm Thank you! >>> (b)(6); (b)(7)(C) 8/15/2019 9:03 AM >>> Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01-001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am H01-001L (b)(6); (b)(7)(C) sy.D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836-(b)(6); (b)(7)(C) Fax- 646-836-7712 email: (b)(6); (b)(7)(C) @bop.gov Page 8803 DOJ-OGR-00025754 --- PAGE BREAK --- Epstein #76318-054 From (b)(6); (b)(7)(C) To Date 2019/08/15 09:03 Subject: Epstein #76318-054 Attachments: TEXT.htm Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01-001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am H01-001L (b)(6); (b)(7)(C) D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836- (b)(6); (b)(7)(C) Fax- 646-836-7712 email- (b)(6); (b)(7)(C) @bop.gov Page 8807 DOJ-OGR-00025755 --- PAGE BREAK --- Page 1767 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 9303 DOJ-OGR-00025790 --- PAGE BREAK --- Page 1768 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. (b)(6); (b)(7)(C) (b)(6); (b)(7)(C)@bop.gov NYM/AW-Programs~@bop.gov Page 9307 DOJ-OGR-00025791 --- PAGE BREAK --- Page 1784 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext (b)(6); (b)(7)(C) (b)(6): @bop.gov NYM/AW-Programs-@bop.gov Page 9508 DOJ-OGR-00025801 --- PAGE BREAK --- Page 1794 Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C) [b](6); (b)(7)(C) To Charisma Edge [b](6); (b)(7)(C) James Petrucci, Lamine N'Diaye [b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 9541 DOJ-OGR-00025811 --- PAGE BREAK --- Page 1807 Epstein Reconstruction 76318-054 From (b)(6); (b)(7)(C) To (b)(6); (b)(7)(C) Hugh Hurwitz Date 2019/09/12 10:31 Subject: Epstein Reconstruction 76318-054 Attachments: TEXT.htm, Epstein Reconstruction 76318-054 draft9.docx Hugh, Attached is the reconstruction report. Please advise if you have any questions. Thanks, (b)(6); (b)(7)(C) Page 9629 DOJ-OGR-00025823 --- PAGE BREAK --- Page 1811 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 9750 DOJ-OGR-00025825 --- PAGE BREAK --- Page 1812 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. NYM/AW-Programs~@bop.gov Page 9754 DOJ-OGR-00025826 --- PAGE BREAK --- Re: EPSTEIN #76318-054 From To Date 2019/08/19 11:48 Subject: Re: EPSTEIN #76318-054 Attachments: TEXT.htm Thanks! Do you have a fax or email for whomever I need to have his letter request sent? >> [b(6); (b)(7)(C)] 8/19/2019 10:39 AM >>> M19019432 is the case number. >> [b(6); (b)(7)(C)] 8/19/2019 9:17 AM >>> Good morning, Did you get the case number yet for the autopsy? I have a draft letter to assist you in requesting the autopsy report itself. Thank you, [b(6); (b)(7)(C)] Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836[b(6); (b)(7)(C)] f: (646)836-7665 Page 9968 DOJ-OGR-00025851 --- PAGE BREAK --- Epstein Suicide Watch Observation Log Name of Inmate on watch: Reg #: 76318-054 Date: 7/23/19 Time Observations: Briefly note your observations. Initial all entries. Initials 1:40 AM Inmate brought down to suicide cell #4 (b)(6); (b)(7)(C) 1:45 AM Inmate lying on bed 2:00 AM Inmate sitting on bed talking (b)(7)(A) 2:15 AM 2:30 AM Inmate sitting on bed trying to remember what happened 2:45 AM Inmate sitting on bed 3:00 AM Inmate sitting on bed (b)(6); (b)(7)(C) 3:15 AM Lt. takes pictures of inmate 3:30 AM Inmate sitting on bed 3:45 AM Inmate sitting on bed 4:00 AM Inmate sitting on bed 4:15 AM Inmate sitting on bed 4:30 AM Inmate standing at door talking 4:45 AM Inmate standing at door talking 5:00 AM Inmate sitting on bed 5:15 AM Inmate standing at door 5:30 AM Inmate standing at door 5:45 AM Inmate standing at door 6:00 AM Inmate standing at door 6:15 AM Inmate standing at door 6:30 AM Inmate standing at door 6:45 AM Inmate standing at door 7:00 AM Inmate standing at door Note to all observers: Legibly print and sign your name at the beginning of your shift. 1 DOJ-OGR-00025867 --- PAGE BREAK --- Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C) Charisma Edge [b](6); (b)(7)(C) To Petrucci, Lamine N'Diaye, [b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 10248 DOJ-OGR-00025876 --- PAGE BREAK --- Page 1894 Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C) Charisma Edge, [b](6); (b)(7)(C) James To [b](6); (b)(7)(C) Petrucci, Lamine N'Diaye [b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 10269 DOJ-OGR-00025877 --- PAGE BREAK --- Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C)[b](6); (b)(7)(C) Charisma Edge[b](6); (b)(7)(C) To [b](6); (b)(7)(C)[b](6); (b)(7)(C) Petrucci, Lamine N'Diaye[b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 10582 DOJ-OGR-00025888 --- PAGE BREAK --- Page 1950 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 10680 DOJ-OGR-00025892 --- PAGE BREAK --- Page 1951 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext(b)(5) (b)(5)@bop.gov NYM/AW-Programs~@bop.gov Page 10684 DOJ-OGR-00025893 --- PAGE BREAK --- Page 1991 I/M Epstein #76318-054 From [b](6); (b)(7)(C) To [b](6); (b)(7)(C) NYM/Lieutenants Date 2019/07/23 22:17 Subject: I/M Epstein #76318-054 Attachments: TEXT.htm The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. Page 11054 DOJ-OGR-00025907 --- PAGE BREAK --- Epstein 76318-054 7-9-2019 4:15AM I/M Epstein is pacing his cell (b)(6); (b)(7)(C) 4:30AM I/M Epstein is pacing his cell 4:45AM I/M Epstein is sitting up 5:00AM I/M Epstein is ready for breakfast 5:00AM I/M Epstein is laying down 5:30AM I/M Epstein is laying down 5:45AM I/M Epstein is laying down 6:00AM I/M Epstein is laying down 6:15AM I/M Epstein is laying down 6:30AM I/M Epstein is laying down 6:45AM I/M Epstein is ready for breakfast 7:00AM I/C Alien Walker gives/shut ends (b)(6); (b)(7)(C) 7-9-19 (b)(6); (b)(7)(C) 7:00AM Start New Shift (b)(6); (b)(7)(C) Psych visit + review of file (b)(6); (b)(7)(C) 7:09 7:15 (b)(6); (b)(7)(C) Interview 2:30 (b)(6); (b)(7)(C) Interview 2:45 (b)(6); (b)(7)(C) Interview 8:00AM I/M Epstein is sitting down on cell bed (b)(6); (b)(7)(C) 8:15AM I/M Epstein is pacing his cell 8:20AM I/M Epstein is going for visit 8:30AM I/M Epstein is on visit --- PAGE BREAK --- Epstein #76318-054 8:45 I/M Epstein still out 9:00 I/M Epstein still out 9:15 I/M - still out 9:30 AM I/M Epstein still out 9:45 I/M Epstein still out 10:00 I/M Epstein still out 10:15 I/M Epstein still out 10:30 I/M Epstein still out 10:45 I/M Epstein still out 11:00 I/M Epstein still out 11:15 I/M Epstein still out 11:25 Inmate companion for Inmate Epstein #76318-054 whom I watch 11:30 AM is still out 11:45 AM Inmate Epstein is still out 12:00 PM Inmate Epstein just came back 12:15 PM Inmate Epstein is eating lunch 12:30 PM Inmate Epstein was just taken to see doctor 12:45 PM Inmate Epstein is still out 1:00 PM Inmate Epstein is still out of cell to Doctor 1:15 PM Inmate Epstein is still out to doctor 1:19 PM Inmate Epstein has returned 1:30 PM Inmate Epstein talking to keep --- PAGE BREAK --- EPSTEIN # 76318-054 19:00 Jim EPSTEIN arrives from LOU C visit 19:15 Jim EPSTEIN receives from C/O 19:30 Jim EPSTEIN inquires about BOP Policy incl plane usage and visits 20:00 Jim EPSTEIN is eating 20:15 ROACH makes 20:30 Jim EPSTEIN is talking about Business 20:45 Jim EPSTEIN is lying down 21:00 Jim EPSTEIN is talking about Business + investing 21:15 Jim EPSTEIN is discussing Business + life lessons 21:30 Jim EPSTEIN appears to be lying down 21:45 Jim EPSTEIN appears to be sleeping 21:50 C/O rounds 22:00 Jim EPSTEIN appears to be sleeping 22:15 Jim EPSTEIN appears more sleeping 22:30 Jim EPSTEIN asks for time, uses the toilet + brushes his teeth 22:45 Jim EPSTEIN returns to lying down 23:00 Jim EPSTEIN appears to be sleeping 23:15 Jim EPSTEIN appears to be sleeping 23:30 Jim EPSTEIN appears to be sleeping 23:45 Jim EPSTEIN appears to be sleeping 0:00 Jim EPSTEIN appears to be sleeping --- PAGE BREAK --- Page 2117 Epstein #76318-054 7/27/19 3:45 am I/M epstein is sleeping 4:00 am I/M epstein is sleeping 4:15 am I/M epstein is sleeping 4:30 am I/M epstein is sleeping 4:45 am I/M epstein is sleeping 5:00 am I/M epstein is sleeping 5:15 am I/M epstein is sleeping 5:30 am I/M epstein is sleeping 5:45 am I/M epstein is sleeping 6:00 am I/M epstein is sleeping 6:15 am I/M epstein is sleeping 6:30 am I/M epstein is sleeping 6:45 am I/M epstein is sleeping 6:58 AM mr system to review lights in tier 7:00 AM I/M/C Assumes Responsibility OF EPSTEIN #76318-054 IN CELL #4 ON PSYCH WATCH ON 7-27-19 7:15 AM I/M EPSTEIN ASKS FOR Toilet Tissue and Tooth Paste which was found in the supply closet. 7:30 AM I/M EPSTEIN SITS ON BED USES FILM ON BREAKFAST 7:45 AM I/M EPSTEIN SITS ON BED --- PAGE BREAK --- Page 2120 Epstein # 76318-054 7/28/19 3:15 AM 1/C (b)(6); (b)(7)(C) assuming responsibility for Epstein # 76318-054 Begin shift 3:30 AM 1/M Epstein is sleeping 3:45 AM 1/M Epstein is sleeping 4:00 AM 1/M Epstein is sleeping 4:15 AM 1/M Epstein is sleeping 4:30 AM 1/M Epsteins is sleeping 4:45 AM 1/M Epsteins is sleeping 5:00 AM 1/M epstein is sleeping 5:15 AM 1/M Epstein is sleeping 5:30 AM 1/M Epstein is sleeping 5:45 AM 1/M Epstein is sleeping 6:00 AM 1/M Epstein is sleeping 6:15 AM 1/M Epstein is awake and say call doctor 6:30 AM 1/M Epstein is sitting on the bed 6:45 AM 1/M Epstein is sitting on the bed 7:00 AM 1/C (b)(6); (b)(7)(C) end shift 6:45 AM (b)(6); (b)(7)(C) to remain (s) to (s) interview mr. (b)(6); (b)(7)(C) 7:15 AM 1/M Epstein is sitting on the bed 7:30 AM 1/M Epstein is sitting on the bed 7:45 AM 1/M Epstein is taken breakfast 8:00 AM 1/M Epstein is stand and walk DOJ-OGR-00025960 --- PAGE BREAK --- Epstein # 76318-054 on legal visit 1:45pm Inmate Epstein is on legal visit 1:50pm Inmate Epstein is on legal visit 1:55pm Inmate Epstein is on legal visit 2:30pm Inmate Epstein is on legal visit ERROR E END OF SHIFT 2:45 PM INMATE COMPANION ASSUMES RESPONSIBILITY FOR INMATE EPSTEIN 76318-054 ON PSYCH WATCH IN CELL #4 07/28/19 2:45 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:00 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:15 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:30 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:45 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:00 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:15 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:30 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:45 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 5:00 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 5:15 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT --- PAGE BREAK --- Epstein #76318-054 7/29/19 8:00 AM I/M Epstein is still writing 8:15 I/M Epstein is still writing 8:30 AM I/M Epstein is using Bathroom 8:45 I/M lay's on Bed 9:00 AM I/M Epstein is speaking with Psych (b)(6); (b)(7)(C) Psych visit and medical of Log book. 9:30 AM I/M Epstein lay's on Bed with eye's closed Resting 9:45 AM I/M Epstein appears to be sleep 10:00 AM I/M Epstein is still asleep 10:15 AM I/M Epstein is laying on Bed Resting 10:30 AM I/M Epstein is still Resting 10:45 AM I/M Epstein is fast asleep 11:00 AM I/M Epstein is drinking water at Sink 11:15 AM I/M Epstein is sitting on the edge of the Bed with his head in the palm of his hands 11:30 AM I/M Epstein is on his way to a legal visit END OF SHIFT 11:40 AM 3:30 I/M Epstein has returned from his legal visit and is eating 3:45 I/M Epstein and I are talking about his (b)(6); (b)(7)(C) interment options --- PAGE BREAK --- Epstein #76318-054 7/29/19 9:00 Inmate Epstein is talking about his bail 9:15 Inmate Epstein and I are talking investments 9:30 Inmate Epstein is lying down now 9:45 Inmate Epstein is sleeping 10:00 Inmate Epstein is asleep 10:01 Ronald wades 10:15 Inmate Epstein is asleep 10:30 Inmate Epstein remains at rest 10:45 Inmate asleep continuing in slumber 10:55 ENDS T.H. T. 10:45 PM Inmate assumes responsibility for the physical observation of inmate EPSTEIN #76318-054 in cell #4 on 7/29/19 at 10:45 PM 11:00 PM Inmate EPSTEIN is sleeping 11:15 PM Inmate EPSTEIN is sleeping 11:30 PM Inmate EPSTEIN is sleeping 11:45 PM Inmate EPSTEIN is sleeping 12:00 AM Inmate EPSTEIN is sleeping 12:05 AM Staff rounds 12:15 AM Inmate EPSTEIN is sleeping 12:30 AM Inmate EPSTEIN is sleeping --- PAGE BREAK --- Page 2412 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 15:58 Sex: M Race: WHITE Reg #: 76318-054 Provider: [b(6); (b)(7)(C)] MD Facility: NYM Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [b(6); (b)(7)(C)] MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES., HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASBEEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/I OBJECTIVE: Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Generated 07/30/2019 16:12 by [b(6); (b)(7)(C)] MD Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026088 --- PAGE BREAK --- Page 2415 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/30/2019 11:12 Provider: [redacted] MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 [redacted] MD EXAM: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by [redacted] MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026091 --- PAGE BREAK --- Page 2418 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 (b)(6); (b)(7)(C) MD Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026094 --- PAGE BREAK --- Page 2426 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) RN Facility: NYM Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments: Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from "sleeping on my side" that has since subsided. Inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care (b)(6); (b)(7)(C) Verbalizes Understanding Generated 07/28/2019 07:22 (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026102 --- PAGE BREAK --- Page 2435 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/24/2019 13:08 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/24/2019 Counseling Access to Care [redacted] Verbalizes Understanding 07/24/2019 Counseling Preventive Health [redacted] Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by [redacted] MLP on 07/24/2019 13:24 Requested to be cosigned by [redacted] MD. Cosign documentation will be displayed on the following page. Generated 07/24/2019 13:24 by [redacted] MLP Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026111 --- PAGE BREAK --- Page 2442 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 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile One Time 08/08/2019 00:00 Routine Schedule: Activity Date Scheduled Scheduled Provider Clinical Encounter 66 YR OLD MALE FOR ROUTINE SCREENING. 07/24/2019 00:00 Optometrist Chronic Care Visit 6 MONTH F/U. 01/07/2020 00:00 Mid-Level Provider Chronic Care Visit 07/01/2020 00:00 Physician 01 Other: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/14/2019 Counseling Diagnosis [b)(6); (b)(7)(C) Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [b)(6); (b)(7)(C) MD on 07/14/2019 18:11 Generated 07/14/2019 18:11 by [b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00026118 --- PAGE BREAK --- Page 2459 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/09/2019 12:35 Provider: (b)(6); (b)(7)(C) MLP Facility: NYM Unit: H01 Date Time Inches Cm Weight: Date Time Lbs Kg Waist Circum. Provider 07/09/2019 12:49 NYM 194.4 88.2 (b)(6); (b)(7)(C) MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Date Ed Yrs Occupation Learns Best By Primary Language Barriers to Education 07/09/2019 12 Banker Speaking/Listening English None Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by (b)(6); (b)(7)(C) MLP Bureau of Prisons - NYM Page 7 of 13 DOJ-OGR-00026135 --- PAGE BREAK --- Page 2473 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: 07/06/2019 21:39 Location Right Forearm Provider (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:43 EST (b)(6); (b)(7)(C) PA-C Total: 1 Reading: 07/09/2019 12:47 Induration 0 mm Provider (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:47 EST (b)(6); (b)(7)(C) MLP Generated 08/10/2019 11:02 by (b)(6); (b)(7)(C) RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026149 --- PAGE BREAK --- Page 2474 76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Ord. Date 07/30/19 14:21 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days Exp. Date 07/31/19 10:01 NYM 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Ord. Date 07/31/19 10:00 Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** Exp. Date 08/07/19 09:59 NYM 122160-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Providers: [b(6); (b)(7)(C)] Documentation Codes: ORD = Order | NI = Dose Not Indicated Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 08/10/2019 11:02 EST DOJ-OGR-00026150 --- PAGE BREAK --- Page 2479 Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST [b(6); (b)(7)(C)] PA-C Total: 1 Generated 08/10/2019 11:02 by [b(6); (b)(7)(C)] Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026155 --- PAGE BREAK --- Page 2480 Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Primary Language Years of Education Barriers To Education Provider 07/09/2019 Speaking/Listening English 12 None (b)(6); (b)(7)(C) Total: 1 Topics Date Initiated Format Handout/Topic Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/30/2019 13:33 EST 07/30/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/30/2019 13:34 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/28/2019 07:22 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/28/2019 20:30 EST 07/24/2019 Counseling Access to Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST 07/24/2019 Counseling Preventive Health Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST 07/23/2019 Counseling Access to Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST 07/23/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling Diagnosis Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/14/2019 18:11 EST 07/12/2019 Counseling Diagnosis Verbalizes Understanding (b)(6); (b)(7)(C) Generated 08/10/2019 11:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026156 --- PAGE BREAK --- Page 2482 Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Time Value Type Comments 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST [redacted] RN 08/02/2019 06:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST [redacted] MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST [redacted] MLP 07/31/2019 06:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST [redacted] MLP Total: 4 Generated 08/10/2019 11:02 by [redacted] RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026158 --- PAGE BREAK --- Page 2483 Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Diag. Date Status Status Date Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST ICD-10 G4730 07/12/2019 Current Essential (primary) hypertension 07/30/2019 13:13 EST ICD-10 I10 07/30/2019 Current BY HX. Constipation, unspecified 07/09/2019 12:58 EST ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST ICD-10 M545 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST I DSM-IV No Dx 07/09/2019 Current Psychologist Prediabetes 07/30/2019 13:26 EST ICD-10 R7303 07/30/2019 Current Injury, unspecified 07/23/2019 09:04 EST ICD-10 T1490 07/23/2019 Current R/O self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST ICD-10 Z6827 07/30/2019 Current Total: 10 Generated 08/10/2019 11:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026159 --- PAGE BREAK --- Page 2485 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST MLP Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026161 --- PAGE BREAK --- Page 2487 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___ meals ___ pill line ___ treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction all sports Exp. Date: weightlifting: ___ upper body ___ lower body Exp. Date: cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A (b)(6); (b)(7)(C) MD 07/30/2019 Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by (b)(6); (b)(7)(C) Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026163 --- PAGE BREAK --- Page 2488 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___ meals ___ pill line ___ treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A MLP 07/09/2019 Date Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by [redacted] Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026164 --- PAGE BREAK --- Page 2543 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: [b)(6); (b)(7)(C)] MD Facility: NYM Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [b)(6); (b)(7)(C)] MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES., HE DENIES DYSURIA. HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCES S THI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orhtopedic/Rheumatology, Pulmonary/Respiratory OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/30/2019 13:02 94 [b)(6); (b)(7)(C)] MD 07/30/2019 09:40 88 Via Machine [b)(6); (b)(7)(C)] MD 07/30/2019 09:30 87 Via Machine [b)(6); (b)(7)(C)] MD Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 [b)(6); (b)(7)(C)] MD Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing [b)(6); (b)(7)(C)] MD 07/30/2019 09:40 NYM 125/60 Right Arm Standing [b)(6); (b)(7)(C)] MD 07/30/2019 09:30 NYM 108/86 Left Arm Sitting [b)(6); (b)(7)(C)] MD SaO2: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air [b)(6); (b)(7)(C)] MD Weight: Date Time Lbs Kg Waist Circum. Provider Generated 07/30/2019 14:05 by [b)(6); (b)(7)(C)] Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00026203 --- PAGE BREAK --- Page 2544 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 (b)(6); (b)(7)(C) MD Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026204 --- PAGE BREAK --- Page 2561 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Sex: M Race: WHITE Reg #: 76318-054 Provider: [redacted] Facility: NYM Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: [redacted] Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): [redacted] Symptoms (as reported by inmate): None OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral [redacted] Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular [redacted] Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 [redacted] Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular [redacted] SaO2: Date Time Value(%) Air Provider 07/23/2019 06:30 NYM 96 Room Air [redacted] Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09:05 by [redacted] Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026221 --- PAGE BREAK --- Page 2565 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/14/2019 17:36 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Omega 3 (Vascepa) 1 GM Capsule 07/14/2019 17:36 TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD. Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine Lab Tests-L-Lipid Profile Additional Information: Generated 07/14/2019 18:11 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026225 --- PAGE BREAK --- Page 2589 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/09/2019 12:35 Provider: [redacted] MLP Facility: NYM Unit: H01 Date Time Inches Cm Provider Weight: Date Time Lbs Kg Waist Circum. Provider 07/09/2019 12:49 NYM 194.4 88.2 [redacted] MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Date Ed Yrs Occupation Learns Best By Primary Language Barriers to Education 07/09/2019 12 Banker Speaking/Listening English None Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by [redacted] MLP Bureau of Prisons - NYM Page 7 of 13 DOJ-OGR-00026249 --- PAGE BREAK --- Page 2598 Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time Rate Per Minute Provider Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21:43 NYM 15 (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 13:04 EST (b)(6); (b)(7)(C) MD 07/30/2019 09:40 NYM 125/60 Right Arm Standing (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 13:04 EST (b)(6); (b)(7)(C) MD 07/30/2019 09:30 NYM 108/86 Left Arm Sitting (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 12:59 EST (b)(6); (b)(7)(C) MD 07/28/2019 20:28 NYM 157/91 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 20:29 EST (b)(6); (b)(7)(C) RN 07/28/2019 06:57 NYM 138/80 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 06:58 EST (b)(6); (b)(7)(C) RN 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) MLP Orig Entered: 07/24/2019 13:14 EST (b)(6); (b)(7)(C) MLP 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) MLP Orig Entered: 07/23/2019 08:33 EST (b)(6); (b)(7)(C) MLP 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21:45 NYM 164/90 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C 07/06/2019 21:43 NYM 155/83 Left Arm Sitting Adult-regular (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C SaO2: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 12:59 EST (b)(6); (b)(7)(C) MD 07/28/2019 20:28 NYM 98 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 20:29 EST (b)(6); (b)(7)(C) RN 07/28/2019 06:57 NYM 98 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 06:58 EST (b)(6); (b)(7)(C) RN 07/24/2019 13:12 NYM 96 Room Air (b)(6); (b)(7)(C) MLP Orig Entered: 07/24/2019 13:14 EST (b)(6); (b)(7)(C) MLP 07/23/2019 06:30 NYM 96 Room Air (b)(6); (b)(7)(C) MLP Orig Entered: 07/23/2019 08:33 EST (b)(6); (b)(7)(C) MLP 07/09/2019 12:49 NYM 97 Room Air (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21:43 NYM 95 Room Air (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C Height: Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026258 --- PAGE BREAK --- Page 2599 Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time Inches Cm Provider 07/09/2019 12:49 NYM 70.0 177.8 b(6); b(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST b(6); b(7)(C) 07/06/2019 21:43 NYM 72.0 182.9 b(6); b(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST b(6); b(7)(C) Weight: Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 b(6); b(7)(C) MD Orig Entered: 07/30/2019 12:59 EST b(6); b(7)(C) 07/09/2019 12:49 NYM 194.4 88.2 b(6); b(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST b(6); b(7)(C) 07/06/2019 21:43 NYM 200.0 90.7 b(6); b(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST b(6); b(7)(C) Generated 07/30/2019 15:33 b(6); b(7)(C) FOIA Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00026259 --- PAGE BREAK --- Page 2600 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: 07/06/2019 21:39 Location Right Forearm Provider (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:43 EST (b)(6); (b)(7)(C) PA-C Total: 1 Reading: 07/09/2019 12:47 Induration 0 mm Provider (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:47 EST (b)(6); (b)(7)(C) MLP Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026260 --- PAGE BREAK --- Page 2601 76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Ord. Date 07/30/19 14:21 Exp. Date 08/06/19 14:20 (b)(6) (b)(7)(C) MD Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PRN Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days NYM 122148- NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Providers: Documentation Codes: ORD = Order Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 07/30/2019 15:33 EST DOJ-OGR-00026261 --- PAGE BREAK --- Page 2602 Bureau of Prisons Health Services Devices and Equipment Start Date: 07/02/2019 Stop Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Device/Equipment Start Date Stop Date Date Returned Obtained From Comments C-Pap 07/30/2019 14:05 EST [b)(6); (b)(7)(C) MD 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Generated 07/30/2019 15:33 by [b)(6); (b)(7)(C) OIA Coordinator Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026262 --- PAGE BREAK --- Page 2605 Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST [redacted] PA-C Total: 1 Generated 07/30/2019 15:33 by [redacted] FOIA Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026265 --- PAGE BREAK --- Page 2607 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST (b)(6); (b)(7)(C) Total: 10 Generated 07/30/2019 15:33 (b)(6); (b)(7)(C) FOIA Coordinator Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026267 --- PAGE BREAK --- Page 2609 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Sphere Cylinder Axis Add Refraction - Distance Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST (b)(6); (b)(7)(C) MLP Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026269 --- PAGE BREAK --- Page 2611 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___ meals ___ pill line ___ treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: ___ Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: ___ Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A (b)(6); (b)(7)(C) MD 07/30/2019 Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026271 --- PAGE BREAK --- Page 2615 Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Sex: M Race: WHITE Reg #: 76318-054 Facility: NYM Provider: (b)(6); (b)(7)(C) DDS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified R/O self inflicted injuries. Current Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Generated 07/26/2019 07:59 by (b)(6); (b)(7)(C) DDS Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00026275 --- PAGE BREAK --- Page 2626 Bureau of Prisons Psychology Services **SENSITIVE BUT UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/27/2019 07:14 Provider: [b(6); (b)(7)(C) PsyD Reg #: 76318-054 Unit Team: 5 Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and [redacted]. [b(7)(A)] stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU. [b(7)(A)] [b(7)(A)] He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood with a mildly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated "I'm a coward." He added he does not like pain and even does not like when he has to give blood. He agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. Intervention(s) Supportive and educative interventions were provided. He was given Turning Point's handouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him from sleeping. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by [b(6); (b)(7)(C)] PsyD on 07/27/2019 08:16 Generated 07/27/2019 08:16 by [b(6); (b)(7)(C)] PsyD Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026286 --- PAGE BREAK --- Page 2630 Bureau of Prisons Psychology Services **SENSITIVE But UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/26/2019 09:09 Provider: [b(6); (b)(7)(C)] Unit Team: 5 PhD/Chief Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). [b(7)(A)] [b(7)(A)] symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, laughing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. [b(7)(A)] [b(7)(A)] Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/26/2019 10:05 Generated 07/26/2019 10:05 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026290 --- PAGE BREAK --- Page 2640 Bureau of Prisons Psychology Services **SENSITIVE But UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/16/2019 12:48 Provider: [b(6); (b)(7)(C)] PhD/Chief Unit Team: A&O Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notified this writer that he was asking to be seen. Subjective/Objective Presentation Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone calls that were "promised to him." He told this writer we need to have mutual trust that his needs are met in the prison. This writer told inmate Epstein that she would address his concerns. On the way out, a staff member told this writer she witnessed inmate Epstein receive two phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant of his concerns and he said he would ensure that he had soap, a spoon, and his initial SHU phone call. Inmate Epstein did not have any psychological concerns today. He denied any mental health symptoms or suicidality. He has been eating as best as he can and has requested a Kosher diet. Intervention(s) Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no need for follow up at this time. He will be seen in SHU for rounds and monthly SHU reviews. Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/18/2019 13:05 Generated 07/18/2019 13:05 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026296 --- PAGE BREAK --- Page 2643 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/10/2019 08:38 Sex: M Facility: NYM Reg #: 76318-054 Provider: [b(6); (b)(7)(C)] PhD/Chief Unit Team: A&O Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolax he received from medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange uniform to his legal visits because he is treated "like a punished inmate"; he wants a phone call before he leaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. Intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions and was able to elucidate his various needs. He did not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the jail. Progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026299 --- PAGE BREAK --- Page 2644 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026300 --- PAGE BREAK --- Page 2646 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: [b(6); b(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by [b(6); b(7)(C)] PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by [b(6); b(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026302 --- PAGE BREAK --- Page 2647 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/09/2019 10:13 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026303 --- PAGE BREAK --- Page 2659 Bureau of Prisons Psychology Services Risk of Sexual Abusiveness **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/08/2019 09:35 Sex: M Facility: NYM Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) Unit Team: A&O PsyD/PhD Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X) Having a history of prior sexual abuse perpetration in the community (X) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison (X) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at: (X) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations. The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by (b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026315 --- PAGE BREAK --- Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 From NYM/Exec Assistant~ (b)(6), (b)(7)(C) Charisma Edge, (b)(6), (b)(7)(C) Lamine N'Diaye, Lee Plourde, NYM/Executive Staff, Shirley V. Skipper-Scott, (b)(6), (b)(7)(C) To Date 2019/07/31 06:33 Subject: Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 Attachments: TEXT.htm, IMAGE.png, IMAGE.png, Epstein_Letter_VI.pdf, Mime.822 >>> (b)(6), (b)(7)(C) @morgan.edu> 7/30/2019 4:01 PM >>> July 30, 2019 Mr. Jeffrey Edward Epstein Register Number: 76318-054 Age 66, White Male MCC New York Metropolitan Correctional Center Email: NYM/ExecAssistant@bop.gov Phone: 646-836-6300 Fax: 646-836-7751 150 Park Row New York City, NY 10007 Dear Mr. Epstein, You called me circa August 2017 and you and I had a Skype call with my Ph.D. student, (b)(6), (b)(7)(C) in December 2017. EDUCATION Scientist Of The Year: Dr. S. Allen Counter, (l) director of the Harvard Foundation of Harvard University, and Dr. Benedict H. Gross (r), dean of Harvard College and Leverett Professor of Mathematics, present the Harvard Foundation "2004 Scientist of the Year Award" to noted mathematician Professor Dr. Jonathan David Farley. Farley is currently a visiting professor of applied mathematics at the Massachusetts Institute of Technology. He graduated summa cum laude from Harvard College with straight A's in mathematics and later earned a Ph.D. in mathematics from Oxford University. "Jonathan Farley is one of the Page 3197 DOJ-OGR-00023811 --- PAGE BREAK --- Epstein 76318-054 7-9-2019 14:15 AM I/M Epstein is pacing his cell 14:30 AM I/M Epstein is pacing his cell 4:45 AM I/M Epstein is sitting up 5:00 AM I/M Epstein is ready for breakfast 5:00 AM I/M Epstein is laying down 5:30 AM I/M Epstein is laying down 5:45 AM I/M Epstein is laying down 6:00 AM I/M Epstein is laying down 6:15 AM I/M Epstein is laying down 6:30 AM I/M Epstein is laying down 6:45 AM I/M Epstein is ready for breakfast 7:00 AM Shift ends 7:00 AM Staff New York Staff Psych visit + review of the 7:09 AM 7:15 AM Interview 2:30 AM Interview 2:45 AM Interview 8:00 AM I/M Epstein is sitting down on cell bed 8:15 AM I/M Epstein is pacing his cell 8:20 AM I/M Epstein is going for visit 8:30 AM I/M Epstein is on visit --- PAGE BREAK --- Epstein #76318-054 8:45 AM I/M Epstein still out 9:00 AM I/M Epstein still out 9:15 I/M still out 9:30 AM I/M Epstein still out 9:45 I/M Epstein still out 10:00 AM I/M Epstein still out 10:15 AM I/M Epstein still out 10:30 I/M Epstein still out 10:45 I/M Epstein still out 11:00 I/M Epstein still out 11:15 AM I/M Epstein still out 11:25 Inmate companion for Inmate Epstein #76318-054 whom which Assures responsibility 11:30 AM IS still out 11:45 AM Inmate Epkind is still out 12:00 PM Inmate Epstein just came back 12:15 PM Inmate Epstein is eating lunch 12:30 PM Inmate Epstein was just taken to see Doctor 12:45 PM Inmate Epstein is still out 1:00 PM Inmate Epstein is still out of cell to Doctor 1:15 PM Inmate Epstein is still out to Doctor 1:19 PM Inmate Epstein has returned 1:30 PM Inmate Epstein talking to keep --- PAGE BREAK --- Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 From NYM/Exec Assistant~ (b)(6), (b)(7)(C) Charisma Edge (b)(6), (b)(7)(C) To Lamine N'Diaye, Lee Plourde, NYM/Executive Staff, Shirley V. Skipper-Scott, (b)(6), (b)(7)(C) Date 2019/07/31 06:33 Subject: Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 Attachments: TEXT.htm, IMAGE.png, IMAGE.png, Epstein_Letter_VI.pdf, Mime.822 >>> (b)(6), (b)(7)(C) @morgan.edu> 7/30/2019 4:01 PM >>> July 30, 2019 Mr. Jeffrey Edward Epstein Register Number: 76318-054 Age 66, White Male MCC New York Metropolitan Correctional Center Email: NYM/ExecAssistant@bop.gov Phone: 646-836-6300 Fax: 646-836-7751 150 Park Row New York City, NY 10007 Dear Mr. Epstein, You called me circa August 2017 and you and I had a Skype call with my Ph.D. student, (b)(6), (b)(7)(C) , in December 2017. Page 3261 DOJ-OGR-00023819 --- PAGE BREAK --- EPSTEIN # 76318-054 19:00 Jim Epstein arrives from Lewis visit 19:15 Jim Epstein receives from C/O 19:30 Jim Epstein inquires about BOP policy incl plane usage and visits 20:00 Jim Epstein is eating 20:15 ROACH makes 1-1/e. 20:30 Jim Epstein is talking about Business 20:45 Jim Epstein is lying down 21:00 Jim Epstein is talking about Business + investing 21:15 Jim Epstein is discussing Business + life lessons 21:30 Jim Epstein appears to be lying down 21:45 Jim Epstein appears to be sleeping 21:50 C/O ROUNDS 22:00 Jim Epstein appears to be sleeping 22:15 Jim Epstein appears to be sleeping 22:30 Jim Epstein asks for time, uses the toilet + brushes his teeth 22:45 Jim Epstein returns to lying down 23:00 Jim Epstein appears to be sleeping 23:15 Jim Epstein appears to be sleeping 23:30 Jim Epstein appears to be sleeping 23:45 Jim Epstein appears to be sleeping 0:00 Jim Epstein appears to be sleeping --- PAGE BREAK --- Page 3271 Epstein #76318-054 7/27/19 3:45 am I/M epstein is sleeping 4:00 am I/M epstein is sleeping 4:15 am I/M epstein is sleeping 4:30 am I/M epstein is sleeping 4:45 am I/M epstein is sleeping 5:00 am I/M epstein is sleeping 5:15 am I/M epstein is sleeping 5:30 am I/M epstein is sleeping 5:45 am I/M epstein is sleeping 6:00 am I/M epstein is sleeping 6:15 am I/M epstein is sleeping 6:30 am I/M epstein is sleeping 6:45 am I/M epstein is sleeping 6:50 am Dr [redacted] to review lights in tier Mr [redacted] 7:00 AM I/M [redacted] ASSUMES RESPONSIBILITY OF EPSTEIN #76318-054 IN CELL #4 ON PSYCH WATCH ON 7-27-19 7:15 AM I/M EPSTEIN ASKS FOR TOILET TISSUE AND TOOTH PASTE WHICH WAS FOUND IN THE SUPPLY CLOSET 7:30 AM I/M EPSTEIN SITS ON BED USES TISSUE ON BREAKFAST 7:45 AM I/M EPSTEIN SITS ON BED --- PAGE BREAK --- Page 3274 Epstein # 76318-054 7/28/19 3:15 AM 1/M [redacted] assuming responsibility for Epstein # 76318-054 Begin shift 3:30 AM 1/M Epstein is sleeping 3:45 AM 1/M Epstein is sleeping 4:00 AM 1/M Epstein is sleeping 4:15 AM 1/M Epstein is sleeping 4:30 AM 1/M Epsteins is sleeping 4:45 AM 1/M Epsteins is sleeping 5:00 AM 1/M epstein is sleeping 5:15 AM 1/M Epstein is sleeping 5:30 AM 1/M Epstein is sleeping 5:45 AM 1/M Epstein is sleeping 6:00 AM 1/M Epstein is sleeping 6:15 AM 1/M Epstein is awake and say call doctor 6:30 AM 1/M Epstein is sitting on the bed 6:45 AM 1/M Epstein is sitting on the bed 7:00 AM [redacted] end shift 6:45 AM Dr [redacted] to remain with inmate 7:15 AM 1/M Epstein is sitting on the bed 7:30 AM 1/M Epstein is sitting on the bed 7:45 AM 1/M Epstein is taken breakfast 8:00 AM 1/M Epstein is stand and walk --- PAGE BREAK --- Epstein # 76318-054 7/29/19 8:00 AM I/M Epstein is still writing 8:15 I/M Epstein is still writing 8:30 AM I/M Epstein is using Bathroom 8:45 I/M lay's on Bed 9:00 AM I/M Epstein is speaking with Psych- Dr. (b)(6); (b)(7)(C) Psych visit and medical log book. 9:30 AM I/M Epstein lay's on Bed with eye's closed Resting 9:45 AM I/M Epstein appears to be sleep 10:00 AM I/M Epstein is still asleep 10:15 AM I/M Epstein is laying on Bed Resting 10:30 AM I/M Epstein is still Resting 10:45 AM I/M Epstein is fast asleep 11:00 AM I/M Epstein is Drinking water at Sink 11:15 AM I/M Epstein is Sitting on the edge of the Bed with his head in the palm of his hands 11:30 AM I/M Epstein is on his way to a legal visit 11:40 AM END OF SHIFT 3:30 I/M Epstein has returned from his legal visit was and is eating 3:45 I/M Epstein and I are talking about his (b)(6); (b)(7)(C) entertainment options --- PAGE BREAK --- Epstein #76318-054 Medical/Mental Health Records From [b)(6), (b)(7)(C)] To [b)(6), (b)(7)(C)] Date 2019/08/23 09:15 Subject: Epstein #76318-054 Medical/Mental Health Records Attachments: TEXT.htm, Certification of Identify Form.pdf Good morning [b)(6), (b)(7)(C)] I spoke with folks here and confirmed we can proceed under our usual procedure for releasing medical/psych records to defense counsel. Accordingly, please send me a cover letter confirming you're defense counsel of record, the attached certification of identity, and a Rule 17 subpoena (no need to be so-ordered; a clerk's subpoena is fine). Normally we would require a HIPAA release as well, but privacy rights don't survive death in this context. Once I receive the certification, letter, and subpoena,, I will have the USAO's Civil Division authorize the records release as wall counsel pursuant to United States ex rel. Touhy v. Regan, 340 U.S. 462 (1951) and the associated regulations. Please let me know if you have any questions/concerns. Thank you, [b)(6), (b)(7)(C)] Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 p: 646-836-[b)(6), (b)(7)(C)] f: 646-836-[redacted] Page 7034 DOJ-OGR-00024420 --- PAGE BREAK --- EPSTEIN, Jeffrey, reg. no. 76318-054 From Adam Johnson (b)(6), (b)(7)(C) Charisma Edge, (b)(6) (b)(7)(C) To (b)(6), (b)(7)(C) Date 2019/07/30 07:48 Subject: EPSTEIN, Jeffrey, reg. no. 76318-054 Attachments: TEXT.htm Good morning all, The above inmate's attorneys have recently alleged he is not receiving cholesterol or back pain medication. Please see him for these and other complaints. Thank you, (b)(6), (b)(7)(C) Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p. (646)836(b)(6)/(b)(7)(C) f. (646)836-7665 Page 12248 DOJ-OGR-00023944

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76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Ord. Date 07/30/19 14:21 Exp. Date 07/31/19 10:01 NYM 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Ord. Date 07/31/19 10:00 Exp. Date 08/07/19 09:59 NYM 122160-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PRN (b)(6) (b)(7)(C-) MD PRN (b)(6) (b)(7)(C-) MD Providers: (b)(6) (b)(7)(C-) Documentation Codes: ORD = Order | NI = Dose Not Indicated Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 05/11/2020 09:57 EST DOJ-OGR-00024151
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76318-054 EPSTEIN, JEFFREY Medication Administration Record AUGUST 2019 Medication Orders Ord. Date 07/31/19 Exp. Date 08/07/19 10:00 09:59 Inject regular insulin subcutaneously per sliding scale: each morning for 7 days **pill line*** NYM 122160- NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Time PRN 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 (b)(6) (b)(7)(C) MD (b)(6) Providers: YJ = Joaquin, Y. Documentation Codes: ORD = Order | NI = Dose Not Indicated Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 05/11/2020 09:57 EST DOJ-OGR-00024152
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(b)(6), (b)(7)(C) (b)(6), (b)(7)(C) Epselen (b)(6), (b)(7)(C) 76318-054 1/21/13 2:13 DOJ-OGR-00024233
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(b)(6), (b)(7)(C) 7-10-19 Epstein 76318-054 N/0 (b)(6), (b)(7)(C) DOJ-OGR-00027130
Page 1 - DOJ-OGR-00024114
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: [redacted] MD Facility: NYM Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [redacted] 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 [redacted] MD Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024114
Page 1 - DOJ-OGR-00024126
Bureau of Prisons Health Services Health Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 Sex: M Reg #: 76318-054 Provider: [b(6) (b)(7)(C) PA-C Race: WHITE Facility: NYM Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied PPD Administration: Date/Time: 07/06/2019 21:39 Provider: [b(6) (b)(7)(C) PA-C Location: Right Forearm Drug Mfg: Sanofi Pasteur Lot Number: C5474BA Dosage: 0.1mL Route: ID Exp Dt: 10/2020 Comments: Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough: No Comments: Generated 07/06/2019 21:56 by [b)(6) PA-C Bureau of Prisons - NYM Page 1 of 6 DOJ-OGR-00024126
Page 1 - DOJ-OGR-00024133
Bureau of Prisons Health Services History & Physical Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/09/2019 12:35 Provider: (b)(6) (b)(7)(C) MLP Facility: NYM Unit: H01 Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied Allergies: Denied Tuberculosis: Hx of Previous Disease: No Blood-tinged Sputum: No Night Sweats: No Weight Loss: No Fever: No Cough: No Comments: Infectious Disease Risk Factors: IV Drug Use: No IV Drug Use Needles: Sexual Partner IV Drug Use: No Sexual Partner IV Drug Use Needles: Female Sexual Partners (Last 5 Yrs): 10+ Male Sexual Partners (Last 5 Yrs): 0 Condom Use: Sometimes Sexual Contact With HIV+ Individual: No Blood Product Transfusion: No Travel Outside US: Yes Tattoos: No Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos Generated 07/09/2019 13:03 by (b)(6)(b)(7)(C) MLP Bureau of Prisons - NYM Page 1 of 13 DOJ-OGR-00024133
Page 1 - DOJ-OGR-00024150
Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: 07/06/2019 21:39 Location Right Forearm Provider [b(6), b(7)(C)] PA-C Orig Entered: 07/06/2019 21:43 EST [b(6), b(7)(C)] PA-C Total: 1 Reading: 07/09/2019 12:47 Induration 0 mm Provider [b(6), b(7)(C)] MLP Orig Entered: 07/09/2019 12:47 EST [b(6), b(7)(C)] MLP Generated 05/11/2020 09:57 by [b(6)] OGGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024150
Page 1 - DOJ-OGR-00024156
Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST (b)(6), (b)(7)(C) PA-C Total: 1 Generated 05/11/2020 09:57 by (b)(6), (b)(7)(C) OGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024156
Page 1 - DOJ-OGR-00024157
Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Primary Language Years of Education Barriers To Education Provider 07/09/2019 Speaking/Listening English 12 None (b)(6) (b)(7)(C) Orig Entered: 07/09/2019 12:52 EST Joaquin, Y. Total: 1 Topics Date Initiated Format Handout/Topic Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/30/2019 13:33 EST (b)(6) (b)(7)(C) 07/30/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/30/2019 13:34 EST (b)(6) (b)(7)(C) 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/28/2019 07:22 EST (b)(6) (b)(7)(C) 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/28/2019 20:30 EST (b)(6) (b)(7)(C) 07/24/2019 Counseling Access to Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST (b)(6) (b)(7)(C) 07/24/2019 Counseling Preventive Health Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST (b)(6) (b)(7)(C) 07/23/2019 Counseling Access to Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST (b)(6) (b)(7)(C) 07/23/2019 Counseling Plan of Care Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST (b)(6) (b)(7)(C) 07/14/2019 Counseling Diagnosis Verbalizes Understanding (b)(6) (b)(7)(C) Orig Entered: 07/14/2019 18:11 EST (b)(6) (b)(7)(C) 07/12/2019 Counseling Diagnosis Verbalizes Understanding Generated 05/11/2020 09:57 by (b)(6) (b)(7)(C) BOPC Bureau of Prisons - DAN Page 1 of 2 DOJ-OGR-00024157
Page 1 - DOJ-OGR-00024159
Bureau of Prisons Health Services Blood Glucose Begin Date: 07/06/2019 End Date: 05/11/2020 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Time Value Type Comments 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST (b)(6), (b)(7)(C) RN 08/02/2019 06:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST (b)(6), (b)(7)(C) MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST (b)(6) MLP 07/31/2019 06:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST (b)(6) MLP Total: 4 Generated 05/11/2020 09:57 by (b)(6), (b)(7)(C) C Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024159
Page 1 - DOJ-OGR-00024160
Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Diag. Date Status Status Date Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST (b)(6) (b)(7)(C) MD ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST (b)(6) (b)(7)(C) MD ICD-10 G4730 07/12/2019 Current Essential (primary) hypertension 07/30/2019 13:13 EST (b)(6) (b)(7)(C) MD ICD-10 I10 07/30/2019 Current BY HX. Constipation, unspecified 07/09/2019 12:58 EST (b)(6) (b)(7)(C) MLP ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST (b)(6) (b)(7)(C) MD ICD-10 M545 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST (b)(6) (b)(7)(C) MD ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST (b)(6) (b)(7)(C) PhD/Chief Psychologist I DSM-IV No Dx 07/09/2019 Current Prediabetes 07/30/2019 13:26 EST (b)(6) (b)(7)(C) (b)(7)(A) (b)(7)(C) MD ICD-10 R7303 07/30/2019 Current Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST (b)(6) (b)(7)(C) MD ICD-10 Z6827 07/30/2019 Current Total: 10 Generated 05/11/2020 09:57 by (b)(6) (b)(7)(C) GC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024160
Page 1 - DOJ-OGR-00024161
Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Sphere Cylinder Axis Add Refraction - Distance Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST (b)(6) (b)(7)(C) MLP Generated 05/11/2020 09:57 by (b)(6) (b)(7)(C) Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024161
Page 1 - DOJ-OGR-00024162
Bureau of Prisons Health Services Immunizations Begin Date: 07/06/2019 End Date: 05/11/2020 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Immunization Immunization Date Administered Location Dosage Drug Mfg. Lot # Exp Date Hepatitis A and B (TwinRx) History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Measles/Mumps/Rubella Series History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Smallpox Series History Unknown Tetanus History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Varicella Series History Unknown Orig Entered: 07/09/2019 12:51 EST (b)(6). (b)(7)(C) MLP Total: 5 Generated 05/11/2020 09:57 by (b)(6). (b)(7)(C) GGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024162
Page 1 - DOJ-OGR-00024163
Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___meals ___ pill line ___treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A (b)(6), (b)(7)(C) MD 07/30/2019 Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: null ALL EXPIRATION DATES ARE AT 24:00 Generated 05/11/2020 09:57 by (b)(6); (b)(7)(C)-DGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024163
Page 1 - DOJ-OGR-00024164
Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___meals ___ pill line ___treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A [b)(6); (b)(7)(C) MLP 07/09/2019 Date Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: null ALL EXPIRATION DATES ARE AT 24:00 Generated 05/11/2020 09:57 by [b)(6] OGC Bureau of Prisons - DAN Page 1 of 1 DOJ-OGR-00024164
Page 001 - DOJ-OGR-00024463
NYMD4 535.03 * INMATE PROFILE * 08-10-2019 PAGE 001 OF 001 76318-054 07:15:51 REGNO: 76318-054 REG FUNCTION: PRT DOB/AGE.: 01-20-1953 / 66 NAME.: EPSTEIN, JEFFREY EDWARD R/S/ETH.: W/M/O WALSH: YES RSP...: NYM-NEW YORK MCC MILEAGE.: 5 MILES PHONE: 646-836-6300 FAX: 646-836-7751 PROJ REL METHOD : UNKNOWN FBI NO.: PROJ REL DATE.: UNKNOWN INS NO.: PAR ELIG DATE.: SSN......: 090443348 PAR HEAR DATE.: DETAINER: NO CMC..: NO OFFN/CHG RMKS: SEX TRAFFICKING CONSP. PSYCH: NO OFFN/CHG RMKS: SEX TRAFFICKING OF MINORS FACL CATEGORY --- CURRENT ASSIGNMENT --- --- EFF DATE TIME NYM ADM-REL A-PRE PRE-SENT ADMIT, ADULT 07-08-2019 1749 NYM CARE LEVEL CARE1-MH CARE1-MENTAL HEALTH 07-08-2019 0934 NYM COR COUNSL UNT 5N VACANT 07-22-2019 1805 NYM CASE MGT CFSA CERT FOOD SINCERITY APPROVAL 07-19-2019 1209 NYM CASEWORKER UNT 5 (b)(6) (b)(7)(C) 07-22-2019 1806 NYM CUSTODY IN CUSTODY 07-06-2019 2124 NYM EDUC INFO GED UNK GED STATUS UNKNOWN 07-06-2019 2124 NYM FIN RESP UNASSG FINANC RESP-UNASSIGNED 07-06-2019 2124 NYM LEVEL UNASSG UNASSIGNED 07-06-2019 2124 NYM MED DY ST NOT MED CL NOT MEDICALLY CLEARED 07-06-2019 2124 NYM PGM REVIEW OCT OCTOBER PROGRAM REVIEW 10-19-2019 1804 NYM QUARTERS Z04-206LAD HOUSE Z/RANGE 04/BED 206L AD 07-29-2019 1221 NYM RELIGION UNKNOWN RELIGION UNKNOWN 07-06-2019 2124 NYM SECOND RSP 54N USM NYS 54N NEW YORK, NY 07-08-2019 1749 NYM UNIT 5 UNIT MGR. (b)(6) (b)(7)(C) 07-22-2019 1806 NYM WRK DETAIL UNASSG UNASSIGNED WORK DETAIL 07-08-2019 1749 Report# Amb. Care Report CAD - 97774214 0470 Shield # 7046 G0000 TRANSACTION SUCCESSFULLY COMPLETED
Page 1 - DOJ-OGR-00026144
Page 2468 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Essential (primary) hypertension BY HX. Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified R/O self inflicted injuries. Current Body mass index (BMI) 27.0-27.9, adult Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders: Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 08/10/2019 07:00 by (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 1 of 2 Page 1 of 2 DOJ-OGR-00026144
Page 1 - DOJ-OGR-00026268
Page 2608 Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Diag. Date Status Status Date Hyperlipidemia, unspecified 07/12/2019 13:48 EST ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA MD Sleep apnea 07/12/2019 13:56 EST ICD-10 G4730 07/12/2019 Current MD Essential (primary) hypertension 07/30/2019 13:13 EST ICD-10 I10 07/30/2019 Current BY HX. MD Constipation, unspecified 07/09/2019 12:58 EST ICD-10 K5900 07/09/2019 Current MLP Low back pain 07/12/2019 13:30 EST ICD-10 M545 07/12/2019 Current MD Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST ICD-10 M792 07/12/2019 Current MD No Diagnosis 07/09/2019 10:28 EST DSM-IV No Dx 07/09/2019 Current PhD/Chief Psychologist Prediabetes 07/30/2019 13:26 EST ICD-10 R7303 07/30/2019 Current MD Injury, unspecified 07/23/2019 09:04 EST ICD-10 T1490 07/23/2019 Current R/O self inflicted injuries. MLP Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST ICD-10 Z6827 07/30/2019 Current MD Total: 10 Generated 07/30/2019 15:33 DIA Coordinator Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026268
Page 2 - DOJ-OGR-00024100
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6). (b)(7)(C) MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 (b)(6). (b)(7)(C) MD Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by (b)(6). (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024100
Page 2 - DOJ-OGR-00024107
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Sex: M Race: WHITE Reg #: 76318-054 Provider: [Redacted] Facility: NYM Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from "sleeping on my side" that has since subsided. Inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care [Redacted] Verbalizes Understanding Generated 07/28/2019 07:22 by [Redacted] RN Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024107
Page 2 - DOJ-OGR-00024127
Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 Sex: M Provider: [redacted] PA-C Reg #: 76318-054 Race: WHITE Facility: NYM Infectious Disease Risk Factors: - IV Drug Use: No - IV Drug Use Needles: - Sexual Partner IV Drug Use: No - Sexual Partner IV Drug Use Needles: - Female Sexual Partners (Last 5 Yrs): 10+ - Male Sexual Partners (Last 5 Yrs): 0 - Condom Use: Sometimes - Sexual Contact With HIV+ Individual: No - Blood Product Transfusion: No - Travel Outside US: Yes - Tattoos: No - Comments: Born in US High school diploma Banker Traveled to Paris x 3 weeks up until arrest No tattoos 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 - Physical: No - Emotional: No - Sexual: No - Comments: Denies Generated 07/06/2019 21:56 by [redacted] PA-C Bureau of Prisons - NYM Page 2 of 6 DOJ-OGR-00024127
Page 2 - DOJ-OGR-00024158
Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST (b)(6). (b)(7)(C) Total: 10 Generated 05/11/2020 09:57 by (b)(6). (b)(7)(C) GGC Bureau of Prisons - DAN Page 2 of 2 DOJ-OGR-00024158
Page 2 of 3 - DOJ-OGR-00024978
Page 521 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 08/01/2019 13:29 Provider: (b)(6); (b)(7)(C) Reg #: 76318-054 Unit Team: 5 coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation and he agreed to immediately tell staff if he starts to have suicidal or self harm thoughts. He was future oriented. He did not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff if he has these thoughts. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Sleep problems The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Denial of suicidal ideation/intention/plans, Future orientation, Religious beliefs against suicide, Supportive family relationships, View of death as negative, Willingness to engage in treatment Risk Factors (b)(7)(A) (b)(7)(A) He has a high profile sex offense case. He stated his lower back hurts and he stated Medical is aware of this. He stated he has difficulty sleeping even with his cpap machine because he stated his cellmate talks at night. Protective Factors: He denied current suicidal or self harm thoughts and agreed to tell staff if he starts to have these thoughts. He had denied a history of self harm and suicide attempts. He had denied a family history of suicidal and self harm attempts. He had denied having any chronic medical conditions. He denied feeling hopeless. He had denied a history of childhood abuse. He denied fearing for his safety at this time. He denied feeling like a burden to anyone. He stated he lives for and plans to finish this case and to go back to his normal life. He said his friends and Lawyers are emotionally supportive. He said he is Jewish and he said in his religion suicide is against the religion. Overall, his current protective factors override his risk factors for suicidality. He is currently psychologically stable. He denied feeling hopeless. He is reporting positive future plans and reasons to live for. He said he has social supports in the community and his Lawyers visit him often. He denied any current suicidal or self harm ideation, intention or plan. Suicide Watch is not indicated at this time. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS 1. Suicide Watch is not indicated at this time. 2. Supportive and educative interventions were provided. 3. He was educated about both routine and emergency procedures for contacting Psychology staff. 4. He will be seen in follow up by Psychology next week to monitor his mental status and to provide further intervention if needed. 5. In the meantime, he was encouraged to self-refer to Psychology if needed to which he agreed and seems capable of doing. 6. If he remains in SHU, he will be seen by Psychology in SHU Rounds and in SHU Reviews. Suicide Watch: A suicide watch is not warranted at this time Generated 08/01/2019 16:21 by (b)(6); (b)(7)(C) PsyD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00024978
Page 2 of 2 - DOJ-OGR-00026145
Page 2469 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: lower bunk --- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. --- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: [b(6); (b)(7)(C)] RN Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Sex: M Generated 08/10/2019 07:00 by [b(6); (b)(7)(C)] RN Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026145
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Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST Total: 10 Generated 08/10/2019 11:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026157 Page 2481
Page 317 - DOJ-OGR-00024852
Re: Epstein, Reg. No. 76318-054 From Ray Ormond To Lamine N'Diaye Date 2019/08/10 18:51 Subject: Re: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm The time line we sent DOJ says 7/29? Where did we get that date? Sent from my Verizon, Samsung Galaxy smartphone ------- Original message ------- From: Lamine N'Diaye (b)(6); (b)(7)(C) @bop.gov> Date: 8/10/19 6:46 PM (GMT-05:00) To: Ray Ormond (b)(6); (b)(7)(C) @bop.gov> Subject: Fwd: Epstein, Reg. No. 76318-054 >>> "Lamine N'Diaye" 08/10/2019 18:46 >>> Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 785 DOJ-OGR-00024852
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Page 361 Re: Epstein, Jeffrey 76318-054 From Charisma Edge To [b(6), (b)(7)(C)] Date 2019/11/06 08:07 Subject: Re: Epstein, Jeffrey 76318-054 Attachments: TEXT.htm Page 933 DOJ-OGR-00024865
Page 456 - DOJ-OGR-00024931
Page 456 Epstein Reconstruction 76318-054 draft7 From [b(6); (b)(7)(C) To Hugh Hurwitz [b(6); (b)(7)(C) Date 2019/09/10 15:53 Subject: Epstein Reconstruction 76318-054 draft7 Attachments: TEXT.htm, Epstein Reconstruction 76318-054 draft7.docx Hugh, Here is the reconstruction on Mr. Epstein. If you want any change, just let me know. Thank you, [b(6); (b)(7)(C) Page 1260 DOJ-OGR-00024931
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Page 457 Mail Attachment Epstein Reconstruction 76318-054 draft7.docx Page 1264 DOJ-OGR-00024932
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Page 506 I/M Epstein #76318-054 From (b)(6); (b)(7)(C) To (b)(6); (b)(7)(C) NYM/Lieutenants Date 2019/07/23 22:17 Subject: I/M Epstein #76318-054 Attachments: TEXT.htm The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. Page 1408 DOJ-OGR-00024963
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Page 517 Bureau of Prisons Health Services Inmate Local Hospital Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Transfer To: Transfer Date: 08/10/2019 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Essential (primary) hypertension BY HX. Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Prediabetes Current Injury, unspecified R/O self inflicted injuries. Current Body mass index (BMI) 27.0-27.9, adult Current Medications: All medications to be continued until evaluated by a physician unless otherwise indicated. Bolded drugs required for transport. Docusate Sodium 100 MG Cap Exp: 08/11/2019 SIG: Take one capsule (100 MG) by mouth twice daily for 30 days Docusate Sodium 100 MG Cap Exp: 01/22/2020 SIG: Take one capsule (100 MG) twice daily by mouth with plenty of water Milk of Magnesia Susp (OTC) (473ML) 400MG/5ML Exp: 10/28/2019 SIG: shake well take 10ml by mouth twice daily AS NEEDED Omega 3 (Vascepa) 1 GM Capsule Exp: 01/13/2020 SIG: Take two capsules (2 GM) twice daily by mouth with food OTCs: Listing of all known OTCs this inmate is currently taking. None Pending Appointments Date Time Activity Provider 07/24/2019 00:00 Clinical Encounter Optometrist 01/07/2020 00:00 Chronic Care Visit Mid-Level Provider 07/01/2020 00:00 Chronic Care Visit Physician 01 07/09/2020 00:00 PPD Administration Nurse Pending Non-Medication Orders Order Order Date Frequency Duration Details EKG 07/06/2019 One Time 66 y/o male Fecal Occult Blood 07/06/2019 One Time 3 different stools TB Clearance: Yes Last PPD Date: 07/09/2019 Induration: 0mm Last Chest X-Ray Date: Results: TB Treatment: Sx free for 30 days: Yes TB Follow-up Recommended: No Sickle Cell: Sickle Cell Trait/Disease: No Generated 08/10/2019 07:00 by [redacted] RN Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00024974
Page 518 - DOJ-OGR-00024975
Page 518 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD SENSITIVE BUT UNCLASSIFIED - This information is confidential and must be appropriately safeguarded. Limitations/Restrictions/Diets: Cell: lower bunk --- 10/09/2019 Cleared for Food Service: Yes Other diet restrictions: FISH ALLERGIES. --- 07/30/2020 Comments: Allergies No Known Allergies Devices / Equipment C-Pap Travel: Direct Travel: No Travel Restrictions: None UNIVERSAL PRECAUTIONS OBSERVED WHEN TRANSPORTING ANY INMATE: Transfer From Institution: NEW YORK MCC Phone Number: 6468366300 Address 1: 150 PARK ROW Address 2: City/State/Zip: NEW YORK, New York 10007 Name/Title of Person Completing Form: (b)(6); (b)(7)(C) RN Date: 08/10/2019 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 DOB: 01/20/1953 Sex: M Generated 08/10/2019 07:00 by (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00024975
Page 534 - DOJ-OGR-00024991
Page 534 Bureau of Prisons Psychology Services **SENSITIVE BUT UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/26/2019 09:09 Sex: M Facility: NYM Provider: [b(6); b(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: 5 Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). [b(7)(A)] [b(7)(A)] y symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, laughing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. [b(7)(A)] [b(7)(A)] Completed by: [b(6); b(7)(C)] PhD/Chief Psychologist on 07/26/2019 10:05 Generated 07/26/2019 10:05 by [b(6); b(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00024991
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Page 536 Bureau of Prisons Psychology Services Post Suicide Watch Report **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/24/2019 09:23 Provider: [b(6); (b)(7)(C) Ph.D. Unit Team: 5 Watch Start Date: 07/23/2019 01:40 Watch Stop Date: 07/24/2019 08:45 Total Time on Watch: 31 hrs 5 minutes Transferred to Medical Center: No Watch Conducted By: Both inmates and staff Current Mental Status Level of Consciousness: Alert and Oriented Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing to contact staff immediately should he experience suicidal ideation or psychological distress. He also denied thoughts of harming others. Risk Factors Assessed: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self harm. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status The following DYNAMIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: Current physical pain, Fear for own safety The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment Risk Factors: [b(7)(A)] [b(7)(A)] Protective Factors: Mr. EPSTEIN adamantly denied current suicidal ideation or intent or a history of suicide attempts. He stated, "I have no interest in killing myself." He explained, although his situation is "not perfect" due to his being incarcerated, he noted he has "lots to do for [his] legal case." He described having a "wonderful life," to include interactions with "interesting people and projects." He said it would be "crazy" to take his life. He furthered, "I would not do that to myself." He denied feelings of hopelessness, although did report being "depressed" and "unhappy" about his current legal situation. He previously denied a history of childhood abuse. He reported he is sleeping adequately now that he is no longer in the SHU. He appear future-oriented as he endorses an interest in being housed in general population. Weighing of Risk and Protective Factors: Mr. EPSTEIN adamantly denied suicidality. However, [b(7)(A)] [b(7)(A)] Generated 07/24/2019 12:09 by [b(6); (b)(7)(C) Ph.D. Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024993
Page 547 - DOJ-OGR-00025000
Page 547 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/10/2019 08:38 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolax he received from medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange uniform to his legal visits because he is treated "like a punished inmate"; he wants a phone call before he leaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. Intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions and was able to elucidate his various needs. He did not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the jail. Progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025000
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Page 548 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: [redacted] Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by [redacted] PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by [redacted] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025001
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Page 549 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: [b(6); (b)(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025002
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Page 550 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00025003
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Page 554 Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Facility: NYM Unit Team: A&O Date: 07/09/2019 08:41 Provider: [b(6); (b)(7)(C) PhD/Chief Psychologist CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent RECOMMENDATIONS Inmate Epstein is currently on psychological observation pending suitable housing placement. In light of his current sex offense charges and extensive media coverage on the television, he will need to be confined in a suitable housing unit. Inmate Epstein will be seen daily while on psychological observation and will be seen for a psychological observation follow-up session once he is released from observation. Inmate Epstein denied the need for psychological intervention, self-help materials, or follow-up. He has been classified as a CC1-MH inmate at this time. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Suicide Watch: A suicide watch is not warranted at this time Completed by [b(6); (b)(7)(C) PhD/Chief Psychologist on 07/10/2019 09:20 Generated 07/10/2019 09:20 by [b(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00025007
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Page 556 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/09/2019 08:41 Provider: [redacted] PhD/Chief Psychologist Unit Team: A&O Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing intact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by [redacted] PhD/Chief Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00025009
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Page 559 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 08:41 Psychomotor Activity: Normal General Appearance: Normal Behavior: Cooperative Mood: Appropriate to Content Thought Process: Goal Directed Thought Content: Normal Inmate Epstein did not exhibit any acute psychopathology and exhibited a clear mental status. Current Mental Status: Mr. EPSTEIN was alert and oriented. He was polite, calm, and cooperative in demeanor. He exhibited a neutral affect with appropriate range. Eye contact and hygiene were appropriate. The inmate spoke with normal rate, tone, and volume. His thoughts were organized and coherent, with no loosening of associations or tangential, circumstantial, or irrelevant content. There was no evidence of perceptual disturbance, delusional ideation, or a formal thought disorder. He did not engage in any bizarre or inappropriate behavior. He noted having normal sleeping and eating habits. Mr. EPSTEIN explicitly denied recent and current suicidal ideation, planning, and intent. He was future-oriented and expressed a commitment to life and safety, agreeing intact staff immediately should he experience suicidal ideation. RISK AND PROTECTIVE FACTORS ASSESSED: This writer screened the inmate for a variety of empirically validated factors commonly associated with risk for self-harm and suicide. The following STATIC risk factors were assessed to be present and increase the inmate's risk for engaging in suicide related behaviors: High Profile Crime, Lack of family connections, Sex offender status Of the DYNAMIC risk factors assessed, none were found to be present. The following PROTECTIVE factors were assessed to be present and may decrease the inmate's risk of suicide:Able to identify reasons to live, Adequate problem solving skills, Denial of suicidal ideation/intention/plans, Future orientation, View of death as negative, Willingness to engage in treatment As noted above, Inmate Epstein is a 66-year-old Caucasian male. He has various risk factors for suicidality at this time including a high profile case with extensive media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which may have given him bad news regarding his legal situation. Inmate Epstein also informed this writer that his only family at this time is his brother, with whom he does not have a close relationship with. Despite these risk factors, inmate Epstein possesses a number of protective factors at this time. Inmate Epstein adamantly denied any suicidal ideation, intention or plan. He was very future oriented and requested a phone call, to meet with his attorney, to take a shower, and to brush his teeth. He was eating his cereal when this writer arrived and said "I have my paper spoon here." He reported he is going to have a bail hearing on Monday and believes he is going to be released from jail. Inmate Epstein reported he is a Banker and has a "big business" in the community and that "being alive is fun." He also revealed he enjoys learning and teaching. He has confidence in his attorney and described him as "competent." Inmate Epstein denied any mental health history or history of suicidality. He also reported none of his family members have mental health histories. Inmate Epstein stated he is a mathematician and took post graduate classes in this area of study. Inmate Epstein stated he has a support system in the community, including friends and other associates. Finally, inmate Epstein demonstrated a good sense of humor and did not appear dysphoric, agitated or anxious. No acute psychopathology was noted. Overall, inmate Epstein has numerous protective factors at this time that outweigh his risk factors for suicidality. He has a positive outlook regarding his legal case, demonstrates no psychiatric symptoms, has no psychiatric or suicide history, and verbalized a desire to be alive at this time and future orientation. DIAGNOSIS: No Diagnosis, No Dx - Current CONCLUSIONS The Overall Acute Suicide Risk for this Inmate is: Low Overall Chronic Suicide Risk for this Inmate is: Absent Generated 07/09/2019 10:36 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00025012
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Page 563 Bureau of Prisons Psychology Services **SENSITIVE BUT UNCLASSIFIED** Risk of Sexual Abusiveness Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/08/2019 09:35 Sex: M Facility: NYM Reg #: 76318-054 Unit Team: A&O Provider: (b)(6); (b)(7)(C) PsyD/PhD Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X) Having a history of prior sexual abuse perpetration in the community (X) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison (X) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at: (X) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations. The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by (b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00025016
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Page 564 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/08/2019 09:35 Provider: [b)(6); (b)(7)(C) PsyD/PhD Unit Team: A&O Completed by [b)(6); (b)(7)(C) PsyD/PhD on 07/08/2019 09:41 Generated 07/08/2019 09:41 by [b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00025017
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Page 566 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/08/2019 09:24 Provider: (b)(6); (b)(7)(C) PsyD/PhD Unit Team: A&O Inmate EPSTEIN denied any history of mental health symptoms or treatment. He denied any current mental health symptoms. He does not meet criteria for any current psychological diagnosis. He meets criteria for Mental Health Care Code 1. CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Recommendations The following psychological services are recommended: Other. Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He does not appear to be in distress at this time. He agreed to contact psychology if he feels he needs psychology services in the future. He meets criteria for CC1 and does not require scheduled follow up at this time. Completed by (b)(6); (b)(7)(C) PsyD/PhD on 07/08/2019 09:30 Generated 07/08/2019 09:30 by (b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00025019
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Page 894 Mail Attachment Epstein Reconstruction 76318-054 draft5.docx Page 1913 DOJ-OGR-00025183
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Epstein, Jeffrey, Register No. 76318-054 From Shirley V. Skipper-Scott To [redacted] Date 2019/08/10 10:15 Subject: Epstein, Jeffrey, Register No. 76318-054 Attachments: TEXT.htm Good morning, This is just a follow-up to our conversation this morning concerning Epstein, Jeffrey, Register No. 76318-054, who was found unresponsive in his cell at 6:33 a.m. Life-saving measures were performed by institution staff and EMS staff. He was escorted to the local hospital where he was later pronounced dead at 7:36 a.m. Should you require any additional information, please contact me. Thanks. Shirley Skipper-Scott Associate Warden MCC New York 150 Park Row New York, New York 10007 Office: 646-836[redacted] Black Berry: 646-423[redacted] @bop.gov
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Page 990 Re: Epstein #76318-054 From [b)(6); (b)(7)(C) To [b)(6); (b)(7)(C) Date 2019/07/24 12:00 Subject: Re: Epstein #76318-054 Attachments: TEXT.htm Page 2218 DOJ-OGR-00025234
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Page 1001 Mail Attachment Epstein Reconstruction 76318-054 draft7 OGC Comments.docx Page 2271 DOJ-OGR-00025245
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DHO Packet for Epstein, Jeffrey 76318-054 From [b)(6); (b)(7)(C) To [b)(6); (b)(7)(C) Shirley V. Skipper-Scott, [b)(6); (b)(7)(C) Date 2019/07/30 18:00 Subject: DHO Packet for Epstein, Jeffrey 76318-054 Attachments: TEXT.htm, Epstein 76318-054 IR328255.pdf Please see attached. Hard Copy will be placed in the DHO mailbox. [b)(6); (b)(7)(C) Unit Manager Metropolitan Correctional Center 150 Park Row New York N.Y. 10007 TEL:(646) 836-6300 [b)(6); (b)(7)(C)
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Epstein, Jeffrey- Reg 76318-054 From [b](6); (b)(7)(C) To [b](6); (b)(7)(C) Lamine N'Diaye [b](6); (b)(7)(C) Date 2019/07/08 14:12 Subject: Epstein, Jeffrey- Reg 76318-054 Attachments: TEXT.htm Good afternoon, Mr. Epstein Reg. 76318-054 arrived here at MCC New York on 7/6/2019 at 9:24 PM, he was placed in Special housing unit until we can better evaluate him and find suitable housing for him. Today he was arraigned in court and upon his arrival will be seen by Psychology and they will conduct a suicide risk assessment with this inmate when he returns from court. Should he return from court and psychology is gone for the day, he is to go on PSYCHOLOGICAL OBSERVATION unless, of course, he reports he is suicidal. In that case, he is to go on Suicide Watch. There has been a few media inquires via phone calls however no information given. Media was staged around the back side of our building and in front of the court house which is less then 100 yards apart from each other. If you should have any additional questions and or concerns please feel free to contact me. Thank you Page 2698 DOJ-OGR-00025320
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Page 1157 Mail Attachment Epstein Reconstruction 76318-054 draft7 OGC Comments.docx Page 2995 DOJ-OGR-00025379
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Fwd: Epstein, Jeffrey, Register No. 76318-054 From Shirley V. Skipper-Scott To [redacted] Date 2019/08/10 20:07 Subject: Fwd: Epstein, Jeffrey, Register No. 76318-054 Attachments: TEXT.htm Page 3293 DOJ-OGR-00025415
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Fwd: Epstein, Jeffrey, Register No. 76318-054 From Shirley V. Skipper-Scott To [redacted] Date 2019/08/10 20:07 Subject: Fwd: Epstein, Jeffrey, Register No. 76318-054 Attachments: TEXT.htm Page 3353 DOJ-OGR-00025429
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Page 1541 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 7040 DOJ-OGR-00025618
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Page 1542 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. (b)(6) (b)(6); (b)(7)(C) bop.gov NYM/AW-Programs~@bop.gov Page 7044 DOJ-OGR-00025619
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Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. (b)(6); (b)(7)(C) (b)(6); (b)(7)(C)@bop.gov NYM/AW-Programs~@bop.gov
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Page 1643 Inmate Epstein #76318-054 From [b)(6); (b)(7)(C) To [b)(6); (b)(7)(C) Date 2019/08/01 13:33 Subject: Inmate Epstein #76318-054 Attachments: TEXT.htm Lt. [b)(6); (b)(7)(C) He said his cellmate is up all night talking which keeps him awake. When I offered to request a new cellmate for him, he stated he will try staying with his current cellmate 3 to 4 more days and will let staff know if it is getting too difficult. Thanks, [b)(6); (b)(7)(C) Page 8270 DOJ-OGR-00025693
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Page 1683 Fwd: Epstein #76318-054 From [b(6); (b)(7)(C)] To Charisma Edge, James Petrucci, Shirley V. Skipper-Scott, [b(6); (b)(7)(C)] Date 2019/08/15 09:06 Subject: Fwd: Epstein #76318-054 Attachments: TEXT.htm [b(6); (b)(7)(C)] 8/15/2019 9:03 AM >>> Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01-001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am U01-001L [b(6); (b)(7)(C)] Psy.D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836-[b(6); (b)(7)(C)] Fax- 646-836-7712 email: [b(6); (b)(7)(C)]@bop.gov Page 8693 DOJ-OGR-00025730
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Page 1715 Re: Epstein #76318-054 From (b)(6); (b)(7)(C) To (b)(6); (b)(7)(C) Date 2019/08/15 09:04 Subject: Re: Epstein #76318-054 Attachments: TEXT.htm Thank you! >>> (b)(6); (b)(7)(C) 8/15/2019 9:03 AM >>> Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01-001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am H01-001L (b)(6); (b)(7)(C) sy.D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836-(b)(6); (b)(7)(C) Fax- 646-836-7712 email: (b)(6); (b)(7)(C) @bop.gov Page 8803 DOJ-OGR-00025754
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Epstein #76318-054 From (b)(6); (b)(7)(C) To Date 2019/08/15 09:03 Subject: Epstein #76318-054 Attachments: TEXT.htm Went on watch July 23, 2019 1:40 am- Staff Watch Inmate Companion took over 7:00 am July 23, 2019 H01-001L Changed to psychology Observation July 24, 2019, 8:45am Ended Psychology Observation July 30, 2019 8:15am Inmate Companion H01-001L Psychology Observation July 8, 2019, 6pm End Psychology Observation July 10, 2019 9am H01-001L (b)(6); (b)(7)(C) D., Ph.D. Forensic Psychologist LCDR United States Public Health Service Metropolitan Correctional Center 150 Park Row New York, New York 10007 646-836- (b)(6); (b)(7)(C) Fax- 646-836-7712 email- (b)(6); (b)(7)(C) @bop.gov Page 8807 DOJ-OGR-00025755
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Page 1767 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 9303 DOJ-OGR-00025790
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Page 1768 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. (b)(6); (b)(7)(C) (b)(6); (b)(7)(C)@bop.gov NYM/AW-Programs~@bop.gov Page 9307 DOJ-OGR-00025791
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Page 1784 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext (b)(6); (b)(7)(C) (b)(6): @bop.gov NYM/AW-Programs-@bop.gov Page 9508 DOJ-OGR-00025801
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Page 1794 Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C) [b](6); (b)(7)(C) To Charisma Edge [b](6); (b)(7)(C) James Petrucci, Lamine N'Diaye [b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 9541 DOJ-OGR-00025811
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Page 1807 Epstein Reconstruction 76318-054 From (b)(6); (b)(7)(C) To (b)(6); (b)(7)(C) Hugh Hurwitz Date 2019/09/12 10:31 Subject: Epstein Reconstruction 76318-054 Attachments: TEXT.htm, Epstein Reconstruction 76318-054 draft9.docx Hugh, Attached is the reconstruction report. Please advise if you have any questions. Thanks, (b)(6); (b)(7)(C) Page 9629 DOJ-OGR-00025823
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Page 1811 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 9750 DOJ-OGR-00025825
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Page 1812 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext. NYM/AW-Programs~@bop.gov Page 9754 DOJ-OGR-00025826
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Re: EPSTEIN #76318-054 From To Date 2019/08/19 11:48 Subject: Re: EPSTEIN #76318-054 Attachments: TEXT.htm Thanks! Do you have a fax or email for whomever I need to have his letter request sent? >> [b(6); (b)(7)(C)] 8/19/2019 10:39 AM >>> M19019432 is the case number. >> [b(6); (b)(7)(C)] 8/19/2019 9:17 AM >>> Good morning, Did you get the case number yet for the autopsy? I have a draft letter to assist you in requesting the autopsy report itself. Thank you, [b(6); (b)(7)(C)] Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p: (646)836[b(6); (b)(7)(C)] f: (646)836-7665 Page 9968 DOJ-OGR-00025851
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Epstein Suicide Watch Observation Log Name of Inmate on watch: Reg #: 76318-054 Date: 7/23/19 Time Observations: Briefly note your observations. Initial all entries. Initials 1:40 AM Inmate brought down to suicide cell #4 (b)(6); (b)(7)(C) 1:45 AM Inmate lying on bed 2:00 AM Inmate sitting on bed talking (b)(7)(A) 2:15 AM 2:30 AM Inmate sitting on bed trying to remember what happened 2:45 AM Inmate sitting on bed 3:00 AM Inmate sitting on bed (b)(6); (b)(7)(C) 3:15 AM Lt. takes pictures of inmate 3:30 AM Inmate sitting on bed 3:45 AM Inmate sitting on bed 4:00 AM Inmate sitting on bed 4:15 AM Inmate sitting on bed 4:30 AM Inmate standing at door talking 4:45 AM Inmate standing at door talking 5:00 AM Inmate sitting on bed 5:15 AM Inmate standing at door 5:30 AM Inmate standing at door 5:45 AM Inmate standing at door 6:00 AM Inmate standing at door 6:15 AM Inmate standing at door 6:30 AM Inmate standing at door 6:45 AM Inmate standing at door 7:00 AM Inmate standing at door Note to all observers: Legibly print and sign your name at the beginning of your shift. 1 DOJ-OGR-00025867
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Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C) Charisma Edge [b](6); (b)(7)(C) To Petrucci, Lamine N'Diaye, [b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 10248 DOJ-OGR-00025876
Page 1894 - DOJ-OGR-00025877
Page 1894 Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C) Charisma Edge, [b](6); (b)(7)(C) James To [b](6); (b)(7)(C) Petrucci, Lamine N'Diaye [b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 10269 DOJ-OGR-00025877
Page 1942 - DOJ-OGR-00025888
Psych Reconst - Epstein #76318-054 From [b](6); (b)(7)(C)[b](6); (b)(7)(C) Charisma Edge[b](6); (b)(7)(C) To [b](6); (b)(7)(C)[b](6); (b)(7)(C) Petrucci, Lamine N'Diaye[b](6); (b)(7)(C) Marti Licon-Vitale, NYM/Executive Staff, Shirley V. Skipper-Scott Date 2019/10/04 09:18 Subject: Psych Reconst - Epstein #76318-054 Attachments: TEXT.htm, Psych Reconst - Epstein #76318-054.docx Please see the attached for your records. Thank you Page 10582 DOJ-OGR-00025888
Page 1950 - DOJ-OGR-00025892
Page 1950 Fwd: Epstein, Reg. No. 76318-054 From Lamine N'Diaye To Ray Ormond Date 2019/08/10 18:46 Subject: Fwd: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, Epstein, Reg. No. 76318-054 Psych Ops log book shows he was released on July 30. He had an Attorney visit starting at 8:20am. He was in there all day. I will send the attorney log next. Page 10680 DOJ-OGR-00025892
Page 1951 - DOJ-OGR-00025893
Page 1951 Epstein, Reg. No. 76318-054 From Charisma Edge To Lamine N'Diaye Date 2019/08/10 18:14 Subject: Epstein, Reg. No. 76318-054 Attachments: TEXT.htm, 2019_08_10_18_12_55.pdf, Charisma Edge.vcf Psych Ops discontinued on 7/30/18 at 8:15 am Charisma Edge Associate Warden MCC New York 150 Park Row New York, NY 10007 646-836-6300 ext(b)(5) (b)(5)@bop.gov NYM/AW-Programs~@bop.gov Page 10684 DOJ-OGR-00025893
Page 1991 - DOJ-OGR-00025907
Page 1991 I/M Epstein #76318-054 From [b](6); (b)(7)(C) To [b](6); (b)(7)(C) NYM/Lieutenants Date 2019/07/23 22:17 Subject: I/M Epstein #76318-054 Attachments: TEXT.htm The purpose of this email is to inquire as to whether or not inmate Epstein, Jeffrey #76318-054 is mentally capable of proceeding with the disciplinary process. Thanks in advance. Page 11054 DOJ-OGR-00025907
Page 2096 - DOJ-OGR-00025936
Epstein 76318-054 7-9-2019 4:15AM I/M Epstein is pacing his cell (b)(6); (b)(7)(C) 4:30AM I/M Epstein is pacing his cell 4:45AM I/M Epstein is sitting up 5:00AM I/M Epstein is ready for breakfast 5:00AM I/M Epstein is laying down 5:30AM I/M Epstein is laying down 5:45AM I/M Epstein is laying down 6:00AM I/M Epstein is laying down 6:15AM I/M Epstein is laying down 6:30AM I/M Epstein is laying down 6:45AM I/M Epstein is ready for breakfast 7:00AM I/C Alien Walker gives/shut ends (b)(6); (b)(7)(C) 7-9-19 (b)(6); (b)(7)(C) 7:00AM Start New Shift (b)(6); (b)(7)(C) Psych visit + review of file (b)(6); (b)(7)(C) 7:09 7:15 (b)(6); (b)(7)(C) Interview 2:30 (b)(6); (b)(7)(C) Interview 2:45 (b)(6); (b)(7)(C) Interview 8:00AM I/M Epstein is sitting down on cell bed (b)(6); (b)(7)(C) 8:15AM I/M Epstein is pacing his cell 8:20AM I/M Epstein is going for visit 8:30AM I/M Epstein is on visit
Page 2097 - DOJ-OGR-00025937
Epstein #76318-054 8:45 I/M Epstein still out 9:00 I/M Epstein still out 9:15 I/M - still out 9:30 AM I/M Epstein still out 9:45 I/M Epstein still out 10:00 I/M Epstein still out 10:15 I/M Epstein still out 10:30 I/M Epstein still out 10:45 I/M Epstein still out 11:00 I/M Epstein still out 11:15 I/M Epstein still out 11:25 Inmate companion for Inmate Epstein #76318-054 whom I watch 11:30 AM is still out 11:45 AM Inmate Epstein is still out 12:00 PM Inmate Epstein just came back 12:15 PM Inmate Epstein is eating lunch 12:30 PM Inmate Epstein was just taken to see doctor 12:45 PM Inmate Epstein is still out 1:00 PM Inmate Epstein is still out of cell to Doctor 1:15 PM Inmate Epstein is still out to doctor 1:19 PM Inmate Epstein has returned 1:30 PM Inmate Epstein talking to keep
Page 2115 - DOJ-OGR-00025955
EPSTEIN # 76318-054 19:00 Jim EPSTEIN arrives from LOU C visit 19:15 Jim EPSTEIN receives from C/O 19:30 Jim EPSTEIN inquires about BOP Policy incl plane usage and visits 20:00 Jim EPSTEIN is eating 20:15 ROACH makes 20:30 Jim EPSTEIN is talking about Business 20:45 Jim EPSTEIN is lying down 21:00 Jim EPSTEIN is talking about Business + investing 21:15 Jim EPSTEIN is discussing Business + life lessons 21:30 Jim EPSTEIN appears to be lying down 21:45 Jim EPSTEIN appears to be sleeping 21:50 C/O rounds 22:00 Jim EPSTEIN appears to be sleeping 22:15 Jim EPSTEIN appears more sleeping 22:30 Jim EPSTEIN asks for time, uses the toilet + brushes his teeth 22:45 Jim EPSTEIN returns to lying down 23:00 Jim EPSTEIN appears to be sleeping 23:15 Jim EPSTEIN appears to be sleeping 23:30 Jim EPSTEIN appears to be sleeping 23:45 Jim EPSTEIN appears to be sleeping 0:00 Jim EPSTEIN appears to be sleeping
Page 2117 - DOJ-OGR-00025957
Page 2117 Epstein #76318-054 7/27/19 3:45 am I/M epstein is sleeping 4:00 am I/M epstein is sleeping 4:15 am I/M epstein is sleeping 4:30 am I/M epstein is sleeping 4:45 am I/M epstein is sleeping 5:00 am I/M epstein is sleeping 5:15 am I/M epstein is sleeping 5:30 am I/M epstein is sleeping 5:45 am I/M epstein is sleeping 6:00 am I/M epstein is sleeping 6:15 am I/M epstein is sleeping 6:30 am I/M epstein is sleeping 6:45 am I/M epstein is sleeping 6:58 AM mr system to review lights in tier 7:00 AM I/M/C Assumes Responsibility OF EPSTEIN #76318-054 IN CELL #4 ON PSYCH WATCH ON 7-27-19 7:15 AM I/M EPSTEIN ASKS FOR Toilet Tissue and Tooth Paste which was found in the supply closet. 7:30 AM I/M EPSTEIN SITS ON BED USES FILM ON BREAKFAST 7:45 AM I/M EPSTEIN SITS ON BED
Page 2120 - DOJ-OGR-00025960
Page 2120 Epstein # 76318-054 7/28/19 3:15 AM 1/C (b)(6); (b)(7)(C) assuming responsibility for Epstein # 76318-054 Begin shift 3:30 AM 1/M Epstein is sleeping 3:45 AM 1/M Epstein is sleeping 4:00 AM 1/M Epstein is sleeping 4:15 AM 1/M Epstein is sleeping 4:30 AM 1/M Epsteins is sleeping 4:45 AM 1/M Epsteins is sleeping 5:00 AM 1/M epstein is sleeping 5:15 AM 1/M Epstein is sleeping 5:30 AM 1/M Epstein is sleeping 5:45 AM 1/M Epstein is sleeping 6:00 AM 1/M Epstein is sleeping 6:15 AM 1/M Epstein is awake and say call doctor 6:30 AM 1/M Epstein is sitting on the bed 6:45 AM 1/M Epstein is sitting on the bed 7:00 AM 1/C (b)(6); (b)(7)(C) end shift 6:45 AM (b)(6); (b)(7)(C) to remain (s) to (s) interview mr. (b)(6); (b)(7)(C) 7:15 AM 1/M Epstein is sitting on the bed 7:30 AM 1/M Epstein is sitting on the bed 7:45 AM 1/M Epstein is taken breakfast 8:00 AM 1/M Epstein is stand and walk DOJ-OGR-00025960
Page 2123 - DOJ-OGR-00025963
Epstein # 76318-054 on legal visit 1:45pm Inmate Epstein is on legal visit 1:50pm Inmate Epstein is on legal visit 1:55pm Inmate Epstein is on legal visit 2:30pm Inmate Epstein is on legal visit ERROR E END OF SHIFT 2:45 PM INMATE COMPANION ASSUMES RESPONSIBILITY FOR INMATE EPSTEIN 76318-054 ON PSYCH WATCH IN CELL #4 07/28/19 2:45 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:00 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:15 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:30 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 3:45 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:00 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:15 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:30 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 4:45 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 5:00 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT 5:15 PM INMATE EPSTEIN IS OUT ON LEGAL VISIT
Page 2128 - DOJ-OGR-00025968
Epstein #76318-054 7/29/19 8:00 AM I/M Epstein is still writing 8:15 I/M Epstein is still writing 8:30 AM I/M Epstein is using Bathroom 8:45 I/M lay's on Bed 9:00 AM I/M Epstein is speaking with Psych (b)(6); (b)(7)(C) Psych visit and medical of Log book. 9:30 AM I/M Epstein lay's on Bed with eye's closed Resting 9:45 AM I/M Epstein appears to be sleep 10:00 AM I/M Epstein is still asleep 10:15 AM I/M Epstein is laying on Bed Resting 10:30 AM I/M Epstein is still Resting 10:45 AM I/M Epstein is fast asleep 11:00 AM I/M Epstein is drinking water at Sink 11:15 AM I/M Epstein is sitting on the edge of the Bed with his head in the palm of his hands 11:30 AM I/M Epstein is on his way to a legal visit END OF SHIFT 11:40 AM 3:30 I/M Epstein has returned from his legal visit and is eating 3:45 I/M Epstein and I are talking about his (b)(6); (b)(7)(C) interment options
Page 2129 - DOJ-OGR-00025969
Epstein #76318-054 7/29/19 9:00 Inmate Epstein is talking about his bail 9:15 Inmate Epstein and I are talking investments 9:30 Inmate Epstein is lying down now 9:45 Inmate Epstein is sleeping 10:00 Inmate Epstein is asleep 10:01 Ronald wades 10:15 Inmate Epstein is asleep 10:30 Inmate Epstein remains at rest 10:45 Inmate asleep continuing in slumber 10:55 ENDS T.H. T. 10:45 PM Inmate assumes responsibility for the physical observation of inmate EPSTEIN #76318-054 in cell #4 on 7/29/19 at 10:45 PM 11:00 PM Inmate EPSTEIN is sleeping 11:15 PM Inmate EPSTEIN is sleeping 11:30 PM Inmate EPSTEIN is sleeping 11:45 PM Inmate EPSTEIN is sleeping 12:00 AM Inmate EPSTEIN is sleeping 12:05 AM Staff rounds 12:15 AM Inmate EPSTEIN is sleeping 12:30 AM Inmate EPSTEIN is sleeping
Page 2412 - DOJ-OGR-00026088
Page 2412 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 15:58 Sex: M Race: WHITE Reg #: 76318-054 Provider: [b(6); (b)(7)(C)] MD Facility: NYM Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [b(6); (b)(7)(C)] MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES., HE DENIES DYSURIA. HE REPORTS H OF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASBEEN HERE SINCE HE DIE NOT HAVE ACCESS T HI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Pulmonary/Respiratory, Orthopedic/Rheumatology, Endocrine/I OBJECTIVE: Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic Generated 07/30/2019 16:12 by [b(6); (b)(7)(C)] MD Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026088
Page 2415 - DOJ-OGR-00026091
Page 2415 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/30/2019 11:12 Provider: [redacted] MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 [redacted] MD EXAM: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by [redacted] MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026091
Page 2418 - DOJ-OGR-00026094
Page 2418 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 (b)(6); (b)(7)(C) MD Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026094
Page 2426 - DOJ-OGR-00026102
Page 2426 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/28/2019 06:51 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) RN Facility: NYM Unit: H01 Exam: No: Ecchymosis, Numbness, Swelling, Periorbital Edema Neck General Yes: Abrasion(s) Pulmonary Observation/Inspection Yes: Within Normal Limits No: Respiratory Distress, Tachypnea, Hyperventilation Cardiovascular Observation Yes: Normal Rate Musculoskeletal Shoulder Yes: Full Range of Motion R, Symmetric R No: Swelling R, Inflammation R Humerus Yes: Within Normal Limits R Elbow Yes: Normal Exam R, Full Range of Motion R, Non-Tender on Palpation R Radius / Ulna Yes: Normal Exam R, Full Range of Motion R Wrist/Hand/Fingers Yes: Full Range of Motion R, Non-Tender on Palpation R, Swelling R No: Inflammation R, Ecchymosis R, Erythema R, Tenderness R, Laceration(s) R, Abrasion(s) R, Contusion(s) R ROS Comments: Received inmate AAOX3 in no acute distress, speaking in full sentenced ambulating independently C/O Right arm numbness after waking up from "sleeping on my side" that has since subsided. Inmate interviewed in psyc obs through the slot. V/S noted WNL, RR even and unlabored, no neurological deficits noted, no facial droop slurred speech or dysphagia, Inmate with Full ROM to all extremities with 4/4 strength bilaterally, slight swelling noted to right phalanges when compared to left, no edema, erythema or ecchymosis noted. Denies any pain numbness or tingling at this time. Denies any Chest pain, Headache, Dizziness, SOB or Blurred vision. Eyes PERRLA. MD on Call notified, Re-evaluate this evening or sooner if S/S persist. ASSESSMENT: Alteration in comfort PLAN: Disposition: Follow-up at Sick Call as Needed Notify Medical Duty Officer Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/28/2019 Counseling Plan of Care (b)(6); (b)(7)(C) Verbalizes Understanding Generated 07/28/2019 07:22 (b)(6); (b)(7)(C) RN Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026102
Page 2435 - DOJ-OGR-00026111
Page 2435 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/24/2019 13:08 Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/24/2019 Counseling Access to Care [redacted] Verbalizes Understanding 07/24/2019 Counseling Preventive Health [redacted] Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by [redacted] MLP on 07/24/2019 13:24 Requested to be cosigned by [redacted] MD. Cosign documentation will be displayed on the following page. Generated 07/24/2019 13:24 by [redacted] MLP Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026111
Page 2442 - DOJ-OGR-00026118
Page 2442 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 FASTING. Lab Tests-H-Hep B surface Ab Lab Tests-H-Hep B surface Ag Lab Tests-H-Hep C Ab Lab Tests-H-Hepatic Profile One Time 08/08/2019 00:00 Routine Schedule: Activity Date Scheduled Scheduled Provider Clinical Encounter 66 YR OLD MALE FOR ROUTINE SCREENING. 07/24/2019 00:00 Optometrist Chronic Care Visit 6 MONTH F/U. 01/07/2020 00:00 Mid-Level Provider Chronic Care Visit 07/01/2020 00:00 Physician 01 Other: PENDING EKG AND FOBT. CXR WAS REFUSED. Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/14/2019 Counseling Diagnosis [b)(6); (b)(7)(C) Verbalizes Understanding Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [b)(6); (b)(7)(C) MD on 07/14/2019 18:11 Generated 07/14/2019 18:11 by [b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00026118
Page 2459 - DOJ-OGR-00026135
Page 2459 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/09/2019 12:35 Provider: (b)(6); (b)(7)(C) MLP Facility: NYM Unit: H01 Date Time Inches Cm Weight: Date Time Lbs Kg Waist Circum. Provider 07/09/2019 12:49 NYM 194.4 88.2 (b)(6); (b)(7)(C) MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Date Ed Yrs Occupation Learns Best By Primary Language Barriers to Education 07/09/2019 12 Banker Speaking/Listening English None Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by (b)(6); (b)(7)(C) MLP Bureau of Prisons - NYM Page 7 of 13 DOJ-OGR-00026135
Page 2473 - DOJ-OGR-00026149
Page 2473 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: 07/06/2019 21:39 Location Right Forearm Provider (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:43 EST (b)(6); (b)(7)(C) PA-C Total: 1 Reading: 07/09/2019 12:47 Induration 0 mm Provider (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:47 EST (b)(6); (b)(7)(C) MLP Generated 08/10/2019 11:02 by (b)(6); (b)(7)(C) RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026149
Page 2474 - DOJ-OGR-00026150
Page 2474 76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Ord. Date 07/30/19 14:21 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days Exp. Date 07/31/19 10:01 NYM 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Ord. Date 07/31/19 10:00 Inject regular insulin subcutaneously per sliding scale: each morning for 7 days ***pill line*** Exp. Date 08/07/19 09:59 NYM 122160-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Providers: [b(6); (b)(7)(C)] Documentation Codes: ORD = Order | NI = Dose Not Indicated Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 08/10/2019 11:02 EST DOJ-OGR-00026150
Page 2479 - DOJ-OGR-00026155
Page 2479 Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST [b(6); (b)(7)(C)] PA-C Total: 1 Generated 08/10/2019 11:02 by [b(6); (b)(7)(C)] Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026155
Page 2480 - DOJ-OGR-00026156
Page 2480 Bureau of Prisons Health Services Patient Education Assessments & Topics Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Assessments Assessment Learns Best By Primary Language Years of Education Barriers To Education Provider 07/09/2019 Speaking/Listening English 12 None (b)(6); (b)(7)(C) Total: 1 Topics Date Initiated Format Handout/Topic Outcome Provider 07/30/2019 Counseling Access to Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/30/2019 13:33 EST 07/30/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/30/2019 13:34 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/28/2019 07:22 EST 07/28/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/28/2019 20:30 EST 07/24/2019 Counseling Access to Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST 07/24/2019 Counseling Preventive Health Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/24/2019 13:23 EST 07/23/2019 Counseling Access to Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST 07/23/2019 Counseling Plan of Care Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/23/2019 09:04 EST 07/14/2019 Counseling Diagnosis Verbalizes Understanding (b)(6); (b)(7)(C) Orig Entered: 07/14/2019 18:11 EST 07/12/2019 Counseling Diagnosis Verbalizes Understanding (b)(6); (b)(7)(C) Generated 08/10/2019 11:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026156
Page 2482 - DOJ-OGR-00026158
Page 2482 Bureau of Prisons Health Services Blood Glucose Begin Date: 07/07/2019 End Date: 08/10/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD (Reference Range: Random or Fasting 70 - 100, 2 hour post-prandial 70 - 140) Date Time Value Type Comments 08/04/2019 08:30 NYM 156 Non-Fasting Orig Entered: 08/04/2019 09:08 EST [redacted] RN 08/02/2019 06:30 NYM 97 Non-Fasting Orig Entered: 08/02/2019 08:16 EST [redacted] MLP 08/01/2019 06:30 NYM 103 Non-Fasting Orig Entered: 08/01/2019 09:00 EST [redacted] MLP 07/31/2019 06:15 NYM 108 Non-Fasting Orig Entered: 07/31/2019 08:36 EST [redacted] MLP Total: 4 Generated 08/10/2019 11:02 by [redacted] RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026158
Page 2483 - DOJ-OGR-00026159
Page 2483 Bureau of Prisons Health Services Health Problems Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Description Axis Code Type Code Diag. Date Status Status Date Current Hyperlipidemia, unspecified 07/12/2019 13:48 EST ICD-10 E785 07/12/2019 Current HYPERTRIGLYCERIDEMIA Sleep apnea 07/12/2019 13:56 EST ICD-10 G4730 07/12/2019 Current Essential (primary) hypertension 07/30/2019 13:13 EST ICD-10 I10 07/30/2019 Current BY HX. Constipation, unspecified 07/09/2019 12:58 EST ICD-10 K5900 07/09/2019 Current Low back pain 07/12/2019 13:30 EST ICD-10 M545 07/12/2019 Current Neuralgia and neuritis, unspecified 07/12/2019 13:30 EST ICD-10 M792 07/12/2019 Current No Diagnosis 07/09/2019 10:28 EST I DSM-IV No Dx 07/09/2019 Current Psychologist Prediabetes 07/30/2019 13:26 EST ICD-10 R7303 07/30/2019 Current Injury, unspecified 07/23/2019 09:04 EST ICD-10 T1490 07/23/2019 Current R/O self inflicted injuries. Body mass index (BMI) 27.0-27.9, adult 07/30/2019 13:14 EST ICD-10 Z6827 07/30/2019 Current Total: 10 Generated 08/10/2019 11:02 by RN/IOP/IDC Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026159
Page 2485 - DOJ-OGR-00026161
Page 2485 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Refraction - Distance Sphere Cylinder Axis Add Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST MLP Generated 08/10/2019 11:02 by Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026161
Page 2487 - DOJ-OGR-00026163
Page 2487 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___ meals ___ pill line ___ treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction all sports Exp. Date: weightlifting: ___ upper body ___ lower body Exp. Date: cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: other: Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A (b)(6); (b)(7)(C) MD 07/30/2019 Date Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by (b)(6); (b)(7)(C) Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026163
Page 2488 - DOJ-OGR-00026164
Page 2488 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___ meals ___ pill line ___ treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: Exp. Date: May have the following equipment in his / her possession: Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A MLP 07/09/2019 Date Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 08/10/2019 11:02 by [redacted] Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026164
Page 2543 - DOJ-OGR-00026203
Page 2543 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: [b)(6); (b)(7)(C)] MD Facility: NYM Unit: Z01 Chronic Care - Chronic Care Clinic encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: [b)(6); (b)(7)(C)] MD Chief Complaint: Other Problem Subjective: PATIENT WAS REFERRED BY THE WARDEN FOR EVALUATION. PATIENT REPORTS HE HAS BEEN WITHOUT HIS MEDS FOR ABOUT 1 WEEK. HE ALSO REPORTS NUMBNESS IN HIS RIGHT ARM FOR A FEW MINUTES 3 DAYS AGO. STATES THE NUMBESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES RIGHT SIDED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR SWALLOWING. HE REPORTS NOCTURIA OF ABOUT 5 TIMES., HE DENIES DYSURIA. HE REPORTS HOF KIDNEY STONES, HX OF HTN FOR WHICH HE WAS TAKING TOPROL. HE AHS A HX OF SLEEP APNEA AND STATED HE HAS NOT SLEPT FOR 3 WEEKS ISNCE HE HASB EEN HERE SINCE HE DIE NOT HAVE ACCES S THI CPAP MACHINE. I INFORME DHIM THAT WE RECEIVED HIS CPAP MACHINE AND IT WILL BE GIVEN TO HIM TONIGHT.. HE REPORT OTHER NON-MEDICAL ISSUES. STATES HE FEELS OTHERWISE FINE. Pain: Not Applicable Seen for clinic(s): Endocrine/Lipid, Orhtopedic/Rheumatology, Pulmonary/Respiratory OBJECTIVE: Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/30/2019 13:02 94 [b)(6); (b)(7)(C)] MD 07/30/2019 09:40 88 Via Machine [b)(6); (b)(7)(C)] MD 07/30/2019 09:30 87 Via Machine [b)(6); (b)(7)(C)] MD Respirations: Date Time Rate Per Minute Provider 07/30/2019 09:30 NYM 12 [b)(6); (b)(7)(C)] MD Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing [b)(6); (b)(7)(C)] MD 07/30/2019 09:40 NYM 125/60 Right Arm Standing [b)(6); (b)(7)(C)] MD 07/30/2019 09:30 NYM 108/86 Left Arm Sitting [b)(6); (b)(7)(C)] MD SaO2: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air [b)(6); (b)(7)(C)] MD Weight: Date Time Lbs Kg Waist Circum. Provider Generated 07/30/2019 14:05 by [b)(6); (b)(7)(C)] Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00026203
Page 2544 - DOJ-OGR-00026204
Page 2544 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/30/2019 11:12 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z01 Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 (b)(6); (b)(7)(C) MD Exam: General Affect Yes: Cooperative 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 Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Musculoskeletal Tibia / Fibula No: Edema Neurologic 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 Generated 07/30/2019 14:05 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026204
Page 2561 - DOJ-OGR-00026221
Page 2561 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20 Sex: M Race: WHITE Reg #: 76318-054 Provider: [redacted] Facility: NYM Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: [redacted] Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25 Work Related: No Work Assignment: UNASSG Pain Location: Pain Scale: 0 Pain Qualities: Where Did Injury Happen (Be specific as to location): Special Housing Unit Z05-Cell 124 L Cause of Injury (Inmate's Statement of how injury occurred): [redacted] Symptoms (as reported by inmate): None OBJECTIVE: Temperature: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral [redacted] Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular [redacted] Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 [redacted] Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular [redacted] SaO2: Date Time Value(%) Air Provider 07/23/2019 06:30 NYM 96 Room Air [redacted] Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic, Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09:05 by [redacted] Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026221
Page 2565 - DOJ-OGR-00026225
Page 2565 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/14/2019 17:36 Provider: (b)(6); (b)(7)(C) MD Facility: NYM Unit: Z05 Exam: Eyes General Yes: PERRLA, Extraocular Movements Intact Pulmonary Auscultation Yes: Clear to Auscultation Cardiovascular Auscultation Yes: Regular Rate and Rhythm (RRR), Normal S1 and S2 No: M/R/G Abdomen Auscultation Yes: Normo-Active Bowel Sounds Palpation Yes: Within Normal Limits Musculoskeletal Tibia / Fibula No: Edema Back Yes: Tenderness Neurologic Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam ASSESSMENT: Constipation, unspecified, K5900 - Current Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order Omega 3 (Vascepa) 1 GM Capsule 07/14/2019 17:36 TAKE 2 CAPS Orally - Two Times a Day x 180 day(s) -- TAKE WITH FOOD. Indication: Hyperlipidemia, unspecified New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin A1C One Time 10/10/2019 00:00 Routine Lab Tests-L-Lipid Profile Additional Information: Generated 07/14/2019 18:11 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026225
Page 2589 - DOJ-OGR-00026249
Page 2589 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054 Encounter Date: 07/09/2019 12:35 Provider: [redacted] MLP Facility: NYM Unit: H01 Date Time Inches Cm Provider Weight: Date Time Lbs Kg Waist Circum. Provider 07/09/2019 12:49 NYM 194.4 88.2 [redacted] MLP Prosthetic Devices/Equipment: Denied Tobacco Usage: Denied General Social History: Foreign Travel: Born in USA: Yes Country of Birth: USA Patient Education Assessments: Date Ed Yrs Occupation Learns Best By Primary Language Barriers to Education 07/09/2019 12 Banker Speaking/Listening English None Family History - Father: Age at Death: 74 Cause of Death: Diabetes complications Significant Illnesses: Diabetes Heart Disease Comments: Family History - Mother: Age at Death: 81 Cause of Death: Kidney Failure Significant Illnesses: Heart Disease Comments: Family History - Sibling: Number of Siblings: 1 Significant Illnesses: Comments: Past Hospitalization: Reason Location When Acute Appendicitis Mount Sinai Hospital 1990 Complications: None Comments: Head: Normal: Yes Comments: Generated 07/09/2019 13:03 by [redacted] MLP Bureau of Prisons - NYM Page 7 of 13 DOJ-OGR-00026249
Page 2598 - DOJ-OGR-00026258
Page 2598 Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time Rate Per Minute Provider Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21:43 NYM 15 (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/30/2019 13:02 NYM 114/84 Left Arm Standing (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 13:04 EST (b)(6); (b)(7)(C) MD 07/30/2019 09:40 NYM 125/60 Right Arm Standing (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 13:04 EST (b)(6); (b)(7)(C) MD 07/30/2019 09:30 NYM 108/86 Left Arm Sitting (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 12:59 EST (b)(6); (b)(7)(C) MD 07/28/2019 20:28 NYM 157/91 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 20:29 EST (b)(6); (b)(7)(C) RN 07/28/2019 06:57 NYM 138/80 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 06:58 EST (b)(6); (b)(7)(C) RN 07/24/2019 13:12 NYM 132/89 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) MLP Orig Entered: 07/24/2019 13:14 EST (b)(6); (b)(7)(C) MLP 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) MLP Orig Entered: 07/23/2019 08:33 EST (b)(6); (b)(7)(C) MLP 07/09/2019 12:49 NYM 117/66 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21:45 NYM 164/90 Right Arm Sitting Adult-regular (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C 07/06/2019 21:43 NYM 155/83 Left Arm Sitting Adult-regular (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C SaO2: Date Time Value(%) Air Provider 07/30/2019 09:30 NYM 98 Room Air (b)(6); (b)(7)(C) MD Orig Entered: 07/30/2019 12:59 EST (b)(6); (b)(7)(C) MD 07/28/2019 20:28 NYM 98 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 20:29 EST (b)(6); (b)(7)(C) RN 07/28/2019 06:57 NYM 98 (b)(6); (b)(7)(C) RN Orig Entered: 07/28/2019 06:58 EST (b)(6); (b)(7)(C) RN 07/24/2019 13:12 NYM 96 Room Air (b)(6); (b)(7)(C) MLP Orig Entered: 07/24/2019 13:14 EST (b)(6); (b)(7)(C) MLP 07/23/2019 06:30 NYM 96 Room Air (b)(6); (b)(7)(C) MLP Orig Entered: 07/23/2019 08:33 EST (b)(6); (b)(7)(C) MLP 07/09/2019 12:49 NYM 97 Room Air (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST (b)(6); (b)(7)(C) MLP 07/06/2019 21:43 NYM 95 Room Air (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST (b)(6); (b)(7)(C) PA-C Height: Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Bureau of Prisons - NYM Page 2 of 3 DOJ-OGR-00026258
Page 2599 - DOJ-OGR-00026259
Page 2599 Begin Date: 07/02/2019 End Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Date Time Inches Cm Provider 07/09/2019 12:49 NYM 70.0 177.8 b(6); b(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST b(6); b(7)(C) 07/06/2019 21:43 NYM 72.0 182.9 b(6); b(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST b(6); b(7)(C) Weight: Date Time Lbs Kg Waist Circum. Provider 07/30/2019 09:30 NYM 194.2 88.1 b(6); b(7)(C) MD Orig Entered: 07/30/2019 12:59 EST b(6); b(7)(C) 07/09/2019 12:49 NYM 194.4 88.2 b(6); b(7)(C) MLP Orig Entered: 07/09/2019 12:51 EST b(6); b(7)(C) 07/06/2019 21:43 NYM 200.0 90.7 b(6); b(7)(C) PA-C Orig Entered: 07/06/2019 21:48 EST b(6); b(7)(C) Generated 07/30/2019 15:33 b(6); b(7)(C) FOIA Bureau of Prisons - NYM Page 3 of 3 DOJ-OGR-00026259
Page 2600 - DOJ-OGR-00026260
Page 2600 Bureau of Prisons Health Services PPDs Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Admin: 07/06/2019 21:39 Location Right Forearm Provider (b)(6); (b)(7)(C) PA-C Orig Entered: 07/06/2019 21:43 EST (b)(6); (b)(7)(C) PA-C Total: 1 Reading: 07/09/2019 12:47 Induration 0 mm Provider (b)(6); (b)(7)(C) MLP Orig Entered: 07/09/2019 12:47 EST (b)(6); (b)(7)(C) MLP Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Coordinator Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026260
Page 2601 - DOJ-OGR-00026261
Page 2601 76318-054 EPSTEIN, JEFFREY Medication Orders Medication Administration Record JULY 2019 Ord. Date 07/30/19 14:21 Exp. Date 08/06/19 14:20 (b)(6) (b)(7)(C) MD Time 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 PRN Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days NYM 122148- NYM Insulin Reg (10 ML) 100 UNITS/ML Inj Providers: Documentation Codes: ORD = Order Registration #: 76318-054 Pt. Name: EPSTEIN, JEFFREY DOB: 01/20/53 Report information is current as of the date and time of printing: 07/30/2019 15:33 EST DOJ-OGR-00026261
Page 2602 - DOJ-OGR-00026262
Page 2602 Bureau of Prisons Health Services Devices and Equipment Start Date: 07/02/2019 Stop Date: 07/30/2019 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Device/Equipment Start Date Stop Date Date Returned Obtained From Comments C-Pap 07/30/2019 14:05 EST [b)(6); (b)(7)(C) MD 07/30/2019 Personal PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Total: 1 Generated 07/30/2019 15:33 by [b)(6); (b)(7)(C) OIA Coordinator Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026262
Page 2605 - DOJ-OGR-00026265
Page 2605 Bureau of Prisons Health Services Allergies Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Allergy Date Noted Reaction No Known Allergies 07/06/2019 Orig Entered: 07/06/2019 21:40 EST [redacted] PA-C Total: 1 Generated 07/30/2019 15:33 by [redacted] FOIA Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026265
Page 2607 - DOJ-OGR-00026267
Page 2607 Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Topics Date Initiated Format Handout/Topic Outcome Provider Orig Entered: 07/12/2019 13:33 EST (b)(6); (b)(7)(C) Total: 10 Generated 07/30/2019 15:33 (b)(6); (b)(7)(C) FOIA Coordinator Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00026267
Page 2609 - DOJ-OGR-00026269
Page 2609 Bureau of Prisons Health Services Vision Screens Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Vision Screen on 07/09/2019 12:52 Blindness: Distance Vision: OD: 20/100 OS: 20/70 OU: Near Vision: OD: OS: OU: With Corrective Distance Vision: OD: OS: OU: Near Vision: OD: OS: OU: Present Glasses - Distance Sphere Cylinder Axis Add Refraction - Distance Sphere Cylinder Axis Add R: R: L: L: Color Test: Tonometry: R: L: Comments: Needs evaluation with optometrist. Orig Entered: 07/09/2019 12:54 EST (b)(6); (b)(7)(C) MLP Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026269
Page 2611 - DOJ-OGR-00026271
Page 2611 Bureau of Prisons Health Services Medical Duty Status Reg #: 76318-054 Inmate Name: EPSTEIN, JEFFREY EDWARD Housing Status ___ confined to the living quarters except ___ meals ___ pill line ___ treatments Exp. Date: ___ on complete bed rest: ___ bathroom privileges only Exp. Date: X cell: ___ cell on first floor ___ single cell X lower bunk ___ airborne infection isolation Exp. Date: 10/09/2019 ___ other: ___ Exp. Date: Physical Limitation/Restriction ___ all sports Exp. Date: ___ weightlifting: ___ upper body ___ lower body Exp. Date: ___ cardiovascular exercise: ___ running ___ jogging ___ walking ___ softball ___ football ___ basketball ___ handball ___ stationary equipment Exp. Date: ___ other: ___ Exp. Date: May have the following equipment in his / her possession: Equipment Start Date End Date Return Date C-Pap 07/30/2019 PHILIPS RESPIRONICS SYSTEM ONE CPAP MACHINE. SERIAL #: P11312813B1ED. Work Restriction / Limitation: Cleared for Food Service: Yes X No Restrictions Comments: N/A (b)(6); (b)(7)(C) MD 07/30/2019 Health Services Staff Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Quarters: Z04 ALL EXPIRATION DATES ARE AT 24:00 Generated 07/30/2019 15:33 by (b)(6); (b)(7)(C) FOIA Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026271
Page 2615 - DOJ-OGR-00026275
Page 2615 Bureau of Prisons Health Services Dental Health History Screen Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/26/2019 07:54 Sex: M Race: WHITE Reg #: 76318-054 Facility: NYM Provider: (b)(6); (b)(7)(C) DDS Unit: H01 ASSESSMENTS: Health Problems as of Dental Health History Encounter date: 07/26/2019 07:54 Health Problems Health Problem Status Hyperlipidemia, unspecified HYPERTRIGLYCERIDEMIA Current Sleep apnea Current Constipation, unspecified Current Low back pain Current Neuralgia and neuritis, unspecified Current No Diagnosis Current Injury, unspecified R/O self inflicted injuries. Current Medical History as of Dental Health History Encounter date: 07/26/2019 07:54 Medical History: Allergies: Denied Seizures: Denied Diabetes: Denied Cardiovascular: Denied CVA: Denied Hypertension: Denied Respiratory: Denied Sickle Cell Anemia: Denied Carcinoma/Lymphoma: Denied HIV History: When Tested: 2019 Test Result: Negative When Diagnosed AIDS: Last CD4: Comments: Hepatitis: Denied Generated 07/26/2019 07:59 by (b)(6); (b)(7)(C) DDS Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00026275
Page 2626 - DOJ-OGR-00026286
Page 2626 Bureau of Prisons Psychology Services **SENSITIVE BUT UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Date: 07/27/2019 07:14 Provider: [b(6); (b)(7)(C) PsyD Reg #: 76318-054 Unit Team: 5 Focus of Session He was seen by writer while he was on Psych Observation. Subjective/Objective Presentation The "Eating/Shower Chart" indicated yesterday he ate dinner, drank liquids, and took a shower when offered. The Psych Observation Log noted he brushed his teeth, went to a Legal visit, talked about business and investing to an Inmate Companion, ate, and [redacted]. [b(7)(A)] stated that for the 5 days before that he had only slept about 30 minutes each night because of noise in SHU. [b(7)(A)] [b(7)(A)] He said he has an appetite and is eating. He said he is waking up every 1 1/2 hours. He stated he feels dehydrated because he is not drinking enough water because he stated he feels he is not given enough bathroom breaks while with his Attorney. Medical was e-mailed with his complaint of feeling dehydrated. He said his Lawyers and friends are all emotionally supportive. Current Mental Status: He exhibited a neutral mood with a mildly full range of affect. His speech was logical and coherent, with no loosening of associations or tangential, circumstantial or irrelevant speech. Auditory and visual hallucinations were denied, and delusions were not elicited. He did not engage in any bizarre or inappropriate behavior. He denied current suicidal or self harm ideation. He stated "I'm a coward." He added he does not like pain and even does not like when he has to give blood. He agreed to immediately tell staff and Inmate Companions if he starts to have suicidal or self harm thoughts. He was future oriented. He does not appear to be an immediate danger to self. He denied thoughts of hurting others and he agreed to tell staff and Inmate Companions if he has these thoughts. Intervention(s) Supportive and educative interventions were provided. He was given Turning Point's handouts on stress management, sleep, and building a routine in SHU. He stated he wants it noted in his chart that he is being given a pamphlet on sleep, but that is not going to help because of the noise in SHU that prevents him from sleeping. Progress/Plan He will remain on Psych Observation in an abundance of caution and pending housing arrangements to be made on Monday. While on Psych Observation, he will be seen daily by Psychology. Completed by [b(6); (b)(7)(C)] PsyD on 07/27/2019 08:16 Generated 07/27/2019 08:16 by [b(6); (b)(7)(C)] PsyD Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026286
Page 2630 - DOJ-OGR-00026290
Page 2630 Bureau of Prisons Psychology Services **SENSITIVE But UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/26/2019 09:09 Provider: [b(6); (b)(7)(C)] Unit Team: 5 PhD/Chief Focus of Session Inmate Epstein was seen while on psychological observation in our hospital area. Subjective/Objective Presentation Prior to this writer's contact with him, Inmate Epstein showered and dressed himself for his legal visit today. He was smiling and did crack some jokes during the interview. He did elucidate some complaints and suggested being disappointed with this writer as he wants "to trust me and for me to trust him." He stated he remains unhappy with legal visiting procedures as he cannot go to the bathroom as frequently as he would like to since he has a "weak bladder." Inmate Epstein also reported since coming to the psychological observation area, he has felt constipated and needs his Colace. He had self-carry Colace in SHU, but since coming to the observation area, he has not had his medication. This writer immediately notified medical and his pills were being processed during the interview. Inmate Epstein also continues to complain about the conditions of SHU confinement (i.e., feeling punished, smells, noise, and restrictions). [b(7)(A)] [b(7)(A)] symptoms of any cognitive disorder, seizure disorder, psychotic disorder, or dissociative disorder at this time or in the past. Inmate Epstein denied any current suicidal ideation, intention, or plan. He reported wanting to be alive to fight his legal case and go back and live life. He referred to himself as "a coward" and "I'm Jewish." He said he is not the type who likes pain or would ever attempt to harm himself. While on psychological observation, inmate Epstein has been eating his meals, sleeping and interacting with the inmate companions. He is in legal visiting the majority of the day and in the evenings. His log book and eating/shower chart reflect the same. He has been speaking to inmate companions about investment strategies and about prison adjustment. Correctional Staff report during his legal visits, he is interacting with his attorney, animated, laughing, and joking. Intervention(s) Inmate Epstein was provided with supportive and coping skills interventions today. He was receptive to them, but mostly wanted to express his complaints about his current prison confinement status and needs. He wanted this writer to address them. Progress/Plan Inmate Epstein will remain on psychological observation in an abundance of caution and pending housing arrangements to be made on Monday. [b(7)(A)] [b(7)(A)] Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/26/2019 10:05 Generated 07/26/2019 10:05 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026290
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Page 2640 Bureau of Prisons Psychology Services **SENSITIVE But UNCLASSIFIED** Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/16/2019 12:48 Provider: [b(6); (b)(7)(C)] PhD/Chief Unit Team: A&O Focus of Session Inmate Epstein called for this writer in attorney conference today. The officer in attorney conference notified this writer that he was asking to be seen. Subjective/Objective Presentation Inmate Epstein reported he has not received a spoon or soap in SHU, nor did he receive the phone calls that were "promised to him." He told this writer we need to have mutual trust that his needs are met in the prison. This writer told inmate Epstein that she would address his concerns. On the way out, a staff member told this writer she witnessed inmate Epstein receive two phone calls from the Lt. Nonetheless, this writer informed the SHU lieutenant of his concerns and he said he would ensure that he had soap, a spoon, and his initial SHU phone call. Inmate Epstein did not have any psychological concerns today. He denied any mental health symptoms or suicidality. He has been eating as best as he can and has requested a Kosher diet. Intervention(s) Inmate EPSTEIN was provided with brief supportive and psychoeducation regarding additional coping strategies. Inmate EPSTEIN was receptive to these interventions. He continued with his legal visit. Progress/Plan Inmate EPSTEIN was educated about both routine and emergency procedures for contacting Psychology staff. He was reminded of the self-help books and audiotapes available through the Psychology department. There appears to be no need for follow up at this time. He will be seen in SHU for rounds and monthly SHU reviews. Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/18/2019 13:05 Generated 07/18/2019 13:05 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026296
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Page 2643 Bureau of Prisons Psychology Services Clinical Intervention - Clinical Contact Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/10/2019 08:38 Sex: M Facility: NYM Reg #: 76318-054 Provider: [b(6); (b)(7)(C)] PhD/Chief Unit Team: A&O Focus of Session Inmate Epstein was seen today for a psychological observation contact in the hospital area by this writer. Subjective/Objective Presentation Inmate Epstein appeared well and it was noted in his log book and eating/sleeping chart that he has been eating his meals, sleeping, interacting with the inmate companions, and pacing in his cell. Today, he presented this writer with numerous concerns and requests. He stated he does not want to be housed in the SHU because he is not comfortable there; he wants to be single-celled if he goes to the SHU; he wants Colace, not the Ducolax he received from medical yesterday; he wants to be able to walk around and go to recreation; he does not want to wear an orange uniform to his legal visits because he is treated "like a punished inmate"; he wants a phone call before he leaves the psychological observation area; he wants a shower and towel; he would like to be housed in the cadre (5S) unit; and would like his property, paper, and a pen. Inmate Epstein's concerns were addressed by this writer and it was explained to him he will not be single-celled or placed in a housing unit for safety and security concerns. His medical concerns (constipation) were discussed with health services as well as his desire to be placed on Colace. Inmate Epstein was provided a shower this morning. Intervention(s) Inmate Epstein was provided with supportive intervention and coping skills strategies today. He was receptive to interventions and was able to elucidate his various needs. He did not present with any acute psychopathology and continues to deny any suicidal ideation, intention, or plan. He is looking forward to his bail hearing on Monday but stated he is aware that even if he gets bail, it will take at least two weeks to sort things out so he can leave the jail. Progress/Plan Inmate Epstein is not in any psychological distress, does not present with any mental health symptoms or complaints, and is denying any suicidality. He appears psychologically stable at this time and can be released from the psychological observation area. Inmate Epstein will be housed in the 9S area with a cellmate. He will be seen again tomorrow by psychology to evaluate his mental status and psychological stability. Completed by [b(6); (b)(7)(C)] PhD/Chief Psychologist on 07/10/2019 09:09 Generated 07/10/2019 09:09 by [b(6); (b)(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026299
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Page 2644 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026300
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Page 2646 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/09/2019 10:13 Sex: M Facility: NYM Provider: [b(6); b(7)(C)] PhD/Chief Reg #: 76318-054 Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen by this writer for suicide risk assessment today, 7/9/19 at 7:30 a.m. for precautionary reasons. He returned from court yesterday evening. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had a court proceeding yesterday which could have given him bad news regarding his legal situation. Inmate Epstein returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment in order to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and denied any history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by [b(6); b(7)(C)] PhD/Chief Psychologist on 07/09/2019 10:40 Generated 07/09/2019 10:40 by [b(6); b(7)(C)] PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026302
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Page 2647 Bureau of Prisons Psychology Services Diagnostic and Care Level Formulation **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Facility: NYM Reg #: 76318-054 Date: 07/09/2019 10:13 Provider: (b)(6); (b)(7)(C) PhD/Chief Unit Team: A&O Relevant Historical Information Inmate Epstein is a 66-year-old Caucasian male, currently incarcerated on sex trafficking charges. He denied any history of mental health treatment, either on an inpatient or outpatient basis. Inmate Epstein denied any treatment in the past or present with psychotropic medication. He also denied any acute mental health symptoms at this time. Inmate Epstein denied any past or present suicidal ideation, intention or plan. He denied ever engaging in any suicide attempts or self-injurious behavior in the past. Inmate Epstein denied any alcohol or substance abuse. He said it is well-known that he does not even drink alcohol. Presenting Problem/Symptom Inmate Epstein was seen for suicide risk assessment today for precautionary reasons. He did not mark any mental health items or symptoms on his Psychology Questionnaire (PSIQ) when he entered the institution. Nonetheless, Inmate Epstein has various risk factors for suicidality including a high profile case with media attention, sex offense/trafficking charges, pre-trial status, and he had court proceedings yesterday which could have given him bad news regarding his legal situation. Inmate Epstein was returned from court after duty hours yesterday evening and staff notified the on-call psychologist. Inmate Epstein was placed on a precautionary psychological observation status until psychology could interview him this morning to conduct a formal suicide risk assessment to determine whether he is currently at-risk for suicidality. Diagnostic Formulation Inmate Epstein has no history of mental health problems and does not exhibit suicidality at this time. He has never received inpatient or outpatient mental health treatment and has no history of suicidality. Currently, he does not exhibit any acute psychopathology, is currently psychologically stable and is in no psychological distress. As such, he is being classified as a CCT1-MH inmate at this time. CARE1-MH is indicative of an inmate who either has no identifiable mental illness (Axis I "No Diagnosis") or is mildly ill and requires clinical intervention on an as-needed basis. Care Level Formulation CARE1-MH is indicative of an inmate who shows no significant level of functional impairment associated with a mental illness and demonstrates no need for regular mental health intervention. Diagnosis: No Diagnosis, No Dx - Current Completed by (b)(6); (b)(7)(C) PhD/Chief Psychologist on 07/09/2019 10:32 Generated 07/09/2019 10:32 by (b)(6); (b)(7)(C) PhD/Chief Bureau of Prisons - NYM Page 1 of 1 DOJ-OGR-00026303
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Page 2659 Bureau of Prisons Psychology Services Risk of Sexual Abusiveness **SENSITIVE BUT UNCLASSIFIED** Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Date: 07/08/2019 09:35 Sex: M Facility: NYM Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) Unit Team: A&O PsyD/PhD Comments Risk of Sexual Abusiveness During the intake screening process, for Inmate Epstein, based on the documentation available at the time of the screening, and Inmate Epstein's self-report, he was identified as being at risk for sexual abusiveness due to previous perpetration of sexual abuse in the community or in an institutional setting, as evidenced by the following objective criteria: ( ) Having a history of prior institutional violence or sexual abuse perpetration (X) Having a history of prior sexual abuse perpetration in the community (X) Having prior convictions of violent offenses As required by P5324.11, Sexually Abusive Behavior Prevention and Intervention, Inmate Epstein was seen by Psychology on today's date to assess his risk factors for sexual abusiveness. At the onset of this clinical contact, the inmate was informed about the BOP requirements regarding PREA. Inmate Epstein indicated he understands the institution's policy against engaging in sexual behavior. His risk factors for sexual abusiveness were assessed and include: ( ) History of prior sexual victimization in prison (X) History of prior prison sexual predation ( ) History of head injury with loss of consciousness ( ) History of childhood psychological, physical, sexual abuse ( ) Witnessed family violence ( ) Antisocial Personality Disorder traits of irritability/aggressiveness and recklessness ( ) Hypersexuality (defined by eight or more orgasms a week prior to prison) ( ) Hypermasculinity ( ) Other: Based on this clinical assessment, the inmate is considered to be at: (X) Low Risk of Abusiveness at this facility (Note: Even though this inmate is judged to be at low risk of sexual abusiveness, an unforeseen change in risk factors may significantly alter his risk level.). Programming recommendations included sex offender treatment. Inmate Epstein declined programming recommendations. The inmate understands the procedure for contacting Psychology for routine or emergent services. ( ) Moderate Risk of Abusiveness. The Unit Team and Correctional Staff have been notified regarding Psychology staff's recommendation that he not be housed in a cell with any inmates identified as at increased risk for sexual victimization. Psychology also recommends a greater level of supervision regarding his work and education assignments. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. ( ) High Risk of Abusiveness. It is recommended this inmate be housed in the Special Housing Unit in accordance with P5324.11 to "keep separate those inmates at high risk of being sexually victimized from those at high risk of being sexually abusive" until Correctional Services and Correctional Programs staff can assess his appropriateness for general population at this facility. This inmate should not be housed with any inmates judged to be at an increased risk for sexual victimization. Programming recommendations include XXXX. Inmate =InmateLastName is agreeable to/ declined programming recommendations. Generated 07/08/2019 09:41 by (b)(6); (b)(7)(C) PsyD/PhD Bureau of Prisons - NYM Page 1 of 2 DOJ-OGR-00026315
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Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 From NYM/Exec Assistant~ (b)(6), (b)(7)(C) Charisma Edge, (b)(6), (b)(7)(C) Lamine N'Diaye, Lee Plourde, NYM/Executive Staff, Shirley V. Skipper-Scott, (b)(6), (b)(7)(C) To Date 2019/07/31 06:33 Subject: Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 Attachments: TEXT.htm, IMAGE.png, IMAGE.png, Epstein_Letter_VI.pdf, Mime.822 >>> (b)(6), (b)(7)(C) @morgan.edu> 7/30/2019 4:01 PM >>> July 30, 2019 Mr. Jeffrey Edward Epstein Register Number: 76318-054 Age 66, White Male MCC New York Metropolitan Correctional Center Email: NYM/ExecAssistant@bop.gov Phone: 646-836-6300 Fax: 646-836-7751 150 Park Row New York City, NY 10007 Dear Mr. Epstein, You called me circa August 2017 and you and I had a Skype call with my Ph.D. student, (b)(6), (b)(7)(C) in December 2017. EDUCATION Scientist Of The Year: Dr. S. Allen Counter, (l) director of the Harvard Foundation of Harvard University, and Dr. Benedict H. Gross (r), dean of Harvard College and Leverett Professor of Mathematics, present the Harvard Foundation "2004 Scientist of the Year Award" to noted mathematician Professor Dr. Jonathan David Farley. Farley is currently a visiting professor of applied mathematics at the Massachusetts Institute of Technology. He graduated summa cum laude from Harvard College with straight A's in mathematics and later earned a Ph.D. in mathematics from Oxford University. "Jonathan Farley is one of the Page 3197 DOJ-OGR-00023811
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Epstein 76318-054 7-9-2019 14:15 AM I/M Epstein is pacing his cell 14:30 AM I/M Epstein is pacing his cell 4:45 AM I/M Epstein is sitting up 5:00 AM I/M Epstein is ready for breakfast 5:00 AM I/M Epstein is laying down 5:30 AM I/M Epstein is laying down 5:45 AM I/M Epstein is laying down 6:00 AM I/M Epstein is laying down 6:15 AM I/M Epstein is laying down 6:30 AM I/M Epstein is laying down 6:45 AM I/M Epstein is ready for breakfast 7:00 AM Shift ends 7:00 AM Staff New York Staff Psych visit + review of the 7:09 AM 7:15 AM Interview 2:30 AM Interview 2:45 AM Interview 8:00 AM I/M Epstein is sitting down on cell bed 8:15 AM I/M Epstein is pacing his cell 8:20 AM I/M Epstein is going for visit 8:30 AM I/M Epstein is on visit
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Epstein #76318-054 8:45 AM I/M Epstein still out 9:00 AM I/M Epstein still out 9:15 I/M still out 9:30 AM I/M Epstein still out 9:45 I/M Epstein still out 10:00 AM I/M Epstein still out 10:15 AM I/M Epstein still out 10:30 I/M Epstein still out 10:45 I/M Epstein still out 11:00 I/M Epstein still out 11:15 AM I/M Epstein still out 11:25 Inmate companion for Inmate Epstein #76318-054 whom which Assures responsibility 11:30 AM IS still out 11:45 AM Inmate Epkind is still out 12:00 PM Inmate Epstein just came back 12:15 PM Inmate Epstein is eating lunch 12:30 PM Inmate Epstein was just taken to see Doctor 12:45 PM Inmate Epstein is still out 1:00 PM Inmate Epstein is still out of cell to Doctor 1:15 PM Inmate Epstein is still out to Doctor 1:19 PM Inmate Epstein has returned 1:30 PM Inmate Epstein talking to keep
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Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 From NYM/Exec Assistant~ (b)(6), (b)(7)(C) Charisma Edge (b)(6), (b)(7)(C) To Lamine N'Diaye, Lee Plourde, NYM/Executive Staff, Shirley V. Skipper-Scott, (b)(6), (b)(7)(C) Date 2019/07/31 06:33 Subject: Fwd: for Mr. Jeffrey Edward Epstein, Register Number: 76318-054 Attachments: TEXT.htm, IMAGE.png, IMAGE.png, Epstein_Letter_VI.pdf, Mime.822 >>> (b)(6), (b)(7)(C) @morgan.edu> 7/30/2019 4:01 PM >>> July 30, 2019 Mr. Jeffrey Edward Epstein Register Number: 76318-054 Age 66, White Male MCC New York Metropolitan Correctional Center Email: NYM/ExecAssistant@bop.gov Phone: 646-836-6300 Fax: 646-836-7751 150 Park Row New York City, NY 10007 Dear Mr. Epstein, You called me circa August 2017 and you and I had a Skype call with my Ph.D. student, (b)(6), (b)(7)(C) , in December 2017. Page 3261 DOJ-OGR-00023819
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EPSTEIN # 76318-054 19:00 Jim Epstein arrives from Lewis visit 19:15 Jim Epstein receives from C/O 19:30 Jim Epstein inquires about BOP policy incl plane usage and visits 20:00 Jim Epstein is eating 20:15 ROACH makes 1-1/e. 20:30 Jim Epstein is talking about Business 20:45 Jim Epstein is lying down 21:00 Jim Epstein is talking about Business + investing 21:15 Jim Epstein is discussing Business + life lessons 21:30 Jim Epstein appears to be lying down 21:45 Jim Epstein appears to be sleeping 21:50 C/O ROUNDS 22:00 Jim Epstein appears to be sleeping 22:15 Jim Epstein appears to be sleeping 22:30 Jim Epstein asks for time, uses the toilet + brushes his teeth 22:45 Jim Epstein returns to lying down 23:00 Jim Epstein appears to be sleeping 23:15 Jim Epstein appears to be sleeping 23:30 Jim Epstein appears to be sleeping 23:45 Jim Epstein appears to be sleeping 0:00 Jim Epstein appears to be sleeping
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Page 3271 Epstein #76318-054 7/27/19 3:45 am I/M epstein is sleeping 4:00 am I/M epstein is sleeping 4:15 am I/M epstein is sleeping 4:30 am I/M epstein is sleeping 4:45 am I/M epstein is sleeping 5:00 am I/M epstein is sleeping 5:15 am I/M epstein is sleeping 5:30 am I/M epstein is sleeping 5:45 am I/M epstein is sleeping 6:00 am I/M epstein is sleeping 6:15 am I/M epstein is sleeping 6:30 am I/M epstein is sleeping 6:45 am I/M epstein is sleeping 6:50 am Dr [redacted] to review lights in tier Mr [redacted] 7:00 AM I/M [redacted] ASSUMES RESPONSIBILITY OF EPSTEIN #76318-054 IN CELL #4 ON PSYCH WATCH ON 7-27-19 7:15 AM I/M EPSTEIN ASKS FOR TOILET TISSUE AND TOOTH PASTE WHICH WAS FOUND IN THE SUPPLY CLOSET 7:30 AM I/M EPSTEIN SITS ON BED USES TISSUE ON BREAKFAST 7:45 AM I/M EPSTEIN SITS ON BED
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Page 3274 Epstein # 76318-054 7/28/19 3:15 AM 1/M [redacted] assuming responsibility for Epstein # 76318-054 Begin shift 3:30 AM 1/M Epstein is sleeping 3:45 AM 1/M Epstein is sleeping 4:00 AM 1/M Epstein is sleeping 4:15 AM 1/M Epstein is sleeping 4:30 AM 1/M Epsteins is sleeping 4:45 AM 1/M Epsteins is sleeping 5:00 AM 1/M epstein is sleeping 5:15 AM 1/M Epstein is sleeping 5:30 AM 1/M Epstein is sleeping 5:45 AM 1/M Epstein is sleeping 6:00 AM 1/M Epstein is sleeping 6:15 AM 1/M Epstein is awake and say call doctor 6:30 AM 1/M Epstein is sitting on the bed 6:45 AM 1/M Epstein is sitting on the bed 7:00 AM [redacted] end shift 6:45 AM Dr [redacted] to remain with inmate 7:15 AM 1/M Epstein is sitting on the bed 7:30 AM 1/M Epstein is sitting on the bed 7:45 AM 1/M Epstein is taken breakfast 8:00 AM 1/M Epstein is stand and walk
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Epstein # 76318-054 7/29/19 8:00 AM I/M Epstein is still writing 8:15 I/M Epstein is still writing 8:30 AM I/M Epstein is using Bathroom 8:45 I/M lay's on Bed 9:00 AM I/M Epstein is speaking with Psych- Dr. (b)(6); (b)(7)(C) Psych visit and medical log book. 9:30 AM I/M Epstein lay's on Bed with eye's closed Resting 9:45 AM I/M Epstein appears to be sleep 10:00 AM I/M Epstein is still asleep 10:15 AM I/M Epstein is laying on Bed Resting 10:30 AM I/M Epstein is still Resting 10:45 AM I/M Epstein is fast asleep 11:00 AM I/M Epstein is Drinking water at Sink 11:15 AM I/M Epstein is Sitting on the edge of the Bed with his head in the palm of his hands 11:30 AM I/M Epstein is on his way to a legal visit 11:40 AM END OF SHIFT 3:30 I/M Epstein has returned from his legal visit was and is eating 3:45 I/M Epstein and I are talking about his (b)(6); (b)(7)(C) entertainment options
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Epstein #76318-054 Medical/Mental Health Records From [b)(6), (b)(7)(C)] To [b)(6), (b)(7)(C)] Date 2019/08/23 09:15 Subject: Epstein #76318-054 Medical/Mental Health Records Attachments: TEXT.htm, Certification of Identify Form.pdf Good morning [b)(6), (b)(7)(C)] I spoke with folks here and confirmed we can proceed under our usual procedure for releasing medical/psych records to defense counsel. Accordingly, please send me a cover letter confirming you're defense counsel of record, the attached certification of identity, and a Rule 17 subpoena (no need to be so-ordered; a clerk's subpoena is fine). Normally we would require a HIPAA release as well, but privacy rights don't survive death in this context. Once I receive the certification, letter, and subpoena,, I will have the USAO's Civil Division authorize the records release as wall counsel pursuant to United States ex rel. Touhy v. Regan, 340 U.S. 462 (1951) and the associated regulations. Please let me know if you have any questions/concerns. Thank you, [b)(6), (b)(7)(C)] Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, NY 10007 p: 646-836-[b)(6), (b)(7)(C)] f: 646-836-[redacted] Page 7034 DOJ-OGR-00024420
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EPSTEIN, Jeffrey, reg. no. 76318-054 From Adam Johnson (b)(6), (b)(7)(C) Charisma Edge, (b)(6) (b)(7)(C) To (b)(6), (b)(7)(C) Date 2019/07/30 07:48 Subject: EPSTEIN, Jeffrey, reg. no. 76318-054 Attachments: TEXT.htm Good morning all, The above inmate's attorneys have recently alleged he is not receiving cholesterol or back pain medication. Please see him for these and other complaints. Thank you, (b)(6), (b)(7)(C) Supervisory Staff Attorney CLC New York Metropolitan Correctional Center 150 Park Row New York, New York 10007 p. (646)836(b)(6)/(b)(7)(C) f. (646)836-7665 Page 12248 DOJ-OGR-00023944