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Document DOJ-OGR-00024095

AI Analysis

Summary: This medical record documents a medical examination of Jeffrey Epstein on July 30, 2019, noting his various health conditions, including prediabetes, hypertension, and sleep apnea, and includes new and discontinued medication orders.
Significance: This document provides insight into Jeffrey Epstein's medical condition and treatment while in custody, potentially relevant to investigations or lawsuits related to his health and death.
Key Topics: Medical examination of Jeffrey Epstein Medication orders for prediabetes Health conditions of Jeffrey Epstein
Key People:
  • Jeffrey Epstein - Inmate being examined and treated
  • [redacted] MD - Medical provider examining and treating Jeffrey Epstein
Document Type
Medical Record
Date
July 30, 2019
Pages
1
Folder
IMAGES009

Full Text

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: [redacted] MD Facility: NYM Unit: Z01 Exam: Cranial Nerves (CN) Yes: Within Normal Limits Motor System-General Yes: Normal Exam Motor System-Strength Yes: Normal Muscular Strength ASSESSMENT: Body mass index (BMI) 27.0-27.9, adult, Z6827 - Current Constipation, unspecified, K5900 - Current Essential (primary) hypertension, I10 - Current - BY HX. Hyperlipidemia, unspecified, E785 - Current Low back pain, M545 - Current Neuralgia and neuritis, unspecified, M792 - Current Prediabetes, R7303 - Current Sleep apnea, G4730 - Current PLAN: New Medication Orders: Rx# Medication Order Date Prescriber Order INsulin REG - Human 07/30/2019 15:58 SLIDING SCALE Subcutaneously each morning x 7 day(s) Pill Line Only Indication: Prediabetes Discontinued Medication Orders: Rx# Medication Order Date Prescriber Order 122148-NYM Insulin Reg (10 ML) 100 UNITS/ML Inj 07/30/2019 15:58 Inject regular insulin subcutaneously per sliding scale: twice daily ***pill line*** for 7 days Discontinue Type: When Pharmacy Processes Discontinue Reason: new order written Indication: Copay Required: No Cosign Required: No Telephone/Verbal Order: No Completed by [redacted] MD on 07/30/2019 16:12 Generated 07/30/2019 16:12 by [redacted] MD Bureau of Prisons - NYM Page 2 of 2 DOJ-OGR-00024095