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Bureau of Prisons Health Services Clinical Encounter 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: (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. STATE THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES SIGH SIGHTED WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING OR ALLOWING. HE REPORTS NO URIA OF ABOUT 5 TIMES. HE DENIES DYSURIA. HE REPORTS HISTORY 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 HAS BEEN HERE, SINCE HE DIE NOT HAVE ACCESS TO HIS CPAP MACHINE. I INFORMED HIM 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, Orthopedic/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 MD 07/30/2019 09:30 87 Via Machine 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 MD 07/30/2019 09:30 NYM 108/86 Left Arm Sitting 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) MD Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024096