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Document DOJ-OGR-00024099

AI Analysis

Summary: This clinical encounter document details a medical evaluation of Jeffrey Epstein on July 30, 2019, where he reported being without his medications for a week, experiencing numbness in his right arm, and having sleep issues due to lack of access to his CPAP machine.
Significance: This document provides insight into Jeffrey Epstein's medical condition and complaints while in custody, potentially relevant to understanding his health and treatment during that time.
Key Topics: Jeffrey Epstein's medical evaluation Complaints of numbness in arm and lack of medication History of kidney stones, hypertension, and sleep apnea
Key People:
  • Jeffrey Edward Epstein - Inmate being evaluated
  • (b)(6), (b)(7)(C) MD - Provider/Doctor conducting the evaluation
Document Type
Medical Record
Date
July 30, 2019
Pages
1
Folder
IMAGES009
Has Stamps
Yes

Full Text

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. STATE THE NUMBNESS WENT AWAY ON ITS OWN, BUT WAS VERY CONCERNING. HE DENIES SIGH SIDD WEAKNESS, DIPLOPIA, FACIAL DROOP, DIFFICULTY SPEAKING ORALLOWING. 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 THE 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 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) MD Bureau of Prisons - NYM Page 1 of 3 DOJ-OGR-00024099