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Document DOJ-OGR-00024130

AI Analysis

Summary: This medical encounter record documents the evaluation of inmate Jeffrey Epstein on July 6, 2019, noting elevated blood pressure and ordering various laboratory tests and follow-up care. The record includes details on medication reconciliation, new laboratory requests, and instructions for the inmate to obtain medical care as needed. The document was generated by a Physician Assistant (PA-C) within the Bureau of Prisons.
Significance: This document provides insight into Jeffrey Epstein's medical condition and care while incarcerated, potentially relevant to understanding his health status and any subsequent medical issues.
Key Topics: Medical evaluation of inmate Jeffrey Epstein Medication reconciliation and new laboratory requests Follow-up care and instructions for inmate
Key People:
  • Jeffrey Edward Epstein - Inmate being evaluated
  • (b)(6) (b)(7)(C) PA-C - Provider conducting the medical evaluation
  • (b)(6) (b)(7)(C) MD - Physician to review laboratory results
Document Type
Report
Date
July 6, 2019
Pages
1
Folder
IMAGES009

Full Text

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/06/2019 21:38 Sex: M Provider: (b)(6) (b)(7)(C) PA-C Reg #: 76318-054 Race: WHITE Facility: NYM Health Problems Newly Identified During This Encounter: Health Problem Medication Reconciliation. The patient's known medication list including OTC items was compiled and compared to new and changed BOP orders. Reconciled Medications: Source Action Type Rx# Medication Order Detail OTC No known OTCs New Laboratory Requests: Details Frequency Due Date Priority Lab Tests-H-Hemoglobin A1C One Time 08/05/2019 00:00 Routine Lab Tests-C-CBC w/diff Lab Tests-L-Lipid Profile Lab Tests-C-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic Additional Information: 66 y/o male, elevated BP Labs requested to be reviewed by: (b)(6) (b)(7)(C) MD New Non-Medication Orders: Order Frequency Duration Details Ordered By EKG One Time 66 y/o male (b)(6) (b)(7)(C) PA-C Order Date: 07/06/2019 Fecal Occult Blood One Time 3 different stools Order Date: 07/06/2019 Schedule: Activity Date Scheduled Scheduled Provider Vision Screen 07/06/2019 00:00 Optometrist 66 y/o male PPD Reading 07/08/2019 00:00 Nurse Follow-up 07/09/2019 00:00 Mid-Level Provider BP check Other: BP noticed to be elevated. IM denies Hx of HTN or any significant chronic medical conditions. He is currently asymptomatic and denies any bodily complaints at this time. Will recheck BP in 2-3 days. Disposition: Follow-up at Sick Call as Needed To be Evaluated by Provider Instructed inmate how to obtain medical, dental, and mental health care. Copay Required:No Cosign Required: Yes Telephone/Verbal Order: No Generated 07/06/2019 21:56 by (b)(6) PA-C Bureau of Prisons - NYM Page 5 of 6