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Inmate Name: EPSTEIN, JEFFREY EDWARD
Date of Birth: 01/20/1953 Sex: M Race: WHITE Reg #: 76318-054
Encounter Date: 07/30/2019 15:58 Provider: (b)(6); (b)(7)(C) 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 (b)(6); (b)(7)(C) MD on 07/30/2019 16:12
Generated 07/30/2019 16:12 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 2 of 2