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Document DOJ-OGR-00026092

AI Analysis

Summary: This medical record documents Jeffrey Epstein's medical encounter on July 30, 2019, including new medication orders, laboratory requests, and a radiology request for a cervical spine series due to complaints of right arm numbness.
Significance: This document provides insight into Jeffrey Epstein's medical condition and treatment while in prison, potentially relevant to investigations into his death.
Key Topics: Jeffrey Epstein's medical treatment in prison Medication orders and laboratory tests Complaints of right arm numbness
Key People:
  • Jeffrey Epstein - Inmate receiving medical treatment
  • [redacted] MD - Treating physician

Full Text

Page 2416 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: [redacted] MD Facility: NYM Unit: Z01 New Medication Orders: Rx# Medication Order Date Prescriber Order Magnesium Hydroxide Susp conc 800 MG/5ML Indication: Constipation, unspecified 07/30/2019 11:12 10 CC Orally - Two Times a Day PRN x 90 day(s) INsulin REG - Human Indication: Prediabetes 07/30/2019 11:12 SLIDING SCALE Subcutaneously - Two Times a Day x 7 day(s) Pill Line Only Renew Medication Orders: Rx# Medication Order Date Prescriber Order 121836-NYM methylPREDNISolone 4 MG Tab (21 count Pack) Indication: Neuralgia and neuritis, unspecified 07/30/2019 11:12 Take the tablet by mouth as directed x 6 day(s) New Laboratory Requests: Details Frequency Due Date Priority Lab Tests - Short List-General-CBC w/diff Lab Tests-P-PSA, Total Lab Tests-U-Uric Acid Lab Tests - Short List-General-Comprehensive Metabolic Profile (CMP) Lab Tests-U-Urinalysis w/Reflex to Microscopic One Time 08/01/2019 00:00 Routine New Radiology Request Orders: Details Frequency End Date Due Date Priority General Radiology-Spine / Cervical-General One Time 08/29/2019 Routine Specific reason(s) for request (Complaints and findings): 66 YR OLD MALE WITH COMPLAINT OF RIGHT ARM NUMBNESS FOR 2-3 MINUTES 3 DAYS AGO. PLEASE PERFORM C SPINE SERIES Disposition: Follow-up at Sick Call as Needed Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 07/30/2019 Counseling Access to Care [redacted] Verbalizes Understanding 07/30/2019 Counseling Plan of Care [redacted] Verbalizes Understanding Copay Required: No Telephone/Verbal Order: No Completed by [redacted] MD on 07/30/2019 14:05 Generated 07/30/2019 14:05 by [redacted] MD Bureau of Prisons - NYM Page 3 of 3