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Document DOJ-OGR-00026230

AI Analysis

Summary: This clinical encounter document from the Bureau of Prisons details a medical evaluation of Jeffrey Epstein on July 12, 2019. Epstein reported a history of hypertriglyceridemia and complained of lower back pain and numbness in his lower extremities. The evaluation covered various aspects of his health, including endocrine/lipid, pulmonary/respiratory, and orthopedic/rheumatology issues.
Significance: This document provides insight into Jeffrey Epstein's medical condition while in prison, potentially relevant to understanding his health issues and treatment during his incarceration.
Key Topics: Jeffrey Epstein's medical condition and treatment His history of hypertriglyceridemia and treatment with Vascepa Complaints of lower back pain and numbness in lower extremities
Key People:
  • Jeffrey Edward Epstein - Inmate/Patient
  • (b)(6); (b)(7)(C) - Provider/Physician
Document Type
Medical Record
Date
July 12, 2019
Pages
1
Folder
IMAGES010

Full Text

Page 2570 Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/12/2019 13:10 Sex: M Race: WHITE Reg #: 76318-054 Provider: (b)(6); (b)(7)(C) Facility: NYM Unit: Z05 Chronic Care - 14 Day Physician Eval encounter performed at Health Services. SUBJECTIVE: COMPLAINT 1 Provider: (b)(6); (b)(7)(C) MD Chief Complaint: ENDO/LIPID Subjective: 66 YR OLD WHITE MALE WITH HX OF HYPERT GLYCERIDEMIA X 5 YEARS ON VASCEPA FOR 1 YEAR. STATES TRIGL WAS 800 , OW 143. STATES HE COULD NOT TOLERATE OTHER ANTI-TRIGLYCERIDE MEDS DUE TO THEIR GI SIDE EFFECTS. HX OF OBST JUCTIVE SLEEP APNEA X 5 YEARS FOR WHICH HE USED A CPAP MACHINE. STATES HE HAD HIS CPAP MACHINE WITH HIM WHEN HE ARRESTED. STATES THE FBI (ILLEGIBLE) HAS L4 - L5 SEVERE TENSOSIS CASUING NUMBNESS AND SHOOTING PAIN IN THE LOWER EXTREMITIES. SURGICAL HX: NONE MENTAL HEALTH HX: NONE Pain: Yes Pain Assessment Date: 07/12/2019 13:25 Location: Back-Middle Quality of Pain: Shooting Pain Scale: 5 Intervention: MEDROL DOSE PACK Trauma Date/Year: Injury: Mechanism: Onset: 5+ Years Duration: 5+ Years Exacerbating Factors: NO EXERCISE Relieving Factors: MEDROL DOSE PACK Reason Not Done: Comments: Seen for clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology Added to clinic(s): Endocrine/Lipid, Pulmonary/Respiratory, Orthopedic/Rheumatology OBJECTIVE: Exam: General Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Dyspneic, Appears in Pain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveled, Unkempt, Acutely Ill Nutrition No: Appears Obese Generated 07/12/2019 14:20 by (b)(6); (b)(7)(C) MD Bureau of Prisons - NYM Page 1 of 3 Amendment DOJ-OGR-00026230