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Document DOJ-OGR-00026240

AI Analysis

Summary: This medical record documents Jeffrey Epstein's medical examination on July 6, 2019, noting elevated blood pressure and ordering various lab tests. The examination was conducted by a Physician Assistant, with lab results to be reviewed by a doctor. The document highlights Epstein's medical condition and the medical care he received while in custody.
Significance: This document provides insight into Jeffrey Epstein's medical condition while in prison, specifically his elevated blood pressure and the medical tests ordered.
Key Topics: Jeffrey Epstein's medical examination Health problems and lab tests Medication reconciliation
Key People:
  • Jeffrey Edward Epstein - Inmate being examined
  • (b)(6); (b)(7)(C) PA-C - Medical provider conducting the examination
  • (b)(6); (b)(7)(C) MD - Physician reviewing lab results
Document Type
Medical Record
Date
July 6, 2019
Pages
1
Folder
IMAGES010

Full Text

Page 2580 Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Sex: M Reg #: 76318-054 Encounter Date: 07/06/2019 21:38 Provider: (b)(6); (b)(7)(C) PA-C 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 (b)(6); (b)(7)(C) PA-C 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); (b)(7)(C) PA-C Bureau of Prisons - NYM Page 5 of 6