epstein-index / content-documents /ds9 /1c /EFTA00123139.md
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metadata
title: DOJ Epstein Files, Data Set 9 (EFTA00123139)
source: DOJ Epstein Files, Data Set 9
sourceUrl: https://huggingface.co/datasets/ishumilin/epstein-files-ocr-complete
date: '2026-01-01'
category: DOJ Data Set
eftaNumber: EFTA00123139
ocrPages: 0
ocrChars: 4768
ocrElapsed: 0
parseTier: external
engine: ishumilin OCR pipeline (engine undisclosed; CC0 mirror)
externalSource: ishumilin-ocr-complete
externalLicense: CC0-1.0
externalCredit: ishumilin/epstein-files-ocr-complete (Hugging Face)
externalUrl: https://huggingface.co/datasets/ishumilin/epstein-files-ocr-complete

Bureau of Prisons Health Services Clinical Encounter

| Inmate Name: | EPSTEIN, JEFFREY EDWARD |

| :--- | :--- |

| Date of Birth: | 01/20/1953 |

| Encounter Date: | 07/23/2019 06:20 |

Sex:

Provider:

M Race: WHITE MLP

Reg #:76318-054
Facility:NYM
Unit:H01

Injury Assessment - Non-work related encounter performed at Health Services.

SUBJECTIVE:

INJURY 1 Provider: MLP

Date of Injury: 07/23/2019 01:27 Date Reported for Treatment: 07/23/2019 08:25

Work Related: No Work Assignment: UNASSG

Pain Location:

Pain Scale: 0

Pain Qualities:

Where Did Injury Happen (Be specific as to location):

Special Housing Unit Z05-Cell 124 L

Cause of Injury (Inmate's Statement of how injury occurred):

"I do not know. Just went to drink a little water and wake up snorting".

Symptoms (as reported by inmate):

None

OBJECTIVE:

Temperature:

DateTimeFahrenheitCelsiusLocationProvider
07/23/201906:30 NYM97.536.4Oral.MLP

Pulse:

DateTimeRate Per MinuteLocationRhythmProvider
07/23/201906:3092Via MachineRegular. MLP

Respirations:

DateTimeRate Per MinuteProvider
07/23/201906:30 NYM16.MLP

Blood Pressure:

DateTimeValueLocationPositionCuff SizeProvider
07/23/201906:30 NYM140/85Right ArmSittingAdult-regular. MLP

```markdown

SaO2:


<table><thead><tr><th>Date</th><th>Time</th><th>Value(%)</th><th>Air</th><th>Provider</th></tr></thead><tbody><tr><td>07/23/2019</td><td>06:30 NYM</td><td>96</td><td>Room Air</td><td>MLP</td></tr></tbody></table>

## Exam:

## General

Affect

Yes: Cooperative

## Appearance

<table border="1"><tr><td>Yes: Appears Well, Alert and Oriented x 3</td></tr><tr><td>No: Appears Distressed,Lethargic,Dyspneic,Appears in Pain,Pallor,Cyanotic,Diaphoretic,Disheveled,</td></tr></table>

Generated 07/23/2019 09:05 by

Bureau of Prisons - NYM

Page 1 of 2

CONFIDENTIAL

```markdown

SDNY_00008777
EFTA00123139

Inmate Name: EPSTEIN, JEFFREY EDWARD Date of Birth: 01/20/1953 Encounter Date: 07/23/2019 06:20

Exam: Acutely III

Pulmonary Auscultation Yes: Clear to Auscultation, Vesicular Breath Sounds Bilaterally No: Crackles, Rhonchi, Wheezing

Exam Comments Immate for injury report as requested by Operational Lt. He is ambulatory, oriented x 3. In not apparent distress, smiling during this clinical encounter. Alleges, that he does not know what happened. Can not explain the marks on his neck. Responded: "I don't know". He does not want to talk of the events leading to the marks on his neck. He does not look in any distress or pain. Has an circular line of erythema at the base of the neck. Reaching 2/3 of the neck circumference, 2 inches wide, sparing the back of the neck. Has one section of this erythema in the front with marks of friction. No inflammation, no deformities, no hematomas, no lacerations, no tenderness. Patient moving his neck without any restriction. Denies having any pain or discomfort. Denies any respiratory problem. Has another small erythema on left knee about 2cm in diameter(mild). As per information from custody staff inmate Epstein was found in his cell with a rope around his neck and sitting on the floor. Immate is currently placed on suicide watch.

ASSESSMENT: Injury, unspecified, T1490 - Current - R/O self inflicted injuries.

PLAN:

Disposition: Follow-up at Sick Call as Needed Placed on Suicide Watch Follow-up in 2-4 Hours

Other: For follow up with psychology service.

Patient Education Topics:

Date Initiated Format Handout/Topic Provider Outcome
07/23/2019 Counseling Access to Care Verbalizes Understanding
07/23/2019 Counseling Plan of Care Verbalizes Understanding

Copay Required: No Cosign Required: Yes

Telephone/Verbal Order: No

Completed by MLP on 07/23/2019 09:05

Requested to be cosigned by MD.

Cosign documentation will be displayed on the following page.

Generated 07/23/2019 09:05 by

MLP

Bureau of Prisons - NYM

Page 2 of 2

CONFIDENTIAL


SDNY_00008778
EFTA00123140