DOJ-OGR-00024970.pdf

--- Page 1 --- **Document Extract** **Page 513** **Bureau of Prisons** **Health Services** **Clinical Encounter** **Inmate Information:** * **Name:** EPSTEIN, JEFFREY EDWARD * **Date of Birth:** 01/20/1953 * **Encounter Date:** 07/24/2019 13:08 **Mid Level Provider - Follow up Visit encounter performed at Receiving & Discharge.** **SUBJECTIVE:** * **COMPLAINT 1** + **Provider:** MLP + **Chief Complaint:** Other Problem + **Subjective:** [No text] + **Pain:** [No text] **OBJECTIVE:** * **Temperature:** 07/24/2019 13:12 NYM * **Fahrenheit:** 97.8 * **Celsius:** 36.6 * **Location:** Oral * **Provider:** MLP * **Pulse:** 07/24/2019 13:12 * **Rate Per Minute:** 83 * **Location:** Via Machine * **Rhythm:** Regular * **Provider:** MLP * **Blood Pressure:** + **Date:** 07/24/2019 13:12 NYM + **Time:** 132/89 + **Location:** Right Arm + **Position:** Sitting + **Cuff Size:** Adult-regular + **Provider:** MLP * **SaO2:** + **Date:** 07/24/2019 13:12 NYM + **Time:** 96 Room Air + **Provider:** MLP **Exam:** * **General Affect:** Yes: Cooperative * **Appearance:** Yes: Appears Well, Alert and Oriented x 3 * **No:** Appears Distressed, Appears in Pain **Exam Comments:** * Follow up evaluation done for inmate Epstein. * He does not look in any pain or distress. **ASSESSMENT:** * Injury, unspecified, T1490 - Current **PLAN:** * Disposition: Generated 07/24/2019 13:24 by MLP **Disposition:** * Generated 07/24/2019 13:24 by MLP **Page 1 of 2** **Bureau of Prisons - NYM**