Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN JEFFREY EDWARD Reg #: 76318-054 Date of Birth: Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Joaquin, Y. MLP Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Joaquin, Y. 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: Date Time Fahrenheit Celsius Location Provider 07/23/2019 06:30 NYM 97.5 36.4 Oral Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 07/23/2019 06:30 92 Via Machine Regular Joaquin, Y. MLP Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Location Position Cuff Size Provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular Joaquin, Y. MLP SaO2: Date Time Value(%) Air Provider 07/23/2019 06:30 NYM 96 Room Air Joaquin, Y. MLP Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Lethargic. Dyspneic, Appears in Pain, Pallor, Cyanotic, Diaphoretic, Disheveled, Generated 07/23/2019 09:05 by Joaquin. Y. MLP Bureau of Prisons - NYM Page 1 of 2 CONFIDENTIAL SDNY_00008777 EFTA00033588