Bureau of Prisons Health Services Clinical Encounter Inmate Name: EPSTEIN, JEFFREY EDWARD Reg #: 76318-054 Date of Birth: 01/20/1953 Sex: M Race: WHITE Facility: NYM Encounter Date: 07/23/2019 06:20 Provider: Unit: H01 Injury Assessment - Non-work related encounter performed at Health Services. SUBJECTIVE: INJURY 1 Provider: Date of Injury: 07/23/2019 01:27 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 205-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 Date Reported for Treatment: 07/23/2019 08:25 OBJECTIVE: Temperature: Data Time Fahrenheit Celsius Location 07/23/2019 06:30 NYM 97.5 36.4 Oral Provider Pulse: pate Time Rate Per Minute Location Rhythm provider 07/23/2019 06:30 92 Via Machine Regular Respirations: Date Time Rate Per Minute Provider 07/23/2019 06:30 NYM 16 Blood Pressure: Data Time Value Location position Cuff Size provider 07/23/2019 06:30 NYM 140/85 Right Arm Sitting Adult-regular SaO2: Date Time Valuer/01 AIL Provider 07/23/2019 06:30 NYM 96 Room Air 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 07123/2019 09:05 by Bureau of Prisons - NYM Page 1 of 2 EFTA00058501