FanFan v. M.C.C.

Opinion

UNITED STATES DISTRICT COURT SOUTHERN DISTRICT OF NEW YORK --------------------------------------------------------------X : JIMMY FANFAN, : Plaintiff, : : 21 Civ. 704 (LGS) -against- : : ORDER DR. DANIEL KAUFMAN, : Defendant. : ------------------------------------------------------------- X LORNA G. SCHOFIELD, District Judge: I. AUGUST 9, 2021 ORDER DIRECTING DEFENDANT TO ANSWER

WHEREAS, the Court granted Plaintiff’s oral application to file, by May 31, 2021, an amended complaint alleging any additional facts as to Defendants Joaquin Y. and Cheryl Ancrum and attaching his relevant medical records. Dkt. No. 15. WHEREAS, on August 9, 2021, the Court issued an Order stating that Plaintiff did not file an amended complaint and directing Dr. Daniel Kaufman to answer, move or otherwise respond to the Complaint by August 30, 2021. Dkt. No. 17. WHEREAS, the Court subsequently received by mail Plaintiff’s May 18, 2021, letter supplement to the Complaint, which is attached as Exhibit A and construed together with the Complaint as the Amended Complaint. See Brooks v. Westchester Cnty. Jail, No. 19 Civ. 10901, 2019 WL 6735607, at *1 (S.D.N.Y. Dec. 11, 2019) (construing a complaint and amended complaint together). It is hereby ORDERED that, the deadline to answer the operative complaint -- now the Amended Complaint -- is ADJOURNED sine die and, for the reasons stated below, will be rescheduled once the U.S. Marshal’s Services has effected service of the Amended Complaint on both Dr. Kaufman and Defendant Joaquin Y. II. BIVENS CLAIMS

WHEREAS, the Prison Litigation Reform Act requires that federal courts screen complaints brought by prisoners who seek relief against a governmental entity or an officer or employee of a governmental entity. See U.S.C. § 1915(a). The Court must dismiss a prisoner’s IFP complaint, or any portion of the complaint, that is frivolous or malicious, fails to state a claim upon which relief may be granted or seeks monetary relief from a defendant who is immune from such relief. 28 U.S.C. §§ 1915(e)(2)(B), 1915A(b); see Harnage v. Lightner, 916 F.3d 138, 140 n.1 (2d Cir. 2019). WHEREAS, the Court is obliged to construe pro se pleadings liberally and interpret them to raise the strongest claims that they suggest. Costabile v. N.Y.C. Health and Hosp. Corp., 951 F.3d 77, 80 (2d Cir. 2020); see also Triestman v. Fed. Bureau of Prisons, 470 F.3d 471, 477 (2d Cir. 2006) (“There are many cases in which we have said that a pro se litigant is entitled to special solicitude; that a pro se litigant’s submissions must be construed liberally; and that such submissions be read to raise the strongest arguments that they suggest.” (internal quotation marks omitted)). But this “special solicitude” in pro se cases, Triestman, 470 F.3d at 477, has its limits

-- to state a claim, pro se pleadings still must comply with Rule 8 of the Federal Rules of Civil Procedure, which requires a complaint to make a short and plain statement showing that the pleader is entitled to relief. WHEREAS, the Supreme Court has held that under Rule 8, a complaint must include enough facts to state a claim for relief “that is plausible on its face.” Bell Atl. Corp. v. Twombly, 550 U.S. 544, 570 (2007). A claim is facially plausible if the complaint pleads enough factual detail to allow the Court to draw the inference that the defendant is liable for the alleged misconduct. Id. at 556. In reviewing the complaint, the Court must accept all well-pleaded

2 factual allegations as true. Ashcroft v. Iqbal, 556 U.S. 662, 678-79 (2009). WHEREAS, because Plaintiff alleges that employees of the federal government violated his constitutional rights, his claims are construed as arising under Bivens v. Six Unknown Named Agents of FBI, 403 U.S. 388, 389-90 (1971) (considering whether a complaint stated a federal

cause of action under the Fourth Amendment for damages, where the complaint alleged agents of the Federal Bureau of Narcotics, acting under color of federal law, made a warrantless entry); see Iqbal, 556 U.S. at 675-76 (“[Bivens] is the federal analog to suits brought against state officials under [] 42 U.S.C. § 1983.”) (internal citation omitted). WHEREAS, the Amended Complaint purports to allege Bivens claims against Robert Beaudoin, Cheryl Ancrum and Joaquin Y. See Exhibit A. WHEREAS, to state a claim for relief under Bivens, a plaintiff must allege facts that plausibly show that: (1) the challenged action was attributable to an officer acting under color of federal law, and (2) such conduct deprived him of a right, privilege, or immunity secured by the Constitution. See Thomas v. Ashcroft, 470 F.3d 491, 496 (2d Cir. 2006) (citing Bivens, 403 U.S.

at 389); accord Dubois v. City of White Plains, 16 Civ. 07771, 2018 WL 6025868, at *3 (S.D.N.Y. Nov. 16, 2018). WHEREAS, Bivens relief is available only against federal officials who are personally liable for the alleged constitutional violations. Ziglar v. Abbasi, 137 S. Ct. 1843, 1860 (2017); Turkmen v. Hasty, 789 F.3d 218, 233 (2d Cir. 2015) (citing Iqbal, 556 U.S. at 676-77). A plaintiff must allege facts showing the defendants’ direct and personal involvement in the alleged constitutional deprivation. See Spavone v. N.Y. State Dep’t of Corr. Serv., 719 F.3d 127, 135 (2d Cir. 2013) (“It is well settled in this Circuit that personal involvement of defendants in [the] alleged constitutional deprivations is a prerequisite to an award of damages under § 1983.”)

3 (internal quotation marks omitted); accord Nguedi v. Caulfield, 813 F. App’x 1, 3 (2d Cir. 2020) (summary order) (affirming dismissal of claims brought against a former police commissioner for failure to allege personal involvement). “[A] plaintiff must plead and prove the elements of the underlying constitutional violation directly against [each defendant].” Tangreti v. Bachmann,

983 F.3d 609, 620 (2d Cir. 2020). WHEREAS, the Eighth Amendment protects federal pretrial detainees from deliberate indifference to their serious medical needs. See Charles v. Orange Cnty., 925 F.3d 73, 85 (2d Cir. 2019). To state a claim for inadequate medical care, a plaintiff must plead facts showing that (1) the deprivation of medical care is objectively “sufficiently serious” in light of a medical condition “that may produce death, degeneration, or extreme pain”; and (2) the defendant-official “knew . . . or should have known that failing to provide the omitted medical treatment would pose a substantial risk to detainee’s health.” Id. at 86-87. WHEREAS, the Amended Complaint states a Bivens claim against Joaquin Y. The Amended Complaint alleges that Plaintiff made numerous complaints to Joaquin Y. about his

jaw injury and that despite Plaintiff’s requests and pain, Joaquin Y. did not call a doctor. The Amended Complaint does not allege specific facts sufficient to support Bivens claims against Cheryl Ancrum or Robert Beaudoin. It is hereby ORDERED that any claims against Cheryl Ancrum or Robert Beaudoin are DISMISSED.

III. VALENTIN ORDER

WHEREAS, under Valentin v. Dinkins, a pro se litigant is entitled to assistance from the district court in identifying a defendant. 121 F.3d 72, 76 (2d Cir. 1997); accord Genao v. City of New York, No. 20 Civ. 8721, 2020 WL 7360650, at *1 (S.D.N.Y. Dec. 15, 2020). 4 WHEREAS, in the Complaint and Amended Complaint, Plaintiff supplies sufficient information to permit the United States Attorney for the Southern District of New York to identify Joaquin Y. See Exhibit A. It is hereby ORDERED that, the United States Attorney for the Southern District of New York, who

is the attorney for and agent of the BOP, shall ascertain the service address for Joaquin Y., and provide this information to Plaintiff and the Court within sixty days of the date of this Order. Thereafter, the Court will issue an order directing the Clerk of Court to complete a USM-285 form with the address for Joaquin Y. and deliver all documents necessary to effect service on Joaquin Y. to the U.S. Marshals Service.

IV. UPDATED ADDRESS

WHEREAS, the Court received by mail Plaintiff’s August 2, 2021, letter, attached as Exhibit B. The August 2, 2021, letter states that Plaintiff is moving to the Metropolitan Detention Center and that his new address is as follows: Jimmy FanFan (#90863-053) Metropolitan Detention Center 80 29th Street Brooklyn, NY 11232 V. CONCLUSION

All claims against Robert Beaudouin and Cheryl Ancrum are DISMISSED with prejudice. The Clerk of Court is respectfully directed to mail a copy of this Order and the Amended Complaint (Dkt. Nos. 2 and Exhibit A) to the Civil Division of the Office of the United States Attorney for the Southern District of New York at 86 Chambers Street, 3rd Floor, New York, New York 10007. 5 The Clerk of Court is also respectfully directed to update Plaintiffs address on the docket and to mail a copy of this Order to pro se Plaintiff and to Dr. Daniel Kaufman, at the following address: Discreet Plastic Surgery; 1599 East 15th Street Brooklyn, NY 11230. The Court certifies under 28 U.S.C. § 1915(a)(3) that any appeal from this order would not be taken in good faith, and therefore in forma pauperis status 1s denied for the purpose of an appeal. Cf Coppedge v. United States, 369 U.S. 438, 444-45 (1962) (holding that an appellant demonstrates good faith when he seeks review of a non-frivolous issue); accord United States v. Kosic, 944 F.3d 448, 449 (2d Cir. 2019).

Dated: August 13, 2021 New York, New York

LORNA G. Sciornb UNITED STATES DISTRICT JUDGE

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Defendant: Danie] Key Fans First Name Last Name Doe dor Current Job Title other identifying information) Oreaw A ve. Current Work Address (or other address where defendant may be served) Liss 6 County, Gty State Zip Code Ill. STATEMENT OF CLAIM Place(s) of occurrence: M-¢.¢ Metropolitan Coreechiona] centers,

Date(s) of occurrence: 2°22-2n , 3, 40°20 4-3:20 FACTS: State here briefly the FACTS that support your case. Describe what happened, how you were harmed, and what each defendant personally did or failed to do that harmed you. Attach additional pages if needed. Complamed +o Medical STa ff off fu IY¥o Sy ecPrtonss to Medical, Staff ignored complaint on 2'°2%20 [om flu bie Su eg proms i Pas S eal out, Hedice | claim, there. as othing Wren, with Compolatined & an a lof £ an pan rhe Gr v\ oui ot 42 (A (4) 2 ot The KA) 2 HOC Aud explained Loulh oP? oye he Pain in le mw AW wad them look at me On 3°2:20 they Sail woul of net X-Ray's this was what Toa vin _cstated . had to mate Hultpule Lemplain\s {= get to xX Ark when 14-20 - Showed “ad 2 frature’s in left Ja O 23:20 ord pare pias cmoveel sk usag torture. fe cut ae ques Dy Cau Fran te Reyoued pe Serews with out

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2 Orne. Sedat Bens the lain LZ pA 80 Much ai. Z fell Afte 20850 G Mf + The apfr cees Sha] □□□□ MLE. Late So fol ie." (Heutn hp She. Chad ‘e A ‘ MN famce; Khe {LAL Af 06-23 TPE “fd eg) ANG oO fale fe Q lrr§ (Le a flex AA tical Ww, a7 e. W [tere ‘C52 There Was EX preapre._ (ain, lind Bly Given 2 Wren Wed Ce D0 Oh) 5-71 20 Le Ao eS {74 40 MEP phch ws loom of 'tethectone , INJURIES: if you were injured as a result of these actions, describe your injuries and what medical treatment, if any, you required and received. O) Mandibular left angle fracture anef 2) mandbuhr left loud cond|y lar fracture o£ go7 an Oeccatoy Fo__fene my fa with Scere , wires and 2 metal” plaves en ny Courts □ □ IV. RELIEF State briefly what money damages or other relief you want the court to order. iso _tullisn Lollers, 4 2,000. 00D ps Labet Fy See PF os ee a

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B. Defendant Information To the best of your ability, provide addresses where each defendant may be served. If the correct information is not provided, it could delay or prevent service of the complaint on the defendant. Make sure that the defendants listed below are the same as those listed in the caption. Attach additional pages if needed. Defendant 1: Robect Beaudouin te D First Name Last Name Vector Current Job Title (or other identifying information) \So Yack Pow , brew Yor Current Work Address (or other address where defendant may be served) Kivw c hss oo County, & Stat Zip Code

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Current Job Title (or other identifying information) \bo Part Vow Current Work Address (or other address where defendant may be served) Neu) hw DOO County, Ci State Zip Code

Defendant 3: { hery | / | □□□ First Nam Last Name \ Deyn. | tS { - Current Job Title (or other identifying information) 150 > ar ke Fou! Current Work Address (or other address where defendant may be served) ew or dbo County, Ci Sta Zip Code

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If the defendant is an individual: The defendant, bec] f eau do. is a citizen of the State of {Defendant's name)

□ or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of

the defendant is a corporation: The defendant, , is incorporated under the laws of the State of and has its principal place of business in the State of or is incorporated under the laws of (foreign state) and has its principal place of business in . If more than one defendant is named in the complaint, attach additional pages providing information for each additional defendant.

. Il, PARTIES A. Plaintiff Information Provide the following information for each plaintiff named in the complaint. Attach additional pages if needed. aT i Q: First Name Middle Initial Last Name 1950 Hoe K Kou ) Me Pro Lol □□□ fore. CenTer. Street Address ew \ oe bd County, City State Zip Code (4224-129 Telephone Number Email Address (if available}

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I. BASIS FOR JURISDICTION Federal courts are courts of limited jurisdiction (limited power). Generally, only two types of cases can be heard in federal court: cases involving a federal question and cases involving diversity of citizenship of the parties. Under 28 U.S.C. § 1331, a case arising under the United States Constitution or federal laws or treaties is a federal question case. Under 28 U.S.C. § 1332, a case in which a citizen of one State sues a citizen of another State or nation, and the amount in controversy is more than $75,000, is a diversity case. In a diversity case, no defendant may be a citizen of the same State as any plaintiff. What is the basis for federal-court Jurisdiction in your case? iW vederal Question 1 Diversity of Citizenship A, If you checked Federal Question Which of your federal constitutional or federal statutory rights have been violated? +h CA Mend men (ain ard

(State in which the person resides and intends to remain.) or, if not lawfully admitted for permanent residence in the United States, a citizen or subject of the foreign state of

lf more than one plaintiff is named in the complaint, attach additional pages providing information for each additional plaintiff.

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- Write the full name of each plaintiff. eV (Include case number if one has been assigned] -against- M.C,.€ COMPLAINT □ E. B.2.P, Rober Beaudouin MD, D tas ‘al? ‘0 you want a jury tr Joaquin Y, MLY, Anccum chery] Wes [No DNs, Dr: Vantel Kaufman, Lopes Hy - jor VRP, Singh Hand ee? PA-C rite the full name of eacthtfendant. If you need more space, please write “see attached” in the space above and attach an additional sheet of paper with the full list of names. The names listed above must be identical to those contained in Section Il.

NOTICE: The public can access electronic court files. For privacy and security reasons, papers filed with the court should therefore not contain: an individual's full social security number or full birth date: the full name of a person known to be a miner; or a complete financial account number. A filing may include onfy: the last four digits of a social security number; the year of an individual's birth; a minor’s initials; and the last four digits of a financial account number. See Federal Rule of Civil Procedure 5.2.

Rev. 1/9/17

. i 2B i i . cm / Bureau Pr sons □ . Health Berv ces . . i a ss . Dental Soap/Admin Encag nfe Administrative Note . Ti i . □ Inmate Name: FANFAN, JIMMY i 4 | Reg# 90863-053 Date of Birth: 10/20/4971 set 7 | ace: BLACK Facility: NYM Note Date: 03/18/2020 14:09 Provide a Angrum, Cheryl DDS _ Unit: oi. Reviewed Health Status: Yes i q | f | i if 1 , . Administrative Note encounter performed at Dental Clirfic. if | . Administrative Notes: 1. a | ADMINISTRATIVE NOTE 1 provider Andgim; Gheryl DDS Oral Surgery consult for evaiuation of 7) manditggar le angle fx and 2) mandibular left low condylar fx, as per Dr. Kaufman ° 1 | i New Consultation Requests: | @ iy . . 4 a | : □ Consultation/Procedure Target Date } Scl@iduled Tarae Date Priority Translator Language Oral Surgery "03/19/2020 | 03/ 2020 Urgent No Subtype: | | . Oral Surgery if □□ py Reason for Request: □□□ Per Dr. Kaufman, please send to ER to evalua 1); ndibular leit angle fracture and 2) mandibular left jow _ condylar fracture | | ot Provisional Diagnosis: □□ | ot , Mandibular fractures Bi □□□ Additional Records Required for Consultation: 4 | | X-ray Image(s) PO . Ny } | : Copay Required:No Cosign Requited: Ho | Telephone/Verbal Order: No ie i ‘Completed by Ancrum, Cheryl DDS on 03/18/2020 14:14 Requested to be reviewed by Beaudouin, Robert MD. yi documentation will be displayed on the followit)g pal

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V. PLAINTIFF'S CERTIFICATION AND WARNINGS □ By signing below, I certify to the best of my knowledge, information, and belief that: (1) the complaint is not being presented for an improper puxpose (such as to harass, cause unnecessary delay, or needlessly increase the cost of litigation); (2) the claims are sapported by existing law or by a nonfrivolous argument to change existing law; (3) the factual contentions have evidentiary support or, if specifically so identified, will likely have evidentiary support after a reasonable opportunity for further investigation or discovery; and (4) the complaint otherwise complies with the requirements of Federal Rule of Civil Procedure 11. I agree to notify the Clerk's Office in writing of any changes to my mailing address. I understand that my failure to keep a current address on file with the Clerk's Office may result in the dismissal of my case.

Each Plaintiff must sign and date the complaint. Attach additional pages if necessary. If seeking to proceed without prepayment of fees, each plaintiff must also submit an IFP application. /- (&- 2! oon" Dated Plai § Sighature ee Simm: Ain FAM First Name - Middle fnitial Last Name (50 Fark hou Lee New York Me tro fof feu aC Street Address Cu) (foe/e- NM: C20 County, Gity Stat¢_. Zip Code (347) 234¢-/Z2Z9 Telephone Number Email Address (if available}

Ihave read the Pro Se (N onprisoner) Consent to Recetve Documents Electronically: Cryes If you do consent to receive documents electronically, submit the completed form with your complaint. If you do not consent, please do not attach the form.

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OM: Dental 90863053 BJECT: RE:***Inmate to Staff Message*™ 08/12/2026 12:37:03 PM. a complex fracture (multiple areas). If you are having any issues with the surgery, you need to go back to the special Surgeon) who did it, at least once, so he can take other types of x-rays, as needed, evaluate and address your concerns x-ray taken at MCC NY was not for on site diagnosis or determination of treatment outcome. Pain meds will be renewed up to the Oral Surgeon to determine if they will be needed long term. The dentist at MCC NY is not a specialist, cannc your questions and cannot provide any further guidance in this matter Again, it is highly advised that you return to the Surgeon, that did the initial surgery, for follow up. you ready to be set up with a follow up appointment for the Oral Surgeon? Please respond with a return email, Unti then, form you signed on 6/3/2020 remains in effect. Again, when you return to the facility, you will be put in quarantine | per COVID-49 protocol. ~AVEANFAN ~4IJIMMY" <90863053@inmatemessage.com> 8/11/2020 2:48 PM >>>

vate Work Assignment: inmate comp. y would i go to the dentist that mess up my jaw in the first place?plus i ask you the results from the x-ray.aiso □ nave to stay h the pain i guess? i did not refuse 3 times

NYM/InmateToDental - 67714453-ea25-493, -908e-adel 6Gefab5fc —_ jen ae Se Le From: NYM/InmateToDental | To: -~AIFANFAN, ~AUIMMY □□ Subject: □□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□□ ee Your name is on the dental schedule to be seen by the Dentist for the dental discomfort you mentioned to Medical. . ode, : eo; bo Response by Dental Assistant oo bd >>> ~APFANFAN, ~AUIMMY" <90863053@inmatemessage.com> 5/25/2020 10:02 AM >>> To: dental oe inmate Work Assignment: inmate comp. bo ATTENTION*™ EP Please cut and paste the message indicator below neg sherbet fine; only this indicator can be in.the subject line, a [ 1f453-ea25-4933-908e-ade1 GefabSfc □□ Your response must come from the departmental mail 90x. Responses from personal mailboxes WILL NOT be delivered to the inmate. □□ *«*Inmate Message Below***

can i please get a tooth cleaning.ive been asking for alinost iwo yeals.... □

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Bureau pt rilsons 4 im |e Health Services Clinical =ncounter Inmate Name: FANFAN, JIMMY ee Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: , aM Face: BLACK Facility: NYM Encounter Date: 02/09/2020 16:26 _ Provider: | pingh, Mandeep PA-C Unit: KO1 : —— Mid Level Provider - Evaluation encounter performed at Healt {setviges: SUBJECTIVE: : mo. | t COMPLAINT 1 Provider: Singh, Mandeep PAG) | | . □ Chief Complaint: Cold or Flu Symptoms a 2 Subjective: 48 y/o M presented during pill line for sof throat. Pt, states it started x3 days ago. He states he has pain and hoarseness. Denies drai ing, yysenagia, throat closing, sob, CP, cough, fever, chills, NAV/D. Pain: Not Applicable OBJECTIVE: □ Temperature: : a Date Time Fahrenheit Celsius; Locgtion Provider 02/09/2020 16:26 NYM 98.0 36,7. Oral | Singh, Mandeep PA-G Pulse: | 2 Date . Time Rate Per Minute Locatig} ' Rhythm Provider baal RO! 02/09/2020 16:26 78 ViaMaghine | Singh, Mandeep PA-C : a, : . Blood Pressure: . Date Time Value _— Location Posific | | Cuff Size Provider 02/09/2020 16:26 NYM_ Unavailabi a Singh, Mandeep PA-C S$a02: a | 2 Date Time Value(%) Air a Provider 02/09/2020 16:26 NYM 98 RoomAir , || | Singh, Mandeep PA-C

Gen: A and 0 x3, NAD, gat normal, Hoarseness noted withicom unication ‘

Throat Injected w/ exudates, + tonsillar LAD. neg all others: Lungs: clear. Dd □ ASSESSMENT: Acute laryngopharyngitis, JO60 - Current □□ us : aS i | | PLAN: Due ot New Medication Orders: i Pa Medication □ od. Order Date Azithromycin Tablet 02/09/2020 16:26 Prescriber Order: as directed on Z pack Orally - daily day(s) -- Please dispense Z pack or tablets according to z pack dosing. : ba: ee, Indication: Acute laryngopharyngitis a . Disposition: | | : Follow-up at Sick Call as Needed Return immediately if Condition Worsens Generated 02/09/2020 16:36 by Singh, Mandeep PA-C Bureau of Foor -\NYM Page 1 of 2 4 wept ‘

Bureau cf Prisons Health fhervices Clinical Eincdunter ee Inmate Name: FANFAN, JIMMY TT Reg#: 90863-053 Date of Birth: 10/20/1971 Sex: 41. Race: BLACK Facility: NYM Encounter Date: 02/22/2020 08:00 Provider: loaquin, Y. MLP Unit KO1

Mid Level Provider - Evaluation encounter performed at Heclth Senices. SUBJECTIVE: ea COMPLAINT 1. Provider: Joaquin, Y.MLP Chief Complaint: Other Problem : : Subjective: Called for a "Medical Emergency" in 14 north. | : Inmate Fanfan was conveniently laying di. wn of the floor by the commorn/TV area. When questioned of why he was in the floor he zesponded: "because | have flu-like symptoms for 2 days", he get up immediately when instrutted oy this clinician. Pain: No pe ET OBJECTIVE: : □□ Temperature: Date Time Fahrenheit Celsius” Lociition - Provider 02/22/2020 08:00 NYM 938.6 37.0 Oral, : Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 02/22/2020 08:00 90 Via Maghine | Regular Joaquin, Y. MLP Respirations: 4 pa Date Time Rate Per Minute eel ider 02/22/2020 08:00 NYM 16 Joa uin, Y. MLP Blood Pressure: ! Date Time Value Location Postion Cuff Size Provider 02/22/2020 08:00 NYM 111/65 Right Arm _Sittltg Aduitregular Joaquin, Y. MLP Blood Glucose: □ ! | Date Time Value (mg/dl) Type | : Regular Insulin Provider 02/22/2020 08:00 403 Random 2 Joaquin, Y. MLP $a02: | 2 | 2 Date Time Value(%) Air Provider 02/22/2020 08:00 NYM 400 Room Air Joaquin, Y. MLP Exam: : a 2 General Affect 2 4 : Yes: Cooperative | . Appearance Yes: Appears Well, Alert and Oriented x 3» □ i | No: Appears Distressed, Cachectic, Jaundiced, tyneonscious, Lethargic, Obtunded, Stuporous, Dyspneic, Appears in Pain, Pale, Cyanotic, Diaphoretic, Digneveled : Skin General Yes: Within Normal Limits Generated 02/22/2020 11:02 by Joaquin, Y. MLP Bureau of Prisons NYM Page 1 of 2

Inmate Name: FANFAN, JIMMY 8 Reg #: 90863-053 Date of Birth: 10/20/1971 . Sex!) Ad Race: BLACK Facility: NYM Encounter Date: 02/22/2020 08:00 Provider: oaquin, Y. MLP Unit: KO1 Exam: | Ears [ Tympanic Membrane | oR - Yes: Within Normal Limits ob a □ Canal | Yes: Within Normal Limits □ - External Ear Yes: Within Normal Limits oo Pulmonary boo Auscultation | Yes: Clear to Auscultation, Vesicular Breath Sours Bilaterally No: Crackles, Inspiratory-Crackles, Rhonchi, Whitezing Cardiovascular Auscultation Poo Yes: Regular Rate and Rhythm(RRR) io Exam Comments 7 a Inmate evaluated after a call from Ops lieutenant. | a Inmate was not in distress. He was laying down on the floc "because he had flu-like symptoms for 2 days", "| wanted to see medical", . Inmate was not coughing, no fever, normal vitals. Did not lik in any pain or distress. Lungs were clear and well ventilated. ae ASSESSMENT: foo Counseling, unspecified, 2719 - Current - R/O malingering a | Disposition: Follow-up at Sick Call as Needed | . Patient Education Topics: Date Initiated Format HandoulTop |i, Provider Qutcome 02/22/2020 Counseling Access {o Cart Joaquin, Y. Verbalizes | i Understandir Copay Required: Yes Cosign Required: Yes Telephone/Verbal Order: No | i Completed by Joaquin, Y. MLP on 02/22/2020 11:02 i Requested to be cosigned by Beaudouin, Robert MD. | Cosign documentation will be displayed on the following page. |

pe Generated 02/22/2020 11:02 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2 - j ie

I ies op + Inmate Name: FANFAN, JIMMY | Reg# 90863-053 Date of Birth: 10/20/1971 Sex:, fi | Race: BLACK Facility: NYM Encounter Date: 03/02/2020 13:07 Provider: sloaquin, Y. MLP Unit: KO1 : a Yi i Date Time Value(%) Air || | Rrovider Bei a! Exam: ob General » □ a? Affect aad Yes; Cooperative CG Appearance . 2 □ | Yes: Appears Well, Alert and Orientedx3 0 No: Appears Distressed, Appearsin Pain a | Exam Comments : Patient complaining of pain on left lower jaw. a To the examination: No malalignment of his bite. No deformities. patient describes getting pain on Ptemporomandibular joiry; | . Patient evaluated by Dr. Cho who recommended evaluation with x-rays of his jaw. : ee oF PF ASSESSMENT: Jaw pain, R6884 - Current : | | eee PLAN: a | : New Medication Orders: 7 . Rx# Medication . 4 oy Order Date ies I : Acetaminophen 325 MG Tabiet ay | i 03/02/2020 13:07 Prescriber Order: Two tablets Orally: tree times a day PRN x 5 day(s) ~ As needed for Left jawpain Take itwith food.., Indication: Jaw pain : □ New Radiology Request Orders: Details Frequency a End Date Due Date Priority | tee General Radiclogy-Mandible-General [Left] One Time i 03/03/2020 Routine Specific reason(s) for request (Complaints and an i): | Left jaw pain(pain on Left Temporomandibular Jen) | □□ Disposition: : i Dae t : Follow-up at Sick Call as Needed 4 PE Patient Education Topics: : 784 Loy Date Initiated Eormat Handout afl Pi Provider Qutcome 03/02/2020 Counseling Access to Cale Joaquin, Y. Verbalizes ou | PO Understanc

Copay Required: No Cosign Required: Yus ! Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 03/02/2020 13:23 | oi Requested to be cosigned by Beaudouin, Robert MD. a Cosign documentation will be displayed on the following page| Generated 03/02/2020 13:23 by Joaquin, Y. MLP Bureau offPrisons|- NYM Page 2 of 2

Bureau f Prisons Health Services Clinical Encounter inmate Name: FANFAN, JIMMY Reg# 90863-053 Date of Birth: 10/20/1971 Sex: “M Race: BLACK Facility. NYM Encounter Date: 03/02/2020 13:07 Provider: _ Joaquin, Y, MLP Unit: KO1 Mid Level Provider - Evaluation encounter performed at Housi'g Unit. . SUBJECTIVE: Oo COMPLAINT 1 Provider: Joaquin, Y. MLP Chief Complaint: Pain Subjective: My left jaw hurts. Last time.hit my jaw with the floor. It is very difficult to chew the food. Pain: Yes | ibe Pain Assessment Date: 03/02/2020 13:09 | : Location: Jaw oo Quality of Pain: Aching Pain Scale: 8 | intervention: None | Trauma Date/Year: Mechanism: : □ Onset: 1-2 Weeks | a. Duration: 1-2 Weeks foe Exacerbating Factors: Chewing food | Relieving Factors: Do not know. Foo: Reason Not Done: | i , Comments: | OBJECTIVE: i og Temperature: Date Time Fahrenheit Gelsius| Locjtion Provider 03/02/2020 13:10 NYM 98.1 36.7 Ora Joaquin, Y. MLP Pulse: 2 Date . Time Rate Per Minute Locatiqn Rhythm Provider . 03/02/2020 13:10 100 Via Mai hine Regular Joaquin, Y. MLP Respirations: | Date Time Rate Per Minute Prentider 03/02/2020 13:10 NYM 18 Jos gjuin, Y. MLP Blood Pressure: | Date ‘Time ~—Value_~—Location | Position Cuff Size Provider 03/02/2020 13:10NYM 136/83 Right Arm | Sitting Adult-regular Joaquin, Y. MLP $a02: | Date Time Value(%) Air | 2 Provider 03/02/2020 43:10 NYM 100 Room Air | Joaquin, Y. MLP Generated 03/02/2020 13:23 by Joaquin, Y. MLP Buieau of Prisons -NYM Page 1 of 2

bureau rie Health services : 4 ral i Dental Soap/Ajimir Encounter ot i $$ ae Inmate Name: FANFAN, JIMMY eo: Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: | ; Race: BLACK Facility: NYM Encounter Date: 03/17/2020 15:19 Provider: Ancfum, Cheryi DDS Unit: 101

Reviewed Health Status: Yes 2 | Sick Call Visit encounter performed at Dental Clinic. SUBJECTIVE: COMPLAINT 1 Provider: Ancrum, Cheryl DDS a . ee Chief Trauma/Oral Injury | i Subjective: "I had the flu 4 weeks ago. | hadn't eaten for days. | was drinking fluids. Then { came out of my cell to watch TV. Other dudesisaid | passed out. They said that | fell on the left side of my face. The next morning my jaw hurt. | cijuldn't eat solid food. | couldn't sleep on that side.” Pain Location: Tooth/Teeth os

Pain Scale: 8 Pain Throbbing (oe History of Trauma: Do Onset: 1-4 Weeks Ago . ati Hot Duration: . a Exacerbating Factors: a 2 □ Relieving Factors: 4 | Comments: Inmate indicates left jaw OBJECTIVE: i 7 eat l . : ee | : ASSESSMENTS: Fracture of mandible, S02609A - Current □ a Jaw pain, R6884-Current PROCEDURE: 7 ot Dental Procedures , : 4 Universal Protocel Followed: yes Mate als Discussed: yes Radiograph(s) Reviewed: | Pope a Dental Procedures In Process/Completed During This Encoujter Tooth/Area Procedure □□ Status General Examination, Lip ited Completed □

General Panorex | ul ! Completed a Comments: Referred from Dr. Beaudouin for Panorex to mani ibular fracture Findings: Left non-displaced mandibular angle fracture; nal in ocelu ion clinically but Panorex with stable occlusion □□ : Dr. Beaudoin/NapthCare to set up appt with Dr. Kauiman ft r evaluation PLAN: i ye Disposition: . : me ob do: Follow-up at Sick Call as Needed roa | .

_ 03/17/2020 16:33 by Ancrum, Chery! DDS Bureau of Prisons -NYM Page 1 of 2

Bureau (jf Prisons . Health services Clinical Encounter « Administrative Note Inmate Name: FANFAN, JIMMY foe Reg # 90863-053 Date of Birth: 10/20/1974 Sek: = Race:BLACK Facility: © NYM Note Date: 03/18/2020 14:54 Provider:;' Beaudouin, Robert MD Unit: 101 Foe : Admin Note - Consultation encounter performed at Hesilth Services. Administrative Notes: | a ADMINISTRATIVE NOTE 4 Provider! Beaiidouin, Robert MD RE-WRITING CONSULT. | New Consultation Requests: Consultation/Procedure Target Date | Schiji uled Target Date Priority Translator Language Plastic Surgery 03/19/2020 03/11/2020 Routine No Subtype: □ OFFSITE poe Reason for Request: Per Dr. Kaufman, please send to ER to evvaluati 1) mandibular left angle fracture and 2) mandibular left low condylar fracture. og Patient is to be referred to KIMC - ER. | Please call Dr. Kaufman to inform him of datier/s arrival to the ER. Provisional Diagnosis: MANDIBULAR AMD LEFT CONDYLAR |FRAGTURE □ Copay Required: □□ Cosign Requited: ho Telephone/Verbal Order: No | oo Completed by Beaudouin, Robert MD on 03/18/2020 15:00 a | ok

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Generated 03/18/2020 15:00 by Beaudouin, Robert MD Burau of Esisons -NYM Page 1 of 1

Bureau o| Prisons wal Health Siervices Clinical Encounter ers Inmate Name: FANFAN, JIMMY mold: □□□ #: = 90863-0538 Date of Birth: 10/20/1971 Sex: Race: BLACK ° Facility: NYM Encounter Date: 04/02/2020 15:14 Provider: fleaudouin, Robert MD Unit: 104 Pe Physician - Medical Trip Return encounter performed at Health Services. SUBJECTIVE: as COMPLAINT 1 Provider: Beaudouin, Robert Mo. Chief Complaint: Other Problem es Subjective: MED TRI Fede, TURN S/P ORIF LT MANESBULAR ANGLE FX, CREF LEFT MANDIBULAR CONDY a ACTURE, MMF, EXCISIGIN OF BONY CHRONIC OSTEOID ON 3/20/20.

pict: Magi yiguio PLUSENSURE, DIFLUCAN TEOMGG,Q WEEK ZANTACG 150 IG dag). □ Pain: Not Applicable OBJECTIVE: tl oF □□ ASSESSMENT: be Constipation, unspecified, K5900 - Current > Fracture, Zygomatic fracture, closed, S02402A - Current - a! □ 4 i EFT ANGLE OF MANDIBLE, CREF LEFT MANDIBULA CONDYLAR FRACTRE, END PLAN: 8 4 New Medication Orders: ( Sra Rut Medication a y Order Date Nutritional Supplement -Standard 1.0 Cal/Ml a 04/02/2020 15:14 Liq Fo YO Prescriber Order: 1 CAN Orally - □□□ Times a Day x dagP) Pill Line Only Indication: Fracture, Zygomatic fractur?, closed | Chlorhexidine Gluc Oral Soin 0.12% (Non- 04/02/2020 15:14 Alcohol} mel Prescriber Order: 5 CC Orally - Tao Times a Day x 30 day(s) -- SWI ee" indication: Fracture, Zygomatic fracture, cloged Fluconazole Tablet □□ 04/02/2020 15:14 prescriber Order. ONE 150MG Orally, Weekly x 4 day(s) Indication: Fracture, Zygomatic fractul, closed. Docusate Sodium Capsule : 04/02/2020 15:14 Prescriber Order: TAKE ONE 100 NG CAP Orally - Two Times a Day x 30 day(s) indication: Constipation, unspecified | pp New Consultation Requests: Consultation/Procedure Target Date. Schiduled Target Date Priority Translator Language Plastic Surgery 04/20/2020 . 04/20/2020 Routine No Subtype: oa OFFSITE □ Reason for Request: a] 04/02/2020 15:46 by Beaudouin, Robert MD Bureay of Prisons -INYM Page 1 of 2

eer oneeaean Inmate Name: FANFAN, JIMMY Reg # 90863-053 Date of Birth: 10/20/1971 Sex:! ii Race: BLACK Facility: NYM Encounter Date: 04/02/2020 15:14 Provider: |ieaudouin, Robert MD Unit: 101 48 YR OLD MALE S/P ORIFLT MANDIBULAR AlsGLE FX, CRF LEFTMANDIBULAR CONDYLAR FRACTURE, MMF, EXCISIONOF BONY CHRNG C OSTEOID ON 3/20/20, GIVEN FOLLOW-UP FOR REMOVAL OF JAW WIRES WITH DR. KAUF MAN'S OFFICE IN OCEAN AVE IN BROOKLYN. Provisional Diagnosis: | ae S/P.ORIF OF LEFT MANDIBLE. fo be Diet Orders: 4 Start Date poe Expiration Date 04/02/2020 Clear Liquid [oon 05/02/2020 Disposition: ,

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| 3 poo Generated 04/02/2020 15:46 by Beaudouin, Robert MD Bureau of Ihisons ~NYM Page 2 of 2

bureau Gy Frio. Health tiervices Clinical &ncaunter

Inmate Name: FANFAN, JIMMY | Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: ‘|, Race: BLACK Facility. NYM Encounter Date: 04/02/2020 15:14 Provider. [jeaudouin, Robert MD Unit: 101 = i □ Physician - Medical Trip Return encounter performed at Health Servites. SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, RobertME Chief Complaint: Other Problem | Subjective: MED TRIRgBETURN S/P ORIF LT MANHIBULAR ANGLE FX, CREF LEFT MANDIBULAR CONDYL! a he ACTURE, MMF, EXCISION OF BONY CHRONIC OSTEOID ON 3/20/20. DIET: MaE¥R QUID PLUSENSURE, RX: COLNE ge co DIFLUCAN 8@6,.0 WEEK pola ZANTAC 150 IG ea Pain: Not Applicable Woy oe :

_ ASSESSMENT: 7 fin oo Constipation, unspecified, K5900 - Current 7 7? 2 Fracture, Zygomatic fracture, closed, $02402A - Current - of! Se | EFT ANGLE OF MANDIBLE, CREF LEFT MANDIBULA CONDYLAR FRACTRE, -€ NP a Be PLAN: 8 2 New Medication Orders: Sra Rx# Medication Bebe cp a Order Date Nutritional Supplement -Standard 1.0 CaV/Ml 6 7 Ot 04/02/2020 15:14 Liq Boo, Prescriber Order: 1 CAN Orally - Two Times a Day x 30g) Bil Line Only Indication: Fracture, Zygomatic fracture: closed : Chlorhexidine Gluc Oral Soln 0.12% (Nom 04/02/2020 15:14 Alcohol) OE Prescriber Order: 5 CC Orally - Two Tinies a Day x 30 day(s) - SWI ve indication: Fracture, Zygomatic fracturd, closed | Fluconazole Tablet □□ 04/02/2020 15:14 Prescriber Order: ONE Ofilly ‘Weekly x 4 day(s) Indication: Fracture, Zygomatic fracturt, closed Docusate Sodium Capsule 04/02/2020 15:14 Prescriber Order: TAKE ONE 100 MIG CAP Orally - Two Times a Day x 30 day(s) Indication: Constipation, unspecified □ Pa New Consultation Requests: . □ Consultation/Procedure Target Date ‘Scheduled Target Date Priority Translator Language Plastic Surgery 04/20/2020 04/2(,/2020 Routine No Subtype: OFFSITE go! Reason for Request: et Generated 04/02/2020 15:46 by Beaudouin, Robert MD Bureau ¢! Prisoris -NYM Page 1 of 2

Bureau of Prisons Health Services Clinical Encounter ~ Administrative Note

Inmate Name: FANFAN, JIMMY et Reg #: 90863-053 Date of Birth: 10/20/41 971 Sex:

Admin Note - Orders encounter performed at Health Services. 2 Administrative Notes: □□ ADMINISTRATIVE NOTE 1 Provider: Beatidouin, Robert MD ADDING TYLENOL FOR PAIN. a New Medication Orders: 4 | Rx# Medication a Order Date Acetaminophen 325 MG Tablet poo 04/03/2020 20:04 Prescriber Order: 2 TABS Orally Two Times a Day x 10 day(s) Indication: Fracture of mandible. Copay Required: No Cosign Required: No Telephone/Verbal Order: No oo Completed by Beaudouin, Robert MD on 04/03/2020 20:06

Generated 04/03/2020 20:06 by Beaudouin, Robert MD Bureau a! Prisons -NYM Page 1 of 1

DUrCal Gar Prisons Health Services Clinical #:ncounter t a Inmate Name: FANFAN, JIMMY □ Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: IM «Race: BLACK Facility: NYM Encounter Date: 04/03/2020 12:55 Provider: Heaudouin, Robert MD Unit: lot Physician - Medical Trip Return encounter performed at Aealttt Services. SUBJECTIVE: [op COMPLAINT 1 Provider: Beaudouin, Rotert Mi): Chief Complaint: Other Problem Subjective: MED TRIP RETURN S/P ORIF LT MANUIBULAR ANGLE FX, CREF LEFT MANDIBULAR CONDYLAR FRACTURE, MMF, EXCISION OF BONY CHRONIC OSTECID ON 3/20/20. DIET: CLEAR LIQUID PLUS ENSURE.” RX: COLACE DIFLUCAN 150MG QWEEK ZANTAC 150 MG BID. hoe Pain: Not Applicable bo COMPLAINT 2 Provider: Beaudouin, Rotert Ml), Chief Complaint: Other Problem fog Subjective: | ACCOMPANIED THE INATME TO HIS UNIT. HE WAS IN NO DSITRESS. HE DENIED INJURY FROM THE TRIP Pain: Not Applicable = OBJECTIVE: ASSESSMENT: □□□ Constipation, unspecified, K5900 - Current Fracture, Zygomatic fracture, closed, $02402A - Curreni - OF LEFT ANGLE OF MANDIBLE, CREF LEFT MANDIBULAF CONDYLAR FRACTRE, og PLAN: (og New Medication Orders: og Rx Medication □□ Order Date Ibuprofen Suspension 100 MG/SML. 04/03/2020 12:55 Prescriber Order: 5 CC Orally - three times a day PRN x 30 day(s) -- TAKE AS NEEDED ONLY, Indication: Jaw pain, Fracture, Zygomat fracture, closed, Fracture of mandible

Copay Required: No Cosign Required: No. . Telephone/Verbal Order: No Completed by Beaudouin, Robert MD on 04/03/2020 12:57 i

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[oe Generated 04/03/2020 12:57 by Beaudouin, Robert MB Burzau of [risons -NYM Page 7 of 1

Bureau o/ Prisons Health Services Dental Soap/Admin Encounter Name: FANFAN, JIMMY | □□ Reg # 90863-053 of Birth: 10/20/1971 Sex:|M Race: BLACK Facility: NYM Date: 04/17/2020 11:29 Provider. =Ancrum, Cheryl DDS Unit. Health Status: Yes Call Visit encounter performed at Dental Glinic. Don COMPLAINT 1 Provider: Ancrum, Cheryl Ds Chief "Pain | og Subjective: c/o incr@@@iQg pain and left facial swelling 2 weeks S/P discharge for ORIF Left mandibular ang|gafx ie fgtondylar fx, MMF, and excision of chronic bony osteoid (3/20/2020). Pain Location: L@ycgaw_ a : Pain Scale: 8 A} Pain Throbbitts 1a History of Trauma: 6. Onset: 1-4 Weeks Ago . Sa Duration: al | Exacerbating Factors: Am Relieving Factors: 4 i Comments: Inmate indicates left jaw i Sm, OBJECTIVE: | ASSESSMENTS: oe | a am 2 □ Alveolitis of jaws, M273 - Current | Sts Jaw pain, R6884 - Current | PROCEDURE:

Dental Procedures Universal Protoco! Followed: yes ateriails Discussed: yes 4¥3"° Reviewed: ye: Dental Procedures In Process/Completed During This Encouriler Tooth/Area - procedure A Status General Examinatidn, Lirsted Completed Comments: Inmate in MMF; moderate left facial swelling; 'suppuration noted; spoke with Dr. Kaufman, who will see inmate next week for evaluation and removal of MMF; inmate has Rx pain meds and Rx Peridex--instructed to continue as directed; will add antibiotics :

Panorex not operable at this time Doe PLAN: bs New Medication Orders: Rx# Medication Order Date Clindamycin HCI Capsule og 04/17/2020 11:29 Prescriber Order: 300mg Orel Movin - three times a day x 7 day(s) □ crush for use “Indication: Alveolitis ofjaws 14/17/2020 14:42 by Ancrum, Cheryl DDS Buleau of Frisons - NYM Page 1 of 2

Bureau of Prisons Health Services Clinical =ncounter | a □ Inmate Name: FANFAN, JIMMY ah Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: dvi Race: BLACK Facility: NYM Encounter Date: 04/23/2020 17:24 Provider: Singh, Mandeep PA-C Unit: Z02 Mid Level Provider - Medical Trip Return encounter performed iat Health Services. SUBJECTIVE: | oF COMPLAINT 4 Provider: Singh, Mandeey PAG, Chief Complaint: Medical Trip Return : Subjective: 48 y/o M return from the hospital trip. Pt. ayent to get ORIF of mandibular fracture extraction. . All the hardware was removed and| exter:sive amount of gingival hypertrophy debrided. Pain: Not Applicable |g □ OBJECTIVE: | Pulse: | Date Time Rate Per Minute Locatic:! Rhythm Provider 04/23/2020 17:25 103 Via Macviine - Singh, Mandeep PA-C Blood Pressure: | BE . Date Time Value Location | Pos'jion Cuff Size Provider 04/23/2020 17:25NYM 142/66 Left Arm I Sitting Adult-regular Singh, Mandeep PA-C Exam Comments Gen: A and O x3, moderately distressed. oy ASSESSMENT: Fracture of mandible, SO2609A - Current | Fracture, Zygomatic fracture, closed, S02402A, - Current PLAN: Disposition: | Follow-up at Sick Call as Needed Return Immediately if Condition Worsens fe Other: Be fu with MCC dental F/u with Dr. Kaufman PRN poo STRICT softiiquid diet for 2 additional week, then advance {o soft and solid diet as tolerated. for any question call 646-515-8303 oR Patient Education Topics: De t ies Date Initiated Format Handout/Topi:: Provider Outcome 04/23/2020 Counseling Access to Care: Singh, Mandeep Verbalizes : Understanding

Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No pg Completed by Singh, Mandeep PA-C on 04/23/2020 17:27 Requested to be cosigned by Beaudouin, Robert MD. | Generated 04/23/2020 17:27 by Singh, Mandeep PA-C Bureau of P? gons - NYM Page 1 of 2

Bureau if Prisons Health Services Clinical Encounter Inmate Name: FANFAN, JIMMY po Reg #: 90863-053 Date of Birth: 10/20/1971 Sex! ‘—M Race: BLACK Facility: NYM Encounter Date: 05/22/2020 09:59 Provider: ‘Beaudouin, Robert MD Unit: 101 Physician - Evaluation encounter performed at Health Sérvices, SUBJECTIVE: □□ i Be COMPLAINT 1 Provider: Beaudouin, Rotiert Me: Chief Complaint: Other Problem Subjective: PATIENT 1S HERE FOR FOLLOW-UP ASTER HE WAS ERRONEOUSLY GIVEN ADOSE OF METHADONE 5 DAYS AGOM AND ANAS GIVEN INTRANSAL NARACN. STATES HE IS 100 % FINE, HAS/NO FIOBLEM, IS NOT TIRED OR SLEEPY, HAS NO GI OR NEUROLOGICAL COMPLAINTS. Pain: Not Applicable PR ae OBJECTIVE: Temperature: poo Date Time Fahrenheit Celsius) Locition Provider 05/22/2020 10:00 NYM 97.9 36.6, Foreiead Beaudouin, Robert MD Pulse: Date Time Rate Per Minute — Locatiay) Rhythm Provider 05/22/2020 10:00 78 Via Mac"ine Beaudouin, Robert MD

Respirations: Date Time Rate Per Minuté Projider 08/22/2020 10:00 NYM 1%, Beai-douin, Robert MD Blood Pressure: | Date Time Value —_ Location | Position Cuff Size = Provider 05/22/2020 10:00NYM 134/82 Left Arm PB Beaudouin, Robert MD $aQ2: Date Time Value(%) Air | 4. Provider 05/22/2020 10:00 NYM 100 Room Air =» Beaudouin, Robert MD Weight: | Date Time Lbs Kg Waist Gicum. Provider 05/22/2020 10:00 NYM 192.6 87.4 | Beaudouin, Robert MD Exam: ! General Affect . foe . Yes: Cooperative : a Appearance Yes: Appears Well, Alert and Orientedx3 , i tae . : 2 No: Appears Distressed, Dyspneic, Appears in Pata, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, Disheveied, Unkempt, Acutely Ht poo: Nutrition No: Appears Obese Eyes □□ Generated 05/22/2020 10:26 by Beaudouin, Robert MD Bureau of Fiisons -NYM Page 1 of 2

. □ ee "Statra ° Leading Telerailiology

MCC New York NYM. Patient: FANFAN, JIMMY (Mate) = Dos: 10/20/71 Register: 90863-053 Age: 48 Date: 06/19/20 10:05 . a Status: OP Slicecount: 2 History: Left jaw pain, surgery was done 3/20/2020 Ob : Priars: 4 : Exams: FILM MANDIBLE □□ ‘ . Referring Phy: Ordering Phy: Joaquin, Y. MLP Ordering Phy # US Accession Numbers: 202#80P00182925 eB Final Report a i Exam: FILM MANDIBLE a

INDICATION: Left jaw pain, surgery was on 3/20/20 a COMPARISON: None eo FINDINGS: 2 views of the randible are obtained. There is plate and screw fixation of heated left mandible angli fractiire in anatomic allgnment, Hardware is intact without hardware complication. : No acute fracture. Termporomandibular jeint alignment appeal’ maintained. No acute osseous erosive changes are identified radiographitsaily. Soft tissues are unremarkable. : : . No radio-opaque foreign bodies seen, Visualized paranasal sinuses unremarkable by radiograph. — IMPRESSION: Bo There is plate and screw fixation of healed {eft mandible. angle fracture in anatomic alignment. Hardware is intact without hardware complication. a No acute fracture. Temporormandibular joint alignment appear ‘maintained, Soft tissues unremarkable by radiograph. a . Radiologist: Farhad Khorashadi, MD Study ready at 10:07 and initial results transmitted at 12:10 es

Bureau :f Prisons Health Services: Clinical Encounter » Administrative Note Inmate Name: FANFAN, JIMMY poo Reg #: 90863-053 Date of Birth: = 10/20/1971 Sek: — Race:BLACK Facility: = NYM Note Date: 05/05/2020 13:11 Provider, Beaudouin, RobertMD — Unit: C02 Admin Note - Orders encounter performed at Health Services. Administrative Notes: fe ADMINISTRATIVE NOTE 1 Provider: Bezi.douin, Robert MD PATIENT REPORTS CONSTINUED PAIN IN T4E LEFT LOWER MANDIBUALR AREA. WILL RENEW THE T3. | og New Medication Orders: | oe Rx# Medication | □ Order Date Acetaminophen/Codeine 300/30 MG Tablets. 05/05/2020 13:11 Prescriber Order: | TAKE 2 TABS Opally - Two Times a Day x 5 day(s) Pill Line Only Indication: Fracture, Zygomatic Tractura, closed Copay Required: No Cosign Requiled: ho Telephone/Verbal Order: No poe Completed by Beaudouin, Robert MD on 05/05/2020 13:14 poo [

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| ms Poo Generated 05/05/2020 13:14 by Beaudouin, Robert MD Bureau of Filsons ~NYM Page 1 of 1

Bureau (f Prisons Health Services Clinical Encounter « Administrative Note Name: FANFAN, JIMMY 8 i. Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: = Mi | Race:BLACK Facility: © NYM Note Date: 05/11/2020 20:48 Provider;, Beaudouin, Robert MD Unit: 101 i et Admin Note - Orders encounter performed at Health Services. Administrative Notes: Bog ADMINISTRATIVE NOTE 1 Provider: Beajidouij, Robert MD PATIENT INFORMED THE PA HE STILL CONTINUES TO HAVE JAW PAIN. | DISCUSSED WITH THE PATIENT THAT} W4)'S RECOMMENDING FOR HIM TO HAVE A FOLLOW-UP WITH THE ORAL MAXILLO FACIAL SURGEON: WHO; OPERATED ON HIM. HE STATED HE DID NOT WANT TO GO FOR A FOLLOW-UP. | WILL REAISIT THIS WITH HIM AGAIN. WILL TAPER OFF THE T3 AND PLACED!PATIENT ON CYMBALTA. New Medication Orders: Medication a Order Date Acetaminophen/Codeine 300/30 MG Tablets; 05/11/2020 20:48 Prescriber Order: 2 TABS Orally a Two Times a Day x7 day(s) Pill Line Only -- TAPER OFF 2 TABS TWICE DAILY/FOR DAYS, THEN 1 TAB TWICE DAILY FOR 4 DAYS, THEN = | Indication: Fracture, Zygomatic fracture, closed, Fracture of mandible DULoxetine Delayed Release Capsule 05/11/2020 20:48 Prescriber Order: CAP Oray each evening x 90 day(s) - TAKE ONE TAB IN PM X 3 DAYS, THEN 2 1ABS iN PM X 177 DAYS. Indication: Jaw pain oe, Naproxen Tablet ao 05/11/2020 20:48 Prescriber Order, TAKE 2 TABS Qially - Two Times a Day x 90 day(s) Indication: Jaw pain Bo □

Copay Required: No Cosign Required: to | Telephone/Verbal Order: No oe Completed by Beaudouin, Robert MD on 05/11/2020 20:59 oe oe

Generated 05/11/2020 20:59 by Beaudouin, Robert MD Bureau of Prsohs NYM Page 1 of 1

Inmate Name: FANFAN, JIMMY Boe Reg #: 90863-053 Date of Birth: 10/20/1971 Sex, NM: Race: BLACK Facility: NYM Encounter Date: 05/17/2020 48:00 Provider: Lcipes, Hygor NRP Unit: 101

Exam: Observation/inspection el Yes: Within Normal Limits ee No: Coughing, severe w production green/brown mucus, Apneic, Respiratory Distress, Tachypnea, Hyperventilation Pp! ASSESSMENT: oof No Significant Findings/No Apparent Distress a 4 □

inmate was administered methadone 100mg on error di'ing evening pill line, Contact was made with the inmate after the error and he was notified of such. Inmate was explained the side effects of the medication he was administered. Inmate understood and stated he feels fine. Approx. 45 minutes after being administered the medication, inmate was brought down to health services for evaluation. Inmate imbulates without assistance with no unsteady gait present. Speaking in full sentences AOx4, pupils are equal and rpactive to.light from 4mm to 2mm. Vital signs assessed, noted to be with in normal limits, Consulted with Dr. Beaudd jin whio then ordered wither activated charcoal or Narcan intra- nasal. Contact also made with poison control whe advised of the same. Inmate did deny the activated charcoal but he did accept the Narcan intranasal. Used left Nair, admipjistered 4mg with no complications. Vital signs reassessed and noted to be within normal limits. Inmate returned back 1p housing unit with no incidents to report. PLAN: ed New Medication Orders: Rx# Medication mo Order Date Naloxone Nasal Liquid4MG/OMML □ 06/17/2020 18:00 Prescriber Order: | 4mg Per Nostril Que Time Dose Given PRN x 0 day(s) Pill Line Only Start Now: Yes . Foo Night Stock Rod: aod Source: Night Stock oa Admin Method: Pill Line Stop Date: 05/17/2020 18:50 a MAR Label: 4mg Per Nostril One Tiine Dose Given PRN x 0 day(s) Pill Line Only One Time Dose Given: Given Now | Disposition: Pa, Follow-up at Sick Call as Needed Be Patient Education Topics: . a Date Initiated Format Handout/Tojjic | i : , Provider Outcome 05/17/2020 Counseling AccesstoCdie | Lopes, Hygor Verbalizes a Understan 05/17/2020 Counseling Medication Gide Effects Lopes, Hygor Verbalizes eo Understan

Copay Required: No Gosign Required: Y2s Eee iii Telephone/Verbal Order: Yes By: Beaudouin, Robalt MD i Telephone or Verbal order read back and verified. . a : :

Completed by Lopes, Hygor NRP on 05/17/2020 18:53. ae i : Requested to be cosigned by Beaudouin, Robert MD. a 4 Cosign documentation will be displayed on the following pag). aad AEATIONID 44-53 by Lopes, Hygor NRP Bureau Prisorts -NYM ‘ Page 2 of 2

□□ □□ ee: eee Health Services Clinical Encounter a a inmate Name: FANFAN, JIMMY a Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: i ‘Race! BLACK Facility: NYM Encounter Date: 05/18/2020 11:00 Provider: fleaudguin, Robert MD Unit: 101

Physician - Follow up Visit encounter performed at Health Services: og bo SUBJECTIVE: COMPLAINT 1 Provider: Beaudouin, Robert Me, Chief Complaint: Other Problem : a Subjective: PATIENT iS HERE FOR FOLLOW-UP. oo HE WAS ERRONEOUSLY GIVEN.A METHADONE DOSE OF 100 MG LAST EVENING. HE WAS SUBSEQUENTLY EVALUATED), WAS GIVEN INTRANASAL SPRAY.OF NARCAN 4 MG DOSE. STATES AFTER THE NAE.CAN HE FELT LESS TIRED. STATES HE WORKED LAST NIGHT AS; SUICIDE ATTENDANT, AND HAD NO PROBLEM MAINTAINING ATTENTION OR FEELINIS DROWSY. STATES HEIS TIRED , AS HE JUST GOT, OFF WORK FROM THE NIGHT SHIFT AND NEEDS TO GO TO SLEEP. | po STATES IN GENERAL HE FEELS OK. | 8 Pain: Not Applicable DR OBJECTIVE: Temperature: a | Date Time Fahrenheit Celsius Logiition Provider 05/18/2020 11:00 NYM 97.8 36.6 Forghead | Beaudouin, Robert MD Pulse: Date Time Rate Minute Locaticn — |: Bhythm — Provider □ 05/18/2020 11:00 89 Via Mathiné | Beaudouin, Robert MD Respirations: Date Time Rate Per Minute Previder. 05/18/2020 41:00 NYM 44 Beaudouih, Robert MD ea! Blood Pressure: Date Time Value Location Pos/tion |, CuffSize Provider 05/18/2020 11:00NYM 119/72 — Left Arm | Beaudouin, Robert MD $a02: ad

Date Time Value(%) Air =, Provider 05/18/2020 11:00 NYM 97 RoomAir ——-|_ Beaudouin, Robert MD Weight:

Date Time Lbs Kg Waist Gireumi, Provider 05/18/2020 11:00NYM 190.0 86.2 © |, . ; Beaudouin, Robert MD Exam: General eoad. Affect oe Yes: Cooperative me Appearance □ Yes: Appears Well, Alert and Oriented x 3) ae No: Appears Distressed, Dyspneic, Appears in Fain, Writhing in Pain, Pale, Pallor, Cyanotic, Diaphoretic, . : See oo \ Generated 05/21/2020 19:51 by Beaudouin, Robert MD Bureau Gf Prisons - NYM Page 1 of 3

pure ore? Health Services Dental Soap/Adinin Encounter nmate Name: FANFAN, JIMMY Po Reg #: 90863-053 of Birth: 40/20/1977 Sex: aM Race. BLACK Facility: NYM ‘ Date: 06/01/2020 12:57 Provider; /Ancrum, Cheryl DDS Unit: 101 Note encounter at Dental Clinic. | Not Done: Unavailable institutional lockdown; inmate to be rescheduled for F/U Panorex Required: No | by Ancrum, Cheryl DDS on 06/01/2020 12:50) \ a □□ i Eee

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. Bureau of Prisons : ' Bk Health Services Clinical Encounter - Administrative Note Inmate Name: FANFAN, JIMMY □ Reg #: . 90863-053 Date of Birth: = 10/20/1971 Sex: Ml «Race: BLACK Facility, = NYM Note Date: 06/29/2020 08:20 Provider: _ Sommer, Diane MD, Unit: 101

Admin Note - Chart Review encounter performed at reldheat, Administrative Notes: ADMINISTRATIVE NOTE 14 Provider: [Somer Diane MD, NER-MAST Physician lab work needs to be rescheduled due to m dified Operations due to COVID 19

ASSESSMENTS: I Adverse effect of other drugs, medicaments and biological substances, T50995S - Resolved Chest pain, unspecified, RO79 - Resolved | A . . Constipation, unspecified, K5900 - Resolved Dermatitis, unspecified, L309 - Resolved Gastro-esophageal reflux disease without esophagitis, Kat 9 Remission Tinea pedis, B353 - Resolved i a Discontinued Laboratory Requests: | | , Details Frequip cy Due Date Priority Lab Tests-H-H. Pylori Antigen, stool One Tine 05/28/2020 00:00 Routine - Discontinued Consultation Requests: fy Consultation/Procedure Target Date Schejluled Target Date Priority Translator Language Plastic Surgery 03/19/2020 [03/16 12020 Routine No □ Subtype: | . ‘OFFSITE, □□□ Reason for Request: | Per Dr. Kaufman, please send to ER to evaluate 1) mandibular left angle fracture and 2) mandibular left low condylar fracture. | A Patient is to be referred to KJIMC - ER. Please call Dr. Kaufman to inform him of patient's arrival to the ER. . Provisional Diagnosis: MANDIBULAR AMD LEFT CONDYLAR FRACTURE Plastic Surgery . 04/20/2020 | 04/212020 Routine No Subtype: og OFFSITE | og Reason for Request: | li 48 YR OLD MALE S/P ORIFLT MANDIBULAR ANGLE FX, CRF LEFTMANDIBULAR CONDYLAR FRACTURE, MMF, EXCISIONOF BONY CHRMOIC OSTEOID ON 3/20/20, GIVEN FOLLOW-UP FOR REMOVAL OF JAW WIRES WITH DR. KAUFUIAN'S OFFICE IN OCEAN AVE IN BROOKLYN. Provisional Diagnosis: | a S/P ORIF OF LEFT MANDIBLE. | og Other: chart reviewed - no GI complaints | Ee no need for testing Generated 06/29/2020 08:26 by Sommer, Diane MD, Buréau of Hflsons - NYM , "Page 1 of 2

Bureau of Prisons Health Services Clinical Encounter inmate Name: FANFAN, JIMMY Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: M Race: BLACK Facility: NYM Encounter Date: 03/02/2020 13:07 Provider: Joaquin, Y. MLP Unit: K01 i □ Mid Level Provider - Evaluation encounter performed at Housing Unit. SUBJECTIVE: COMPLAINT 1 Provider: Joaquin, Y. MLP Chief Complaint: Pain Subjective: My left jaw hurts. Last time hit my jaw with the floor. It is very difficult to chew the food. Pain: Yes Pain Assessment Date: 03/02/2020 13:09 . Location: Jaw : Quality of Pain: Aching Pain Scale: Intervention: None Trauma Date/Year: Injury: Mechanism: Onset: 1-2 Weeks Duration: {-2 Weeks Exacerbating Factors: Chewing food Relieving Factors: Do not know, Reason Not Done: : , Comments: OBJECTIVE: - Temperature: Date Time Fahrenheit Celsius Location Provider 03/02/2020 13:10NYM 98.1 36.7 Oral Joaquin, Y. MLP Pulse: Date Time Rate Per Minute Location Rhythm Provider 03/02/2020 13:10 400 Via Machine Regular Joaquin, Y. MLP Respirations: Date Time Rate Per Minute Provider 03/02/2020 13:10 NYM 16 Joaquin, Y. MLP Blood Pressure: Date Time Value Location Position Cuff Size Provider 03/02/2020 13:40 NYM 136/83 Right Arm Sitting Adult-regular Joaquin, Y. MLP $a02: Date . Time Value(%) Air Provider 03/02/2020 13:10 NYM 100 Room Air Joaquin, Y. MLP Generated 03/02/2020 13:23 by Joaquin, Y. MLP Bureau of Prisons - NYM . Page 1 of 2

i Inmate Name: FANFAN, JIMMY Reg#: 90863-053 Date of Birth: 10/20/1971 Sex: M Race: BLACK Facility: NYM Encounter Date: 03/02/2020 13:07 - Provider: Joaquin, ¥. MLP Unit: gL Date Time Value(%) Air Provider — Exam: General Affect Yes: Cooperative Appearance Yes: Appears Well, Alert and Oriented x 3 No: Appears Distressed, Appears in Pain Exam Comments Patient complaining of pain on left lower jaw. To the examination: No malalignment of his bite. No deformities. patient describes getting pain on Ptemporomandibular joint. Patient evaluated by Dr. Cho who recommended evaluation with x-rays of his jaw. ASSESSMENT: Jaw pain, R6884 - Current PLAN: ee New Medication Orders: es ‘ Rx# Medication Order Date Acetaminophen 325 MG Tablet 03/02/2020 13:07 Prescriber Order: Two tablets Orally - three times a day PRN x 5 day(s) -- As needed for Left jaw pain. Take it with food. indication: Jaw pain ete ete — New Radiology Request Orders: _ 4 = | Details Frequency EndDate // Due Date | Priority General Radiology-Mandible-General [Left] One Time } 03/03/2020 | Routine Specific reason(s) for request (Complaints and findings): \ Left jaw pain{pain on Left Temporomandibular Join) \ Disposition: Ss, ue Follow-up at Sick Call as-Needed

Patient Education Topics: Date Initiated Format Handout/Topic Provider Outcome 03/02/2020 Counseling Access to Care Joaquin, Y. Verbalizes Understanding Copay Required: No Cosign Required: Yes Telephone/Verbal Order: No Completed by Joaquin, Y. MLP on 03/02/2020 13:23 Requested to be cosigned by Beaudouin, Robert MD. Cosign documentation will be displayed on the following page.

Generated 03/02/2020 13:23 by Joaquin, Y. MLP Bureau of Prisons - NYM Page 2 of 2

Bureau of Prisons Health Services . -Cosign/Review ml Inmate Name: FANFAN, JIMMY , Reg #: 90863-053 Date of Birth: 10/20/1971 Sex: M Race: BLACK Encounter Date: 03/02/2020 13:07 ‘Provider: Joaquin, Y. MLP Facility: NYM ins SS Cosigned by Beaudouin, Robert MD on 03/02/2020 21:38.

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