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FOREMED_NOTES_JULY_17 — p.3
📄 FOREMED NOTES JULY 17 | p.3
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Documentation for MARK THOMAS HOLAND

NURTEC ODT 75 MG TABLET 1.00 tablet OD prn for migraine Qty:8 tablet Repeats:0
BLEXTEN 20 MG TABLET 1.00 tablet OD Qty:3 months Repeats:0

[Signed on 30-Jan-2026 13:37 by Gbogboade Ademiluyi (68199)]
-(30-Jan-2026 : [Clinic][SN] Persistent ear pain after exposure to loud noise]

BP: 141/95 sitting position
HR: 95

First BP: 141/97
HR: 93
[Signed on 30-Jan-2026 14:03 by Shiela Barcenas]

-(05-Feb-2026 : [Clinic][SP] Anxiety, lack of energy]

Seen in person. Seen with partner

Seen in person. Seen with wife

WCB ‘acoustic injury’ 19Jan2026. Control operator training. No previous hearing issues

Reports noise exposure from servers located behind his desk which he moved to one week prior.

Developed headaches , bilateral earache, irritability and loss of appetite. He filed a safety concern

His employer assessed nose at 56- 63db. File was closed. He also attended ER- no evidence of infection

He remains off work has been agitated and irritable. Has been wearing pads and sleeping in the closet

‘it's a comfort thing’ Wife suspects he is on autistic spectrum. Reports BP has been stable 122/78.

imp ?migraine secondary to noise exposure, acute stress reaction ?underlying neurodivergent condition.

Plan c/w migraine prevention with coenzyme q10, would recommend psychiatry assessment. Remain off work for now
Commence seroquel 12.5mg nocte. Review in 2 weeks

BP: 122/78 sitting position

[Faxed to Guardian Kent Pharmacy Fax#: 604-522-3402, 05-Feb-2026 01:22 PM]
SEROQUEL 25 MG TABLET 0.50 tablet nocte Qty:30 tablets Repeats:0

[Signed on 05-Feb-2026 13:26 by Gbogboade Ademiluyi (68199)]
-[10-Feb-2026 : 236-994-3376attending physicians statement from]

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