🔗 Linked Evidence
FOREMED_NOTES_JULY_17 — p.7
📄 FOREMED NOTES JULY 17 | p.7
📄 FOREMED NOTES JULY 17 | p.7
📝 Extracted Text (OCR)
Documentation for MARK THOMAS HOLAND O: Alertt coherent speech normal future orientated A: 1. Emotional distress related to work situation 2. Persistent fatigue 3. Otalgia P: 1. Emotional distress related to work situation: - Continue counseling. - Await appointment with psychiatrist for further assessment and management. 2. Persistent fatigue: - Await specialist evaluation for diagnosis and management. 3. Otalgia: - Await ENT and otolaryngologist appointments for further evaluation and diagnosis. - Attempt to get on waiting list for earlier otolaryngologist appointment. Additional: - Patient will not return to work until a specialist evaluation is completed and a diagnosis is established. [Signed on 14-Mar-2026 12:07 by Gbogboade Ademiluyi (68199)] -[27-Mar-2026 : FOLLOW UP check bop and weight- PT NEEDS TO SIGN LIFE MARKS FORM, PLEASE ASK HUS] 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. setraline risperidone and trazodone. He is sleeping better. He saw an audiologist and was advised he had "hyperacusis' Was recommended sound therapy. WCB claim has been denied. He is appealing decision. Headache resolved. Ongoing left earache 4-5/10 (stable). He is still sleeping in a tent with weighted blanket. imp migraine, MDD with anxious distress. Plan c/w sertraline risperidone and trazodone. Not fit for GRTW at this time. Have referred to ENT and neurologist via MSP. Refilled meds. R/v in 2 weeks Page_7 of 10 Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-07-09