🔗 Linked Evidence
FOREMED_NOTES_JULY_17 — p.8
📄 FOREMED NOTES JULY 17 | p.8
📄 FOREMED NOTES JULY 17 | p.8
📝 Extracted Text (OCR)
Documentation for MARK THOMAS HOLAND [Faxed to Guardian Kent Pharmacy Fax#: 604-522-3402, 27-Mar-2026 01:31 PM] AG-SERTRALINE 25 MG CAPSULE 3.00 capsule OD Qty:1 month Repeats:2 AG-TRAZODONE 100 MG TABLET 1.00 tablet OD Qty:1 month Repeats:2 APO-RISPERIDONE 1 MG TABLET 1.00 tablet nocte Qty:1 month Repeats:2 [Signed on 27-Mar-2026 13:38 by Gbogboade Ademiluyi (68199)] -[28-Apr-2026 : [Clinic][SN] Continued time off work until specialist care recv F: Sick note] 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- reports he was demoted to rail maintenance for making a ‘vexatious work refusal. WCB claim has been denied. He is appealing decision. Continues setraline, risperidone and trazodone. C/o jerking movements of limbs at night- recorded himself. Has been s/b audiologist and was advised he had ‘hyperacusis.’ Has been using less headphones. Ongoing pain left ear scores 2/10. Headache resolved. He is still sleeping in a tent with weighted blanket. imp migraine, MDD with anxious distress. Plan c/w sertraline risperidone and trazodone. Arrange for sleep study via MSP Not fit for GRTW at this time. Have referred to ENT and neurologist via MSP. R/v in 2 weeks Seen in person Ss: Migraine: - Sumatriptan used for migraine management, effective when taken early. - Sumatriptan usage reduced by 33%. - Triple progressive glasses significantly improved migraine symptoms. - CoQ10 taken for migraines. - Magnesium taken for migraines, causes upset stomach. - Riboflavin mentioned as a potential supplement for migraines. General: - Allegra works well, no side effects. 2 Oo Page 8 of 10 Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-07-09