Documentation fo1 MARK THOMAS HOLAND 1. Migraine 2. Allergic Rhinitis PE 1. Migraine: - Refill Sumatriptan. - Discussed Riboflavin as a potential supplement. 2. Allergic Rhinitis: - Refill Allegra. [Faxed to Kent Pharmacy -- 424 Columbia St, New West Fax#: 16045223402, 28-Apr-2026 12:13 PM] TEVA-SUMATRIPTAN DF 25 MG 25mg once for migraine. If initial dose was partially effective or headache recurs, may repeat dose after >2 hours. Maximum dose: 100 mg per dose 200 mg per 24 hours Refill Qty:16 TABLET Repeats:0 BLEXTEN 20 MG TABLET 1.00 tablet OD Qty:3 months Repeats:0 [Signed on 28-Apr-2026 12:14 by Gbogboade Ademiluyi (68199)] -[28-Apr-2026 : [Clinic][SN] Continued time off work until specialist care recv F: Sick note] [Signed on 28-Apr-2026 12:15 by Gbogboade Ademiluyi (68199)] -[12-May-2026 : [236-994-3376][] El Sickness Benefit Medical Certificate F: Form] 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 since feb 2nd. He has a prohibitive action case ongoing against his employer. Reports his employer demoted him and threatened him with termination. Continues setraline, risperidone and trazodone. C/o ongoing ‘spasms'at night for the first 4 hours- records himself . Ongoing pain left ear scores 2-5/10. Has appt with ENT in 2 weeks. Headache resolved- not taken sumatriptan in 2 weeks. Mood 'pretty good.' imp migraine resolved, MDD - mood improving, ongoing earache ?cause. Plan c/w sertraline risperidone and trazodone. Arrange for sleep study via MSP. Not fit for GRTW at this time. Await ENT r/v and neurologist via MSP. R/v in 2 weeks [Signed on 12-May-2026 10:21 by Gbogboade Ademiluyi (68199)] -[15-May-2026 : discuss El letter] Page_9 of 10 Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-07-09