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FOREMED_NOTES_JULY_17 — p.9
📄 FOREMED NOTES JULY 17 | p.9
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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]

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