Documentation for MARK THOMAS HOLAND Called patient. remains unfit to return to work he does not feel he needs web opinion letter from me to be successful in his web claim his claim was denied unfortunately ongoing sleep disturbance, left earache however headaches mood has improved awaiting sleep study imp migraine resolved, MDD - mood improving, ongoing earache ?cause. Plan c/w sertraline risperidone and trazodone. Not fit for GRTW at this time. Await ENT r/v and neurologist via MSP. [Signed on 15-May-2026 9:38 by Gbogboade Ademiluyi (68199)] Page 10 of 10 Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-07-09