Van City Arman Abdalkhani MD, FRCSC
Ear, Nose & Throat vancityent@gmail.com www.vancityent.com

Tel: 604-757-1831 Fax: 604-757-1834

104 Station Street, Vancouver, BC V6A-0L1

Dr. Christine Nicole Henderson HOLAND, Mark
#311 - 318 Agnes Street
New Westminster, BC, CAN

MSP: 67402 V3L 0J3
1081 Burrard St
Vancouver, BC, V6Z-1Y6 date of birth : September 04, 1978 age : 47
P: (604) 682-2344 home phone : sex : Male
work phone :
other phone : (236) 994-3376 PHN : 9128 549 738

email : marktholand@gmail.com

July 16, 2026

Subjective:

- Occupational exposure to industrial-sized servers installed without permits at workplace in January;
seated directly in front of servers with exposed side panel and open ceiling panel for approximately 10
hours daily over 8 days

- Bilateral ear pain developed following exposure; severe in left ear, less severe in right ear

- Right ear has since healed; left ear continues to have pain in the ear canal

- Seen by Dr. Samad Idris (otolaryngology) in May in New Westminster; recommended muscle
relaxant for 1-2 months

- Has been taking muscle relaxant for almost 2 months; pain persists

- Self-management: self-massage, heat application, daily sauna use

- Migraines have resolved with self-management strategies

- Audiologist from WCB attempted to attribute symptoms to migraines; however, migraines have
cleared while ear pain persists

- Reports autistic sensory profile (undiagnosed); emergency physician at Royal Columbia in January
suggested symptoms likely sensory-related

- Has been reducing sensory input

- Significant dental wear from clenching; extra bone growth in lower jaw

- Was planning to obtain custom night guard from dentist; terminated from employment while on
medical leave, lost benefits

Past Medical History:
- History of migraines
- Autistic sensory profile (undiagnosed)

Objective:
- Otoscopy: Left ear appears normal
- Audiometry: Normal

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