HOLAND, Mark - September 4, 1978 Dr. Arman Abdalkhani

Assessment:
- Left ear canal pain, likely muscular or neurological in origin
- Possible TMJ component

Plan: | will let Dr Samad complete his workup, and sign off

- Continue current management with Dr. Samad

- MRI scan on order; await completion

- Sleep study on order as well

- Consider over-the-counter night guard (~$40) for TMJ/muscular component
- Reduce sensory input; stress-free lifestyle as much as possible

Dr. Arman Abdalkhani
Electronically Authenticated by PLEXIA EMR
Accepted By: Arman Abdalkhani - Jul 16, 2026

Entered By: Arman Abdalkhani - Jul 16, 2026
Date Revised: Jul 20, 2026, Arman Abdalkhani

PLEXIA Electronic Medical Systems Inc.
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