Jul 20, 2026 16:17 (UTC-07) From: WWW.FAX.PLUS (mark holand) 7o:+16042327747~—=—SCL of 3

TO:

e Recipient: WorkSafeBC Review Division
® Fax Number: 604-232-7747 (or Toll-Free: 1-855-433-9728)
e Phone Number: 604-214-5411

FROM:

Sender; Mark Holand

Phone: (236) 994-3376

Email: marktholand@gmail.com

Address: #311-318 Agnes Street, New Westminster, BC, V3L 0J3

CASE REFERENCE DETAILS

e Review Number: RO360901

Claim Number: 42647461

Worker Name: Mark Holand

Board Decision Under Review: March 23, 2026

Date: July 20, 2026

Tetal Pages Transmitted: 3 (Cover Sheet + 2 Page Medical Consultation Report)

SUBJECT:

ADDENDUM SUBMISSION: Item G — Dr. Arman Abdalkhani ENT Consultation Report
(July 16, 2026 / Revised July 20, 2026)

NOTES / MESSAGE:
ATTENTION: INTAKE OFFICER / REVIEW OFFICER (REVIEW # R0360901)

Please accept the attached clinical consultation report as an immediate addendum to the
worker’s Medical Evidence Rebuttal submission dated July 18, 2026.

¢ Completes Item G: This document fulfills the pending placeholder noted in Section
1 and Section 12 (Item G) of the July 18, 2026 submission.

« Document Attached: Otolaryngology Consultation Report from Dr. Arman
Abdalkhani MD, FRCSC (Van City ENT / Pacific ENT), dated July 16, 2026 (revised
July 20, 2026),

Key Summary of Attached Evidence:

1. Diagnosis & Origin: Assesses left ear canal pain as muscular or neurdlogical in
origin with a possible temporomandibular joint (TMJ) component, consistent with
prior specialist evaluations.

2. Rebuttal of Audiological Framework: Confirms normal otoscopy and audiometry,
supporting the specialist consensus that the injury pathway is muscular/neurological
rather than inner-ear acoustic trauma/cochlear damage.

3. Active Diagnostic Plan: Confirms MRI scan and Level One Sleep Study remain
active on order.

Please ensure this addendum is placed into Claim File #42647461 and associated directly
with Review # R0360901.