Jul 20, 2026 16:17 (UTC.07) From: WWW.FAX.PLUS (mark holand) To: +16042327747 2of3

Van City Arman Abdalkhani MD, FRCSC

Ear, Nose & Throat vancityent@gmail.com www.vancityent.com
, Tel: 604-757-1831 Fax: 604-757-1834

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HOLAND, Mark
#311 - 318 Agnes Street
New Westminster, BC, CAN

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Or. Christine Nicole Henderson |
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Vancouver, BC, V6Z-1¥6 |
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MSP: 67402
1081 Burrard St |
i date of birth : September 04, 1978 age : 47

P: (604) 682-2344 }} home phone: sox : Male

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other phone : (236) 994-3376 PHN: 9128 549 738,
ae —iL__gmallz marktholand@gmaicom |
July 16, 2026
Subjective:

- Occupational exposure to industrial-sized servers installed without permits at workplace in January;
seated directly in front of servers with ©xposed 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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PLEXIA Electronic Medicat Systems inc.
wun piexia.ca

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