5/28/2026, 7:30 AM PDT TO: +160452272G6 FROM: 16045219323 PAGE 2/2

Mr. HOLAND, Mark - September 4, 1978 Dr. tdris Samad, MD, FRCSC

+ let atrial of muscle relaxants, cyclobenzaprine 10 mg p.o. nightly to be taken for 30 days as

needed.

- Advised to obtain a custom mouth guard from a dentist to manage nocturnal bruxism. This was previously

advised to him but he has yet to follow through with this.

oe on jaw muscle relaxation techniques, including massage, heat application, and-avoiding gum
ewing.

- | will organize MRI scan of IAG in order io rule out inner ear pathology.

- Given the fe significant struggles with sleep quality and wish for further investigation | will refer him

for a Level One sleep test at Surrey sleep lab.

Thank you for involving me in the care of this patient.

Idris Samad, MB BCh, FROSC
Otolaryngology - Head and Neck Surgery

Dictated, but not read, 1o expedite decumentation delivery. Please contact my office with any clarifications or

questions.

Entered By: dds Sanad - May 27,2025
Consultation Repart PLEXIA Electronic Medicat Systems tac.
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