| work Eig BC

WORKING TO MAKE A DIFFERENCE

Memo
(continued)

Worker last name First name Middle initial WorkSafeBC claim number
HOLAND MARK 42647461

Be alert. This email is not from within our organization. Don’t click links or
attachments unless you trust the sender and know they’re safe. Contact the
Technology Support Desk if you’re not sure.

Subject: Mark Holand — Claim 42647461 — Daily Sleep Report — 2026-03-04

MARK HOLAND — DAILY SLEEP REPORT WorkSafeBC Claim:
20260129193705 Date: March 4, 2026 Night Recorded: March 3-4, 2026

MOTOR EVENTS OBSERVED — TIMESTAMPED LOG

00:05 — Body twitch 00:11 — Upper body movement 00:14 — Leg movement
00:15 — Whole body reposition 00:23 — Leg movement 00:24 — Body spasm
cycle begins 00:51 — Body reposition to side 00:54 — Whole body spasm cycle
begins 01:13 — Whole body reposition, on back, legs exposed, weighted blanket off
01:15 — Side to side head movement 01:16 — Exposed leg movements visible
01:34 — Knees bent, twitch cycle 01:50 — Left arm up and down, left side body
spasm 02:10 — Left arm twitch 02:16 — Coordinated movement 02:21 — Hand and
arm movement cycle 02:48 — Hand behind head 03:00 — Breathing pattern
change — cyclical 03:10 — Whole body reposition 03:12 — Arm up under weighted
blanket 03:26 — No large body movement — cyclical breathing clearly visible 04:05
— Whole body twitch under weighted blanket 05:15 — Multiple body repositions
06:15 — Leg movement under weighted blanket, body spasm cycle begins 06:27 —
Arm movement under weighted blanket 07:15 — Body reposition, body spasm cycle
09:24 — Leg movement under weighted blanket 09:31 — Whole body reposition
11:49 — SIGNIFICANT EVENT — Rapid finger movement resembling typing. Eyes
open. Not conscious. Hands raised above the phone, positioned well below. Filmed
at 0.12x speed. See separate slow motion video link below. 11:52 — Whole body
reposition

NOTABLE CLINICAL OBSERVATIONS

This footage documents continuous, cyclical motor activity throughout the entire
sleep period with no sustained period of rest. Events include whole body
repositioning, bilateral limb movements, coordinated hand and arm cycles, cyclical
breathing changes, and a significant complex motor event at 11:49 involving rapid
finger movements with eyes open while unconscious.

The 11:49 event is particularly notable — rapid, coordinated finger movements
resembling typing while eyes are open and the subject is not conscious represents
complex motor behaviour during sleep that warrants urgent neurological
assessment.

VIDEO EVIDENCE Timelapse YouTube link: httos://youtu.be/MjiesSUUATM Slow
motion finger movement event (11:49) — 0.12x speed:
https://youtu.be/yagr6sNB9qw

Days since specialist care was denied: 34
"Both ENT and Neurology do not think outpatient follow up is warranted at this
point." — Royal Columbian Hospital Emergency, January 30, 2026

68B33

(RO1/09) Page 4 of 5