& Mar 26, 2026 16:49 (UTC) From: --- To: +16042339777 fal 2 of 2

Wavefront Centre for

580-2184 West Broadway
WAVEFRONT CENTRE FOR Vancouver BC NVeK 26 1
COMMUNICATION ACCESSIBILITY . (778) 329-0870
Hearing Assessment
Patient's Last Name First Name Initial DOB Age
Holand Mark 04/09/1978 47
Address Street City Stata Zip/Postal coda
311-318 Agnes St New Westminster BC V3L 0/3
Telephone Number Home Mobile Work Date of Service 9 Day /IMonth/ Year
(236)994-3376 25/03/2026
PURE TONE AUDIOMETRY TEST CONFIGURATION TYMPANOMETRY
oe ee ee ee ae ee ae

Trobe Wequency
R: 226 1: 226

Audiometer | Astera, #2
Calibratlos | 31/03/2025
Reliability Good

+

ov, oat en ee
Ht

\ Pressure (daPa} |
in Transducer | inserts and HDA300 Compliance (ml) ir
Air ‘Bone No
orsstee asked| unmaskes aastee Response |_.ECY (Ml) |

Right Tl, || Gradient (daPa) [|
tet [| xX POI > [ol |[ Wet (dara P|
KN NeRoteense, NG: Goud No Seat ACOUSTIC REFLEX / DECAY
Abs: Absent Pres: Present
WNL. Wihin Norma Limits wR Want Recognition |_____,Cont. R [Cont L [IPSIR |
EP; Earphones SF: Soundfield not

Otoscopy: clear bilat, NAD.
QSIN: R ear: 2 dB SNR loss at 70 dB;

Lear:2dB SNRoss at 70a8. | [agg Hef]

Comments: Cliant in today for an evaluation of sudden onset of ear pain and sound sensitivity
following prolonged exposure to noise from transformers placed in his workstation. He reported
‘that this has made his previously intermittent tinnitus louder, caused him loudness intolerance to
the point of having to use headphones all the time when outside of home, and made his
previously well managed migraines much worse, He is waiting to see an ENT regarding the
persisting pain in the left sar. He reported no difficulties hearing but feels that the constant
vigilance to sound is causing him cognitive distractlon and fatigue.

WORD RECOGNITION. Presentation: Recorded / Word List:

SPEECH AUDIOMETRY. Word List:

| eet BH | Mask | OBE | [SRVSAT | Mask | mel | uch
Right 50 100 5 40 82
Left 50 100 .
Binaural Binaural

Results:

L ear: normal hearing at 250-12,500 Hz, mild hearing loss at 14, 000 Hz. Small notch noted at 8000 Hz.

R ear: normal hearing at 250-8000 Hz sloping to mild to moderate likely sensorineural hearing loss at 10,000-14,000 Hz.

20-30 dB asymmetry is present at 10,000-12,500 Hz with the right ear having worse thresholds.

Speech Reception Thresholds (SRTs} were consistent with Pure Tone Averages (PTAs) — good test reliability.

Word recognition scores in quiet were 100% in each ear when speech was presented at soft conversation level and ensuring full audibility
across entire frequency range.

QickSiN, a standardized assessment of sentence-level auditory speech perception in background noise, indicated 2 dB SNR lass in each
ear and no differences between the ears, indicating normal hearing in noise.

DPOAEs: Distortion Product Otoacoustic Emissions (BPOAEs), a test of outer hair cell function, showed responses in the right ear were
present at 1-5.6 kHz and absent at 6-8 kHz while responses in the left ear were present at 1-2.8 kHz and at 5.6 kHz and absent at 3-4 kHz
and at 6-8 kHz..

Loudness tolerances were measured to tonal and speech stimuli and were normal in the right ear but reduced at 4-10 KHz and to running
speech in the left ear, consistent with presence of hyperacusis in the left ear.

Khalfa Hyperacusis Questionnaire, a self-report measure of loudness tolerance impact indicated severe level of loudness intolerance, a
score of 32 out of 40.

Tinnitus Handicap Inventory, a self-report measure of perceived tinnitus impact, indicated moderate tinnitus level, a score of 54 out of $00.

Recommendations:
1. Medical review with an otolaryngologist regarding ongoing ear pain and sound sensitivity in the left ear.
2. Discussed caution around the use of headphones and the need to slowly reduce that.

3. Discussed sound therapy with on-ear maskers for the teatment of hyperacusis and tinnitus. Further consultation following medical
review and clearance.

Assessment completed by: Goska Macior-Headrick M.Sc., Aud(C), RAUD, RHIP Signature:.

PAGE 2/2 * RCVD AT 3/26/2026 9:49:41 AM [Pacific Daylight Time] * SVR:FAXP21/9 * DNIS:9777 * CSID:+16479521617 * ANI:6479521617 * DURATION (mm-s