Mar 12, 2026 11:58 To: +16042339777 Page: 09/46

From: Foremed Medical Clinic Fax: 16043985614
From: Surrey Guildtord 2 Fax: +16045800057 To: 6045227206 @tax.telus.com Fax: +16045227206

Page: 3 0t3 02/17!2026 11:56 AM

Cresta debe 1/29/2026 1:23 PM a ee #208-4025 Columbla St,
Parson If cm | APS i i © a} . New Wastminstar, BC VM GHS

First name Mark.

?,604-526-9717 F:604-525-0605

Informiad Conse i
Reliability: yee oh :
AUD 2/2072026 G:bor16 AM Autltomater: ADE29 (40973170)

4 30) REA Fytipanomater: Tian (09746363 :
Otoscopy: + I

Right Ear: (Telear [ }Poc [ ] Other
Left Ear [\“Jelear [ | POC [ ] Other

hymp 226 Hz Right | nTymp 226 Hz Lefti |

25 5 751 182
128 25 5 751 162

Effective masking for test ear right
125 25 S$ mi 18 2 3 4 6 8

iptary:
Mark wae seen todey for 2 hesring aaseasment. He reported a history of
working in noize exposure {rail maintenance) anid mentioned that he wore
Ag more " ™ ™~ hearing protection diligently. Mark reported that in the past morit he

staned working ina eqatral reer: simulator and hus been expurienging gar
ac } {aches shout a week age die to the constant hum of the computer servers,

7 in the room. Tha pain was reported to be 6/10 bothersome and :
Effective masking for test ear left experienced all he time for the past week. Mark abst painted out that the
rr 8 5 oH tk isd 4 4 68 left eer ts more painful than the zight, Mark reported same aenitvity to dcerct

hose atr] o history af migraine. He acded that ihe war aches has

contibuied to more migraines as well. {He reporsed going o the ER after 2

daye of constant pain anc wos refarrad to ua ta nile out hearing lose

| Bilateral Hrettiug and pressure in the ears was aso veporied, aymptoma

: worne it Sie Fw Mark denied to any reporie of vertigo or racent coid/
congestion,

Otescopy:
No abnormailies detected, bilaterally.

Hearing Test Results:

Hearing essertinity within normal limits bilaterally, mild lees observed at
RO00eiz in the ie ear. Spaach Renansich Thregigiie (SR7) agree with
pure tons average indicating good reliability.

Tympenomety:

Type A tyinpenograms diieterally suggesting narnal compliance and
pressure ip hath eae,

Cornmnents and Recommendations:

Fallow up with GP regarding symptoms and test results,
Ancuel audislgical asiessment to moniter thresholds and tinnitus.

i eA
[ | Circumaural Headphones

uote woe ——
Jaremy Chal, RAUD (conditional), RHIP

4

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