Mar 12, 2026 11:58 To: +16042339777 Page: 25/46 From: Foremed Medical Clinic Fax: 16043985614
Documentation for MARK THOMAS HOLAND

His employer assessed nose at 56- 63db. File was ciosed. He also attended ER- no evidence of infection

He remains off work. Was seen in ER by psychiatrist- has been started setraline risperidone and trazodone. He is
sleeping much batter.

Not heard from WCB about ENT assessment yet. Headache has improved scores 1/10 improved on nurtec. Ongoing left
earache 3-4/10.

He is still sleeping in a tent with weighted blanket. imp migraine, MDD with anxious distress. Plan c/w sertraline
risperidone and trazodone.

Not fit for GRTW at this time. Will refer to ENT and neurologist via MSP. Riv in 2 weeks

BP: 97/68 sitting position
{Faxed consultation to Fax#: 604-521-9323 by Gbaogboade Ademiluyi (68199) 09-Mar-2026 11:42 AM}
(Faxed consultation to Fax#: 604 900 7676 by Gbogboade Ademiluyi (68199) 09-Mar-2026 11:46 AM]

[Signed on 09-Mar-2026 11:48 by Ghogboade Ademiluyi (68499)]

Page 16 of 16
Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-03-12

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