Mar 12, 2026 11:58 To: +16042339777

Patient: HOLAND,MARK THOMAS
Preferred Name:

PHN: 9128549738

Unit/MRN: RC03030788

DOB (dd/mm/yyyy): 04/09/1978 Age: 47
Legal Sex: M

Acct/Encounter: RC0437506/25

Pat Type/Reg Cat/Care: REG ER

Page: 34/46 From: Foremed Medical Clinic Fax: 16043985614

FRASER HEALTH AUTHORITY
Royal Columbian Hospital

Admit Date (dd/mm/yyyy): 30/01/2026
Discharge Date (dd/mm/yyyy):

LOC: RC.ER

*Signed*
Emerg Note - Complex

History of Present Iliness

Patient assessed
Patient assessed date and time: 30/01/2026 19:38
History

ser/Action

| Status / Phase
Tadeo, Patrick

i Received
Chief Complainn

i pe tm / Value
i BO/OL/ 2026 14:38
Rar Injury

|

| 30/04/2026 14:37:31 |

Stated Complaint § Uf BARA B i
| 30/01/2026 2122 ;

Stated Complaint | LY EARACHE i

BY OREPORIS BUIATORAL GAR PALN WORSE ON SHARE |
STABBING PAIN

PT REPORTS ?PACOUSTIC TRAUMA

FROM WORKING BESIDE LOUD NOISY COMPUTER; ROUGHLY
1G ERS EXPOSURE DAILY

PT REPORTS TINITTUS INTERMITTENTLY AND BECOMING
MORE PRONOUNCED.

DENTES ANY BALANCE TSSUES.

Assessment of chief complaint Lo EL

Pertinent clinical history
Is patient currently pregnant?

Forty-seven year so male presents with bilateral ear pain. He was seen here on January 25. During
the visit, there was no signs of any infection or tympanic membranes trauma identified. He
complained of intermittent tinnitus. He alleged that he has been working in a very noisy environment
he were to emergency room today because his tinnitus is getting worse along with his migraine. He
has gone through the audiology test in Surrey. The audiology test was reported to be normal.

On examination, his vital signs were normal. The tympanic membranes on both sides were normal.

This record contains confidential information which must be protested. Any unauthorized use or disclosure is stri¢tly prohibited.

Meditech Report !D: 3001-00357 tora

PAGE 34/46 * RCVD AT 3/12/2026 11:59:36 AM [Pacific Daylight Time] * SVR:FAXP21/12 * DNIS:9777 * CSID:16043985614 * ANI:6043985614 * DURATION (mi