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HOLAND_CLAIM_FILE_p354
πŸ“„ HOLAND_CLAIM_FILE | p.354
πŸ“ Extracted Text (OCR)
Create date 1/29/2026 1:23 PM

Person ID

First name = Mark
PHA: Gizg 24F 73

β€˜i Audiogram :

-ACPTAJ2dB CAC PTA: 12 dB
dB HL

0

XY r_| XK |
10 Oβ€” O85 BS 4 6” ea
30
60 β€”β€”
80
90 |: β€”_β€”β€”._- :
100 |; |_| _. >|
110 | . β€”β€”β€” Aj}
120 ! | | kHz
125 25 5 751152 34 68

125 = 25 5 751152 34 6 8

Effective masking for test ear right
125 25 5 7 1 15 2 304 6 8

ed

Bc |

aamplifon

Effective masking for test ear left
125 25 5 J 1 152 3Β°04 6 8
acl
BC

SRT PTARight: 12 PTA Left: 12

Trans tbe d8 Mask β€˜Aided | Bina List
R HL} 15 - 5 !
L HL 10 a
[ ] Recorded: [ ] Live Voice:

[\Vinsert Earphones [ ] Circumaural Headphones

#108-1015 Columbia St.
New Westminster, BC V3M 6H6
P:604-526-9717 F:604-525-0605

PHN: .
Informed Consent: [~] YES [ ]NO
Reliability: 750.0 Β’)

pare 12

Audiometer: AD629 (#0973170)
Tympanometer: Titan (#0974636)

Otoscopy:
Right Ear: [VJ clear [ ] POC [ ] Other

Left Ear: iia clear [ ] POC [ ] Other
mymp 226 Hz Right | |mfymp 226 Hz Lefhi
2 ; 2 || 2 | 2
Aone ra β€œ] A .
1 Type fia PP 1
0) 0 || 0 i)
-600 300 daPa] | -600 300 daPa
-300 -300
V: {0}: 0.00 ml P: - daPa | | V: {0}: 0.00 ml P: - daPa
C: - ml G:- daPa | | C: - ml G: - daPa
ew Right: - PTA Left: - acer aE
Transdice WR Masking Score β€˜Aided | BiISF440 list

β€” Paylin

History:
Mark was seen today for a hearing assessment. He reported a history of
working in noise exposure (rail maintenance) and mentioned that he wore
hearing protection diligently. Mark reported that in the past month he
started working in a control room simulator and has been experiencing ear
aches about a week ago due to the constant hum of the computer servers
in the room. The pain was reported to be 6/10 bothersome and
experienced all the time for the past week. Mark also pointed out that the
left ear is more painful than the right. Mark reported some sentivity to loud
noise and a history of migraine. He added that the ear aches has
contributed to more migraines as well. He reported going to the ER after 2
days of constant pain and was referred to us to rule out hearing loss.
Bilateral tinnitus and pressure in the ears was also reported, symptoms
worse in the left ear. Mark denied to any reports of vertigo or recent cold/
congestion.

Otoscopy:
No abnormalities detected, bilaterally.

Hearing Test Results:

Hearing essentially within normal limits bilaterally, mild loss observed at
8000Hz in the left ear. Speech Reception Thresholds (SRT) agree with
pure tone average indicating good reliability.

Tympanometry:
Type A tympanograms bilaterally suggesting normal compliance and
pressure in both ears.

Comments and Recommendations:
Follow up with GP regarding symptoms and test results.
Annual audiological assessment to monitor thresholds and tinnitus.

Jeremy Chai, RAUD (conditional), RHIP