Sent 02/23/2026 12:10:21, Page - 3

Patient: HOLAND,MARK THOMAS
Preferred Name:

PHN: 9128549738

UnitIMRN: RC03030788

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

FRASER HEALTH AUTHORITY
Royal Columbian Hospital
Admit Date (dd/mmn/yyyy): 30/01/2026

AccUEncounter: RG0437506/25 Discharge Date (dd/mmiyyyy):
Pat Type/Reg CatCare: REG ER Loc: RC.ER
*Signed*

History of Present Illness
Patient assassed

Emerg Note - Complex

Patlent assessed date and tlme: 30/01/2026 19:38

History

Status/Phase DtTm/ Value User/Action
Received 30/01/2026 14:38 | Tadeo, Patrick
Chief Complaint Bar Injury New
30/01/2025 14:37:31 | Rahim, Lawin
Stated Complaint LT BARACHE-WOB Edit
BO/01/2028 14:23:22 | Daqupon, Cristina
Stated Complaint LT EARACHE Now

Assessment of chief complaint

PT REPORTS BILATERAL EAR PAIN WORSE ON LEFT; SHARP
STABBING PAIN

PT REPORTS PACOUSTIC TRAUMA

EROM WORKING BESIDE LOUD NOISY COMPUTER; ROUGHLY
10 HRS EXPOSURE DATLY

PT REPORTS TINITTIUS INTERMITTENTLY AND BECOMING
MORE PRONOUNCED.

DENTS ANY BALANCE ISSUES.

Pertinent clinical history

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 nolsy 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 conTdential Information which must be protected. Any unauthorized use or disclosure Is strictly prohibited.

Meditach Report ID: 3001-00387

PAGE 3/47 * RCVD AT 2/23/2026 12:10:26 PM [Pacific Standard Time] * SVR:FAXP21/3 * DNIS:9777 * CSID: * ANI:17783680130 * DURATION (mm-ss):21-27

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