Sent 02/23/2026 12:10:21, Page - 25 Signed FRASER HEALTH AUTHORITY Patient: HOLAND, MARK THOMAS Royal Columbian Hospital Unit/MRN: RCO3030788 DOB/vage: 04/09/1978/43 Admitted: 08/03/22 Gender: M Discharged: 11/03/22 PHN: 9128549738 LOC: RC-ERIN1 Acct/Encounter: RC404198/21 Pat Type/Reg Cat/Care: RC.ACU ***FINAL REPORT*** ROYAL COLUMBIAN HOSPITAL Admitted: 08/03/2022 Discharged: Patient Location: RC-ERIN1 DISCHARGE SUMMARY Name of Patient: HOLAND, MARK THOMAS Medical Record Number: RC03030788 Account/Encounter: RC404198/21 MOST RESPONSIBLE DIAGNOSIS Upper GI bleed due to duodenal ulcer, likely secondary to NSAID use PREADMIT DIAGNOSES Migraines POST-ADMIT DIAGNOSIS COVIB+, asymptomatic (previously positive in Jan 2022, suspected persistent test positivity) CODE STATUS Full code INTERVENTIONS 1. EGD by Dr. Kenneth Anderson (March 8, 2022) with finding of duodenal ulcer, unable to achieve endoscopic hemostasis requiring transfer to IR for embolization. 2. IR embolization of superior pancreaticoduodenal artery by Dr. Andrew Best (March 8, 2022), technically challenging procedure due to aberrant celiac and SMA arterial anatomy but hemostasis was able to be achieved. NAMES OF RELEVANT SPECIALISTS Dr. Kenneth Atkinson (Gl) Or. David Yik (Gi) Dr. Andrew Best (IR) ALLERGIES NKDA LACTOSE MEDICATIONS ON DISCHARGE The following medications were started: 1. Pantoprazole 40mg PO BID, please take for 1 month and then step down to Pantoprazole 40mg PO daily. . Meditech Report ID: 1103-1759 Page 1 of 3 PAGE 25/47 * 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