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HOLAND_CLAIM_FILE_p385
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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