Sent 02/23/2026 12:10:21, Page - 31

FRASER HEALTH AUTHORITY Consultation
HOLAND, MARK THOMAS
RC03030788

fasts several minutes to 1 hour at most. He reports the pain is intermittent

when it does occur and is often aggravated with deep inhalation. He has not
noted any other aggravating factors. He began taking a muscle relaxant plus
aspirin combination approximately 5 weeks ago for management of this pain. He
reports that on occasion, the muscle relaxant he uses also comes with an
ibuprofen combination. He has been taking a 500 mg tablet 3 to 4 times a day
for relief of this pain. He has been taking this medication for the last 5

weeks. He has also noted some relief frorn Gaviscon since Saturday, March 5,
2022 (he was prescribed this in the emergency department when he presented with
this centrai substernal chest pain). He does not endorse any other associated
features accompanying the pain. Occasionally, when the pain is 9/10, he does
report some nausea.

Mr. Holand had presented to the emergency department with this chest pain on
March 5, 2022, as mentioned above. At this time, he had a normal workup
including a normal troponin, ECG, and chest x-ray. H pylori serology was

ordered at the time, which is still pending. During this presentation, Mr.

Holand was sent home with Gaviscon, which he noted helped relieve his symptoms.
He reports that he has not been experiencing any of the substernal central chest
pain since Saturday and was not experiencing it this morning either.

In addition to the muscle relaxant plus ibuprofen/muscle relaxant plus aspirin
combination, Mr. Holand has also been taking naproxen 2 tablets a day
approximately 2 to 3 times a week for the last 6 years. He reports taking this
for migraines. He reports he occasionally takes Advil; however, not regularly.
He does not endorse a significant alcohol use history. He reports drinking
approximately 5 drinks per week (beer/cider). He does not report any prior
history of peptic ulcer disease. He has no past history of H pylori testing on
his medical history. He has not had any prior scopes (upper or lower).

Mr. Holand has not noted any fevers, night sweats, or weight loss. His review
of systems was otherwise unremarkable.

He has been n.p.o. since 9 p.m. last night.

At this time, Mr. Holand reports that he is comfortable. He is not experiencing
any abdominal discomfort or his usual "chest pain." He does not endorse any
nausea at this time.

PAST MEDICAL. HISTORY
Migraines. Mr. Holand has no other significant past medical history.

PAST SURGICAL, HISTORY
Vasectomy 5 years ago.

MEDICATIONS

Mr. Holand does not take any regular prescription medications.

He takes the following over-the-counter medications:

1. Muscle relaxant plus aspirin combination/muscle relaxant plus ibuprofen
combination for the last 5 weeks, 500 mg tablet 3 to 4 times per day.

2. Vitamin C tablet.

3, Naproxen 2 tablets 2 to 3 days a week.

ALLERGIES
1. NO KNOWN DRUG ALLERGIES.

. Meditech Report ID: 0803-2911
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