Sent 02/23/2026 12:10:21, Page - 33

FRASER HEALTH AUTHORITY Consultation
HOLAND, MARK THOMAS
RC03030788

diagnosis/management. We will aim to perform his esophagogastroduodenoscopy
iater today. At this time, we will continue to keep the patient n.p.o.

Of note, Mr. Holana’s increased troponin is likely demand ischemia secondary to
bleeding/blood loss, given his otherwise normal ECG.

Thank you for involving us in Mr. Holand's care.

Sincerely,

Dictated By: Jasmine Kaur Bassi (Res)
Resident

Dictated For: Kenneth A. Atkinson, MD
Gastroenterology

JKB/MODL

Job #: 378552

Doc #: 57770859

D: 08/03/2022 20;35:25
T: 08/03/2022 21:18:38

ec: Kenneth A. Atkinson, MD
Nikhilesh Dasanjh, MD

If signature line does not contain electronic signature status, the report has

not been reviewed by author prior to distribution. A corrected report will be
distributed if necessary.

BCCA #:
Meditech Report ID: 0803-2911

. Meditech Report ID: 0803-2911
Page 4 of 4

PAGE 33/47 * 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