Physician's First Report
WORK BC y P

IHOLAND, MARK Electronic Form 8 Submitted by Physician
Claim number

Date of service: 2026-01-30
(Are you the worker's regular physician? Yes

lf yes, how long has the worker been you patient? 0-6 months
Who rendered first treatment? RCH ER
Receiving concurrent treatment? No

Demographic Information

Last name: HOLAND

First name: MARK

|Gender: Male

Date of birth: 1978-09-04

Personal health number: 9128-549-738
(Address: 311-318 AGNES ST
City: NEW WESTMINSTER
Province: BC

Postal code: V3L0J3

Home phone number: 236 9943376
Employer Information

Employer/organization name: BC RAPID TRANSIT
Phone number: 604 5203641
(Address: 6800 14TH AVE
City: BURNABY, BC
Postal code: V3L0J3

Injury

Prior / Other Problems Affecting Injury, Recovery, and Disability
IKNOWN MIGRAINE SUFFERER

Diagnosis: HEADACHE

Injury Date: 2026-01-22

ICD9 Code: 7840 HEADACHE

ICSA BP/Side: 01100 BRAIN

ICSA NOI: 12610 DEAFNESS, HEARING LOSS OR IMPAIRMENT

Clinical Information

\What happened? Subjective Sx, Examination, investigations, treatments/meds, Specialist Consult?

IWCB 'ACOUSTIC INJURY' 19JAN2026. CONTROL OPERATOR TRAINING. NO PREVIOUS HEARING ISSUES REPORTS NOISE
EXPOSURE FROM SERVERS LOCATED BEHIND HIS DESK WHICH HE MOVED TO ONE WEEK PRIOR. DEVELOPED HEADACHES ,
BILATERAL EARACHE, IRRITABILITY AND LOSS OF APPETITE. HE FILED A SAFETY CONCERN HIS EMPLOYER ASSESSED NOSE AT
I56- 63DB. FILE WAS CLOSED. HE ALSO ATTENDED ER- NO EVIDENCE OF INFECTION HE REMAINS

[AT WORK BUT HAS BEEN MOVED TO ANOTHER WORK STATION. HAD A NORMAL HEARING TEST TODAY. O/E NORMAL EAR EXAM.
IMP ?7MIGRAINE SECONDARY TO NOISE EXPOSURE PLAN C/W MIGRAINE PREVENTION WITH COENZYME Q10

Return to Work Planning
ls the worker now medically capable of working full duties, full time? No
lf no, what are the current physical and/or psychological restrictions?
IONGOING HEADACHE
Estimated date before the worker will be able to return to the workplace 1-6 days
in any capacity:

lf appropriate, is the worker now ready for a rehabilitation program? Yes

If yes, select 'Work Conditioning Program' or 'Other': Work Conditioning
Do you wish to consult with WCB physician or nurse advisor? No
If possible, please estimate date of Maximal Medical Recovery (full 0002-11-30

recovery or best possible recovery):

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