Mar 12, 2026 11:58

From: Surrey Guildford 2

To: +16042339777
Fax: +16045800057

Crapte date 1/29/2026 1:23 PM
Parson If
First name Mark

PHAR Gag S&F
fe neg. Atiiogra

-19 F

730

420 b

Page: 09/46 From: Foremed Medical Clinic
To: 6045227206 @tax.telus.com Fax: +16045227206 Page: 3 of 3 02/17/2026 11:56 AM
. ee. #108-1025 Columbia St,
a ren v © ey New Westminster, BC ¥aM GHS
= Teen! ?1604-526-9717 F:604-525-0603

Refiabiicys Sapte gu

pe TOs Gabo ie AM | Aiton D620 (40973170)
: 40) “Tymnpanometer: Tian (#0374636)

Otescopy: +
Right Ear: ([elear [ Poc [ other.
Left Ear: [w'fclear | | POC | ] Other

mp 226 Hz Right | nilymp 226 Hz Left

i °

25 S 751 132 34 6
25 5 751 152

a4 86
Effective masking for test ear right

8

&

More uae seen today for e hearings demaauinart Me reapoied s history af 4
B working in naige exposure (rait maintenence) and mentioned that he ware

hearing protection diligently. Mark reported that in ths past month he

25 2s 5 mi is 2 3 4 6
aS 4
Oe enone —

aterted warking Ina egatial necrm alinuletor aod has bean expurlencing gar |
aches about a woek ago due to the constant hur of the computer servers:

Effective masking for test ear left
£5 2 34 6

7s 4

in the roam. Tha pain was reported tp be 6/10 bothersome and .
experienced all the time for the gest week. Mark also pointed out that the:

left eer ts more pelnful than the right. Mark reported seme seniiviiy te loud
bd hoiss att @ history of migraine. He added thet the sar aches has

wontributed to more migraines as weil. He reported golng to the ER after 2

[1] Brearded:
[LF insert Earphones

{ J live Voiers

{ ] Circumaural Headphones

| dave of constant pein end wae referred 10 up ta rule out hearing ioae.

| Bilateral Gretius and pregauire in the ears wae alse venorted, aymptoma
‘}wore in the left ear. Mark derisd to any neporis of vartiga or ricent colds
| congestion,

Ouoscopy:
J Mo abnormaililes detected, biaterally.

Hearing Teat Reauite:

Hearing sscentisty within normal limite bilaterally, molid lows observed at
860002 in the left ear, Speech Reception Thresholds (RT) agree with
pute tons average indicating goad reliability.

Tympenometry:
| Type A tyinpanograiris Gieterally suggesting nainel ceriptiance and
pressure in bath eare,

Comments and Recommendations:
Fallow up with GP regarding symptoms and test results.
Annutl audiological assessment to moni thresholds and tinritus,

%

cath Pad

Jeremy Chal, RAUD [conditional], RHIP

Fax: 16043985614

PAGE 9/46 * RCVD AT 3/12/2026 11:59:36 AM [Pacific Daylight Time] * SVR:FAXP21/12 * DNIS:9777 * CSID:16043985614 * ANI:6043985614 * DURATION (mir