Mar 12, 2026 11:58 To: +16042339777 Page: 22/46 From: Foremed Medical Clinic

Fax: 16043985614

Documentation for MARK THOMAS HOLAND

- Previously took Zopiclone, which has been discontinued.

O: see below

A:

1. Migraine

2. Wellbutrin refill

P:

1. Migraine:

- Prescribed Nurtec, a CGRP receptor antagonist, for acute relief.
- Prescribed Aimovig, a monthly injection, for migraine prevention.
- Discussed potential for insurance coverage for new medications.
- Discussed stress as a potential trigger for migraines.

2. Wellbutrin refilt:

- Refill requested for Wellbutrin.

[Faxed to Guardian Kent Pharmacy Fax#: 604-522-3402, 30-Jan-2026 01:36 PM}

AIMOVIG 70 MG/ML AUTO-INJECTOR 70mg s/c Injection monthly Qty:3 months Repeats:0
NURTEC ODT 75 MG TABLET 1.00 tablet OD prn for migraine Qty:8 tablet Repeats:0
BLEXTEN 20 MG TABLET 1.00 tablet OD Qty:3 months Repeats:0

[Signed on 30-Jan-2026 13:37 by Gbogboade Ademiluyi (68199)]

-[05-Feb-2026 : [Clinic][SP] Anxiety, lack of energy]

Seen in person. Seen with partner

Seen in person. Seen with wife

WCB ‘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 56- 63db. File was closed. He also attended ER- no evidence of infection
He remains off work has been agitated and irritable. Has been wearing pads and sleeping in the closet
‘it's a comfort thing’ Wife suspects he is on autistic spectrum. Reports BP has been stable 122/78,

imp ?migraine secondary to noise exposure, acute stress reaction ?underlying neurodivergent condition.

Pian cAw migraine prevention with coenzyme 10, would recommend psychiatry assessment. Remain off work for now

Commence seroquel 12.5mg nocte. Review in 2 weeks

BP: 122/78 sitting position
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Created by: OSCAR The open-source EMR www.oscarcanada.org 2026-03-12
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