Mar 12, 2026 11:58 To: +16042339777

Patient: HOLAND,MARK THOMAS
Preferred Name:

PHN: 9128549738

Unit/MRN: RC03030788

DOB (dd/mm/yyyy): 04/09/1978 Age: 47
Legal Sex: M

Acct/Encounter: RC0430440/25

Pat Type/Reg Cat/Care: DEP ER

Page: 31/46 From: Foremed Medical Clinic

FRASER HEALTH AUTHORITY

Royal Columbian Hospital

Admit Date (dd/mm/yyyy): 25/01/2026
Discharge Date (dd/mm/yyyy): 25/01/2026
LOC; RC.ER

Fax: 16043985614

Patient Encounter

*Sianed*
Emerg Note

Patient assessed date and time: 25/01/2026 22:42

Triaged
Triage data:

LReceived
Chiibel Como beta

| a i Iger/Ber | i
AS/O1/3036 16:49 |) Mineva, Petya i
Barache i

LP go/GLe2026 Tord6:3h |

New |

Stated Complainn |

RAR PATN

Agseasment of chief complaint

Denies CP,

| Bilateral

' sounds make ear pain worse.

| denies blurry vision,
_ftever or cnills at home.

Bay Pain stating on Friday -
progressively getting worse. Reporting HA, denies
neck stiftness. Denies dizziness or blurry vision.
sob, cough or sore throat, denies jaw
pain. Localised pain to "ear drum”. Mild tinnitus
(not new in/off for years) but worse today. Loud
Denies N/V/D, denies
diarrhea or concerns with CI/CGU. Denies sick

contacts.

Intake RN; Confirmed triage notes, pt refers bilat
ear pain, left »right. Denies ear discharge,
refers headache, took Ketorolac with some relief,
refused pain meds at this, time. Nenieas Giaziness,
denies ILT symptoms, denies
Reters intermittent

tinnitus, not present now,

Pertinent clinical history

| Migraines

Urticaria: betahistine xl year

This record contains confidential information which must be protected. Any unauthorized use or disclosure Is strictly prohibited.

Meditech Report !D: 2501-00357

tors

PAGE 31/46 * RCVD AT 3/12/2026 11:59:36 AM [Pacific Daylight Time] * SVR:FAXP21/12 * DNIS:9777 * CSID:16043985614 * ANI:6043985614 * DURATION (m