Mar 12, 2026 11:58 To: +16042339777 Page: 34/46 From: Foremed Medical Clinic Fax: 16043985614

Patient: HOLAND,MARK THOMAS
Preferred Name:
PHN: 9128549738

Unit/MRN: RC03030788 FRASER HEALTH AUTHORITY
DOB (dd/mm/yyyy): 04/09/1978 Age: 47 Royal Columbian Hospital
Legal Sex: M Admit Date (dd/mm/yyyy): 30/01/2026
Acct/Encounter: RC0437506/25 Discharge Date (dd/mm/yyyy):
Pat Type/Reg Cat/Care: REG ER LOC: RC.ER
*Sianed*

Emerg Note - Complex

History of Present Illness

Patient assessed

Patient assessed date and time: 30/01/2026 19:38
History

| Status / Phase Detm/ Value

i Received BO/OL/2026 14:58

Chief Complaint Bar injury ) |
BO/O1/2026 14:37:31 im, Lawi |

| 30/01/2026 1

Lo Stated Complaint | LY BARACHE i New

Sraned Complaint |

i PU REPORTS BLLATERAL EAR PALN WORSE ON LEB; SHARP |
STABBING PAIN
| PT REPORTS ?PACOUSTIC TRAUMA

FROM WORKING BESIDE LOUD NOLSY COMPUTER; ROUGHLY

10 HRS EXPOSURE DAILY

PT REPORTS TINITTUS INTERMITTENTLY AND BECOMING
MORE PRONOUNCED.
_DENIES ANY BALANCE ISSUES.
jeal history
Is patient currently pregnant? | i

Assessment of chief complaint

Forty-seven year so male presents with bilateral ear pain. He was seen here on January 25. During
the visit, there was no signs of any infection or tympanic membranes trauma identified. He
complained of intermittent tinnitus. He alleged that he has been working in a very noisy environment
he were to emergency room today because his tinnitus is getting worse along with his migraine. He
has gone through the audiology test in Surrey. The audiology test was reported to be normal.

On examination, his vital signs were normal. The tympanic membranes on both sides were normal.

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Meditech Report !D: 3001-00357 tora

PAGE 34/46 * RCVD AT 3/12/2026 11:59:36 AM [Pacific Daylight Time] * SVR:FAXP21/12 * DNIS:9777 * CSID:16043985614 * ANI:6043985614 * DURATION (m