RCH Jan 25, 2026

Assessment of Chief Complaint:

Bilateral Har Pain stating on Friday - progressively getting worse. Reporting HA, denies neck
stiffness. Denies dizziness or blurry vision. Denies cp, sob, cough or sore throat, deries jaw pain.
Localised Peliieeananin'. MGMEiens (ASRUHEW in/off for years) but worse today. Loud sounds
make ear pain worse. Denies N/V/D, denies diarrhea or concerns with GI/GU. Denies sick contacto.
Intake RN: Confirmed triage notes, pt refers bilat oar pain, leit >right. Denies ear discharge,
refers headache, took Ketorolac with some relief, refused pain meds at this time. Denies dizziness,
denies blurry vision, denies ILI symptoms, denies fever or chills at home. Refers intermittent
tinnitus, not present now. .....

Friday 30-Jan Hearing Test Amplifon Clinic Surrey 203A-15135 101 Ave - V3R 7Z1 Surrey.
Hearing found to be normal. 10db drop in left ear in 8khz range, compared to Sept 2025.

Data collected in various work environments with similar noise sources indicate
exposures below hazardous levels. WorkSafeBC has noise data from a BC Ferry data
center in 1991 and from the central computer processing area of a large hospital in
1992 indicating exposure levels of 79 and 72 dBA, respectively. Data on mechanical
switch rooms also indicate exposure levels well below the hazardous criterion
(measured at 70 dBA). These measurements take into consideration noise from

servers, network equipment, and air conditioning equipment.