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5/28/2026, 7:30 AM PDT TO: +160452272@6 FROM: 16045219323 PAGE 2/2

Mr. HOLAND, Mark - September 4, 1978 Dr. Idris Samad, MD, FRCSC

-| recommend a trial of muscle relaxants, cyclobenzaprine 10 mg p.o. nightly to be taken for 30 days as
needed.

- Advised to obtain a custom mouth guard from a dentist to manage nocturnal bruxism. This was previously
advised to him but he has yet to follow through with this.

- Counselled on jaw muscle relaxation techniques, including massage, heat application, and avoiding gum
chewing.

- | will organize MRI scan of IAC in order to rule out inner ear pathology.

- Given ne patient's significant struggles with sleep quality and wish for further investigation | will refer him
for a Level One sleep test at Surrey sleep lab.

Thank you for involving me in the care of this patient.

Idris Samad, MB BCh, FRCSC
Otolaryngology - Head and Neck Surgery

Dictated, but not read, to expedite documentation delivery. Please contact my office with any clarifications or
questions.

Entered By: Idris Samad - May 27, 2026

Consultation Report PLEXIA Electronic Medical Systems Inc.

Page 2 of 2 www.plexia.ca