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