Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-09-07 Encounter: Spruce text message CC: Right eye puffiness, bruising, and discharge from the tear duct. HPI: Greta, a newborn/young infant (age not explicitly stated but contextually a newborn given the home visit shortly after meeting), presented with a right eye that appeared puffy and bruised-looking with ongoing discharge from the tear duct throughout the day. No mention of fever or other associated symptoms. The concern was raised by the parent via text message shortly after an initial home visit. Assessment: Dr. Hobbs assessed the presentation as a plugged tear duct (nasolacrimal duct obstruction), noting nothing alarming. Plan: Reassurance provided. Parent instructed to monitor and check in if discharge significantly worsens, at which point a plan would be made. Key clinical quotes: "Nothing alarming at all. Plugged tear duct." "If the goop gets a lot worse, check in and we can make a plan" Source: Spruce conversation t_2IPCQHTH69O00