Office Visit Note
Narrative: Patient: Elsie Sawatzke DOB: 10/13/2025 Date of Visit: 10/21/2025 Type of Visit: In-house visit Assessment / Examination * Weight: 8 lb 0.29 oz * Heart Rate: 119 bpm, regular rhythm, no murmurs appreciated * Respiratory Rate: 50 breaths per minute * General: Infant resting comfortably after a successful breastfeeding session * Feeding / Oral Assessment: * No evidence of significant tongue tie observed. * Infant able to curl tongue and extend beyond the lower gum line (not beyond the lower lip). * Strong suck, easily aroused for feeds. Plan * Proceed with cardiac echocardiogram today or tomorrow as scheduled. * Continue to follow with lactation consultant for ongoing feeding support. * Monitor feeding efficiency, weight gain, and tongue mobility at follow-up.