Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-20 Encounter: Spruce text message CC: Parent asking about lice prevention after exposure at daycare. HPI: Elsie attended drop-in care at an unfamiliar location. A few hours into the visit, parents were notified that another child in the room had lice. Parent contacted Dr. Hobbs to ask whether any preventative treatment was indicated. No symptoms were reported in Elsie. Assessment: Dr. Hobbs assessed the risk of lice transmission as very low, noting that spread requires close contact or sharing of clothing. Plan: Reassurance provided that transmission was unlikely given the nature of the exposure. No preventative treatment recommended. Key clinical quotes: "It's so unlikely to spread to hear, it requires close contact or sharing of clothing" Source: Spruce conversation t_2JKAFP7F8NO00