Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-26 Encounter: Spruce text message CC: Decreased appetite and feeding refusal over the past few days. HPI: Elsie is an infant who has been eating approximately 18oz per day over the last few days, down from an average of 28oz the prior week. She has been both eating less and refusing feedings. She recently cut her two lower teeth. Pertinent negatives include normal mood, no fever, and adequate wet diapers. Teething gel was tried at home without noticeable effect. Assessment: Dr. Hobbs found nothing too concerning given that Elsie is acting mostly like herself. He attributed the reduced intake to a normal phase of eating variation in infants. Plan: Reassurance provided. No further workup, medications, or follow-up visit recommended at this time. Key clinical quotes: "Nothing too concerning sounding in your report." "If she's acting mostly like herself, it's normal for all humans to go through phases of eating less and eating more." Source: Spruce conversation t_2JKAFP7F8NO00