Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-05-13 Encounter: Spruce text message CC: Cough and cold keeping child up at night, parent asking about OTC remedies. HPI: Elsie is approximately 6 months old and has an active cough and cold at the time of messaging. The coughing is disrupting her sleep at night. Parent is inquiring about safe over-the-counter options. No further associated symptoms, duration, or pertinent negatives were documented in the conversation. Assessment: Cough and cold in an approximately 6-month-old infant causing nighttime sleep disruption. Dr. Hobbs assessed this as appropriate for OTC management with medicinal honey product. Plan: Dr. Hobbs recommended Zarbees (medicinal honey-based product), noting it is safe at any age. No prescription was sent. No follow-up or in-person visit was specified for this concern. Medications: - Zarbees As directed (OTC medicinal honey product) (new) Key clinical quotes: "For sure. Zarbees is totally fine to try. It's medicinal honey which is safe at any age" Source: Spruce conversation t_2JKAFP7F8NO00