Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-01-28 Encounter: Spruce text message with photo review (eye image sent by parent) CC: Infant with approximately one week of green/purulent eye and nasal discharge, with new eye redness and droopiness, and an episode of significant nighttime pain. HPI: Tommy is an approximately 11-month-old infant who had been experiencing green, purulent runny eyes and runny nose for approximately one week. The affected eye appeared droopy and red (not involving the eyeball/sclera itself) in photos sent by the parent. The night prior, Tommy had an episode of significant crying/pain after sleeping for about one hour, for which the parent gave Motrin with relief. By the time of the follow-up message later that evening, the droopiness had resolved but mild redness on the outer eye area persisted. The parent had unopened antibiotic eye drops remaining from Luke's episode several weeks prior. Assessment: Consistent with conjunctivitis (pink eye). Dr. Hobbs confirmed drops were indicated based on photo and clinical description. Plan: Parent directed to use the leftover (unopened) antibiotic eye drops for a full one-week course. Medications: - (Prescription sent — specific medication not documented in Spruce) Key clinical quotes: "he does have a bit of the pink eye and I would for sure use the drops" "yep, week should be good" Source: Spruce conversation t_2GDBR8BFPUO00