Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-01 Encounter: Spruce text message CC: Lingering juicy cough and runny nose for approximately one week. HPI: Thomas (Tommy), age unknown and noted by Dr. Hobbs to be young enough to require age-appropriate formulations, has had a juicy cough and runny nose for about one week alongside his brother Luke. The parent reported the cough appeared to be getting slightly better. The family was vacationing in Florida during spring break. No fever was mentioned. The parent asked specifically about OTC cough remedies appropriate for Tommy's age. Assessment: Dr. Hobbs assessed the symptoms as consistent with a viral upper respiratory infection with a lingering cough, noting that OTC cough medications and decongestants can be helpful. He acknowledged Tommy's young age requires age-appropriate products. Plan: Recommended age-appropriate OTC options such as Zarbees for the cough. Emphasized that humidity (steamy showers) is most helpful. Parent was reassured that OTC cough and decongestant options were acceptable to try. Medications: - Zarbees per package instructions (age-appropriate formulation) (new) Key clinical quotes: "totally ok to try otc cough meds, decongestants, they actually do help some people." "there are little guy options, like Zarbees - humidity helps the very most, steamy showers, etc" Source: Spruce conversation t_2GDBR8BFPUO00