Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-03 Encounter: Spruce text message CC: Parent concerned that Thomas, at nearly 17 months, is not yet walking independently. HPI: Thomas is nearly 17 months old and has not yet begun walking independently. He is described as a fast crawler, climbs stairs, pulls to stand, and walks with a push toy or while holding hands. The parent notes his older brother Luke also did not walk until 17 months. The parent reports steady progress and attributes the delay to confidence rather than motor difficulty. Assessment: Dr. Hobbs assessed the delayed independent walking as not concerning given the child's overall motor activity, steady progress, and family history of a similar developmental timeline. Plan: Reassurance provided. No intervention recommended. Advised to schedule an 18-month well visit as the next clinical check-in. Key clinical quotes: "Not concerning, especially if you feel like he's steadily make some progress" "18 months would be a great next check in" Source: Spruce conversation t_2GDBR8BFPUO00