Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-05-06 Encounter: Spruce text message followed by in-person office visit CC: Newborn with increasing fussiness, poor sleep, frequent spitting up, and apparent discomfort at night, with parental concern about adequate weight gain. HPI: Macklin is a newborn (approximately 2.5–3 weeks old at time of message) whose birth weight was 8 lbs 6 oz; he discharged at 7 lbs 14 oz, was 7 lbs 15 oz at a 3-day check-up, and weighed 8 lbs 1 oz at his 1-week visit on 4/21. Over the last few nights, he has been increasingly hungry and fussy, sleeping only in 30-minute stretches before wailing. He spits up frequently — anywhere from right after a feed to 2 hours later — and exhibits a distinctive cry with leg kicking, leg bucking, and rolling side to side, suggestive of pain, particularly when laid on his back at night. Diapers have been consistent and regular; daytime feeds are reportedly going well. Assessment: Dr. Hobbs acknowledged the symptoms could be within the range of normal newborn behavior ('could be totally normal and you're thinking about the right things') but sought weight history to assess adequacy of growth. An in-person visit was arranged, at which a clinical assessment was completed. Plan: Dr. Hobbs obtained weight history via messaging, scheduled an in-person office visit for 2026-05-08 at 10:30 AM at 3340 Republic Ave #125, St. Louis Park. The visit occurred and the parent reported feeling reassured afterward. No specific treatment plan or prescription was documented in the conversation. Key clinical quotes: "could be totally normal and you're thinking about the right things" "what was the last weight you know for him? are you weighing him at home at all?" Source: Spruce conversation t_2NMHFV8FSP800