Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-27 Encounter: Spruce text message CC: Parent asking whether demand feeding is appropriate given Macklin's variable interest in feeds and possible feeding efficiency. HPI: Macklin (approximately 4 months old) had been on a scheduled 3-hour feeding interval during the day, but parent noticed he was sometimes disinterested at scheduled feed times — suckling briefly then pulling off and appearing content. Parent was also noting that some feeds seemed complete in only 3–5 minutes and wondered if he was feeding efficiently rather than showing disinterest. Assessment: Dr. Hobbs indicated it is appropriate to follow the infant's hunger cues at this developmental stage and acknowledged the possibility that Macklin is now feeding more efficiently. Plan: Transition to demand/cue-based feeding rather than strict 3-hour schedule. Continue to experiment and observe. Key clinical quotes: "it's totally ok to follow his queues at this point and possible he's being efficient also, time for more experimenting" Source: Spruce conversation t_2NMHFV8FSP800