Macklin Mittelstadt

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

Narrative: CHIEF COMPLAINT 4-month well child visit HISTORY OF PRESENT ILLNESS This is a 4-month-old male infant presenting for his well child visit. Mother reports feeding is going "much, much better" compared to prior visits. He is primar

Narrative: CHIEF COMPLAINT Recurrent projectile vomiting over the past 6-8 weeks with history of reflux HISTORY OF PRESENT ILLNESS Beacon is a young male with a history of reflux on antacid therapy who presents for evaluation of recurrent v

Narrative: SPRUCE MESSAGE VISIT Date: 2026-07-19 Encounter: Photo review (image sent by parent via Spruce text message) CC: Rash with white bumps on infant's scrotum. HPI: Macklin (approximately 15 weeks old) was noted by parent to have a r

Narrative: CHIEF COMPLAINT Well child visit with feeding concerns, possible reflux, and weight check HISTORY OF PRESENT ILLNESS Pupus presents for a well child visit and weight check. Mother reports ongoing feeding challenges with a combina

Narrative: SPRUCE MESSAGE VISIT Date: 2026-07-05 Encounter: Spruce text message followed by in-person office visit and imaging (radiology study with contrast) CC: Projectile vomiting after every feed, worsening over the past 5 days. HPI: Ma

Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-30 Encounter: Spruce text message followed by in-person office visit (2026-07-06), with subsequent imaging ordered CC: Escalating projectile vomiting after feeds, occurring after both breast and

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Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-18 Encounter: Spruce text message followed by in-person office visit (2026-06-19) CC: Parent requesting weight check visit amid ongoing spitting up and feeding adjustments. HPI: Macklin (approxi

Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-14 Encounter: Spruce text message followed by in-person weight check visit CC: Infant with worsening symptoms since last visit — increased spitting up, crying, and poor napping, with concerns ab

Narrative: CHIEF COMPLAINT 2-month well child visit; parents concerned about poor weight gain, breastfeeding difficulties, possible tongue tie, fussiness at the breast, and a rash on neck and cheeks HISTORY OF PRESENT ILLNESS Macklin is a 2

Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-09 Encounter: Spruce text message followed by in-person office visit (2-month well visit) CC: Parent concerned about possible tongue tie and ongoing feeding difficulties with spitting up and fus

Narrative: SPRUCE MESSAGE VISIT Date: 2026-06-02 Encounter: Photo review (photos sent by parent via Spruce) CC: Parent noticed a rash on Macklin and sent photos for evaluation. HPI: Macklin is approximately 7–8 weeks old at the time of this

Narrative: CHIEF COMPLAINT Newborn well child visit at approximately 3 weeks of age with concerns about spitting up, prolonged feeding duration, poor burping, and jaundice HISTORY OF PRESENT ILLNESS Macklin is an approximately 3-week-old ma

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 conc