Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-07-23 Encounter: Phone call via Spruce CC: Parents requested anticipatory guidance on fevers in newborns and lumbar puncture indications prior to delivery of their second child. HPI: The Gill family had an upcoming scheduled c-section (moved to 8/5/2026) and sought pre-delivery counseling about fever management in newborns, specifically whether fever in a young infant mandates a lumbar puncture. This concern had been raised in June 2026 and a phone call was scheduled for 7/23/2026 to address it. Dr. Hobbs had already provided brief reassurance via message that fever does not automatically require an LP. Assessment: Dr. Hobbs provided anticipatory guidance clarifying that fever in a newborn/infant is not an automatic indication for lumbar puncture, offering reassurance and expectation setting to the parents prior to delivery. Plan: Phone consultation conducted at approximately 1:30 PM on 7/23/2026 to discuss infant fever management and lumbar puncture thresholds. No medications prescribed. No follow-up specifically documented beyond the planned newborn visit. Key clinical quotes: "It's not an automatic LP and we will discuss" "happy to chat prior to delivery. Let me know when works" Source: Spruce conversation t_2MJ659J6T4000