August Gill

Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-29 Encounter: Spruce text message followed by planned phone/video call (FaceTime) CC: Infant presenting with back arching, grunting, crying, and positional discomfort consistent with gastroesoph

Narrative: CHIEF COMPLAINT 2-week well child visit with concerns about jaundice, head preference to the right, goopy eye, accessory nipple, ear cartilage variant, and gassiness HISTORY OF PRESENT ILLNESS Gus is a 2-week-old male presenting

Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-20 Encounter: Spruce text message CC: Post-circumcision pain management guidance requested by parents. HPI: August is a newborn who underwent circumcision on August 20. Following the procedure,

Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-15 Encounter: Spruce text message CC: Newborn weight monitoring and feeding assessment in the early postpartum period. HPI: August ("Gus") is a newborn who was last formally weighed on day three

Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-10 Encounter: Spruce text message CC: Parents inquiring about timing and referral for elective neonatal circumcision. HPI: Parents of newborn Gus (born approximately 8/5/2026) requested a referr

Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-10 Encounter: Spruce text message with photo and video review CC: Newborn jaundice with concern for worsening hyperbilirubinemia, excessive sleepiness, and difficulty feeding. HPI: Baby Gus was

Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-07 Encounter: Spruce text message followed by in-person home visit (NP Catherine Watson visiting the home on 2026-08-08) CC: Newborn with 9% weight loss on day of life 2, concern for adequate fe

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 famil