Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-26 Encounter: Spruce text message CC: Stuffy nose starting Wednesday that progressed to runny nose, with cough. HPI: Hendricks (age not specified) developed a stuffed nose on Wednesday (approximately 4 days prior) which has since become runny, accompanied by cough. No fever reported. Parent tried DayQuil on Thursday but child went to school so efficacy was unclear. Mother recently returned from a week in London on Friday night, suggesting a possible exposure source. Assessment: Likely viral upper respiratory illness given timing (Wednesday to Sunday is consistent with typical viral course), spastic cough pattern, no fever, and household exposure context. No signs of labored breathing reported. Plan: Recommended Delsym for cough as preferred over DayQuil. Suggested trying a nebulizer treatment for all three children to assess response and help with sleep and school performance. Monitoring at home with no immediate in-person visit arranged. Medications: - Delsym Not specified (new) - Albuterol Nebulizer, as needed (continue) Key clinical quotes: "Wed to sunday is pretty normal for timing." "it's ok try delsym for cough, better than dayquil" "I'm curious what it would look like if you gave them all a neb" Source: Spruce conversation t_27C02FVS44O00