Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-05-06 Encounter: Spruce text message followed by in-person office visit (2026-05-06, St. Louis Park office) CC: Persistent and worsening cough for 2+ weeks with fever, labored breathing, and vomiting. HPI: Hendricks had been coughing for over 2 weeks since approximately 4/23. On 5/6 around midnight he spiked a fever (temperature not specified at midnight; 100.3°F by morning), requiring approximately 4 albuterol nebulizer treatments in 12 hours. Parent reported labored breathing with visible neck retractions, though respiratory rate was measured at 26 breaths/minute (normal). Ibuprofen was given at 2am. Albuterol provided approximately 1 hour of relief per treatment. On 5/7 at 2:36am, Hendricks began vomiting with temperature of 100°F. By 5/7 morning, vomiting had resolved, cough was lighter, and temperature was lower. Assessment: Respiratory rate of 26 breaths/minute assessed as normal, reassuring against severe respiratory compromise despite parent-reported retractions. Most likely rhinovirus. Vomiting overnight on 5/7 was self-limited and resolved by morning with overall improvement in cough and fever. Plan: In-person office visit conducted on 5/6 at 3340 Republic Ave #125 SLP at 10:30am. Dr. Hobbs auscultated lungs. Rhinovirus identified as most likely etiology. Continued albuterol nebulizer as needed. Vomiting monitored remotely overnight; follow-up check-in on 5/7 morning confirmed improvement. Medications: - Albuterol Nebulizer, used approximately every 3-4 hours as needed (adjust) - Ibuprofen Dose not specified, given at 2am on 5/6 (new) Key clinical quotes: "Oh. Good. 26 is normal." "rhinovirus? That's most likely" "now weren't they all coughing just a week ago?" Source: Spruce conversation t_27C02FVS44O00