Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2024-05-01 Encounter: Spruce text message CC: Recurrent sore throat with apparent illness, possible strep recurrence approximately five weeks after previous antibiotic course. HPI: Miles had no illness since completing amoxicillin for otitis media/pharyngitis in late March 2024. On 2024-05-01, he suddenly developed new symptoms early that morning. The parent questioned whether strep could have persisted or recurred. Dr. Hobbs noted that Miles also looked sick. No further symptom detail was provided in the transcript. Assessment: Dr. Hobbs confirmed this appeared to be a new episode of illness and that strep recurrence was possible. A different antibiotic was chosen this time compared to the previous episode. Plan: Prescription sent for cephalexin (different from amoxicillin used previously). Medications: - Cephalexin UNSPECIFIED — prescription sent (new) Key clinical quotes: "Great question and yes, but he looks sick too." "no, different medicine. amox last time, cephalexin this time" Source: Spruce conversation t_25GF4V55J8800