Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-04-30 Encounter: Spruce text message CC: New onset dizziness and transient lower extremity numbness after hitting his head during a basketball game. HPI: Miles reported dizziness that began on 2025-04-30, starting while sitting at dinner. He also reported feeling dizzy in the shower and described being unable to feel his feet transiently — though he had difficulty explaining the sensation. He had hit his head against a wall while playing basketball earlier that day and did not go to the school nurse. Symptoms were intermittent. He played basketball with his father after the initial injury without mentioning symptoms at that time. Assessment: Dr. Hobbs considered the dizziness and lower extremity paresthesia possibly related to the head injury, though noted it could be multifactorial. Plan: Ensure adequate hydration and food intake before bed. Monitor with sleep and reassess. No urgent evaluation recommended at the time of the message. Key clinical quotes: "Possible it's related to the head injury, could also be a combo of things. Let's make sure he's had enough to eat and drink before bed and see how some sleep goes" Source: Spruce conversation t_25GF4V55J8800