Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-07-29 Encounter: Spruce text message followed by in-person office visit CC: Dermatologist suspects dormant/carrier strep contributing to psoriasis flares; requesting strep test. HPI: Penelope, age approximately 8, had a history of testing positive for strep without classic symptoms on at least two prior occasions identified at dermatology appointments. Her dermatologist believed strep carriage was triggering psoriasis flares, and treating the strep had helped her skin on prior occasions. An in-office strep test was requested and scheduled for the following Friday morning. Assessment: Known strep carrier with history of psoriasis triggered by strep. Clinical history supports testing and treating given prior response. Plan: In-person strep test scheduled for Friday 8:30 AM at Edina office. Key clinical quotes: "Always, did she say more about what she meant by dormant strep?" "And does treating the test help her skin?" Source: Spruce conversation t_27C02FVS44O00