Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-26 Encounter: Spruce text message CC: Cough without nasal congestion or fever. HPI: Nelly (age not specified) is experiencing cough without accompanying runny nose or nasal stuffiness. No fever reported. Onset timing is not separately specified but appears concurrent with siblings' illness. DayQuil was given on Thursday with unclear benefit. Mother recently returned from a week in London on Friday night. Assessment: Likely viral illness with isolated cough, consistent with the same viral illness affecting siblings. No fever and no labored breathing reported. Plan: Recommended Delsym for cough as preferred over DayQuil. Suggested trial of nebulizer treatment along with siblings to assess response and help with sleep. Medications: - Delsym Not specified (new) Key clinical quotes: "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" "Wed to sunday is pretty normal for timing." Source: Spruce conversation t_27C02FVS44O00