Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-04-26 Encounter: Spruce text message CC: Cough without runny nose or fever in the setting of a household viral illness. HPI: Nelly (age not specified) developed a cough around the same time as her siblings (onset approximately Wednesday 4/23). She had no runny nose and no fever at the time of this message. No medications had been tried specifically for her at the time. Mom had just returned from a week in London. Assessment: Viral upper respiratory illness consistent with sibling illness cluster. Mild presentation with cough only. Plan: Recommended Delsym for cough. Parent felt children were fine to attend school the following day. Monitor for worsening. Medications: - Delsym As directed (OTC cough suppressant) (new) Key clinical quotes: "it's ok try delsym for cough, better than dayquil" "if it all started Wed today really should feel like the worst day with some improvement starting very soon" Source: Spruce conversation t_27C02FVS44O00