Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2024-02-02 Encounter: Spruce text message CC: Sertraline refill requested; parent also noted ongoing vocal tic. HPI: Dobson is a pediatric patient on Sertraline for anxiety who was running low on his medication with no refills remaining. The parent noted during the refill request that a vocal tic has been persistently present. The parent expressed concern about sibling teasing of the tic despite parental intervention. Assessment: Sertraline refill indicated for ongoing anxiety management. Vocal tic noted as an ongoing issue; Dr. Hobbs offered further discussion if the tic is bothersome to the patient. Behavioral suggestion offered regarding sibling teasing. Plan: Sertraline refill sent to Walgreens on Cedar Lake Rd, SLP. Dr. Hobbs offered to discuss the vocal tic further if needed. Suggested a nominal fine system for sibling to discourage teasing of the tic. Medications: - Sertraline Not specified (refill) Key clinical quotes: "Always happy to talk more if it's bothering him" "Ever try something like a nominal fine when she does it? Like a quarter every time?" Source: Spruce conversation t_257QHMAM99000