Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2023-05-28 Encounter: Spruce text message CC: Severe hand eczema/dermatitis flare requiring topical steroid prescription. HPI: Maxwell Peterson, born 9/8/2014 (age 8), presented with a significant flare of hand dermatitis described by his mother as 'the worst I've seen them.' He has a prior history of the same condition for which he has previously received a prescription steroid cream. At home, the family had been applying Vanicream and/or Aquaphor with insufficient relief. No known drug allergies. Assessment: Known recurrent hand dermatitis/eczema flare, consistent with prior presentation requiring topical steroid therapy. No new diagnostic workup needed given established history. Plan: Prescription for topical steroid cream sent to Walgreens on Vernon (Edina, MN) same day. Parent confirmed prescription was picked up and applied by end of day. Medications: - (Prescription sent — specific medication not documented in Spruce) Key clinical quotes: "I can send some steroid cream over by lunchtime." "sent. I'm trying out new systems, so if you get ANY friction, message me back." Source: Spruce conversation t_223M78FOVC800