Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-03-19 Encounter: Spruce text message CC: Persistent cough following flu illness, and question about return to normal activities after being fever-free for five days. HPI: Max has been fever-free without fever medications for five days and is acting like himself again. He has a persistent, reportedly 'gnarly' cough that remains after his flu illness. Parent is using nebulizer treatments and he is sleeping through the night without difficulty. No mention of worsening respiratory distress or other new symptoms. Assessment: Residual cough following flu is expected and not a concern given five days of fever-free status and return to baseline behavior. Dr. Hobbs implicitly reassured that Max is no longer contagious and cleared him to resume normal activities. Plan: Cleared Max to return to normal social activities given resolution of fever and return of energy. No change in current nebulizer regimen mentioned; no additional workup recommended. Key clinical quotes: "If he's got the energy, he can reenter the world" Source: Spruce conversation t_230AM8QV9Q800