Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-07-03 Encounter: Spruce text message CC: Seemingly infected ingrown (likely ingrown toenail or hair) present for a couple of days, causing pain. HPI: Max is a child (age not specified) with what the parent describes as a seemingly infected ingrown lesion, present for approximately a couple of days. He reports pain at the site. The parent has been applying over-the-counter Neosporin and has a prior prescription of mupirocin on hand. The parent was uncertain whether the infection warranted oral antibiotics or whether topical treatment would suffice. Assessment: Dr. Hobbs assessed the lesion as only mildly infected, not requiring oral antibiotic therapy at this time. Topical treatment was deemed appropriate. Plan: Dr. Hobbs recommended the parent use mupirocin (prescription topical antibiotic cream already on hand) on the infected ingrown lesion. No new prescriptions were sent. No oral antibiotics were indicated. No immediate in-person visit was required. Medications: - Mupirocin Not specified; topical cream, existing prescription on hand (use (existing supply)) Key clinical quotes: "Only mildly infected" "It's a good starting plan." "If you have mupirocin, I'd use that" Source: Spruce conversation t_230AM8QV9Q800