Secure Message Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-01-14 Encounter: Spruce text message CC: Resumption of Guanfacine ER with both 1mg and 2mg doses ordered to allow flexible dosing as school year begins. HPI: Following the summer medication break, Dr. Hobbs ordered both 1mg and 2mg guanfacine ER preparations to allow dose flexibility going into the school year. Medications were delivered directly to the family's home. No new clinical symptoms were described in this exchange; the interaction was primarily focused on medication logistics and dosing strategy. Assessment: Resuming guanfacine ER with both strengths available to facilitate flexible titration as Eamon returns to school. Plan: Guanfacine ER 1mg and 2mg both ordered wholesale and delivered to family home ($29 total). Dose flexibility preserved for upcoming school year titration. Medications: - Guanfacine ER 1mg and 2mg (both strengths ordered) Key clinical quotes: "I ordered both 1mg and 2mg guanfacine extended release for you to have. It gives us flexibility for changing doses." Source: Spruce conversation t_27GA7V0S3U800