Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2025-02-01 Encounter: Spruce text message followed by in-person office visit (2025-02-23) CC: Annual well-child check for a 13-year-old with concerns about mental health, chronic congestion, and left heel/foot pain with running. HPI: Parents requested a well-child visit for Eamon around his 13th birthday (February 1, 2025). Reported concerns included: (1) ongoing mental health check-in, (2) persistent low-level congestion and illness throughout the winter, and (3) acute left foot/heel pain when running that takes hours to subside — consistent with a pattern previously diagnosed as Sever's disease at Tria. A school trip medication note for guanfacine 1mg nightly was also requested. The in-person visit took place on 2025-02-23 at the York Ave office. Assessment: Well-child visit addressing multiple concerns including mental health, chronic congestion, and Sever's disease follow-up (previously diagnosed at Tria). Vaccinations reviewed. Medication note provided for school trip. Plan: In-person visit completed 2025-02-23 at York Ave office. Medication note for guanfacine 1mg nightly written for school trip. Vaccination review completed. Specific treatment plans for congestion and heel pain not detailed in transcript beyond in-person visit. Medications: - Guanfacine ER 1mg nightly (as documented in school note) Source: Spruce conversation t_27GA7V0S3U800