Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-05-11 Encounter: Spruce text message (phone call/check-in scheduled but not yet completed within conversation date range) CC: Parent requests medication management review for summer (possible reduction/elimination) and evaluation for exercise-induced asthma flagged by coaches, plus refill of current psychiatric medications. HPI: Eamon is an established patient on sertraline and guanfacine. His father reports that coaches in both biking and swimming have recommended evaluation for exercise-induced asthma due to breathing difficulties and difficulty getting enough air during exercise. The father notes this has not been previously observed and wonders if symptoms may be related to guanfacine-associated fatigue. The family is also seeking a broader medication management discussion, including potential reduction or elimination of some medications over summer. Assessment: No formal clinical assessment documented within the conversation for the exercise-induced asthma concern or medication reduction plan, as the scheduled check-in had not yet occurred. Refill of sertraline and guanfacine was confirmed and processed after verifying current doses with the parent. Plan: Refills sent to CVS on York for sertraline and guanfacine 3mg. A phone/in-person check-in was being scheduled for Tuesday to discuss medication management for summer and further evaluation of exercise-induced asthma concern. Optometrist referral inquiry was not addressed by Dr. Hobbs. Medications: - Sertraline Dose not confirmed by name in conversation (parent uncertain of mg; described as '1.5 pills') (Refill) - Guanfacine 3mg (Refill) Key clinical quotes: "I have 3mg for the guanfacine, so I want to confirm what he's been taking lately. I'll refill the sertraline now though" "sent" Source: Spruce conversation t_27GA7V0S3U800