Phone Visit
Narrative: SPRUCE MESSAGE VISIT Date: 2026-08-14 Encounter: Spruce text message CC: Parent requests guanfacine refill at reduced summer dose of 1.5mg due to difficulty splitting 3mg tablets cleanly. HPI: Eamon has been taking a reduced dose of guanfacine (1.5mg) over the summer, down from his school-year dose of 3mg, consistent with a previously discussed plan to reduce medications during summer. The parent reports the family has been splitting 3mg tablets, but this is problematic as the pill does not split cleanly and breaks into fragments. A refill at the lower dose is requested. Parent reports Eamon is doing well overall this summer. Assessment: Dr. Hobbs acknowledged the update and appeared to accept the reported summer dose reduction. He did not raise clinical concerns and proposed scheduling a visit with Eamon before the school year begins. Plan: Dr. Hobbs responded warmly and asked how Eamon was doing. Parent reported he was doing well and suggested a visit the week after next before school starts; Dr. Hobbs agreed to that plan. No explicit confirmation of refill being sent is documented in the transcript. Medications: - Guanfacine 1.5mg (reduced from 3mg for summer) (adjust) Key clinical quotes: "Hello. I hope you're all great too. How's the summer been? How's Eamon doing?" "I like that plan" Source: Spruce conversation t_27GA7V0S3U800