Robert “Bob” Miller
Stage: Mild Cognitive Impairment (MCI)Naomi Feil ValidationSchedule: Tue, Thu, Sat at 10:00 AM • Clara Speech Rate: 0.85x • Silence Tolerance: 4.0s
Lexical Richness (TTR)
49%+5 pts
Vocal Response Latency
1.95sFluent
Temporal Anchoring
5 / 5Strong Recall
Emotional Serenity
5 / 5Positive Affect
Longitudinal Cognitive & Vocal Trajectory
Oct 08
TTR: 44%
Latency: 2450 ms
Oct 14
TTR: 47%
Latency: 2100 ms
Oct 21Clinical Watch
TTR: 36%
Latency: 3400 ms
Oct 27
TTR: 49%
Latency: 1950 ms
Clinical Insight: Anchoring the Oct 27 session in 1968 Cape Cod Mustang memories restored verbal fluency by +24%.
Care Team & NP Handoff
Oct 27Mood: 5/5
Full cognitive and emotional rebound stimulated by the 1968 Cape Cod Mustang photo (49% TTR).
Oct 21Mood: 2/5
Transient spike in vocal latency (3.4s) and 3 repetitive loops. Flagged for Care Team hydration check.
Oct 14Mood: 5/5
Marked improvement in verbal fluency anchored around his 1974 Back Bay wedding photograph.
Oct 08Mood: 4/5
Warm engagement recalling his first teaching position in Cambridge.