Robert's pattern in the last 14 days looks like the lead-up to his 2024 psychiatric admission — but earlier in the trajectory.
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PHQ-9 went 8→14 in two weekly SMS check-ins (item 3 "sleep" and item 5 "appetite" both jumped)
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Voice check-in 05/18: shorter responses, longer pauses, mention of "the neighbors hearing me" (new content, not in prior calls)
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Pharmacy fill gap: clozapine refilled 4 days late on 05/10
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CHF signal: +3 lb in 5 days (home scale)