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Trust / What we monitor

What Proxi listens for, and who sees it.

Proxi watches the conversation for safety. During Early Access, the safety team also flags a wider set of signals for human review. We are also studying, separately, whether some patterns can become useful clinical signals over time. There is a clear line between what the safety team watches for during Early Access and what is being researched.

Today, during Early Access

What the safety team watches for during Early Access.

These signals are reviewed by the Early Access safety team, led by US-registered nurses with dementia specialization, during your validation-and-verification cohort period. They are not yet a generally-released product feature, and Proxi does not interpret them medically.

These are observations, not diagnoses. Proxi tells you what changed. Your clinician tells you what it means.

Conversation pattern changes.

  • Repetition rate beyond your loved one’s baseline.
  • Tone shifts over days.
  • Sudden withdrawal or shortening of calls.
  • New confusion patterns.

These are flagged on your dashboard, not handled silently. You see what is shifting.

Crisis signals from your loved one.

  • Suicidal or self-harm language.
  • Reports of intrusion, strangers, abuse.
  • Reports of injury, falls, acute pain.
  • Cries for help or screaming.
  • Physical discomfort or health complaints.
  • Sudden severe confusion not previously seen.

The Guardian stops the conversation and routes to you immediately.

Sustained refusal.

  • Sustained dissent from your loved one.

The Guardian pauses the service and tells you.

Sundowning intensity.

  • Late-day agitation patterns are tracked.

You see how the week looked.

Clinical research, opt-in

What we are studying.

These are open research questions, not features Proxi performs today. Families participate voluntarily, with separate consent. Declining has no effect on your service.

These are open questions today. The answers will come from the families who help us answer them. When we have answers, we will publish them.

Whether voice and the body tell the same story.

A research question we are exploring with families who voluntarily opt into biometric monitoring. Heart rate, oxygen, activity. The question: whether what your Proxi notices in conversation lines up with what a wristband sees in the body.

Whether Proxi could one day spot the early signal of a UTI.

Urinary tract infections in dementia patients often show up as sudden confusion. They are common, treatable, and dangerous when missed. The research question: whether a voice service could one day notice the pattern early enough that a clinical visit happens before the crisis. Proxi does not do this today.

Whether Proxi could one day spot a sudden change in cognitive baseline.

Sudden cognitive decline can have many causes, some of which are treatable if caught fast. The research question: whether a voice service could one day notice the change early enough that a doctor can act. Proxi does not do this today.

Whether Proxi changes caregiver outcomes.

Whether caregivers who use Proxi sleep more, work more, stay more themselves. Whether the relationship with their loved one improves. Whether the burden numbers come down. Real numbers, not anecdotes.

Scope and limits

Proxi is not a medical device, not a diagnostic tool, and not a substitute for clinical care. We do not interpret what a conversation pattern means medically. That is your clinician’s job. If you think your loved one may be in medical distress, call their clinician. If you think it may be a medical emergency, call 911 or your local emergency service.

What Proxi is not, today

  • Not a medical device.
  • Not a diagnostic tool.
  • Not a substitute for clinical care.
  • Not a 911 service.
  • Not insurance, and does not bill insurance.

  • Proxi is voice continuity for caregivers, with a safety architecture built for the population it serves, brought to market carefully so it actually helps and does not harm.