Was Dr. Hammesfahr's examination report accurate regarding that she was alert and responsive throughout?
As far as I can tell, he examined her on two occasions. That is because in one, she is wearing some kind of frock and is in her bed. The other time, she's wearing a red t-shirt and is in a chair.
She's certainly alert throughout. She doesn't pay attention to him at first. At one stage, though, he gets up to grab something on the other side of the room and she watches every move he makes.
He got her arm, severely contracted, to relax. She starts grinning at him. He puts a swab with a nasty scent on it in her mouth and around her nose and she reacts like she's going to belt him. He talks to her and she responds with verbal replies. Not language per se, but different sounds.
Oddly enough, I almost feel she was more on game with Cranford. Then again, he did bark at her quite a bit.