You are still you.
Aphasia changes language.
It changes the pace of speaking, reading, writing, and understanding.
It can change family life.
It can change confidence.
It does not remove the person.
Presence Medicine adds in-home physician support, time, interpretation, and discretion for families already doing the work of aphasia care.
A deeper layer of support
Many families already have a speech-language pathologist, doctors, rehabilitation professionals, and people helping at home.
The remaining need is often different.
More time in the room.
More help making sense of the whole situation.
More space for the person with aphasia to communicate without being hurried.
Presence Medicine is built for that additional layer of care.
What Jenelle does
Dr. Jenelle Jindal is a neurologist. Her role is to join the existing support environment as a physician who can spend sustained time with the patient and family at home.
She listens carefully.
She uses spoken, written, gestural, and visual communication.
She works at a pace that allows thought to happen.
She helps make the broader recovery picture more coherent.
She treats the person with aphasia as a full adult, not as a problem to be hurried through.
What this practice is for
This practice may be helpful if:
- You or someone you love already has aphasia support and still needs more time, interpretation, and physician attention
- Standard appointments feel too compressed for the recovery effort
- You want care that fits alongside your existing doctors, therapists, and household support
- Multiple people are involved, and your family needs help making the whole care environment more coherent
- You are seeking an in-home model where physician support can sit beside ongoing speech-language pathology
- Privacy, discretion, and calm are essential
Working within your existing care team
Presence Medicine welcomes strong existing care. The goal is not to replace the neurologist, primary care physician, speech-language pathologist, rehabilitation team, care manager, or family support system. The goal is to expand the support around them: physician presence in the home, more time for the patient to communicate, family interpretation, and coordination around the larger recovery picture.
For legal and professional reasons, the SLP does not work for Presence Medicine. Any SLP relationship is arranged and paid separately by the patient or family. With permission, Dr. Jindal can collaborate respectfully with that clinician while preserving the independence of each role.
Some families have several clinicians, professional care managers, assistants, household staff, and relatives involved at the same time. Presence Medicine is comfortable working inside that larger environment when roles, privacy, and consent are clear.
What this practice is not
Presence Medicine is not:
- Emergency care
- A replacement for your neurologist, primary care physician, or speech therapist
- A guarantee that every word will come back
- A promise that more resources can guarantee recovery
- A place where you must speak quickly to be understood
It is a supplemental practice built around time, listening, communication access, and physician-level attention at home.
What a visit may feel like
The pace is slower. There is room to pause. There is room to write, point, gesture, or try again.
If a question needs to be repeated or approached a different way, that is part of the work, not an inconvenience.
If you need more time to answer, that time is part of the visit.
What progress can mean
Progress does not look the same for everyone.
For one person, progress may mean clearer speech.
For another, it may mean greater confidence.
For another, it may mean less isolation, better understanding, or more ability to participate in daily life.
This practice does not reduce recovery to a single score. It asks what is becoming more possible in the person's life.
Family participation
When helpful, family members or other support people can be part of the conversation.
Recovery rarely belongs to one person alone. It often involves a household, a family, a clinical team, and professional support around the patient. Good care often includes the people helping sustain daily life.
Questions people often have
Do I need to speak easily to begin?
No. The practice is built for people who may need time, writing, gesture, family support, or other communication accommodations.
Can I keep my other doctors and therapists?
Yes. Presence Medicine is designed to work alongside existing care, including independent speech-language pathology, neurology, primary care, rehabilitation, care managers, and household support. If your SLP participates, that relationship remains separate from Presence Medicine and is paid separately by you or your family.
Is this only for recent stroke?
Not necessarily. Some people seek this kind of support early. Others do so later, when they realize the usual structure of care is still not meeting the problem.
Will you talk with my family?
With your permission, yes.
Is this private pay?
Yes. Details are discussed during intake.
How to begin
The first step is a confidential conversation.
We learn about the patient's history, current care team, existing SLP support, household environment, goals, communication needs, privacy considerations, and whether this practice appears to be the right fit.
If it is not the right fit, that should be clear early. If it is, the next steps can be discussed directly and privately.
Aphasia is hard. It changes the pace of life and the pace of language. But it does not remove the person.
This practice begins from that fact.
— Jenelle Jindal, MD