For referring clinicians
Presence Medicine is supplemental physician-led aphasia care for patients and families seeking multi-hour in-home medical attention alongside an existing care team.
This practice sits beside existing neurology, primary care, speech-language pathology, rehabilitation, and household support. The offering is extended physician attention in a communication-accessible home setting.
What Presence Medicine provides
Presence Medicine may be useful when a patient would benefit from:
- Extended in-home physician encounters structured around communication needs
- Physician-level integration of neurological knowledge with narrative and communication work
- Family and professional-team support around aphasia over time
- Multi-hour physician presence alongside independent SLP care
- Discreet care for patients with high privacy needs
What Presence Medicine does not replace
Presence Medicine is not designed to replace:
- Acute stroke care
- Routine neurological management
- Standard preventive care
- Diagnostic testing and workup
- Medication-management follow-up as a primary service
- Speech-language pathology or structured rehabilitation exercises
It is an additional layer for patients and families who want more physician time and coordination around care already underway.
When a referral may make sense
Consider referral when a patient with aphasia is:
- Medically stable but still poorly served by standard visit tempo
- Unable to make meaningful use of routine appointments because of communication barriers
- In need of physician-level interpretation and continuity around recovery
- Supported by family or professional teams who need a clearer communication framework
When this is unlikely to be the right fit
Presence Medicine is usually not the right first step when the patient has acute neurologic symptoms, unstable medical needs, an unresolved diagnostic question requiring workup, a primary need for medication management, or a primary need for speech-language therapy alone.
How collaboration works
The patient remains connected to existing clinicians. With consent, Presence Medicine can coordinate with neurologists, primary care physicians, speech-language pathologists, therapists, care managers, and family systems.
Speech-language pathology participation
Existing SLP care is welcome and often clinically valuable. Presence Medicine can add physician presence while structured language work continues.
The SLP is not employed, supervised, billed, or paid by Presence Medicine. Any SLP participation remains separately arranged between the patient or family and that clinician.