“Thanks for calling Dr. Khanna's neurology practice. Are you calling about a Parkinson's or dementia patient, scheduling a DBS programming session, or something else? If a patient is having a medical emergency right now, please hang up and dial 911.”
Built for the calls neurology + movement disorders + dementia + Parkinson's actually get
A caregiver calling 'Dad's seeing children in the room who aren't there' / 'Mom is seeing the cat that died 2 years ago' / 'the patient is convinced strangers live in the basement' is reporting a Parkinson's-meds-induced (Sinemet, dopamine agonists, amantadine) or LBD-progression hallucination, NOT a self-harm command-voice crisis. Safety.ts rule 11n R19 extension routes to on-call NEUROLOGIST + caregiver-support (NOT 988 self-harm) UNLESS the caller reports the patient is acting on the hallucination dangerously (wandering, agitation toward 'intruders', weapon access). Pages neurologist regardless of after-hours rules. Captures: patient name + medication-list-mention + hallucination content + safety concern.
DBS programming + battery-replacement + on-off motor fluctuation intake
Deep Brain Stimulation patients call about: device-checking-and-programming sessions (typical 6-12 month follow-up), on-off motor fluctuation crisis (sudden loss of mobility / wearing-off / dyskinesia spike), battery-replacement surgery scheduling (5-7 year typical lifespan for non-rechargeable; 15-25 year for rechargeable), MRI-safety-clearance (rule 21f extends — never improvise on MRI-safe-DBS-model attestation; refer to manufacturer card + device-clearance documentation), DBS deactivation discussions (end-of-life). Captures structured intake fields per DBS-specific protocol. NEVER quotes specific stimulation parameters / amplitude / frequency / pulse-width to caller (programming is in-clinic).
Spouse-caregiver + adult-child-caregiver calls are emotionally heavy — 70%+ of dementia + LBD + late-stage Parkinson's caregivers report clinically significant burnout. The AI (safety.ts rule 11h) captures with trauma-informed posture: NEVER probes for trauma detail, NEVER echoes triggering language verbatim, allows long silences, never promises outcomes. Routes to caregiver-support resources: Family Caregiver Alliance 1-800-445-8106, Alzheimer's Association 1-800-272-3900, Lewy Body Dementia Association 1-800-539-9767, Parkinson's Foundation 1-800-473-4636. Captures with empathy in the summary so you follow up with care.
Late-stage neurodegenerative-disease patients + families need palliative-care coordination: advance-directive intake, hospice-handoff paging, POLST (Physician Orders for Life-Sustaining Treatment) capture, family-meeting scheduling, DBS deactivation discussions, MOLST coordination (NY/MA equivalent). The AI captures the family's goals-of-care inquiry + routes to your palliative-care coordinator + hospice team. NEVER discusses specific medication-discontinuation (Sinemet withdrawal, dopamine-agonist taper) on the phone; in-clinic only.
Hindi + Punjabi + Marathi + Gujarati + multi-language Indian-American intake
Indian-American multi-generational family caregivers calling on patient's behalf in Hindi (3 native voices supported: Aakash / Riya / Devi), Punjabi (NOT supported by voice synthesis — R17 disclosure), Marathi (NOT supported — R19 disclosure added), Gujarati (NOT supported — R19 disclosure added), Bengali (NOT supported — R17 disclosure), Tamil (supported — R10), Telugu (NOT supported — R19 disclosure). Honest disclosure on /languages. Family-caller multi-gen-immigrant intake handled with patience + slow-speech mode (rule 29a) for elderly relatives.
Fall + fracture emergency routing + post-fall workup intake
Parkinson's + LBD + Alzheimer's patients have 3-5x fall risk. Fall + suspected fracture = 911 routing (rule 11 general medical emergency). Post-fall workup (head injury concern, vertebral compression fracture, hip fracture) routed urgent with structured intake. Captures: fall mechanism + loss-of-consciousness + medication-list-mention + caregiver-status.
How it works for neurology + movement disorders + dementia + Parkinson's
Rule 11n R19: medication-induced hallucination routing distinct from rule 12
LBD + Parkinson's-meds-induced visual hallucinations route to on-call neurologist + caregiver-support, NOT to 988 self-harm. Distinct + correct shape for non-suicidal medication-induced psychosis.
Device-checking + battery-replacement + on-off fluctuation + MRI-safety + deactivation captured per DBS-specific protocol. Never improvises stimulation parameters or MRI-safe-model attestation.
Caregiver-burnout trauma-informed (rule 11h)
Family Caregiver Alliance + Alzheimer's Association + LBDA + Parkinson's Foundation referrals. Trauma-informed posture for spouse + adult-child caregivers.
From $107/mo (billed annually). No contract. Cancel anytime.
$129/mo if you go month-to-month. Three plans (Starter / Professional / Enterprise), voice cloning included with any active plan, BYO phone number. Most neurology + movement disorders + dementia + Parkinson's start on Professional for multi-staff routing.
FAQ for neurology + movement disorders + dementia + Parkinson's
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A caregiver calls saying their LBD patient is seeing things — does the AI route to 988?
No — that's the WRONG routing for a medication-induced or LBD-progression hallucination. Safety.ts rule 11n R19 extension distinguishes: LBD / Parkinson's-meds-induced visual hallucinations (Sinemet, dopamine agonists, amantadine) route to on-call NEUROLOGIST + caregiver-support, NOT 988 self-harm. UNLESS the caller reports the patient is acting dangerously on the hallucination (wandering, agitation toward 'intruders', weapon access) — then 911 + neurologist paged.
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DBS programming + battery-replacement scheduling — does the AI handle the intake?
Yes. DBS-specific structured intake captured: device-checking-and-programming (6-12 month follow-up), on-off motor fluctuation crisis, battery-replacement surgery scheduling, MRI-safety-clearance, DBS deactivation. Never improvises stimulation parameters or MRI-safe-model attestation (rule 21f extends).
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Spouse-caregiver calling exhausted — does the AI handle with care?
Yes. Rule 11h trauma-informed posture. Family Caregiver Alliance 1-800-445-8106 + Alzheimer's Association 1-800-272-3900 + LBDA 1-800-539-9767 + Parkinson's Foundation 1-800-473-4636 routed. Never probes for caregiver-trauma detail; allows long silences; captures with empathy.
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Hindi + Punjabi + Marathi + Gujarati family caregivers — voice support?
Hindi yes (3 native voices: Aakash / Riya / Devi). Punjabi + Marathi + Gujarati + Bengali NOT supported by voice synthesis — disclosed honestly on /languages BEFORE you sign up. Tamil yes (R10 confirmed). Telugu NOT supported. Indian-American multi-gen-immigrant family-caller intake handled with patience + slow-speech mode for elderly relatives.
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End-of-life palliative-care + DBS deactivation discussions — does the AI handle?
Yes. Captures family's goals-of-care inquiry + advance-directive + POLST + MOLST (NY/MA equivalent) + DBS deactivation discussion + hospice handoff. Routes to your palliative-care coordinator + hospice team. NEVER discusses specific medication-discontinuation (Sinemet withdrawal, dopamine-agonist taper) on the phone.
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