ExpressAgainYour words are still in there. ExpressAgain helps you say them.
For anyone who can think and understand but can't reliably speak — after a stroke, aphasia, a brain tumor (like glioblastoma), throat surgery, on a breathing tube in the ICU, with ALS or Parkinson's, dementia, or simply overwhelmed in a hospital or home setting. Tap or highlight what you want to say, and ExpressAgain says it out loud for you.
No credit card required. Free for individuals and families.
The Problem
You know exactly what you want to say. It just won't come out right.
Illness, injury, a stroke, or a breathing tube can take away speech while your understanding, memory, and personality stay fully intact. That gap between knowing and expressing is exhausting for patients, and heartbreaking for families watching someone they love struggle to be heard.
And it's not only the words. A hospital room quietly pulls a person away from everyone who loves them — visits are hard to coordinate, updates get lost, and the people who care most feel helpless and far away.
One team, one plan
Built for the interdisciplinary care team
An interdisciplinary care team is a group of different health professionals who work together closely with the patient and family to create a single, shared treatment plan. ExpressAgain is the platform where all of those parties care for one patient together: the same day, the same medications, the same notes, and the same record of who did what and when.
Family
the daughter, the siblings, the friends who show up
Home care
aides hired directly or sent by an agency
Clinicians
nurses, therapists, hospice, palliative, paramedics
Agencies
the office that staffs, schedules and bills
More Than a Voice
Give her back her voice — and keep her whole circle right beside her.
Most communication tools stop at “I'm hungry” and “I'm in pain.” ExpressAgain goes further — because being heard and staying connected are the same fight. One place holds her voice, her people, her care, and her way home.
Her voice, back
Tap or highlight what she wants to say and it speaks out loud — real questions for the doctor, yes and no, and the things only she would say. Not just “I’m hungry.” Herself.
Her circle, close
Family and friends share photos, voice notes, and love in one private place — and she answers with a tap. A hospital room stops feeling so far away.
Everyone on the same page
Visiting hours, who’s coming, her room and how she’s feeling today — the whole family coordinated in one place, instead of a hundred texts nobody can keep up with.
Her care team, included
Her speech, physical, and occupational therapists can join with a code, assign practice she does right in the app, and guide the road home.
All the way home
Coming home from the hospital is a cliff for most families. Discharge questions, an equipment checklist, and the therapy team’s home recommendations turn it into a plan.
Private, and hers
Every circle is walled off from every other. Family, friends, and clinicians each see only what they should. Her story stays her own.
Whoever you are in this story — the one in the bed, the daughter holding it all together, the therapist, the hospital — ExpressAgain keeps you connected to the person at the center of it.
Interoperability
Her doctors' records, next to what you see at home.
Built to connect: Epic, eClinicalWorks, and the FHIR standard every certified EHR must support. The hospital tracks her when she is there; you track her at home. ExpressAgain puts the two side by side — read-only, with her or her proxy's authorization — and sends a weekly home summary back to the doctor.
For families
Connect her doctors — Epic (MyChart) and eClinicalWorks (healow), registration in progress — and her chart shows up read-only next to what you track at home. Reconcile medications and allergies with one tap, and hand the doctor a weekly home summary.
How it connects →For facilities & agencies
An HL7 v2 interface engine for the ADT, ORU and SIU feeds you already exchange, a Partner API for the systems you already run, and a care-team dashboard your clinicians join with a code. Available on request, set up with our team.
Facilities & agencies →For health plans
Early access. Outcomes data and a care-management workflow built on what families already track at home — always with the member's authorization. Talk to us about what you would need.
Talk to us →Works with
Epic (MyChart)eClinicalWorks (healow)HL7 FHIR R4SMART on FHIRHL7 v2Direct
ExpressAgain connects through their published APIs. Epic and MyChart are trademarks of Epic Systems Corporation; eClinicalWorks and healow are trademarks of eClinicalWorks, LLC. Vendor registrations are in progress; no endorsement or partnership is implied.
What's Inside
Built for real hospital and home moments.
A library made for the situations that actually come up: asking your doctor a detailed question, saying no to a treatment you don't understand yet, managing visitors and family, handling passwords and legal documents, and being understood as a full person — not just a patient.
Say It Out Loud
Tap or highlight a phrase and ExpressAgain speaks it clearly.
Ask Real Medical Questions
A full library of questions patients want to ask doctors.
Keep Your Affairs in Order
A secure, PIN-protected space for passwords, insurance, and legal documents.
Stay Yourself
Modules for faith, family boundaries, games, and comfort.
Who It Helps
One tool for anyone who can't get the words out.
The same recognize-and-speak system helps across all of these today — the words work the same whatever took them. What's rolling out condition by condition is the in-depth guide for each. Two are ready to read now; more are on the way.
Aphasia & Stroke
The words are there but stuck — recognize, select, and speak.
Glioblastoma & Brain Tumors
When a tumor affects language — stay heard, stay close, stay yourself.
ICU & Post-Surgery
Voiceless on a breathing tube, but fully aware.
ALS & Parkinson's
Progressive speech loss — pairs with voice preservation.
Dementia & Senior Care
Word-finding, overwhelm, and care coordination.
Head, Neck & Throat
After a laryngectomy or throat surgery.
Hospice & Palliative
Wishes, comfort, faith, and family.
Who It's For
Everyone who loves them — and everyone who cares for them.
For the person
Select what you want to say from a clear, organized library. No typing, no writing, no guessing games — just your words, out loud.
For family & caregivers
Stay close from anywhere, coordinate visits and care, keep a journal, and see how she’s doing — without living at the bedside.
For therapists
Join with a code, assign practice between sessions, leave notes, and guide the transition home — coordinated with the family, separate from their private space.
For hospitals & facilities
A calmer, more understood patient — with HIPAA-ready infrastructure, role-based access, and per-unit scoping built in.
The Marketplace
The ExpressAgain Marketplace connects families with independent professionals and agencies, while the family or agency makes the hiring decision.
Find care, or find home care work →
For Hospitals and Care Teams
A better way for care teams to understand their patients.
ExpressAgain is built to be HIPAA-ready from the ground up, with secure infrastructure, audit logging, and enterprise single sign-on support.
Learn About ExpressAgain for Organizations