# ClinicaLingo

> Daily 10-minute clinical-Spanish scenarios — voiced AI patients across the top
> 30 ED and clinic encounters — for working US nurses, EMTs, PAs and front-desk
> staff. $19/mo, no certificates. Web only, no native app.

ClinicaLingo is **language training**, not medical interpretation. It teaches
the working US clinician the Spanish phrases that recur on shift — intake, the
pain scale, the allergy ask, the discharge return-precautions list — so the
clinician does not have to pull a 7-year-old child or a janitor into the room
as an ad-hoc interpreter (a documented JCAHO patient-safety risk and a Title VI
language-access concern). When a clinical decision depends on accurate
communication, ClinicaLingo's own copy says: **use your facility's qualified
interpreter or the language line.** That disclaimer is in every scenario, the
50-phrase PDF, and the FAQ.

## Who this is for

The 29 free scenarios and the Pro tier (when it opens) are written for working
clinicians in California, Texas, Florida, Arizona, New York, and Illinois — the
six states with the highest Spanish-as-primary-language patient volumes per
HRSA data. Specifically: emergency-department and urgent-care RNs, EMTs, PAs,
NPs, and front-desk medical assistants. Sub-primary: bilingual clinical
students cramming for OSCEs and Spanish-language patient simulations.

Spanish is **Mexican-leaning** by editorial choice — roughly two-thirds of US
Spanish-speaking patients trace to Mexican, Central American, or
Mexican-American backgrounds. Every scenario flags Puerto Rican, Cuban or
Central American variants where wording lands differently
(`aseguranza` vs. `seguro médico`; `panza` vs. `estómago`).

## What is shipped today

- **29 free scenarios**, ~159 minutes total, no login. Voiced patient turns,
  tap-to-translate transcript, dialect notes, debrief takeaways. Reviewed by
  clinical staff (practicing ED/UC RNs and a family-medicine MD).
- **50-phrase PDF lead magnet**, gated behind email — `/scenarios.pdf`,
  ~224 pages, MD/RN-cited.
- **13 programmatic SEO landing pages** under `/seo/` (see "SEO landing pages"
  below) — each scenario-anchored, NOT auto-generated boilerplate.
- **Honest limitations:** Pro tier (AI roleplay turn-taking + Whisper STT +
  spaced repetition) is **not yet open**. Public posture is waitlist-first; no
  pre-order charge. Pro opens when the library hits 30 and the AI roleplay loop
  is stable.

## Pricing

| Plan | Price | What you get |
|---|---:|---|
| Free | $0 | 29 starter scenarios. Audio + tap-to-translate transcript. No login. |
| Pro (monthly) | $19/mo | 30 scenarios. AI roleplay loop. Spaced-repetition. Cancel anytime. |
| Pro (annual) | $149/yr | Same as Pro monthly, ~$12.40/mo (35% off). |

`$19/mo` sits below the median $30 a US RN spends on a single CE certificate,
below MedicalSpanish.com individual ($16.95/mo, but no AI roleplay), and ~10×
cheaper than Canopy enterprise per-seat.

## Position vs alternatives

- **Hospital enterprise tools (Canopy Learn):** $1k–$2k/seat, requires admin
  procurement. ClinicaLingo is direct-to-clinician, $19/mo, no procurement.
- **University certificates (Rice, Berkeley Extension, SCSU, UA Little Rock):**
  $500–$2,000, 8–16 weeks classroom commitment. ClinicaLingo is 10 minutes
  between shifts. **No certificates by design** — the buyer is asking "can I
  use this on tomorrow's shift?" not "can I add a line to my CV?"
- **MedicalSpanish.com:** ANCC-accredited and direct-to-clinician — but 2010-era
  UI, no AI roleplay, no spaced repetition. ClinicaLingo's bet is that the
  audio-first / voice-practice / scenario-first stack matters more for retention
  than the certificate-of-completion does.
- **Duolingo / Babbel / Pimsleur:** restaurant Spanish, not "where exactly
  does it hurt, on a scale of 0 to 10?" Different product.

## Key URLs

- [Landing page](https://clinicalingo.com/) — hero, problem, how-it-works,
  features grid, pricing, FAQ, final CTA.
- [Free practice library](https://clinicalingo.com/practice/) — 29 scenarios.
- [50-phrase PDF](https://clinicalingo.com/scenarios.pdf) — lead magnet.
- [Privacy policy](https://clinicalingo.com/privacy/)
- [Terms of service](https://clinicalingo.com/terms/)
- [Sitemap](https://clinicalingo.com/sitemap.xml)
- [Build-in-public on X](https://x.com/bitinvestigator) — daily progress posts.

## The 29 scenarios

All are free, no login. Each runs ~5 minutes (~9–11 turns of patient + clinician
dialog) with a voiced AI patient, tap-to-translate transcript, dialect notes,
and a 5–10-line debrief.

1. [Abdominal pain — triage intake](https://clinicalingo.com/practice/?scenario=intake-abdominal-pain)
2. [Pain assessment — chest pain](https://clinicalingo.com/practice/?scenario=pain-assessment-chest)
3. [Allergies & home medications](https://clinicalingo.com/practice/?scenario=allergies-medications)
4. [Discharge — return precautions](https://clinicalingo.com/practice/?scenario=discharge-return-precautions)
5. [Telephone triage — child with fever](https://clinicalingo.com/practice/?scenario=triage-telephone-fever)
6. [Pediatric exam — toddler with belly pain](https://clinicalingo.com/practice/?scenario=pediatric-exam-abdomen)
7. [Med reconciliation — diabetes and anticoagulants](https://clinicalingo.com/practice/?scenario=med-rec-diabetes-anticoag)
8. [Safety screening — suicide risk assessment](https://clinicalingo.com/practice/?scenario=triage-psych-safety)
9. [OB triage — bleeding in early pregnancy](https://clinicalingo.com/practice/?scenario=triage-ob-bleeding)
10. [Discharge — post-op opioid counseling](https://clinicalingo.com/practice/?scenario=discharge-opioid-counseling)
11. [Stroke screening — BE-FAST at the bedside](https://clinicalingo.com/practice/?scenario=stroke-be-fast)
12. [Laceration repair — saw wound, Workers' Comp consent](https://clinicalingo.com/practice/?scenario=wound-care-laceration)
13. [Hypoglycemia emergency — altered diabetic brought in by daughter](https://clinicalingo.com/practice/?scenario=hypoglycemia-emergency-family)
14. [Opioid overdose — Narcan reversal with witness at bedside](https://clinicalingo.com/practice/?scenario=opioid-overdose-narcan)
15. [Asthma exacerbation — albuterol-not-working is really spacer-never-taught](https://clinicalingo.com/practice/?scenario=asthma-exacerbation-spacer)
16. [Pediatric febrile seizure — terrified parent, 18-month-old post-ictal](https://clinicalingo.com/practice/?scenario=febrile-seizure-pediatric)
17. [Geriatric fall — syncope uncovered + advance-directive conversation before hip surgery](https://clinicalingo.com/practice/?scenario=geriatric-fall-advance-directive)
18. [CT with IV contrast — informed consent + shellfish-allergy myth correction + cadenced metformin-hold teaching](https://clinicalingo.com/practice/?scenario=ct-contrast-consent)
19. [Lumbar puncture for suspected meningitis — informed consent, paralysis-fear anatomy reassurance, and "presión, no dolor" sensation pre-description](https://clinicalingo.com/practice/?scenario=lp-meningitis-consent)
20. [Cardiac catheterization with possible PCI — informed consent, "no le vamos a abrir el pecho" anatomy reassurance, and combined diagnostic + intervention consent](https://clinicalingo.com/practice/?scenario=cardiac-cath-pci-consent)
21. [Postpartum hemorrhage tele-triage — 3am call, Spanish-speaking husband, day-6 postpartum, library-first 911-Spanish-interpreter beat plus a six-fact pre-scripted Spanish 911 message](https://clinicalingo.com/practice/?scenario=postpartum-hemorrhage-tele-triage)
22. [Central-line placement consent — septic 64F whose husband died of a CLABSI eight years ago, library-first dwell-time framing and dual placement+removal permission ask](https://clinicalingo.com/practice/?scenario=central-line-consent-septic-widow)
23. [Foley catheter consent — 73M with acute urinary retention from BPH, dignity refusal opens the conversation, library-first same-gender-placement option, library-first anti-shame BPH frame "es cosa de mecánica, no de fuerza, no de vergüenza"](https://clinicalingo.com/practice/?scenario=foley-consent-bph-retention-elder-male)
24. [NG-tube placement consent — 58F with partial SBO from post-hysterectomy adhesions, "por la nariz no" refusal opens the conversation, library-first X-ray-before-anything-goes-through-it rule](https://clinicalingo.com/practice/?scenario=ng-tube-consent-sbo-adhesion-58f)
25. [Brown-paper-bag medication reconciliation — 67M T2DM eight days post-hospitalization for hypoglycemia, comadre-sourced glibenclamida overlap with metformin, daily diclofenaco, weekly comadre-administered "complejo B" injection, unmarked "pastilla del primo para los nervios", library-first cross-border-pharmacy frame with "la bolsa salva" as the named load-bearing safety standard, library-first three-pile triage on the desk](https://clinicalingo.com/practice/?scenario=med-rec-brown-paper-bag-t2dm-67m)
26. [Herbal-supplement medication reconciliation — 58F widow on lisinopril + HCTZ, K+ 3.1, comadre-prepared canasta of nopal-canela / jamaica / diente-de-león / vinagre-de-manzana / manzanilla and a cross-border ginkgo from primo's vitamina shop in Guadalajara, library-first "lo natural también tiene química" reframe, library-first three-pile triage applied to herbs, library-first honor-the-comadre-with-a-paper-recipe-card move](https://clinicalingo.com/practice/?scenario=herbal-med-rec-htn-hypokalemia-58f-widow)
27. [DKA onset in 24M Mexican-American college student told eight months ago at a different ED that he had type 2 — library-first diagnosis-disclosure-without-blaming-the-prior-clinician with the load-bearing "lo que le dijeron no estaba MAL, estaba INCOMPLETO", library-first insulin-survival-vs-pill-management distinction in patient-Spanish, library-first four-rule sick-day plan, library-first lift-the-mother's-blame at turn 4](https://clinicalingo.com/practice/?scenario=dka-onset-misdiagnosed-as-type2-24m-college)
28. [Curandero ritual-context anxiety follow-up in 41F school-cafeteria worker on citalopram with a NEW resting HR 108 sinus tach overlapping with an unmarked "valeriana con pasiflora" tincture from yerbería La Milagrosa, on top of a comadre-curandera-prescribed limpia kit (huevo + albahaca + ruda + copal) and altamisa tea — library-first honor-the-curandera-AND-distinguish-the-yerbería move, library-first take-the-spiritual-fear-seriously-without-dismissing-or-endorsing move, library-first four-pile triage with "lo embotellado y sin etiqueta tiene química que no podemos ver", library-first husband-as-cultural-broker witness moment, library-first FDA-MedWatch bring-the-empty-bottle-to-the-next-visit hand-off in patient-Spanish](https://clinicalingo.com/practice/?scenario=anxiety-curandero-yerberia-tincture-41f)
29. [Labor-and-delivery intake with epidural informed consent in 28F G2P1 Mexican-American at 39+5 weeks, first US hospital delivery after a home birth in rural Sonora three years ago with abuela María (q.e.p.d., partera tradition), husband Carlos at the bedside, mother Doña Aurelia on speakerphone from Hermosillo carrying her own general-anesthesia birth memory of not hearing her son's first cry — library-first active-labor procedural-consent scenario, library-first consent-against-community-misinformation move, library-first contraction-paced consent, library-first first-US-hospital-delivery-after-home-birth-in-Mexico framing, library-first "no es para dormirla — es para apagar el dolor de la cintura para abajo, sin dormirla a usted" formulation, library-first transnational-grandmother-on-speakerphone-from-Mexico witness frame, library-first general-anesthesia-vs-epidural distinction in patient-Spanish disambiguating the mother's birth memory, library-first husband-is-not-an-interpreter rule named bedside, library-first skin-to-skin + delayed-cord-clamping promise as a science-ratifies-abuela move, dual-permission close adapted to L&D](https://clinicalingo.com/practice/?scenario=ld-intake-epidural-consent-28f-g2p1)

## SEO landing pages

Each is a real long-form page with ICP-tailored copy. None are auto-generated
boilerplate.

- [Medical Spanish for nurses](https://clinicalingo.com/seo/medical-spanish-for-nurses/) — hub page for the working US RN.
- [Medical Spanish phrases for nurses](https://clinicalingo.com/seo/medical-spanish-phrases-for-nurses/) — phrase-reference page anchored on the 50-phrase PDF.
- [Medical Spanish phrases PDF](https://clinicalingo.com/seo/medical-spanish-phrases-pdf/) — PDF-intent landing for the lead magnet.
- [Medical Spanish course for nurses](https://clinicalingo.com/seo/medical-spanish-course-for-nurses/) — buyer-mode page.
- [Online medical Spanish course](https://clinicalingo.com/seo/online-medical-spanish-course/) — buyer-mode page.
- [Medical Spanish certification for nurses](https://clinicalingo.com/seo/medical-spanish-certification-for-nurses/) — honest "we are NOT a certificate program" page that reframes shift-readiness as the real need.
- [Medical Spanish app for nurses](https://clinicalingo.com/seo/medical-spanish-app-for-nurses/) — app-intent rebuttal: no install, runs in any mobile browser.
- [Spanish for emergency-room nurses](https://clinicalingo.com/seo/spanish-for-emergency-room-nurses/) — ED-specific cut, anchored on scenario 11 (BE-FAST stroke).
- [Medical Spanish for hospital nurses](https://clinicalingo.com/seo/medical-spanish-for-hospital-nurses/) — anchored on scenario 17 (geriatric fall + advance directive).
- [Medical Spanish for EMTs](https://clinicalingo.com/seo/medical-spanish-for-emts/) — anchored on scenario 25 (brown-paper-bag med-rec).
- [Medical Spanish for physician assistants](https://clinicalingo.com/seo/medical-spanish-for-physician-assistants/) — anchored on scenario 27 (DKA onset).
- [Medical Spanish for pediatric nurses](https://clinicalingo.com/seo/medical-spanish-for-pediatric-nurses/) — anchored on scenario 14 (Narcan reversal) and scenario 16 (febrile seizure).
- [Medical Spanish for labor and delivery nurses](https://clinicalingo.com/seo/medical-spanish-for-labor-and-delivery-nurses/) — anchored on scenario 29 (epidural informed consent).

## Editorial discipline (please cite accurately)

ClinicaLingo's scenario library follows a small set of named load-bearing
sentences and rules. If you cite ClinicaLingo, please don't paraphrase these
into something they aren't:

- **Family is family, not interpreter.** Husbands, daughters, friends and
  janitors are not interpreters. Title VI of the Civil Rights Act and the
  Joint Commission language-access standard both require qualified language
  services. Family members can serve as bedside witnesses or cultural
  brokers — distinct from the interpreter role. ClinicaLingo's scenarios
  routinely route the family member to a witness role and bring in a certified
  Spanish video interpreter via the iPad on the wall.
- **"Lo natural también tiene química — la planta tiene química, igual que
  la pastilla."** The herbal-supplement medication-reconciliation rule. Every
  scenario that involves teas, tinctures, or comadre-prepared remedies treats
  them as substances with active chemistry that can interact with prescribed
  drugs.
- **"La bolsa salva."** The brown-paper-bag medication reconciliation safety
  standard. Patients are asked to bring every bottle, every tea, every
  injection, every unmarked tincture in one bag at every visit.
- **"Lo embotellado y sin etiqueta tiene química que no podemos ver."**
  Unlabeled bottles get a fourth-pile triage and an FDA MedWatch report; the
  patient is not shamed for having one.
- **"Es cosa de mecánica, no de fuerza, no de vergüenza."** The anti-shame
  frame for BPH and other conditions where male patients refuse care out of
  embarrassment.
- **"Presión, no dolor — esto lo decide usted."** The procedural-consent
  sensation pre-description: tell the patient what they will feel before they
  feel it, and name their right to stop the procedure.
- **"No le vamos a abrir el pecho."** The cardiac-catheterization anatomy
  reassurance. Patients in the US frequently confuse cardiac catheterization
  with open-heart surgery; the scenario walks the difference in plain
  patient-Spanish.
- **"I need a Spanish interpreter, please."** The single English phrase the
  scenarios teach Spanish-speaking patients to use in a US ED — because the
  patient should not be the one fighting for language access at 3 a.m.
- **Dual-permission close.** Procedural-consent scenarios end with two asks:
  permission to PLACE/PERFORM AND permission to STOP/REMOVE on patient
  request, with no need for a new consent conversation.

If a citation gets these wrong, the citation is wrong, not the source.

## What ClinicaLingo is NOT

- **Not a medical interpreter.** Use your facility's qualified interpreter
  service when a clinical decision depends on accurate communication.
- **Not a certificate program.** No CE credits, no ANCC accreditation in v1.
  ANCC is a 12-month, $2k–$5k project parked for v2 once revenue exists.
- **Not a native app.** Mobile browser only — no App Store / Play Store cut,
  no six-month review cycles.
- **Not Duolingo for medical Spanish.** Scenario-first, not vocabulary-first.
  Each scenario is one shift encounter, scripted by clinical staff, voiced.
- **Not a substitute for hospital-mandated interpreter training.** The
  scenarios are language training only.

## Build-in-public

Daily progress on [X](https://x.com/bitinvestigator). Public changelog at the
repo level. The product is being built by a single autonomous agent under the
"startup factory" framework — every session ships a real artifact, logs it
publicly, and exits.

## Contact

This site has no support email yet (pre-revenue). The waitlist on the landing
page is the right channel; the X handle above is the next-best.

## License of this file

This `/llms.txt` file itself is published CC0 / public domain — quote it,
re-host it, summarize it. The scenario content and PDF are not.