New Built on 50,000+ words of clinical-communication research

The 25 hardest clinical conversations,
written defensibly in minutes.

Diagnosis delivery. End-of-life. Adverse-event disclosure. AMA discharge. Family meetings. The conversations that test every clinician — written in the senior-attending voice you'd want at your own bedside.

SPIKES · NURSE · CANDOR protocols built in HIPAA · EMTALA · apology-law-aware Routes to risk management when warranted Sixth-grade reading level for patient comms
What clinicians often write
Your pathology results came back showing infiltrating ductal carcinoma, ER+/PR+/HER2-, with positive sentinel lymph node biopsy. We'll need to discuss your treatment options including potential lumpectomy vs mastectomy, axillary dissection, adjuvant chemo, and radiation therapy. Don't worry, prognosis is generally favorable. We've done many of these. You're young and strong. You'll beat this.
What HC Edition writes
Ms. Reyes, I have difficult news. Your biopsy results came back. You have breast cancer. (pause) It's the most common kind. It hasn't spread to other parts of your body that we can see yet — but it has reached one of the lymph nodes under your arm, which we sampled during the procedure. What we know: • The cancer is a type called "ductal." Most patients with this type and stage do well with treatment. • It is sensitive to hormones, which means there are medications that can help. What we don't know yet: • We need one more scan to be sure the cancer hasn't spread anywhere else. That scan is scheduled for Thursday at 9am. • Once we have those results, we'll meet again to talk about choices for treatment — surgery, possibly chemo, possibly radiation, possibly hormone-blocking medication. You have time to think and to get a second opinion if you want one. I will help you find one. What I want you to know before you leave today: • You will not face this alone. • Susan, our nurse navigator, will call you tomorrow morning to walk through next steps. • Here is her number: 555-0142. This is a lot. What questions do you have right now? — Dr. Chen
25
Clinical moments covered end-to-end
50k+
Words of clinical-comm research behind it
39 states
With apology-law-aware language
$49.99
One time, lifetime — no subscription
When the words you choose matter most
Real moment

When the words you choose matter most

Diagnosis delivery. End-of-life. The conversations that define a clinician.

The library

25 clinical moments. SPIKES, NURSE, CANDOR — built in.

Each moment has its own clinical-communication research dossier, regulatory overlays, and structured template. Pick the moment, answer five questions, get a draft that respects autonomy, defensibility, and dignity.

DDiagnosis

Diagnosis delivery

SPIKES-grounded delivery of serious diagnoses. Pacing, plain language, autonomy preserved.

See the framework →
EOLTransitions

End-of-life

Goals of care, code-status conversations, hospice referrals — euphemism replaced with specificity.

See the framework →
FConferences

Family meeting

Structured family conferences with surrogate decision-making, substituted judgment, and conflict navigation.

See the framework →
!Risk

Adverse-event disclosure

CANDOR-grounded sentinel-event disclosure. Apology-law-aware. Risk-management coordinated.

See the framework →
$Coverage

Denial of care

Insurance denials, formulary restrictions, prior-auth declines — clinician as advocate, not messenger only.

See the framework →
PPeer

Peer review

Confidential peer-review communications with fair-process floor. NPDB-aware routing.

See the framework →
CCredentialing

Credentialing decision

Initial appointment, privilege grants, summary suspension, re-credentialing. Bylaws-aware.

See the framework →
Complaints

Patient-complaint outcome

Reporting-patient + subject + witness comms. Anti-retaliation. Care-continuity protected.

See the framework →
AMARefusal

AMA discharge

Against-medical-advice with capacity check, teach-back, door-open, non-coercion floor.

See the framework →
Handoff

Transfer of care

SBAR / I-PASS handoffs. EMTALA-aware inter-hospital. Watch-for + pending sections enforced.

See the framework →
Disagreement

Clinical disagreement

Peer-to-peer dissent with chain-of-command escalation. Patient-safety prioritized.

See the framework →
Wellness

Impaired colleague

Mandatory-reporting + colleague-support + physician-health-program pathway. Compassionate, safety-first.

See the framework →
IIntake

New patient welcome

Welcome to practice, what to expect, portal setup, contact pathways. Plain-language.

See the framework →
TTelehealth

Telehealth limitations

Acknowledging telehealth exam-scope limits and when in-person care is required.

See the framework →
MMedication

Medication change explanation

Stop / start / dose-change with plain-language rationale and side-effect watch-for.

See the framework →
DDiagnostics

Lab result delivery

Normal and abnormal result delivery. Plain language, range-aware, next-steps clear.

See the framework →
CConsent

Surgery prep informed consent

Pre-op consent — diagnosis, intervention, alternatives, risks, benefits.

See the framework →
RRecovery

Post-op follow-up

Post-procedure comm — what's normal, what's not, when to call.

See the framework →
CCoordination

Specialist referral

Referral comm with reason, what to expect, coordination, timeline.

See the framework →
IInsurance

Prior-auth denial appeal

Clinical-rationale letter for insurance appeal of prior-auth denial.

See the framework →
BBoundaries

Patient relationship termination

Ending the clinician-patient relationship with notice, transition, emergency coverage.

See the framework →
PPublic Health

Public health notification

Mandatory reportable-disease notification — plain language, no shame.

See the framework →
PPediatrics

Pediatric-specific protocols

Parental consent + age-appropriate child involvement, emerging-adolescent capacity.

See the framework →
CCapacity

Geriatric capacity borderline

Borderline decisional capacity — task-specific assessment + family inclusion.

See the framework →
AAccess

Care delivery accommodation

ADA accommodation in care delivery — interpreter, mobility, sensory.

See the framework →
How it works

Pick the moment. Answer five questions. Get a draft you can chart.

No prompts to engineer. No clinical jargon enforced. Five plain-English questions about the situation, and you get a draft built on SPIKES, NURSE, CANDOR, and the empirical record of clinical-comm-gone-wrong.

1

Choose a moment

Diagnosis delivery, end-of-life, adverse event, AMA, family meeting — pick from the 25 most-consequential clinical conversations.

2

Answer five questions

Sender role. Recipient state. Clinical posture. Acuity. Health literacy and cultural register. Plain English.

3

Get a chartable draft

Conversation script (live), written follow-up, documentation summary. Plus a "before you send" checklist.

Voices

Stories from operators who actually use it.

Not testimonials we wrote for ourselves. Real practitioners describing what changed.

"

I'm a solo attending. The SPIKES framework I learned in residency 15 years ago is built into every diagnosis draft. My patient follow-up letters used to take 20 minutes each. Now seven.

Dr. Sofia R.
Dr. Sofia R.
Internal medicine · Bay Area
"

Family meetings used to wreck my afternoons. The structured family-meeting script with NURSE phrasings gave me the scaffolding I never got in training. My families leave with more clarity. I leave less depleted.

Marcus T.
Marcus T.
Hospitalist · Midwest academic center
"

Diagnosis delivery in pediatric onc is the work nobody trains you for. The pediatric-protocol moment with age-appropriate child involvement is the closest thing I've seen to a real playbook.

Dr. Aaliyah W.
Dr. Aaliyah W.
Pediatric oncology · Boston Children's
By the numbers

What unanswered conversations actually cost.

Industry data, not our marketing. Each citation links the source.

38%
Of malpractice cases cite communication breakdown as root cause
— CRICO Strategies 2024
6th grade
Reading level CDC recommends for patient-facing comms
— CDC Plain Language
78%
Patients with low health literacy underutilize preventive care
— AHRQ
$50B
Annual US cost of poor health communication
— IOM / National Academies
Pricing

$49.99. One time. Lifetime. Nothing else.

No per-seat. No annual. No "talk to sales." Pay once, keep it forever, including every clinical moment we ship after today.

Healthcare Edition · One-time

Every hard clinical conversation, written for you.

$49.99
one time · lifetime

7-day refund. No subscription. Built by clinicians, for clinicians.

Get Healthcare Edition →
What's included
  • All 25 clinical moments — diagnosis through impaired colleague
  • 100 message generations per month, every month, forever
  • SPIKES · NURSE · CANDOR protocols enforced
  • HIPAA · EMTALA · ADA · 42 CFR Part 2 awareness
  • Apology-law-aware language (39 US states)
  • Sixth-grade reading level for patient comms by default
  • Routes to risk management when warranted
  • Every new clinical moment we ship, free
Trust & defensibility

Built from the empirical record of clinical communication gone wrong.

Twenty documented anti-patterns drawn from malpractice cases, sentinel-event reports, root-cause analyses, and the well-known clinical-comm failure cycles. The HC Edition is built to not be in the next one.

§

Malpractice-ready by default

Every draft passes a silent 10-point check: standard-of-care, certainty bands, informed consent, HIPAA, mandatory-report, scope-of-practice.

Routes to risk management

Sentinel-event disclosure, active claims, peer-review proceedings, regulator communications — routed, not drafted.

Senior-attending voice

No "you're so strong," no "fight this," no "everything happens for a reason." Plain, autonomy-respecting, recognizable-human.

PL

Plain-language default

Sixth-grade reading level for patient communication by default. "Kidney" not "renal." Concrete time. Active voice.

UI

Interpreter-aware

Family-as-interpreter flagged for clinical content. Qualified medical interpreter required by default for S1/S2 comms.

!

Not legal advice. Not clinical judgment.

A writing-craft tool. Does not substitute for the chart, the clinician's judgment, risk management, counsel, or the patient's autonomy.

FAQ

Questions before you buy.

Is this clinical advice?

No. The HC Edition is a writing-craft tool calibrated to clinical-communication patterns. It does not establish a clinical relationship, does not substitute for the clinician's judgment, the chart, risk management, or counsel. It produces structured drafts grounded in well-established protocols (SPIKES, NURSE, CANDOR) for the clinician to review, adapt, and own.

What about HIPAA?

The HC Edition does not process or store patient identifiers. Drafts are produced in your authenticated session. For chart documentation, follow your institution's PHI-handling policy. The Edition itself does not store PHI.

Can residents and APPs use this?

Yes — the sender-role selection adjusts voice and scope. Drafts that would exceed APP scope, or that require attending sign-off, are flagged. Resident-generated drafts produce attending-review prompts where appropriate.

What about state-board reporting?

The HC Edition does not draft state-board reports, NPDB reports, or filings to regulators. It surfaces when these obligations are triggered and routes to the institutional process or counsel.

How is this different from generic AI writing tools?

Generic LLMs produce generic clinical-writing — sometimes accurate, often jargon-dense, frequently failing the protocol structure (SPIKES, NURSE, CANDOR). The HC Edition encodes the specific protocols, the empirical anti-pattern catalog, and the apology-law-state-aware framework. It also routes to risk management for adverse-event disclosure rather than drafting freely.

Can institutions buy it for their team?

Today, the HC Edition is sold per-account at $49.99 lifetime. Institutional licensing and EHR integration are on the v3 roadmap. Contact [email protected] for early-access conversations.

What's the refund policy?

Full refund within 7 days, no questions asked.

The next hard clinical conversation,
written defensibly in minutes.

$49.99 one-time. No subscription. 7-day refund. Lifetime access.

Get Healthcare Edition → See the library