Vocal ER — Product Brief
Source: Nina × Ian planning conversation, 2026-08-03 (full transcript). This brief is the distilled, working version — update it as decisions land.
One-liner
Voice rehabilitation for everyone who depends on their voice — a real voice coach's recovery method as an app, with an AI triage nurse that routes you to the right exercises, growing into a platform where speech therapists and ENTs treat their own patients.
The people
- Nina — voice coach. Brings the method, the exercise content, the credibility, and the clients (students signed with Atlantic/Sony, touring singers). Teaches 100% virtually for 6 years — so her method already works over consumer mics. Has ~1–1.5 years of recorded lessons + written notes (stored locally only; being backed up + shared via Google Drive). Has an existing very-basic build (Replit + Claude, on GitHub) and a website — links pending. Not a certified SLP — which is why positioning stays wellness/education-side and certified professionals get a formal place in the product (see booking + Tier 2).
- Ian (ICG Labs) — product + engineering.
- Barry — Nina's friend, works in HIPAA compliance professionally. Advised HIPAA-from-day-one; available to review code/architecture.
Product strategy — two tiers, one platform
- Consumer (launch tier): educational + rehabilitative exercises for anyone with voice issues. Browse & self-select, or take the AI triage. Content built and curated by Nina.
- Medical professional (growth tier): SLPs and ENT/laryngologists onboard as providers — upload their own content, manage their own patients. The patient experience ≈ the consumer experience; the professional layer is an add-on on the same infrastructure, not a rebuild. Nina is the first "pathologist entry" demonstrating the model.
- Long-term vision: break the silos — cross-disciplinary education between voice coaches, speech therapists, and laryngologists, who today barely talk to each other.
Core features
| Feature | Notes | Tier |
|---|---|---|
| Exercise library | Browse + self-select (this is roughly what Nina's current build does) | v1 |
| AI triage nurse | Voice/phone-call style preferred over text chat. AI version of Nina asks intake questions ("How's your voice feeling? What do you use your voice for?"), routes via decision tree, auto-assigns ~5–6 exercises; periodic check-ins reassess and reassign. Users self-report symptoms — the AI does not "listen and diagnose" yet. Early version: audio + cartoon/graphic visual with chat bubbles ("like an interactive video game"). Strict on-topic guardrails. Skippable — experienced users go straight to the library. | v1–v2 |
| Legal disclaimer | Not a substitute for professional care — everywhere it matters | v1 |
| Direct booking | Book Nina at her coaching rates for users who want a real person — plus a bench of recommended certified pros (voice coaches, SLPs, doctors) for scale and for anything beyond coaching scope | v1–v2 |
| Practice video uploads | Users record themselves doing exercises, upload for review | v2 |
| In-app video chat | Live virtual sessions through the app | v2 (PHI) |
| Laryngoscopy video uploads | Patients upload scope videos (HIPAA-protected); potential anonymized research library over time | Tier 2 (PHI) |
| Provider content builder | Drag-and-drop so professionals reuse existing exercises instead of building from scratch | Tier 2 |
Content & user categorization (two layers)
- Symptom-based (core): the voice recovers the same way regardless of how it was injured — like a sprained wrist heals the same for anyone. Core exercises apply broadly.
- User-type (additive): niche channels layer extra guidance on top — e.g. touring singers get dietary, sleep, and show-timing guidance in addition to standard exercises.
- Launch channels: general voice recovery + touring singers. Later niches (public speakers, autistic nonverbal children, …) built out by the relevant professionals on Tier 2.
Pricing & membership
- Anchor: stay under $175/month — the cost of a single speech-therapy session.
- Tiered model discussed: basic (exercises only) → premium (AI advice) → premier (community access for niches like touring singers).
- Decided in-meeting: tiers/paywall don't need to go into the first round — build first, monetize after. (The debate — paid-from-start signals professionalism and commitment vs. free launch for feedback — stays open for later.)
- North-star reference product: the home-exercise app Ian's physical therapist used, insurance-covered — Nina: "this is what I want to do." Research identified that category as Physitrack/PhysiApp (see RESEARCH.md) — the Tier 2 template.
- Long-term revenue goal: insurance reimbursement ("when insurance pays for things, they pay a lot") — requires HIPAA compliance and shapes Tier 2 design (see RESEARCH.md on RTM billing codes).
Technical direction (decided in the meeting)
- Web-first — faster iteration, no app-store friction, works across devices. Mic + camera access in the browser is sufficient for the core use case.
- Web can't do push notifications or depth sensors → reminders via SMS and/or email, user-selectable.
- Mobile later: wrap the Next.js app with Capacitor for iOS/Android with over-the-air updates.
- HIPAA-compliant architecture from the start (Barry's advice: retrofit = rebuild). Key implications: secure private infrastructure, strict limits on what even the app owners can see (e.g. diagnoses), audit trails. Note: the ICG Labs default (shared multi-tenant Supabase) is not appropriate for the PHI tier — stack decision pending research.
- Claude can assist with HIPAA compliance checks; outputs double-checked, and Barry reviews.
AI voice analysis (future vision, groundwork now)
- The dream: an AI voice coach that listens and diagnoses (e.g. resonance placement). Not feasible at coach level today, but the infrastructure is advancing fast.
- Groundwork starting now: back up Nina's ~1–1.5 years of lesson recordings, categorize and analyze them (audio/video + her notes) so the dataset exists when the tech does.
- The decision-tree triage bot and the future listening coach develop in parallel — the triage bot doesn't wait.
Brand
- Name: Vocal ER (working; per Ian 2026-08-03). Evokes "vocal emergency room."
- Current look: red/blue ambulance colors; a nurse mascot as attention-getter (referenced as "Blink-182 nurse" style — ⚠️ must be original artwork, inspired-by only; the actual Enema of the State nurse imagery is copyrighted).
Open questions
- Final name/brand (Vocal ER working title; check trademark + domain availability — there is no
.erTLD, sovocal.eris out) - Pricing amounts + tier structure (paywall explicitly deferred from round one)
- Feasibility/appetite for an AI video replica of Nina (early version = audio + cartoon visual)
- IP ownership of provider-uploaded content (Tier 2)
- HIPAA-aware stack choice (pending RESEARCH.md) and where exactly the PHI boundary sits in Tier 1
- Assessment of Nina's existing Replit build — reuse anything, or greenfield?
- Public build-in-public demo vs. internal-only until launch (health app + partner content = default private for now)
- Nurse mascot artwork (original commission)
Action items from the founding meeting
Nina: upload recorded lesson videos to Google Drive + share with Ian · share GitHub repo + website link · back up all local files to cloud · research HIPAA requirements with Barry · attend the November speech-therapist conference (networking) · start recording more lessons with student permission for the AI dataset · consider hardware upgrade (MacBook Pro / Mac Mini) — hold until needs confirmed.
Ian: send Nina the summary text with everything needed to get started (draft here) · set up this project foundation ✅ · research the tool landscape ✅ · prototype the recording pipeline (scan/categorize her videos, pull metadata, per-video voice analysis — "messy and experimental") · build the decision-tree triage chatbot with her.