Captio AI
🦻 Accessibility + 💻 Productivity App

Basque live captions and productivity tool for doctor appointments

For deaf and hard of hearing people.

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Captio AI app showing live captions

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Use Cases

Every situation covered

Designed for the real moments that matter — not just quiet controlled environments.

🩺GP and primary care visits

At an osasun-etxe (health centre) in Bilbao, San Sebastián, or a smaller herri, your medikua explains symptoms and treatment in Basque. Captio AI captions every word so you follow the full consultation.

🔬Specialist consultations

At a specialist appointment at Basurto Unibertsitate Ospitalea or a regional ospitale, medical terms arrive in Basque or Spanish. Captio AI captions both in real time so you follow every detail.

💊Pharmacy conversations

At the farmazia (pharmacy), the farmazilaria explains dosage and drug interactions in Basque or Spanish. Point your phone toward them and read the instructions as they speak.

🦷Dental appointments

At the hortzetakoa (dental clinic), the dentist gives instructions during treatment when lip-reading is impossible. Captio AI captions from audio alone.

🧠Mental health sessions

In a session with a psikologo or psikiatra, sensitive conversations require full comprehension. Captio AI captions the full session so you engage without gaps.

🚑Emergency and urgent care

At the larrialdiak (emergency department), staff speak quickly under pressure. Open Captio AI and read their instructions in real time.

Performance

Most accurate and fastest models

Basque
89.3%

word accuracy

independent benchmark, 2025

< 200ms
you speak
captions

real-time captions

first word appears as you speak

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Captio AI in everyday use
Why Captio AI

Built for the conversations where every word matters

Captions as the doctor speaks

Words appear on screen while the doctor is still talking. You read the diagnosis, drug name, or follow-up instruction at the same moment it is said — not after they have moved on.

Medical terminology handled accurately

Drug names, procedure names, clinical terms. Captio AI handles the vocabulary of a real consultation — not just everyday speech.

Review the appointment after

Record the consultation and upload it to Audio Transcription. Get a full written record of everything said — instructions, dosages, referrals — to review at home and share with a carer if needed.

Works in any clinical setting

Consultation rooms, hospital wards, A&E, dental chairs, pharmacy counters. Place the phone near the speaker and Captio AI captions whoever is talking.

Any language

For foreign-language doctors, specialists abroad, or appointments through an interpreter. Live Translator captions and translates in real time so you follow your diagnosis in the language you understand best.

100% private

Medical conversations are among the most sensitive there are. Captio AI processes audio in real time and discards it immediately. Nothing is recorded, stored, or shared.

Basque

Why Basque is hard to understand

Language isolate phonology

  • Basque has no related language — its phonological patterns have no European parallel
  • Basque (Euskara) is a language isolate — unrelated to any other language on earth, including all its Indo-European neighbours in Spain and France. Its consonant inventory, syllable structure, and prosodic patterns follow rules that cannot be predicted from Spanish, French, or any other language a deaf patient may have lip-reading experience with. For a deaf or hard of hearing person who lip-reads Spanish, Basque produces a completely unfamiliar sequence of lip movements — nothing transfers across.

Northern aspirated stops

  • Northern Basque dialects have aspirated stop consonants absent in southern Basque
  • Northern Basque (spoken in the French Basque Country — Lapurdi, Behe-Nafarroa, Zuberoa) has aspirated stop consonants: ph, th, kh, as in French Basque 'philoa' (bean). These aspirated stops produce a small puff of air after the stop closure — an auditory cue with no reliable visual equivalent. Southern Basque (Spain's Basque Country) lacks these aspirated stops. A deaf patient who lip-reads one variety finds the other phonologically distinct at the level of individual consonant categories.

Six dialect zones

  • Basque has six major dialect groups that differ substantially from each other
  • Basque divides into six major dialect zones: Bizkaian, Gipuzkoan, Upper Navarrese, Lower Navarrese, Lapurdian, and Souletin — with further sub-dialects within each. These varieties differ in vocabulary, phonology, and even grammar. Standard Basque (Batua), created in 1968 and used in formal education and media, is a unified variety that most speakers use as a second register alongside their home dialect. In clinical settings, a doctor's Batua is overlaid with their home dialect's phonology — meaning a deaf patient must lip-read the dialect hybrid rather than the clean standard.

Basque–Spanish code-switching

  • Clinical appointments in the Basque Country switch between Euskara and Spanish
  • In the Basque Country (Euskadi) and Navarre, healthcare settings code-switch between Basque and Spanish (Castilian) routinely — doctors may give diagnoses in Spanish and explanations in Basque, or use Spanish for Latinate medical vocabulary while conducting the consultation in Basque. A deaf patient lip-reading Basque encounters Spanish-phonology words without warning, across two phonological systems with no structural similarity to each other.

Agglutinative suffix complexity

  • Basque's agglutinative structure stacks suffixes that change word length and shape
  • Basque is an agglutinative language that builds complex words through suffix stacking — case markers, tense, aspect, and politeness are all expressed through suffixes attached to the stem. In clinical speech, a single Basque word may encode a full English phrase. A deaf patient lip-reading Basque must parse a single long continuous word form where an English-trained lip-reader would expect several separate words.

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The Challenge

Hearing loss in the Basque Country: Spain's numbers, a unique language, and a sign language law that works in Spanish

Spain has approximately 1,064,000 people who are deaf or have a significant hearing disability — 2.3% of the population. The Basque Country (Euskadi) has a population of approximately 2.2 million across three provinces, and the proportion of deaf and hard of hearing residents follows the national pattern. Spain's Law 27/2007 recognises Spanish Sign Language (Lengua de Signos Española, LSE) and regulates communication support for deaf, hard of hearing, and deafblind people. In the Basque Country, the primary sign language used by the deaf community is LSE — not a Basque Sign Language. This means that for a deaf Basque speaker who uses Basque as their primary language, communication support in healthcare settings arrives primarily through Spanish Sign Language, not a language variety tied to Basque culture or phonology.

The practical access challenge in Basque healthcare settings is shaped by three factors: the relatively small interpreter workforce for LSE in the Basque Country, the code-switching nature of clinical appointments between Basque and Spanish, and the phonological uniqueness of Basque itself. A deaf Basque patient attending an osasun-etxe without an interpreter must lip-read a language with no Indo-European relatives — a task for which no training from any other European language provides relevant preparation. Even an experienced Spanish lip-reader cannot transfer their skills to Basque phonology. COVID-19 research published in PMC found that people with hearing disabilities across Spain experienced systematic inaccessibility of health information during the pandemic, with Basque-language health communications presenting an additional layer of access failure for Basque-preferring deaf residents.

The combination of Basque's linguistic uniqueness, the six-dialect landscape, the Basque-Spanish code-switching in clinical settings, and the absence of a dedicated Basque sign language tied to the deaf community's cultural experience creates an access problem unlike any other in Europe. A deaf Basque patient has no prior language from which to transfer lip-reading skills, limited interpreter access, and a healthcare system that communicates partly in a language (Spanish) that differs phonologically from Basque in every dimension. Captio AI captions Basque and Spanish in real time at any osasun-etxe or ospitale in the Basque Country and Navarre, so every patient receives their doctor's words directly.

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Privacy

What you hear stays with you.

Gone the moment it ends

Captio AI processes your audio in real time and discards it immediately. Nothing is recorded. Nothing is kept.

Not a product

Your conversations are not something Captio AI sells, shares, or monetizes — to anyone, for any reason.

Not used to train anything

What you say in a doctor's appointment or a job interview never ends up in a training dataset. Not ours. Not anyone else's.

100% PRIVATE

Private by default

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Reviews

People love Captio AI

"My medikua at Basurto switches between Basque and Spanish mid-sentence. I lip-read Spanish reasonably well but Basque phonology is completely different — nothing transfers. Captio AI captions both languages and I follow the full consultation without any gap."

Itziar Etxeberria 🇪🇸
itziar.e***@gmail.com
Severe sensorineural hearing loss since childhood, Bilbao

"Gipuzkoan Basque in Donostia sounds different from Batua — a home dialect on top of the standard. My cochlear implant handles Spanish better than Basque. Captio AI captions both and I follow every specialist appointment in San Sebastián clearly."

Mikel Zubiaurre 🇪🇸
mikel.z***@gmail.com
Profound deafness, cochlear implant, San Sebastián

"Northern Basque in Bayonne has aspirated stops — 'ph', 'th', 'kh' — that Southern Basque doesn't have. My doctor's Lapurdian dialect was impossible to lip-read. Captio AI captions Northern Basque correctly and I follow my appointments across the border."

Maider Iriarte 🇫🇷
maider.i***@gmail.com
Moderate bilateral hearing loss, Bayonne, French Basque Country

"The farmazilaria in Gasteiz explained five medicines in Basque with long suffixed words — one Basque word for what English needs a whole phrase. I held up my phone and read the captions. I left with every instruction."

Aitor Uribe 🇪🇸
aitor.u***@gmail.com
Age-related hearing loss, Vitoria-Gasteiz

"My medikua at Basurto switches between Basque and Spanish mid-sentence. I lip-read Spanish reasonably well but Basque phonology is completely different — nothing transfers. Captio AI captions both languages and I follow the full consultation without any gap."

Itziar Etxeberria 🇪🇸
itziar.e***@gmail.com
Severe sensorineural hearing loss since childhood, Bilbao

"Gipuzkoan Basque in Donostia sounds different from Batua — a home dialect on top of the standard. My cochlear implant handles Spanish better than Basque. Captio AI captions both and I follow every specialist appointment in San Sebastián clearly."

Mikel Zubiaurre 🇪🇸
mikel.z***@gmail.com
Profound deafness, cochlear implant, San Sebastián

"Northern Basque in Bayonne has aspirated stops — 'ph', 'th', 'kh' — that Southern Basque doesn't have. My doctor's Lapurdian dialect was impossible to lip-read. Captio AI captions Northern Basque correctly and I follow my appointments across the border."

Maider Iriarte 🇫🇷
maider.i***@gmail.com
Moderate bilateral hearing loss, Bayonne, French Basque Country

"The farmazilaria in Gasteiz explained five medicines in Basque with long suffixed words — one Basque word for what English needs a whole phrase. I held up my phone and read the captions. I left with every instruction."

Aitor Uribe 🇪🇸
aitor.u***@gmail.com
Age-related hearing loss, Vitoria-Gasteiz

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FAQ

Frequently asked questions

Understand your diagnosis in Basque.

Captio AI is free to start

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