#Vocal paralysis - Vocal paresis

[n0ns3qu1tur]

For those of us with paralyzed vocal cords or are going through a non-verbal time, it's ok to not speak. Like, at all. Demand text-only conversations. Don't answer the phone. Who calls people these days, anyway?

I know this can be really hard when dealing with aging family or people that don't / can't use technology. I battle this a LOT with aging parents. One with alzheimers and the other with a bit of dementia. Sometimes nothing you tell them will stick or make sense and you'll be painted as the bad guy. But you aren't. You need to establish your boundaries and stick to them. It's your health you're trying to protect. Not their feelings.

As a disabled person, I'm telling you right now:

Act disabled.

Stop telling yourself you're acting more disabled than you are.

Crawl to clean your room, use a wheelchair when you're "only" at level 3 pain, wear all the wraps and ice packs

Allow yourself to act disabled and you'll see that it helps you a whole lot when you allow yourself to use any and all tools

[n0ns3qu1tur]

I just did a search in tumblr for vocal paralysis and vocal paresis and there is not a single post other than the one I just tagged. Not any other one. In the whole of tumblr. Wtf. So I'm gonna start posting about it. Maybe I'll start calling those of us afflicted #raspies...

[askalt2d]

Once 2D has calmed down a reasonable amount, the doctor fills them in.

Stuart had stopped in the middle of the crosswalk. A car came around the corner, and the driver didn’t see him in time to stop. Stuart was hit on his right side, catching the corner of the car. He was flung to the side, and landed on the grass next to the sidewalk.

He has monoplegic paresis– simply put, his right leg was severely damaged on impact, to the point where his brain can’t communicate with the nerves there. The paralysis is temporary, but it’s going to take about a month of physical therapy for Stuart to be able to walk normally again.

Dr. Quinton has to stop at this point so 2D can catch his breath and have a drink of water. Stuart holds his hand the whole time.

His chest was partially crushed, and three of his ribs are broken. No damage to his lungs. His pelvic bone is fractured, but minimally, which means it’ll probably heal on its own in about three weeks. He has a minor concussion.

There’s a pause.

“Mr. Pot,” the doctor continues, his voice quiet and serious, “your neck was severely damaged. You have partial vocal chord paralysis. It’s difficult for us to know at this point if it’s temporary or not.”

“W-wot does that mean?” 2D asks, his grip on Stuart’s hand tightening. “I don’t– I don’t understand.”

“Stuart won’t be able to speak,” Dr. Quinton says. “When he is able, if he is able, his voice will be hoarse and weak. His breathing will be difficult. His gag reflex will be impaired, which will make swallowing food a challenge. He’ll frequently run out of breath while talking, and won’t be able to raise his voice. His vocal pitch will be diminished. All of this typically lasts for roughly a year.”

He pauses again.

“That’s one scenario, and the most likely one. Best case, with surgery and physical therapy, your voice will mostly return to normal in a few months. Worst case...”

Stuart is one step ahead of him. 

Mute, he signs, heart seeming to drop through his stomach. Forever.

[hollenka99]

New York

Summary: Jameson moves away from home, meets new people who will play important roles in his life and starts a company with his brother. Chapter 1.

September 24, 1906 Dear Mother,

Clifford and I have arrived safely in New York. Our accommodation is a small and we have taken to alternating whose turn it is to sleep on the floor. Fear not, I am sure we will earn enough soon to pay for a better apartment. However, for now, our arrangement will suffice.

Manhattan itself has made a decent first impression on me. There are a number of theatres within walking distance of our apartment. Cliff is interested in auditioning for some roles once they are advertised. Carnegie Hall is near us too. Do you remember me telling you about it before we left? It certainly has a reputation. Neither of us has the ability to perform there.

How are things in Saint John without us? I hope you are not too lonely with only Pearl at home to keep you company. We both miss all of you.

Yours, Jameson

October 9, 1906 Dear Mother,

We have become successful in securing ourselves jobs. I have become a proof reader while Clifford is being paid as an actor. With our salaries combined, we can bring home up to $45 a week. That isn't a bad amount, if I must say. Of course, that is the best case scenario. Cliff's contributions will be inconsistent. I don't wish to be the sole financial provider but I will if I must. Although, I must admit the thought of it is fairly stressful.

I have heard from Cliff that you scolded him for our sleeping arrangement. Please do not treat him as if he is forcing me into this situation. I was the one who suggested it. Furthermore, lying on my back has never caused me to asphyxiate before. I highly doubt I will begin being affected by it any time soon.

I promise you, I am healthy. You can be reassured that I trust my brother with my life. Clifford has never done anything with the intent of harming me. He will not risk my health nor my safety, especially not in an attempt to be at an advantage. There is no need to fret over this.

Yours, Jameson

December 26, 1906 Dear all,

I hope you have enjoyed Christmas together. It was odd to be away from you this year as well as a shame we could not visit. Unfortunately, money is short for us as of right now. If all goes well, we may be able to celebrate together again next December.

Despite this, we were not lonely. Of course, we had each other. However, we did invite two friends of ours to share our pitifully small spread. It was a night full of riveting conversations and laughter. I enjoyed getting to know our friends better. One of them teaches piano to the local children. If I invite her to celebrate Christmas in the future, I should ensure there is a piano for her to play. It will certainly make the long nights pass quickly if there is music for us to sing to. I myself may not sing but I'm sure there is a carol or hymn that requires a duet. I could always assist with the chords while she plays the melody.

The funniest coincidence occurred yesterday. Cliff and I have both been interested in purchasing a Brownie from Eastman Kodak. At $1 a camera and $2 for development, I'd say one of those cameras would be a decent investment. The two of us both agreed we'd save up, prioritising essentials such as food and rent, then we would discuss buying one to share. I will confess that I suffered impatience. I may have bought the camera for Christmas. So, it would seem, did Cliff. As consequence, we appear to be in a situation where we have gifted the exact same present to each other. It was a humourous beginning to the day.

I can hardly take 117 photographs in the space of 24 hours. Once I have become familiar with the device, I may choose to include some photographs in my letters. I doubt the elements will be kind to them but unfortunately, I do not have another choice but to expose them to potential damage.

Hoping this coming year treats us all favourably, Jameson

December 28, 1906 Dearest Siobhan,

I would hate for you to be lonely as we greet the new year. Clifford and I would be more than happy to have you celebrate with us. Please consider joining us on Monday night.

Yours, Jameson

March 11, 1907 Dear Jameson,

I have a query that has been on my mind for the past couple weeks. I hope I am not overstepping any boundaries by asking you for the answer. If I am, I apologize and will not bring the subject up again. I am simply curious as to how your muteness developed. You are clearly not hard of hearing as you understand everything I say to you in person. For that reason, my intrigue into you condition has grown. This is not something you are able explain to me with your hands. It seems too complex for that.

On an entirely unrelated matter, would yourself and Clifford be interested in joining me next Sunday for drinks? You told me you were half Irish on your father's side. If you would like to consider celebrating that heritage, I would be more than happy to host the two of you.

Please, do not feel obliged to answer my question if it makes you uncomfortable. That would be the last thing I would want.

Sincerely yours, Siobhan

March 14, 1907 Dearest Siobhan,

You would be correct in your belief that I am not able to explain my condition through American sign language. Do not worry about offending me. I was planning to tell you this story regardless, only at a later date.

Years ago, when I was a boy of nine, I found myself suffering from a malfunctioning thyroid. The doctors suggested surgery to treat me. Unfortunately, they must have made a mistake as I woke to part of my vocal cords being paralysed. The condition is known as vocal fold paresis or, if you really want to sound sophisticated, recurrent laryngeal nerve paralysis. While I am physically able speak aloud, it is difficult. I found it easier to speak through sign. My family learned ASL alongside me.

What I was not aware of was that vocal cords also contribute to breathing. You can imagine the physical education lessons in high school I had to endure. You should not worry yourself after receiving this letter. The extent this affects me is not great. I simply have to be vigilant when exercising and eating. If you are present when I accidentally choke on a meal, by all means help me. Otherwise, please don't act like I will meet my doom at any second. My mother still does at times and it is unbelievably frustrating to convince her I am fine.

I hope this was informative and answered any queries you may have had.

Patiently awaiting those drinks, Jameson

April 15, 1907 Dear Jameson,

While I do appreciate the poems slipped into my mail, if you send me any more, you may actually succeed in making me blush. You're lucky Lent ended two weeks ago. You should know better than to tempt those you care for with such sweet things. The next thing you know, you'll have enough to compile into an anthology.

Ever yours, Siobhan

May 23, 1907 Jameson,

You must tell me what you think of Elizabeth. Lord knows your brother won't tell me. He barely knows her, he can't after only a handful of months. How long have you lived in New York now? I think it may be seven or eight months. That is not enough time to truly get to know someone. Especially when you are planning to spend the rest of your life with them. Marriage is not to be taken lightly. Clifford clearly does not understand that.

Mark my words, he will regret his decision. I will only attend the ceremony because I can see you again after all these months. I am surprised you are not angered by this. After all, you are the one who pays for everything. How much do you actually earn a week? $20? You can just about to afford to live on that. You can't, however, afford to live on $20 and pay for a wedding. Are you not irritated by this? You should be, Jameson.

In other news, it should only be a few days before you become an uncle. I, for one, am delighted to become a grandmother. Harvey has made me promise to stay by Edith's side while he works. As if I wouldn't do so anyway. Even if a midwife cannot arrive quickly, I know how to help her. It is difficult not to have some knowledge after delivering five children myself. She is in safe hands. I suppose you will be able to meet the child at the wedding.

You have my love, Your mother.

May 31, 1907 Dear Cliff and Jem,

I have good news to bring you. Yesterday, Edith safely delivered a girl. Both she and our daughter appear to be recovering well. We have chosen to name her Dorothy. I hope you visit Saint John soon so you both may meet her. As to be expected, our mother is fawning over her first grandchild. I will not deny that her help is welcome.

Additionally, congratulations to you, Clifford, on your engagement to Elizabeth. Myself and Edith are looking forward to the wedding. We wish the two of you a long happy life spent by each other's side.

Wishing you well, Harvey

June 8, 1907 Dear Mother,

Unfortunately, I am not responsible for Cliff's actions. He appears to genuinely care for his 'Lizzy-Beth'. If things end poorly, I have no way of changing it. I understand your 'let him repent at leisure' sentiment. That said, he is an adult now. I don't feel I am in the position to tell him what he can and cannot do.

Elizabeth herself is a respectful woman. She is a teacher so I assume she is intelligent. You mustn't forget she agreed to marry a man she has only known since November. There are always at least two parties involved in an engagement. If the marriage does not last, they can regret their haste with equal responsibility for getting married in the first place.

Either way, the truth of the matter is that Cliff is getting married regardless of our opinions. We must learn to tolerate that reality. At least he will be able to point to whereabouts he made his mistake.

Yours, Jameson

July 2, 1907 Dear Mother,

With Clifford preparing to marry Elizabeth, I am sure you wonder whether I have met somebody myself. I must confess I have indeed allowed myself to become a fool for a woman.

Her name is Siobhan O'Hara. You may remember me indirectly mentioning her during my Christmas letter. I met her last December when she was playing piano at a dance. I felt the need to compliment her musical skill. After that, I encouraged her to leave the music to someone else at the next dance she attended. For some unknown reason, she accepted my offer. In the months since, I have been teaching her how to sign and spending many spare hours in her company. We have already visited Central Park multiple times together.

You really should hear her play. She is so graceful it is as if an angel possesses her. In fact, her hair makes me wonder whether she is not one is disguise. She has been tutoring me, much like the local children who pay her. Perhaps I should demonstrate my improvement the next time I return home.

I am sure you will be able to meet Siobhan at Cliff's wedding. I have not properly discussed attendance with her yet but I doubt she will decline my offer. She is a friend of Cliff's too.

Yours, Jameson

July 23, 1907 Jem,

Thank you for the birthday present; I love it. Perhaps your gift for me next year can be understanding sarcasm.

Your angel, Siobhan

(P.S. With complete honesty, I do adore the compilation. I hope I am not mistaken in thinking I saw some new additions. I will have a thorough read when I next get the chance. Afterwards, I should prepare for your birthday. You are not the only one who can perform grand gestures.)

July 27, 1907 Jameson,

I certainly must meet this young woman. From your words, I can tell you are enamoured by her. I am happy you are finding joy in her company. I remember frequently meeting your father by the dockyard when we were young. They were simpler times. My biggest worry when I was your age was understanding your grandmother's accent.

My only advice is that you treat each other well and do not rush into anything. You are not yet 20 years old. You have decades of life ahead of you. You have time to be careful in your choices. If in time nothing changes for the two of you, I will be delighted to welcome her into the family.

Wishing you well, Your mother

November 1, 1907 Siobhan,

I know you have appointments today. I know I only saw you yesterday too. However, if you are able, would you spend time with me tonight? We don't have to converse. All I am really wishing for is some company. Normally, I would be surrounded by my mother and siblings, remembering our father. Cliff and I made do last year with only the two of us. Unfortunately, he is with Elizabeth tonight.

By all means, bring a candle for your mother. I think I may have a spare from last year you can use if you don't own one. We can watch the flames as we reflect in peace. Choose whichever option you prefer but I would rather not be alone this evening. That said, only come of your own volition. I don't wish to force you into dedicating your time to something you are not interested in.

Thank you for understanding, Jameson.

November 2, 1907 Dearest Siobhan,

Thank you for last night. I wasn't expecting to learn more about you when I invited you. I am sorry to hear your mother died the way she did. I know it runs through generations but perhaps there is hope neither you nor Michael will suffer the same way. There is that possibility, correct?

Even if you do become afflicted with the disease, know that I will be there to care for you until the end. That is my sincere promise to you. It does not matter to me how it affects you, I won't leave you in when you need me the most. Besides, you are nineteen and I have barely passed the threshold of my twenties. Should you be affected, we still have twenty or so years before the first symptoms make themselves known. A great deal can happen in twenty years.

I love you dearly, Siobhan. I simply wished to have someone beside me as I acknowledged another year without my father. After what you told me, I cannot go about my day without ensuring it is explicitly clear to you that I will be there for you always. So long as you will allow me, of course.

Thinking of you, Jameson

March 21, 1908 Dear all,

Cliff and I are proud to announce that Jackson Brothers Productions has officially been founded. The financial aspects of it are still yet to become stable. However, that won't stop us from doing our best to become respectable members of the film industry. At the moment, we are not concerned with securing the position of top dog. That can be worked on in a few years when we have established ourselves as filmmakers people want to see.

I will be the head writer and manage the money while Cliff directs. We will both act in our films. The plan is to start off slowly, working our way up. The script for our first short for the company is finished. Once it is released, we hope you will enjoy it.

Here's to realising dreams, Jameson

August 10, 1908 Dear Mother,

I visited the Statue of Liberty recently with Cliff, Elizabeth and Siobhan. Lady Liberty truly does look magnificent. I hear she stands at 93 metres tall. To reach her, you must travel by boat. It was a simple case of cycling to the harbour then boarding the vessel to Bedloe's Island.

As we walked around the statue, Siobhan told us about the first time she saw it. It was back in 1904, she was still on her boat to the city and suddenly she had a clear view of the Statue of Liberty. She explained it instilled a determination of sorts within her, motivating her to make her plans work. I knew beforehand that she arrived before us and was therefore younger but I never contemplated the fact she would have been sixteen. Even at 18, I felt slightly overwhelmed with only myself and Cliff when we first came to New York. I remember Pearl being upset she couldn't join us but she was 14 in 1906, barely out of school and only just old enough to work.

Siobhan became enthralled in her own story. She began switching topics as she went off on tangents, to the point where I was the only one listening to her. I can certainly relate to the initial financial worries. I am impressed that she was able to keep a level head during those early days. It also pleases me that she sees the statue as a source of inspiration like I do, if only in a different way.

I have been reflecting on the day. Something about Siobhan made me realise something new about how I feel for her. I am not sure whether she reciprocates. I will ponder more on it and make my final decision by the end of this year. Either way, I will ask her to accompany me on a trip to Saint John this Christmas. I met her father last month during his visit to New York as a way of celebrating her birthday. It is high time she met you all too.

Yours, Jameson

December 13, 1908 Dear Sir,

I wished to discuss some important plans I want to begin preparing for. It was a pleasure meeting you in July and a joy to witness how close your relationship with Siobhan is. I appreciate being received so warmly by you, especially as you were only intending to celebrate her birthday. I can tell Siobhan is such a kind and caring woman because of your influence.

I hope it was apparent that your daughter means the world to me. I intend to spend the rest of my life proving that to her. I would like to ask your daughter for her hand and I would be honored to have your blessing. Please, in the very least, consider it.

Yours faithfully, Jameson Jackson

December 16, 1908 Dearest Siobhan,

You don't need to fret about meeting my mother and siblings. You already know Cliff. They are just as easy to get along with.

My mother is a worrisome yet kind-hearted woman. Ever since my thyroid operation, she is constantly fretting about my health. You've known me for two years now, you can tell she does not need to worry so excessively about it. There was a period of a few months when I was 14 where we were greatly at odds. She was incredibly protective of me which only lead to irritability. In hindsight, I understand she was only paranoid that her sickly son was going to develop complications. After all, she lost her husband to health issues that declined into complications. I suppose we were all trying to figure out where we all stood after his death. On an unrelated tangent, I think the only fault she will find in you is your lack of sewing skills. She works as a seamstress from home. The only reason I am vaguely competent in mending clothes is the countless nights where I mutilated bits of material as peaceful entertainment. She made my sister-in-law's wedding dress a couple of years ago. No doubt, she has already offered to do the same for Mabel.

Harvey is seven years my senior and the eldest of us. He followed our father into the shipbuilding trade so with the long hours, it is possible he may not be present often while we are visiting. He and his wife Edith have a year old daughter named Dorothy. I haven't met her yet so I am quite excited to do so. If Harvey attempts to bore you with war stories, simply nod and pretend to listen. He acts as if his participation in the Boer War makes him more of a man than those who have never served. He was barely of age as it was. We all suspect he'll join the next big war, should there be one. As you can guess, we all hope that war never comes. There is also the hope that he will be sensible, now that he has a family to stay in Canada for.

Mabel, like our mother, is a seamstress. Occasionally, she will refer to me as an early birthday present. That was more when we were younger. Oddly, having birthdays so close together caused us to become close ourselves. I cannot really explain it. We were mutually enthusiastic about each other's birthdays approaching because it also meant our own were too. There was some distance as well because little boys can't always relate to girls who are 5 years older than them. Either way, the two of us have a good relationship and I know the two of you will hit it off easily. She recently got engaged so you are likely to see her again next year when we attend the wedding.

Last but not least, there is Pearl. I may be the youngest son but she is the true baby. She is still only 16 and I worry what kind of attention she is receiving from young men. I may do my best to be respectful but some schoolboys are more like Cliff was. Cliff never practised infidelity as far as I'm aware but he certainly had a number of girlfriends in short succession when he was about 17. I have no doubt Pearl can handle herself but I can't help but be apprehensive. As you know, I have moments where I am of a mischievous nature. It is uncertain whether Pearl encouraged that side of me to develop or I was the one to trigger it in her. I must confess, the youngest three of us caused our parents such a headache in our youth. It used to be only myself and Cliff who pretended to act out these childishly outrageous tales. Then Pearl arrived, became old enough to play with us and earn her place as our third partner in crime. She wants to find success with us in the film industry but I still feel she is a little too young. One day, perhaps. She would certainly be a useful asset.

This is the closest we have come to being a complete family again after Cliff and I left home. It is a shame he won't be able to come with us. I understand his priority is Elizabeth and being there for the birth. Let's hope next year things will be different.

I promise you will be fine, Jameson

January 14, 1909 Dear Jameson,

Have you bought the ring yet? After meeting Siobhan, I am eagerly anticipating your big news in a few weeks. St Valentine's Day cannot come soon enough. Did you have to tell us during Christmas? That is six weeks of waiting.

A new girl joined us at the factory a few months ago. She finished school only last year. Like me, she does not see the point of being educated on how to be the best wife and mother when our own mothers can teach us. I am not sure about her but I am the youngest in our family. Our mother has time to teach me. The only students she ever had were myself and Mabel.

I don't know how much longer I can keep waking early, work for the majority of the day and then help Mother with sewing. I use my hands too strenuously. A good night's sleep (if such a thing existed) does nothing to help them recover. I am telling you, Jem, I will become a cripple by my 20th birthday.

Speaking of birthdays, you should buy me a ticket for New York. You know full well I want to join you in your endeavours. Isn't New York where all the filmmakers are right now? Forget about the papers, I will deal with all that. I can find myself work in a factory or bakery once I get there too. Or perhaps I could stay in your apartment and work as a seamstress from home. You left me behind but I don't wish to stand for it any longer. Allow me to make the Jackson Brothers into a trinity.

I hope to hear back from you soon, Pearl

January 27, 1909 Pearl,

You must be patient. While I would love for you to help us create our films, a lot is happening right now. I don't have the time, energy or in fact the expertise to go into details. However, to put it simply, Thomas Edison is in the process of destroying the prospects of filmmakers like us. Last month, the Motion Pictures Patent Company was formed. In short, Edison is attempting to raise his chances of success by controlling the industry before it develops further.

As I'm sure you can guess, Clifford and I are not only stressed about our professional lives but our futures as creators as well. This has all occurred in the past month or two so where this will lead is undecided. Either way, Pearl, this is one of the worst times you could join us. I promise you it would not be worth it. On top of everything, Cliff has Clara to worry about now too.

Once my finances have recovered from the inevitably large expenses that come with a wedding and Cliff settles into fatherhood, we will figure out how to proceed. Don't worry, the timing may be bad now but, if all goes well, this will change.

Please give everyone my love. Jameson

February 15, 1909 Dear all,

More good news! I am officially engaged to Siobhan. We are both eager to start preparations as soon as we can. I doubt the wedding will happen this year. Personally, I would prefer to celebrate a marriage during the warmer half of the year. Knowing Siobhan, I feel she shares a similar preference.

With Clara being born last month and my engagement, this seems to be shaping up to becoming an eventful year. Perhaps this should be the year I visit Ireland. It may be difficult with all that is happening to smaller producers here. That said, I feel I owe it to Siobhan. She has visited Saint John but I am yet to set foot in her homeland.

I do wish to see Ireland for other personal reasons. After all, I was named after the grandfather we left behind. Do you remember Granny's stories about him? I have always been bothered by Britain starving the Irish until they had no choice but to flee. It broke families like ours apart and lead to some never meeting their posthumous children. I know our father wished he had met his own.

Well, I appear to have changed the mood of this letter rather quickly, haven't I? I certainly did not intend to diverge onto such a sad tangent. By all means, have a drink on my behalf. Although, I would not encourage doing so in front of your daughter, Harvey.

Wishing you the same happiness as mine, Jameson

February 21, 1909 Jameson,

How could you? You don't know how upset you have made us. You propose marriage to such a lovely girl and refuse to tell your mother and sisters the details.

You disappoint us, Whiskey Boy. You live in secrecy and drink to your victory over us. Mother is crying, insisting that she did not raise such a terrible son. You must rectify this wrongdoing immediately. We simply won't stand for it.

Congratulations on your engagement, Pearl

February 23, 1909 Dear Jameson,

Congratulations on your engagement. I will certainly be thrilled to attend with Edward.

I struggle to believe you are already preparing to get married. It didn't seem too long ago that you were convinced I was getting married when you saw Mother making my communion dress. You also kept delivering me sand and broken shells leading up the ceremony. I don't think Father Henry was too pleased with you. It didn't help that you wandered up to near the altar in your little suit. How young you must have been back then. You can't have been older than two or three. You were always as sweet of a little brother as you were happy.

I'm glad you have someone who allows you continue your happiness in adulthood. I recall Siobhan telling me you were rather sweet as her gentleman caller too. Anyone can see how well the two of you go together. I'm warning you now, Jem, don't you dare mess this up. Women like Siobhan won't find themselves in your life often. You lose her, you will never replace the joy she gives you.

I suggest we celebrate properly in July when you visit for my own wedding.

Your loving sister, Mabel

March 7, 1909 Dear Pearl,

You can tell Mother to dry her eyes because she has a daughter so overdramatic that she will certainly succeed in an acting career, should she choose to pursue one. I did not give details because there is not much to say. However, if you must know the course of events, I will happily tell you them.

I invited Siobhan to accompany me for an evening stroll around Central Park. We walked for a while before reaching a place to rest for a moment. I asked her to marry me. She said yes. I chose not to sign during that moment. While she greatly appreciated the gesture, I can tell you my throat did not. That is purely the extent of the proposal. Forgive me for not boring you with the tale beforehand.

In all sincerity, if I have genuinely caused any of you to cry, I hope they are from joy. I have found a new source of optimism. My future is beginning to stretch out before me and I have every hope that it will be good.

Yours, Jameson

September 28, 1909 Dear all,

The harbour is beautiful now. There are lights everywhere as the city celebrates the 300th anniversary of Henry Hudson's discovery of the river and the centenary of Robert Fulton's paddle steamers. To live so close to the river, I have been enjoying the decorations. We will also witness a number of parades while we celebrate history. It began on Saturday and will carry on until October 9th.

I have been a resident here for the past three years now. It struck me that there was so much I didn't know about this city's past. Perhaps I should read up on the subject and educate myself.

But, for now, I think I will invite Siobhan to gaze at the Statue of Liberty. It made me realise I wished to love her for the rest of my days. Something about Lady Liberty inspires me. I am sure she looks even more majestic when covered in lights, especially after dark. If the answer to the Edison problem is to move elsewhere, I will certainly miss that statue.

I am also reminded of Reversing Falls. I long for that place too. Perhaps one of you should visit it on my behalf. It is odd what will stay dear to you.

I suppose I will leave you with that thought.

Yours, Jameson

November 1, 1909 Dearest Siobhan,

Thank you for the hat. I've never worn one of this style before. The men in my family were always more of the flat cap type. I have been inspecting myself in the mirror whilst wearing it. I feel a bowler hat suits me. It might give the illusion I am of a higher social standing than in reality. And with this facial hair that's growing due to negligence, I might see if a moustache suits me as well. If I can get the look right, I might have a character brewing.

Thank you again for the birthday present and the potential inspiration. If you do not appreciate the moustache, I can always be clean shaven during the wedding.

Yours always, Jameson

April 21st 1910 GROOM FULL NAME: Jameson Albert Samuel Jackson AGE: 22 RESIDENCE: West 42nd Street, Manhattan NUMBER OF MARRIAGE: First OCCUPATION: Proof-reader BIRTH PLACE: Saint John, New Brunswick, Canada NAME OF FATHER: William (Deceased) MAIDEN NAME OF MOTHER: Florence Hilliard

BRIDE FULL NAME: Siobhan Maria O'Hara AGE: 21 RESIDENCE: West 52nd Street, Manhattan NUMBER OF MARRIAGE: First OCCUPATION: Pianist BIRTH PLACE: Limerick, Ireland NAME OF FATHER: Jacob MAIDEN NAME OF MOTHER: Eileen Kelly (Deceased)

[repairyourvoice]

The term Muscle Tension Dysphonia is a general term which could be associated with an imbalance in the muscle’s coordination and breathing patterns required to create a voice. Muscle Tension Dysphonia (often called MTD) may occur on its own, or as a result of a strained voice being pulled into the neck muscles.

[ketshubhra]

Vocal Cord Paralysis Market, Competitive Analysis, Key Developments, Company Benchmarking | Forecast – 2023

According to MRFR Analysis – Vocal Cord Paralysis Market is estimated to reach USD 2,920.2 Mn by 2023. The Global Vocal Cord Paralysis Market Industry Categorizes by Type, Treatment, And Region.

Vocal Cord Paralysis Market Overview

Vocal cord paralysis is a medical condition where the nerves leading to the vocal cord is damaged resulting in dysphonia. It is also known as vocal fold paresis. The global vocal cord paralysis market is likely to reach a valuation of USD 2,920.2 Mn at a CAGR of 3.8% over t5eh forecast period of 2018-2023, asserts Market Research Future (MRFR) in an extensive study. The growth of the global vocal cord paralysis market is sustained by the high prevalence of brain disorders which can cause vocal cord paralysis. Escalating cases of neck, head, and laryngeal cancers is a prime reason for the growth of the global vocal cord paralysis. Surgeries related to such disorders carry a high risk of causing damage to the vocal cord. 

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Advancements in treatment procedures such as endoscopy, laryngoscopy, and others facilitate rapid diagnosis of the condition and thereby foster market growth. Other driving factors include increased healthcare expenditure, especially in developing countries. Improving reimbursement scenario across the globe encourages patients to opt for treatment which further stimulates the growth of the market. On the other hand, the growth of the global vocal cord paralysis market might be hindered by heavy costs associated with the treatment of the diseases which might limit the growth of the market in price-sensitive market.                                                                                                                     

Vocal Cord Paralysis Market Segmentation

The global vocal cord paralysis market has been segmented based on type and treatment. 

By type, the global vocal cord paralysis market has been segmented into unilateral and bilateral. The unilateral segment accounts for the largest share of 89.3% of the global market. The segment is expected to attain a valuation of USD 2,646.5 Mn at a CAGR of 3.6% over the forecast period. The bilateral segment is likely to be the fastest growing segment over the forecast period and register a CAGR of 3.8% over the forecast period. 

By treatment, the global vocal cord paralysis market has been segmented into voice therapy and surgery. The surgery segment has been further segmented into structural implants, vocal cord repositioning (phonosurgery), bulk injection, and tracheotomy. The voice therapy holds the largest share of 62.8% of the global market and is expected to reach USD 1,848.7 Mn by the end of the forecast period. The surgery segment is anticipated to be the fastest growing segment with a CAGR of 3.8% and reach USD 1,121Mn by the end of the forecast period. 

Vocal Cord Paralysis Market Regional Analysis

By region, the global vocal cord paralysis market has been segmented into the Americas, Asia Pacific (APAC), Europe, and the Middle East & Africa (MEA).

The Americas accounted for the largest share of 35.4% share of the global market in 2017 and is due to reach USD 1,007.5 Mn in 2023 at a CAGR of 3.4% by the end of the forecast period. Robust healthcare sector, technological superiority, and rising expenditure ion healthcare sector drive the market in the Americas. In addition, the region is highly aware of the medical condition which is acts a plus for the growth of the market. 

Europe is a prominent market for vocal cord paralysis and is likely to scale valuation of USD 958.1 Mn at a CAGR of 4% by the end of the forecast period. Similar factors spur the Europe market as the Americas. Also, favorable reimbursement policies and high government support create a conducive environment for the growth of the Europe vocal cord paralysis market.

APAC vocal cord paralysis market is likely to exhibit rapid growth over the forecast period and emerge as the fastest growing market over the forecast period. The increasing prevalence of laryngeal cancer, availability of affordable treatment options and high expenditure on healthcare drive the market in APAC. The APAC market is expected to capture a CAGR of 4.11% over the forecast period. 

The MEA market for vocal cord is expected to hold the least share of the market and expand at a CAGR of 3.90% over the forecast period. 

Vocal Cord Paralysis Market Competitive Landscape

The prominent players in the global vocal cord paralysis market are Stryker (US), Karl Storz GmbH & Co. KG (Germany), Olympus Corporation (Japan), Teleflex Incorporated (US), Medtronic (US), Smiths Group plc (UK), Cytophil, Inc. (US), LifeCell Corporation (US), Therapy Solutions Inc. (US), and Fujifilm Holdings Corporation (Japan).

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Warning Signs of Neurological Disorders in Canines

How to Tell If Your Dog  features a   nervous disorder Like every pet owner, I confess that  i'm  sometimes guilty of missing the signs that my dog  has health problems. I lost my Jack Russell to cancer and had a heart-stopping experience with my dog, Misty. This experience made me realize how important  it's   to understand   what is going on  on with my dog's health  to stop  the heartache of losing  yet one more  pet.

In this case, I'm speaking specifically of neurological disorders, the signs of which are often ignored as finicky or frivolous.  this is often  often the case with neurological disorders in humans  also . Neurological Disorders Are Difficult to Diagnose.

The difficulty with neurological disorders is that  a number of  their symptoms  also can  be signs of other problems your pet  could also be  having. Difficulty walking,  for instance ,  are often  caused by pain in other areas of the body,  a bit like  head-shaking  are often  caused by mites  within the  ears or an  internal ear  infection. While many  of those  signs  aren't  specific to neurological disorders,  you ought to  not rule out these disorders. If  you think   there is a  problem, take your dog to the vet  directly . Signs of Neurological Disorders in Dogs    1-Stumbling, Lack of Balance, or Coordination    2-Shaking of  the top   3- Persistent Trembling    4-Dragging of the Paws   5- Darting or "Flickering" Eyes (Nystagmus)    6-Visual Disturbances    7-Disorientation, e.g.  watching  Blank Walls    8-Chronic Tail-Chasing    9-Seizures    10-Pain    11-Lack of Appetite or Anorexia 1. Stumbling, Lack of Balance or Coordination Any dog with a  nervous disorder   are going to be  uncoordinated.  this might  be caused by any combination  of things ,  like  the onset of conditions like  paralysis agitans  (yes, it affects dogs, too), chemical imbalances  within the  brain, infection, or a tumor of the brain. Signs that your dog  has  trouble with balance:    Head tilt    Nausea    Falling or rolling    Tremors    Eyeballs that shake (nystagmus)    Lack of coordination    High-stepping Misty had several episodes of not  having the ability   to steer  and falling on  high-low-jack   whenever  she got up. I had  to hold  her to be weighed at the vets, where she again tumbled over  during a  vain  plan to  stand. She finally managed  to face , and my husband  and that i  heaved huge sighs of relief,  a minimum of  for that minute! 2. Shaking of  the top No, the dog  isn't  plugged into its earphones. Head-shaking is another sign of a neurological problem,  and maybe  one  that's  fairly severe. A dog will shake its head occasionally  to urge   obviate  excess water in its ears or when its head is wet. When it shakes its head to and fro  no end , however, or without apparent cause (like an  internal ear  infection), raise the alarm immediately. That is exactly what happened to Misty when she experienced seizures. It took time for the head-shaking  to prevent . 3. Persistent Trembling It is not just  the top   which will  shake uncontrollably,  the remainder  of the muscles  within the  dog's body might tremor  also .  it had been  certainly what happened in Misty’s case. That,  along side   a touch  whining, means  you ought to  seek emergency veterinary care.  make certain  to rule out  the opposite  causes of shivering and trembling in dogs, like white dog shaker syndrome. Video: A Dog With Neurological Signs 4. Dragging of the Paws If your dog suddenly starts  to tug  its feet  rather than  walking, go see the vet. This sudden deterioration of motor skills  may be a   explanation for  concern and  may be a  symptom of limb paresis, paralysis, or weakness. Paresis  is that the  reduced ability of an animal  to maneuver  a limb, and paralysis  is that the  complete inability  to maneuver  a limb. Though difficulty moving  also can  be the  results of  physical symptoms, in some cases, it can indicate trouble between the brain  and therefore the   remainder of  the body. Other symptoms include:    -Knuckling    -Abnormal gait    -Difficulty moving or paralysis  of 1  limb, both limbs, or all four legs It was certainly disconcerting to witness Misty stumbling and dragging her paws  because the  veterinary clinician tried to weigh her. 5. Darting or "Flickering" Eyes (Nystagmus) Your dog’s eyes may "flicker" if  it's  an inherent neurological problem. Your dog  might not  be  ready to  focus properly on its surroundings, and  it's going to  not be  ready to  recognize you temporarily either. Similarly, vestibular disease patients often present with characteristic "darting eyes."  this is often   a standard  condition in older dogs but  could also be  idiopathic or without a known origin. Misty’s eyes were turned in two directions and "flickering"—it was  quite  traumatic sight. Thankfully, that episode is over! 6. Visual Disturbances If your dog is suddenly having vision problems like blindness or walking into objects, it's possible that  there's  an underlying neurological problem. A neurologic dog will experience  field of vision  defects,  diplopia , fluctuating vision (good  at some point  and not the other), reduced clarity of vision, or may exhibit squinting and misalignment. 7. Disorientation (Staring at Blank Walls) I remember asking this question once because I saw Misty starting at blank walls from time to time. I had originally thought, as did the vet, that  it had been   thanks to  the pain she was already experiencing as a  results of  an infected womb. I now know that improper brain function and disorientation  is that the   explanation for  her staring (without reason) at the walls  round her .  this is often  also a condition that older dogs can exhibit (without neurological causes), simply  thanks to  age.  it is vital   to notice  whether or not this behavior is new, as similar  sorts of  disorientation  also can  be  related to  senior dog conditions or stroke. 8. Chronic Tail-Chasing All dogs love chasing their tails. But when a dog exhibits this behavior too often,  it's  not just play—it is time  to require  them to the vet. Although dogs that are experiencing pain may exhibit  this sort  of behavior,  it's  also  a robust  sign of a  nervous disorder , especially if this behavior is chronic. Being a Schnauzer, Misty has no tail to chase since  it had been  docked as a puppy before we acquired her. Should tail-spinning become obsessive, do consult a veterinarian  directly . 9. Seizures Chances are you  that you simply  know what a seizure is. If you see your dog seizing,  confirm  they're safe and won't hit anything, let the seizure pass, and take them to a veterinarian as soon as possible. If  you'll , take a video of the event  to point out  to the veterinarian since  it'd  help them with a diagnosis.  make certain   to observe  your fingers and limbs as your pet is seizing because disoriented dogs can accidentally bite. Symptoms of seizures:    Sudden or violent shaking    Paddling    Vocalization    Dilation of pupils    Unresponsiveness or staring    Loss of consciousness    Salivation or drooling    Stiffness    Twitching    Involuntary urination or defecation Seizures  could also be  secondary to conditions like systemic infections in dogs, which is why  it is vital   to get   a correct  diagnostic workup from your vet. What are the signs of infection in dogs? Some signs of infection in dogs include: sudden fever and illness, sore muscles, reluctance  to maneuver , stiffness in muscles, legs, and gait, shivering, weakness, depression, lack of appetite, increased thirst, and urination 0. Pain Pain  are often  caused by many things,  and a few  pain is caused by neurological issues.  make certain  to rule out arthritis and injury. Common signs of pain (this  isn't  an all-inclusive list):    Crying out    Holding a limb up    Low head carriage If your dog is experiencing pain from normal sensations or touch, like putting on a collar, that's also a  wake-up call  that something neurological  goes  on. 11. Lack of Appetite or Anorexia Persistent nausea is  yet one more sign of a malfunction of the brain. Misty had bouts of nausea before her seizure. There are many causes of nausea, so if you observe this  along side  other symptoms,  don't  wait too long before taking your pet  certain    checkup . Other Signs of  systema nervosum  Disorders Misty’s symptoms  job my memory  of some that I had  once I  suffered from brain tumors.  i'll  not have spun around trying to catch a tail, but I did have inexplicable difficulty walking. Dogs and humans can mirror  one another  where certain conditions and illnesses are concerned. Here are  another  symptoms  which may  indicate neurological trouble  together with your  dog:    -Difficulty swallowing or chewing   - Decreased facial movement    -Vocal abnormalities and changes   - Muscular atrophy of  the top   - Collapsing    -Hearing loss   - Behavioral changes (e.g. confusion, pacing, and wandering)    -Inability to open the mouth   - A dropped or droopy jaw My Dog's Neurological Symptoms and Treatment My pet Schnauzer, Misty, had just undergone a hysterectomy  thanks to  infection.  at some point  she  visited   the toilet   and commenced  shaking her head uncontrollably. When it happened, the trembling sent waves of panic through me because it  jogged my memory  of an episode I'd  skilled  myself. My husband  and that i  rushed her to the vet immediately. Misty had a seizure and was quaking, trembling, and shaking.  it had been quite traumatic to witness. She was hospitalized and awaited further diagnosis. Her head continued to shake, though she was eating and drinking well. The sad  a part of   the entire  episode was that I should have recognized the signs much earlier, even more so because  I even have  been the victim of brain tumors and seizures myself. I wanted to share my experience  in order that  others can read the signs before  it's  too late. I wrote  this text   to assist  you recognize the symptoms of what  could be  neurological problems in your dog so  you'll  take him or her to the vet and have them diagnosed. Everything  within the  amazing phenomenon of life begins with the brain. I hope that sharing this information with  you'll  provide hope for a happier, healthier canine best friend!

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Speech And Language Therapy Dubai For Voice Issues

What is a voice issue? 

You may have a voice issue on the off chance that you have an issue with pitch, volume, tone, and different characteristics of your voice. These issues happen when your vocal strings don't vibrate typically. 

Your voice is the sound that air makes when it is constrained out of your lungs and ignores your vocal ropes. Vocal lines are the 2 folds of tissue inside your voice box (larynx). The vibration of those ropes is the thing that makes a speech. 

Voice issue include: 

Laryngitis. This is the point at which your vocal ropes swell. It makes the voice sound dry. Or on the other hand, you will be unable to talk by any means. Intense laryngitis happens all of a sudden. It is regularly brought about by an infection in the upper respiratory tract. It regularly keeps going only half a month. Treatment is to rest the voice and drink a lot of liquids. Interminable laryngitis is the point at which the swelling goes on for quite a while. Regular causes include a ceaseless hack, using inhalers for asthma, and GERD (gastroesophageal reflux malady). Treatment of ceaseless laryngitis relies upon the reason. 

Vocal string paresis or paralysis. The vocal lines can be deadened or halfway incapacitated (paresis). This can be brought about by a viral infection that influences your vocal string nerves, an injury to a nerve during a medical procedure, stroke, or malignancy. In the event that either of your vocal strings is deadened in an almost shut position, you may have loud or troublesome breathing. On the off chance that they are incapacitated in a vacant position, you may have a frail, hoarse voice. A few people will show signs of improvement after some time. In different cases, the loss of motion is changeless. Medical procedure and voice therapy may help improve the voice. 

Fitful dysphonia. This is a nerve issue that makes the vocal ropes fit. It can make the voice sound tight, quivery, jerky, dry, or groaning. Now and again, the voice may sound ordinary. On different occasions, the individual will be unable to talk. Treatment may include speech therapy and shots (injections) of botulinum toxin to the vocal ropes. 

What causes voice issue? 

For typical speech, your vocal lines need to contact together easily inside your larynx. Anything that interferes with vocal string development or contact can cause a voice issue. Many voice issues can be restored with treatment when analyzed early. 

Voice issues can be brought about by numerous components. Now and again, the reason isn't known. Potential causes can include: 

Developments. Now and again, additional tissue may shape on the vocal strings. This prevents the strings from working ordinarily. The developments can include liquid-filled sacs called sores, mole-like knots called papilloma, or callus-like knocks called knobs. There might be patches of harmed tissue called sores. Or then again regions of scar tissue. In certain individuals, a band of tissue called a web can develop between the vocal strings. Different developments include a little region of ceaseless inflammation (granuloma) and little rankles called polyps. Developments can have numerous causes. These include sickness, injury, disease, and vocal maltreatment. 

Inflammation and swelling. Numerous things can cause vocal string inflammation and swelling. These include medical procedure, respiratory sickness or sensitivities, GERD, a few medicines, introduction to certain synthetic compounds, smoking, liquor misuse, and vocal maltreatment. 

Nerve issues. Certain wellbeing conditions can influence the nerves that control the vocal strings. These can include various sclerosis, myasthenia gravis, Parkinson malady, Amyotrophic horizontal sclerosis (ALS), and Huntington illness. A medical procedure or laryngitis can likewise hurt nerves. 

Hormones. Disarranges affecting thyroid hormone, female and male hormones, and development hormones can cause voice issues. 

Vocal maltreatment. The vocal lines can be worried by using a lot of pressure when speaking. This can mess up the throat muscles and influence the voice. Vocal maltreatment can likewise cause a voice issue. Vocal maltreatment is anything that strains or damages the vocal ropes. Models include a lot of talking, shouting, or coughing. Smoking and always clearing the throat is additionally vocal maltreatment. Vocal maltreatment can make the vocal strings get hubs and polyps. These change how the voice sounds. Sometimes, a vocal line can break or erupt from vocal maltreatment. This makes the string drain (discharge). You can lose your voice. Vocal string bleeding must be dealt with immediately. 

What are the indications of a voice issue? 

In the event that you have a voice issue, your voice may: 

Have a quivering sound 

Sound unpleasant or brutal (roughness) 

Sound strained or uneven 

Be frail, whispery, or raspy 

Be excessively high or low or change in pitch 

You may have pressure or pain in your throat while speaking, or feel like your voice box is worn out. You may feel a sense of foreboding deep in your soul while swallowing. Or then again you may feel pain when you contact the outside of your throat. 

How are voice issues analyzed? 

On the off chance that you have a voice change that goes on for half a month, your medicinal services supplier may send you to see an ear, nose, and throat specialist (otolaryngologist). This specialist will get some information about your manifestations and to what extent you've had them. The person in question may check your vocal strings and your larynx using certain tests. These may include: 

Laryngoscopy. This lets the specialist see the throat. With indirect laryngoscopy, the medicinal services supplier holds a little mirror at the rear of the throat and shines a light on it. With fiber-optic laryngoscopy, a thin, lit extension (laryngoscope) is utilized. The degree is put through your nose down into your throat. Or then again it is put straightforwardly down into your throat. 

Laryngeal EMG (electromyography). This test estimates electrical action in the throat muscles. A thin needle is placed into a portion of the neck muscles. Simultaneously, anodes send signals from the muscles to a PC. This can show nerve issues in the throat. 

Stroboscopy. This test utilizes a strobe light and a camcorder to perceive how the vocal strings are vibrating during speech. 

Imaging tests. X-beams and MRI can show developments or other tissue issues in the throat. 

How are voice issues treated? 

Treatment for a voice issue relies upon what's causing it. Treatment may include: 

Way of life changes. A portion of these progressions may help diminish or stop manifestations. They can include not yelling or speaking uproariously. And resting your voice frequently in the event that you talk or sing a ton. Activities to loosen up the vocal ropes and muscles around them can help now and again. Warm up the vocal lines in a little while times of speaking. Drink liquids to remain hydrated. 

Speech therapy. Working with a speech-language pathologist can help with certain voice issues. Therapy may include activities and changes in speaking practices. A portion of these may include timing full breaths so they control your speech with sufficient breathing. 

Medicines. Some voice issue is brought about by an issue that can be treated with medicine. For instance, acid neutralizer medicine might be utilized for GERD. Or on the other hand hormone therapy might be utilized for issues with the thyroid or female hormones. 

Injections. Your primary care physician can treat muscle fits in the throat with an injection of botulinum toxin. Now and again, your primary care physician can inject fat or different fillers into the vocal lines. This can assist them with closing better. 

Medical procedure. Your primary care physician can expel some tissue developments. On the off chance that disease causes the developments, you may require other treatments. This may include radiation therapy. 

Key points about voice issue 

Voice issues influence the capacity to talk regularly. 

These scatters can include laryngitis, incapacitated vocal strings, and a nerve issue that makes the vocal ropes fit. 

Your voice may tremble, be dry, or sound strained or uneven. You may have pain or a sense of foreboding deep in your soul when speaking. 

Your social insurance supplier may send you to see an ear, nose, and throat specialist (otolaryngologist). This specialist may do certain tests including imaging tests. 

Treatment for a voice issue relies upon what's causing it. Treatment may include a way of life changes, speech therapy, medicine, injections, and medical procedure. 

Subsequent stages 

Tips to assist you with getting the most from a visit to your medicinal services supplier: 

Know the purpose behind your visit and what you need to occur. 

Prior to your visit, record addresses you need replied. 

Bring somebody with you to assist you with asking questions and recall what your supplier lets you know. 

At the visit, record the name of another conclusion, and any new medicines, medications, or tests. Likewise, record any new instructions your supplier gives you. 

Know why another medicine or treatment is endorsed, and how it will support you. Likewise, recognize what the reactions are. 

Inquire as to whether your condition can be treated in different manners. 

Know why a test or methodology is suggested and what the outcomes could mean. 

Realize what's in store on the off chance that you don't take the medicine or have the test or strategy. 

On the off chance that you have a subsequent appointment, record the date, time, and reason for that visit. 

The ability you can contact your supplier in the event that you have questions.

Speech and language therapy Dubai, Speech Therapist In Dubai

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Vocal Paralysis The total absence of movement of a vocal cord due to nerve damage.

Vocal Paralysis The total absence of movement of a vocal cord due to nerve damage.

What is vocal paralysis?

Vocal paralysis is the total absence of movement of a vocal cord due to nerve damage. A paralysis may be partial, in which case it is called a paresis. A paresis is due to partial nerve injury.

On stroboscopy, the cords vibrate less because they do not make contact to initiate vibration.

What does that mean?

Each vocal cord has two nerves that are associated…

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585-342-2080 Robert H. Oliver, M.D. It may come as a surprise to you the variety of medical conditions that can lead to voice problems. The most common causes of hoarseness and vocal difficulties are outlined below. If you become hoarse frequently or notice voice change for an extended period of time, please see your Otolaryngologist (Ear, Nose, and Throat doctor) for an evaluation. Acute Laryngitis Acute laryngitis is the most common cause of hoarseness and voice loss that starts suddenly. Most cases of acute laryngitis are caused by a viral infection that leads to swelling of the vocal cords. When the vocal cords swell, they vibrate differently, leading to hoarseness. The best treatment for this condition is to stay well hydrated and to rest or reduce your voice use. Serious injury to the vocal cords can result from strenuous voice use during an episode of acute laryngitis. Since most acute laryngitis is caused by a virus, antibiotics are not effective. Bacterial infections of the larynx are much rarer and often are associated with difficulty breathing. Any problems breathing during an illness warrants emergency evaluation. Chronic Laryngitis Chronic laryngitis is a non-specific term and an underlying cause should be identified. Chronic laryngitis can be caused by acid reflux disease, by exposure to irritating substances such as smoke, and by low grade infections such as yeast infections of the vocal cords in people using inhalers for asthma. Chemotherapy patients or others whose immune system is not working well can get these infections too. Laryngopharyngeal Reflux Disease (LPRD) Reflux of stomach juice into the throat can cause a variety of symptoms in the esophagus (swallowing tube) as well as in the throat. Hoarseness (chronic or intermittent), swallowing problems, a lump in the throat sensation, or throat pain are common symptoms of stomach acid irritation of the throat. Please be aware that LPRD can occur without any symptoms of frank heartburn and regurgitation that traditionally accompany gastro esophageal reflux disease (GERD). Voice Misuse and Overuse Speaking is a physical task that requires coordination of breathing with the use of several muscle groups. It should come as no surprise that, just like in any other physical task, there are efficient and inefficient ways of using your voice. Excessively loud, prolonged, and/or inefficient voice use can lead to vocal difficulties, just like improper lifting can lead to back injuries. Excessive tensionin the neck and laryngeal muscles, along with poor breathing technique during speech leads to vocal fatigue, increased vocal effort, and hoarseness. Voice misuse and overuse puts you at risk for developing benign vocal cord lesions (see below) or a vocal cord hemorrhage. Common situations that are associated with voice misuse: Speaking in noisy situations Excessive cellular phone use Telephone use with the handset cradled to the shoulder Using inappropriate pitch (too high or too low) when speaking Not using amplification when publicly speaking Benign Vocal Cord Lesions Benign non-cancerous growths on the vocal cords are most often caused by voice misuse or overuse, which causes trauma to the vocal cords. These lesions (or “bumps”) on the vocal cord(s) alter vocal cord vibration and lead to hoarseness. The most common vocal cord lesions are nodules, polyps, and cysts. Vocal nodules (also known as nodes or singer’s nodes) are similar to “calluses” of the vocal cords. They occur on both vocal cords opposite each other at the point of maximal wear and tear, and are usually treated with voice therapy to eliminate the vocal trauma that is causing them. Contrary to common myth, vocal nodules are highly treatable and intervention leads to improvement in most cases. Vocal cord polyps and cysts are the other common benign lesions. These are sometimes related to voice misuse or overuse, but can also occur in people who don’t use their voice improperly. These types of problems typically require microsurgical treatment for cure, with voice therapy employed in a combined treatment approach in some cases. Vocal Cord Hemorrhage If you experience sudden loss of voice following yelling, shouting, or other strenuous vocal tasks, you may have developed a vocal cord hemorrhage. Vocal cord hemorrhage results when one of the blood vessels on the surface of the vocal cord ruptures and the soft tissues of the vocal cord fill with blood. It is considered a vocal emergency and is treated with absolute voice rest until the hemorrhage resolves. If you lose your voice after strenuous voice use, see your Otolaryngologist as soon as possible. Vocal Cord Paralysis and Paresis Hoarseness and other problems can occur related to problems between the nerves and muscles within the voice box or larynx. The most common neurological condition that affects the larynx is a paralysis or weakness of one or both vocal cords. Involvement of both vocal cords is rare and is usually manifested by noisy breathing or difficulty getting enough air while breathing or talking. When one vocal cord is paralyzed or weak, voice is usually the problem rather than breathing. One vocal cord can become paralyzed or weakened (paresis) from a viral infection of the throat, after surgery in the neck or chest, from a tumor or growth along the laryngeal nerves, or for unknown reasons. Vocal cord paralysis typically presents with a soft and breathy voice. Many cases of vocal cord paralysis will recover within several months. In some cases however, the paralysis will be permanent, and may require active treatment to improve the voice. Treatment choice depends on the nature of the vocal cord paralysis, the degree of vocal impairment, and the patient’s vocal needs. While we are not able to make paralyzed vocal cords move again, there are good treatment options for improving the voice. One option includes surgery for unilateral vocal cord paralysis that repositions the vocal cord to improve contact and vibration of the paralyzed vocal cord with the non-paralyzed vocal cord. There are a variety of surgical techniques used to accomplish this. Voice therapy may be used before or after surgical treatment of the paralyzed vocal cords, or it can also be used as the sole treatment. (For more information, see Vocal Cord Paralysis Fact Sheet.) Laryngeal Cancer Throat cancer is a very serious condition requiring immediate medical attention. Chronic hoarseness warrants evaluation by an otolaryngologist to rule out laryngeal cancer. It is important to remember that prompt attention to changes in the voice facilitate early diagnosis. Remember to listen to your voice because it might be telling you something. Laryngeal cancer is highly curable if diagnosed in its early stages. (For more information, see Laryngeal Cancer Fact Sheet.) Copyright 2010. American Academy of Otolaryngology – Head and Neck Surgery

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Silenced by Sexual Trauma, US Singer Rediscovers Her Voice

Silenced by Sexual Trauma, US Singer Rediscovers Her Voice

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New York: Just as her career as a vocalist began taking off in 2013, singer Lucy Dhegrae found herself silenced, physically unable to produce the notes she once delivered with ease.

Diagnosed with paresis of the vocal folds, a form of paralysis, the artist traced the condition threatening her future as a performer to a traumatic night a decade earlier, when she says she was drugged and…

[pharmanswerspod]

Episode 117 - Voice Troubles

Laryngitis

Laryngitis, known as inflammation of the larynx, is the most common cause of hoarseness and voice loss.  It is very common in viral infections, such as a cold, flu, or adenovirus.  Acute laryngitis is caused by an illness, while chronic laryngitis may be a secondary symptom of another problem like acid reflux, smoking, or severe thrush.

There is a lot of advice that goes around about what can "cure" laryngitis or get rid of hoarseness.  Hydration is always key.  Some of the other advice is more anecdotal.  But above all, whatever you do for a hoarse voice, DO NOT WHISPER!

Laryngopharyngeal Reflux Disease (LPRD)

LRPD is a condition where stomach acid refluxes into and burns the vocal cords.  It may or may not accompany GERD.  It causes intermittent to chronic hoarseness, swallowing troubles, throat pain, or a constant sensation that something is stuck in your throat.

Misuse and Overuse

Misuse of your voice is defined as the inefficient use of your voice.  It may stem from poor posture, poor breath support, or poor hydration.  Overuse of your voice is defined as excessively loud or prolonged use of your voice.

Lesions

Vocal cord lesions are benign growths on the vocal cords that interfere with normal vibration. These can result from repeatedly prolonged periods of misuse or overuse.  They will cause chronic hoarseness or sporadic voice-silencing.  They come in three varieties and are all treatable:  nodules, polyps, and cysts.

Nodules require vocal rest and voice therapy and training to help make sure they don't happen again.  Polyps and cysts require micro-surgery where the growth is removed, and then rest and therapy and training will follow.

Hemorrhage

If you have a sudden loss of voice after yelling, then it is possible a hemorrhage occurred.  A hemorrhage is when blood vessels in the surface of the vocal cord burst and fill it with blood.  COMPLETE REST is required until the blood is reabsorbed by the body.

Paresis and Paralysis

Paresis is the fancy word for weakness.  Vocal weakness can occur during a viral infection or after neck or throat surgery.  It can be temporary and strength will return on its own after a recovery period, or it can be permanent.  Prolonged or permanent vocal weakness can be improved somewhat through therapy and training.

Paralysis, on the other hand, is neurologically based, whether damage happened in the area of the brain that controls the voice and supporting structures, or the nerves in and around the larynx are damaged.  This can also be temporary or permanent and is generally one-sided.

Symptoms of a weakened or paralyzed vocal cord include noisy breathing - like something is hanging in the way of the air flow.  And breathy talking - like when someone is trying to use their "sexy" voice and there's more air making noise than vocal vibrations.  There is a surgical repair process that involves taking the working vocal fold and stretching it over so when it activates, it will still come in contact with the unmoving vocal fold.

Callbacks

Voice Thrush - Mouth Issues

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A new episode from the Pharmacist Answer Podcast!

[repairyourvoice]

What are the Symptoms of Muscle Tension Dysphonia and What Are The Treatments Available for That Voice Disorder?

The term Muscle Tension Dysphonia is a general term which could be associated with an imbalance in the muscle’s coordination and breathing patterns required to create a voice. Muscle Tension Dysphonia (often called MTD) may occur on its own, or as a result of a strained voice being pulled into the neck muscles. The reason behind this disorder is not always clear. It may be triggered by allergies, illness, acid reflux or whichever other means...

Symptoms

The most common symptoms for this disorder is a change in voice quality, often associated with discomfort of the vocal cords (or voice box) while speaking or singing. Also, almost always, symptoms like hoarseness and rapines will be associated with an increased effort to talk or sing, coupled with subsequent fatigue during continuous voice use.

Treatment

There is an alternative form of voice therapy which is the gold standard for the treatment of Muscle Tension Dysphonia. There are no other known treatments (outside of the Vocal Science™ Method and Technique) that can restore the muscle balance in the vocal mechanism. With that said, this unique form of therapy will help alleviate the above vocal symptoms.

If you are suffering from any vocal disorders like MTD or any other ones like Vocal Paralysis (Paresis), vocal cord nodules, polyps, cysts, lesions, or what have you, The Royans Institute for Non-Surgical Voice Repair can help you with virtually any voice problems in Toronto, Ontario and even worldwide. No matter what your voice/vocal problem(s) are, they can solve it with their revolutionary vocal technique, and specially designed speech and singing exercises (when needed) to help you recover and regain your healthy voice!

[asphyxiatiiion-blog]

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[repairyourvoice]

Vocal cord paresis (paralysis) occurs when one or both vocal cords/folds are non-functional. Vocal cord paresis causes a decrease in vocal cord mobility, which will impact one’s ability to speak/sing normally.

[repairyourvoice]

Vocal Cord Paralysis - what could be the causes & how to deal with them?

Vocal cord paralysis also known as the vocal cord paresis is the inability of one or both vocal cords to move. It can greatly impact the daily life of the sufferer, including, job, social interactions and leisure time activities.  

The condition is caused by damage to nerves going to the vocal cords-the nerve impulses in the larynx are interrupted, resulting in the paralysis of the vocal cord muscles.  

Patients with vocal paralysis typically experience hoarseness, vocal fatigue, mild to a severe reduction in speech volume, a pain in the throat when speaking, and swallowing things down the wrong way and choking.

Signs and symptoms of vocal cord paralysis include:

Changes to the voice

Hoarseness

Noisy Breathing

Changes to vocal pitch

Coughs that do not clear the throat properly

Voice volume may be affected

Treatment for vocal cord paralysis

The treatment for vocal cord paralysis depends on several factors, including what caused it, how severe symptoms are, and how ling they have been present.  

Voice therapy:

Equivalent to physical therapy for large muscle paralysis, this therapy incorporate some specific exercises and some other activities to strengthen their vocal cords. You might also learn how to use your voice in a different way, like, by speaking more slowly or opening your mouth wider when you speak.

Surgery:

If the patient does not recover totally with the voice therapy, the doctor may recommend a vocal cord surgery.

If you notice any unexplained voice changes or discomfort, you can consult Diana Yampolsky at The Royans Institute for Non-Surgical Voice Repair. One of the world’s foremost specialists, she works with a wide spectrum of clientèle as a Voice Coach, Consultant, and Non-Surgical Voice Repair Specialist. Source By:-http://bit.ly/2f92IkF