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Posted by: David Pickett ®

10/25/2002, 11:35:59

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My Problems Began In February Of This Year. I went to my family Doctor

Several Times With No Results. The First Ear Nose And Throat Doctor I Visited Did Not Have A Diagnosis But Gave Me A Sack Full Of Drug Samples (many of which were expired) And Told Me To Try One Then Another Until I Find One That Worked, I Threw Them In The Trash.

I Feel Lucky That During This Time My Company Was Doing Additions And Renovations To A Physicians Home. He Reffered Me To Another Ear Nose And Throat Doctor That Diagnosed Me With SD And Reffered Me To Southwestern Medical In Dallas, Had My First Botox Injection 10-16-02

With Results Beginning 10-18-02. I Am Curious As To The Road To Diagnosis Traveled By Others With SD.



My Heart Goes Out to All That Have Suffered For Long Periods With Out

Proper Diagnosis Or Treatment.

--modified by David Pickett at Sat, Oct 26, 2002, 09:48:31







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Re: Diagnosis
Re: Diagnosis -- David Pickett Top of Thread Archive
Posted by: Jan Joiner ®

10/25/2002, 13:03:49

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Hi David and Welcome to the NSDA Bulletin Board for Spasmodic Dysphonia Patients. The road to Diagnosis was a very long frustrating depressing time for me. As I had the disorder for 15 years prior to being diagnosed with ADSD (AdDuctor Spasmodic). I had been to what seemed like the end of the world searching for someone who could give me a diagnosis. Not even the top specialist in my State could give be a logical answer much less explain what was going on with my voice. They only made me feel incompentant and like it was all my fault and I was causing this to happen to me due to stress, nerves, allergies, etc. They had me so confused I didn't know which way to turn, because they kept telling me there was nothing they could do for me nor did they know of anyone person who could. I was told speech therapy was the only option and answer I had to my voice. WRONG! Speech Therapy does not help nor cure SD, however it will aid in learning a person the right way to use there voice. Such as breath support, range, and tone. It is not an easy task for one to take on if they truly have spasmodic dysphonia or another speech problem. It is hard work requiring patients, dedication and a lot of pocket change or better yet good insurance. It can help some people and I'm not ruling it out completely, because it can help in certain conditions and/or situations.

After being diagnosed in 1998 I began taking injections of Botox Type A for a period of 2 years. Then after taking 3 Botox injections within 3 months time and my voice not getting any better, but worse in my case. I learned on the internet about the NSDA and the surgery Dr. Berke had pioneered and was offering to folks. So I began my research study and got names of folks who had had the surgery from the NSDA. Then I began to call and email all of them and tell them my story and ask questions regarding the surgery. I was referred by one of these nice folks to go to this bb website. And I am every so grateful to him for telling me about this wonderful place online I could go to for support, because there was no support group in my area or even near that I knew of at that time. And there is still no organizated group per say, but there may be before to much longer. I've been ask to start a support group in my area for folks and a friend of mine and I have been seriously thinking about doing so. So I think it is really only a matter of time until Alabama will have a support group they can attend. However, back to the bb, it has been a wonderful and wealth of of support and information to me and my family and I am so proud there are so many great people out there that are like you and me and are willing to help one another. I've truly learned more here and online chating with others who have this terrible disorder, than any doctor in my state has ever taught me. After the Botox didn't work for me after 3 times in 3 months, I decided with the support of my husband, friends and the people on this bb to have Dr. Berke's surgery. It is called, "Selective Larngeal ADductor De-Innervation/Re-Innervation". I had this surgery in June of 2001 and recovered for a period of 3 months and 2 weeks and then I got somewhat of a normal voice back. And every day my voice got more volume and stronger until it sounded great and it still sounds great. I think it has gotten as good as it is going to get and I do have limitations, but nothing like it was before. I am so happy and pleased with the out come of the surgery and if I had it to do over I too would do it in a heartbeat.

Yes, of course I live with the fear of the unknown future, but I try each day to go on and not dwell on it too much and just be happy with what time I've already had and have now. I do get down sometimes and think at the slightest mis-function of my voice that "Oh No, Please Not Again". As I assume everyone who has had there voice pulled out from under them in the midst of life and had to deal with such a terribly frustrating disorder, much less having to find the right doctor.

But Thanks to the Awareness that has been made out there by the good people on this bb and the NSDA there is a lot bigger chance of being diagnosed earlier than most of us here on the bb have been. Too there are several ways in which to treat and cope with SD.

I truly appreciate and have the highest respect for folks on this bb who continue to contrubute and share things regarding SD!

God Bless, Jan Joiner - Severe ADSD - SLAD Surgery 6/01







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Re: Diagnosis
Re: Diagnosis -- David Pickett Top of Thread Archive
Posted by: john s. beeman ®

10/25/2002, 13:17:04

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David:

I spent 3 years "on the road" so it looks like the path is beginning to shorten. 8 months must be some sort of record. The good news is you had the luck to keep searching and some good advice by a physician who knew that drugs are not the total answer. I've met people who have gone decades.

Like Jan, I had the SLAD surgery in June of 2000. Unfortunately, my outcome was not good and, while the spasms are gone, I did not recover my voice. Clearly, Dr. Berke's surgery has been beneficial for many - just not me. Keep asking questions. Good luck. John

--modified by john s. beeman at Fri, Oct 25, 2002, 13:19:31







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Re: Diagnosis
Re: Diagnosis -- David Pickett Top of Thread Archive
Posted by: Autumn ®

10/25/2002, 21:18:42

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Hi, David. I first started with voice problems 9 years ago, when I was 17. I assumed it was all in my head. Not being able to speak well had profound consequences in many aspects of my life: I turned down jobs that required too much phone work; I didn't take college seriously because I knew I could never get my degree because I couldn't take the required Speech class; I wouldn't (couldn't) talk about important interpersonal issues when I wanted or needed to; my self esteem suffered (and continues to)...and the list goes on.

I first saw my family doctor this spring and he told me it was probably psychological, but he was GRACIOUS enough to give me a referral to an ENT who agreed with my assertion that it was SD. He in turn sent me to a speech pathologist who sat with me through 6 weeks of speech therapy which was ineffective. Back to the ENT I went for my first Botox injections, 10 days ago. From start to finish, my actual diagnosis took about 3 weeks. It may never have happened if I hadn't been armed with information when I visited my family doctor. I had to insist that he provide me with a referral. I was fortunate to have an ENT with extensive experience with SD and even in giving Botox injections. His name is Dr. Andrew Jun and he's affiliated with Rockford Health Systems in Rockford, IL if anyone in that area wanted a great recommendation. You can reach him at (815)971-2000. He's awesome.

But back to your question, my particular diagnosis was very easy and short, but only because I was prepared when I saw my family doc. It's so horrible that so many of you waited years to find out what it was.

How is your voice now? Is it still breathy, or has that pretty much passed already?







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Re: Diagnosis
Re: Re: Diagnosis -- Autumn Top of Thread Archive
Posted by: Jan Joiner ®

10/26/2002, 20:50:46

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WOW Autumn, that must be a new record or something! That is great that you got a diagnosis in a total of 3 weeks.

And I with the others, the more we can make the public and the doctor's who mis-diagnosed us The BETTER!

Wonderful point made here and very important too.

Regards, Jan Joiner - ADSD/Alabama - SLAD Surgery 6/01







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Re: Diagnosis
Re: Diagnosis -- David Pickett Top of Thread Archive
Posted by: Sarah Bayle ®

10/25/2002, 22:24:27

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David, my road to diagnosis with SD was about five years long. During those five years, I passed through the doors of many medical doctors, (including my own family) who passed me on without a clue.

I hope all of us can gain confidence with our diagnosis to serve to inform all those docs we visited and who provided us with misdiagnosis.

Please send letters and updated and information about dystonia and SD to all those offices who were clueless..... cuz they need to know. I had my otolaryngologist write a letter to the other physicians who had misdiagnosed me with "medical info" about SD. I called the offices back and insisted on telling them about SD. I have three children and I see family practitioners on a regular basis and I inform them as often as possible about SD. Tell anyone who will listen and even those who won't. Because all those offices where you were misdiagnosed NEED TO KNOW!!!!!!

There are physicians out there who just don't know and would be happy to learn.

Sarah AB/AD SD (Seattle)







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Re: Diagnosis
Re: Re: Diagnosis -- Sarah Bayle Top of Thread Archive
Posted by: john s. beeman ®

10/26/2002, 11:41:00

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I'm with Sarah. If each person who finally got a correct diagnosis took time to send information to each medical person who "missed" the condition, we might actually get the turn around time down to a reasonable amount - 3 weeks would be wonderful. Keep spreading the word. We can make a difference. John

--modified by john s. beeman at Wed, Oct 30, 2002, 14:24:53







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Re: Diagnosis
Re: Diagnosis -- David Pickett Top of Thread Archive
Posted by: Larry Becnel ®

10/27/2002, 09:24:33

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I was delivering an argument in court in Sept. 1994 and noticed that my voice "trembled" and seemed to reverberate around the courtroom. People stared (the judge was gracious and pretended not to hear, probably thinking I was just nervous). Then I noticed that the same thing happened again, usually in a "stressful" situation. (I had been practicing law for over 20 years at that point, with many court appearances under my belt.) I talked to my internist (a Harvard medical grad) about it, but he thought it was just stress. In about 1997 or so my internist started me on various medications to "calm my nerves" and to get me over "anxieties" about speaking to or with people. Nothing helped. One drug in particular was a real disaster--it was a beta blocker to be taken before a speaking event. Well, I took it and then got up to give an appellate argument and couldn't remember a thing about the case I was there to argue. Long story short, the internist sent me to a psychiatrist (Harvard again), who tried different medications, hypnosis, etc. That went on for almost two years. Finally, he decided to do bio-feedback and suggested I go to a speech therapist who would record my voice and let me see my speech patterns via computer. The therapist said that I had to be evaluated by an EENT first. Of course the EENT diagnosed SD in about 5 minutes. It's been periodic Botox since. I've talked about SD to other medical professionals in the last couple of years; none had any idea what SD is. Recently my daughter gave one of the NSDA's trifold cards (that Lynne Martinez kindly sent me) to a friend of hers who's had voice problems for years. My daughter's friend was grateful--she'd never heard of SD and neither had any of her doctors. Each one, teach one. The folks on this BB have taught me so much. I hope I can do some good for others. As I use the ChatterVox when my voice is really week, I sometimes do have to explain why (for example, to get past the metal detectors in courthouses). So maybe a few people will learn something about SD from me. Whoa, this story was longer than I expected. Sorry.






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Re: Diagnosis
Re: Diagnosis -- David Pickett Top of Thread Archive
Posted by: Renee Urban ®

10/27/2002, 14:09:11

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I've had problems with my voice for as far back as I can remember. When I was in high school, I had a really bad stutter that a speech therapist helped "cure". (My dad decided that the therapy was too expensive and stopped paying for it.) It wasn't until 1992 when I was on the phone to someone in Dallas in a speech department there that they said that it sounded like I had spasmodic dysphonia. I was just relieved that it had a name. Naive about SD, I figured speech therapy would "cure" it and held off getting into speech therapy to about 1997 when I could finally afford it. After four years of speech therapy, I know that there is no "cure" for SD. (Except for, perhaps, Berke's surgery.) The story of my "bad" speech has been the story of my life. And it seems like the SD is starting to get worse recently. The story of my long quest for a diagnosis and a "cure" has been the story of my life. Thank God for this bulletin board, the symposiums, and the speech support group I found a couple of years ago. It seems that Austin is finally coming out of the dark ages about SD. But I never give up hope that ONE DAY there WILL be a cure for this debilitating and self-esteem robbing disorder...This has gotten long. This thread really hit a cord with me...



Renee Urban ADSD/Austin, TEXAS







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