Posted by: David Barton ®
10/21/2005, 22:15:52
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Welcome to the NSDA bulletin board!I've included a link to information from Dr Marshall Smith's presentation to the recent NSDA symposium. He presented some dramatic examples of the difference between MTD and ADductor SD. Many SLPs and doctors don't have the expertise to distinguish between the two disorders - if possible try to see an expert. Over-simplifying, the key point of difference is that with MTD (also known as hyperfunctional voice) the voice is consistently tight and strained, whereas with SD the voice has distinctive breaks, particularly on certain vowel combinations. Good luck, and please let us know how you get on. David Barton (AD/SD, Auckland, NZ) dsbarton@ihug.co.nz
Related link: Differentiating between AD/SD and MTD
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Posted by: mjf2468 ®
10/21/2005, 22:21:05
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David,
Thank you for your response. I will look at the website you provided. I still think I have SD. My voice breaks just as you described. I have read though that some people with SD can't sing, I have no problem singing. People think - how can she sing good, and not be able to talk. Very frustrating. Well anyway, I hope to learn alot more from all you wonderful people!!!!
Marcie
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Posted by: Paula B. ®
10/21/2005, 23:17:01
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Hi Marcie,I have been diagnosed with SD, and I actually sound normal when I sing. Kind of neat! :) I enjoy singing, because I don't sound sick when I'm doing so. If only we can sing our way through life. Does anyone remember the show called "Cop Rock"? I enjoyed it! Too bad it was taken off the air. I have read just the opposite, that it's easier for some people with SD to sing, rather than talk. Welcome to this bb, and try to educate yourself as much as possible. Things will get easier if you do. Check out the SD Drs. in your area too. Since two Drs told you one thing, but you feel different about their diagnoses, maybe you should see a third, who deals with SD directly. Good Luck, Paula (IL)
ADSD since February 2005
private e-mail address is soa3503@aol.com
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Posted by: kitten ®
10/22/2005, 00:22:50
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I also had read that SD does not affect laughing, coughing, or singing. Yet I used to sing in 3 choirs and had a beautiful voice. I have ABSD and at first I could still sing, but with less volumn and tone. However, I cannot sing at all without the same breaks in my speaking voice and sometimes have no singing voice at all. Yet there are singers who stutter but can sing just fine. I wonder if there is some mechanics that are similar for some, but don't work for others as SD has so many variables.
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Posted by: IRV ®
10/23/2005, 08:21:20
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Thank you for posting those comparative sentences.
I have been in a quandry ever since I was diagnosed some 5 years ago and now I am certain I have AD/SD after trying to say the first sentence. I wonder why some doctors don't let their patients do these tests.
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Posted by: steveweiss ®
10/25/2005, 00:04:01
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I was originally misdiagnosed with MTD, then correctly diagnosed with SD. Turns out MTD can be a consequence of SD.Try to find a doc who will spend time listening to you as opposed to one who just puts a scope down your throat. Suggest you check the website of James Thomas, M.D. of Portland, OR.
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Posted by: kim ®
10/25/2005, 22:25:08
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Hi,If MTD is a consequence of SD, do you know of any treatment for MTD? Is MTD more treatable than SD? Does anyone know if the prognosis for MTD is "better" than SD? As far as the "scope down your throat" goes, I was under the impression this is how SD and other vocal cord conditions are diagnosed. If the doctors don't "scope" your vocal cords, how would they be able to accurately diagnose a vocal cord/throat problem? Isn't that the only way to get a correct diagnosis? That, along with a speach pathologist. And also a Neurologist. In Houston, TX there are plenty of specialist, ENT, Neurologist, Speach Pathologists. who will spend a lot of time listening to you and caring about you too. I do not know where you live, but if you want I can give you several referrences to specialists in the Houston Medical Center. kimsego2003@yahoo.com. Thanks, Kim/Houston, TX/AB SD
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Posted by: Renee ®
10/26/2005, 09:58:43
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Yes--MTD IS more treatable than SD. MTD is a functional voice disorder, whereas SD is a neurological voice disorder. MTD can oftentimes be helped by speech therapy. I would say that MTD is, definately, a better prognosis than SD. It is treatable by conventional speech therapy techniques, whereas SD, ususally, is not. (except for ABSD.) I am, also, under the impression that "scoping" the throat is the only way to get an accurate diagnosis for SD. I will be curious to see the responses you get to these questions...Renee ADSD/ Austin, TEXAS
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Posted by: kim ®
10/26/2005, 22:04:24
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Hi Renee,I hope this doesn't sound bad - but now I wish I had MTD, instead of AB/SD as my diagnosis. Since it sounds like I could get be "cured" if I did have MTD. But, since I have been to 2 ENT's, a speech pathologist, and neurologist, who all concurred I have AB/SD, I guess that's what I have. I know I sound confused, because I am with this disorder, just like all of us are. Sometimes I think, well maybe, I should be given treatment for MTD, just to see if it works. What do think about that? Regarding "scoping", thanks for agreeing with me. There are a lot of different medical conditions which are diagnosed this way. And it is a lot less invasive than surgery, as its done on an out patient basis. Just think, there are upper endoscopys, colonoscopys. A lot of surgeries now can be done laproscopically, etc. It's really a great medical break-thru. Well, Thanks Kim
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Posted by: Renee ®
10/26/2005, 23:18:40
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If you've been diagnosed with ABSD I would, definately, give speech therapy a try. Many people with ABSD say there is improvement with speech therapy. I have AD and was in speech therapy for four years and it did me very little good...Renee ADSD/ Austin, TEXAS
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