Re: Reducing SD by using voice
Yes Steve:I have adductor SD , but I still teach a four day course in my engineering specialty twice a year - once in Europe and once in the U.S.
I begin lecturing at 8 AM and go to 5:30 PM each day with two 15 min breaks in the morning, two in the afternoon and an hour for lunch. By the end of the first day, the voice has improved markedly. The second day, its better still, and by the third day its back to normal. If only I could keep it when I'm not lecturing constantly. Dr. Izvesky (UCSF) thinks this phenomena is because the vocal cords get tired and are less susceptible to spasms. Dr. Cooper thinks that with constant use, you find the right pitch and mode which eliminates the S.D. This is what his exercises are suppose to accomplish, but unless I practice 8 hours a day, I can't maintain the quality there either. Mark Porter
Re: Reducing SD by using voice
Good idea, this is encouraging for SD patients who want to be teachers and other speaking careers. I think some people shy away from those things but they can actually be a benefit. Like the opposite of what you think you should do can actually lessen the reason why you think you shouldn't do it! Whew... Voice excercises go so far but we need a life, how about face SD head on like you did. Keep talking!Good luck, Steph
Re: Reducing SD by using voice
Steve,I've noticed that my voice is at its worst on Monday mornings. In the past I attributed this to job stress, but maybe it's due to disuse, since I don't use my voice as much on weekends. -- Regards, Ed
Re: Reducing SD by using voice
Re: Reducing SD by using voice
I disagree. I have heard from too many people that their voices are good first thing when they wake up, and worsen throughout the day.
Mostly it is people who use their voices a lot that seem to get SD, teachers, lawyers, preachers, etc.
I think it just goes to show you how different people are who can all share the common thread of the disease.
Re: Reducing SD by using voice
I disagree too - the more I used the voice, the more exhausting and tighter it got. I used to plan activities like phone calls in the early morning while my voice was semi-usable.When I was teaching I struggled through morning lessoons - the afternoon ones were a nightmare.
Re: Reducing SD by using voice
I thought I was the only one whose voice improved as the day progressed. So much of what I hear from other SD patients is that their voices diminish as the day goes on. My voice is always strangled in the morning and by late afternoon is much improved. Glad to hear its true for some others as well. I have mixed SD - although have the symptoms of AD SD more.
Helen
Re: Reducing SD by using voice
I have found the drug Neurontin really helps my voice thoughout the day.You might want to check with your doctor.
Re: Reducing SD by using voice
Don:What dosage of Neurontin are you taking and when? Mark Porter
Re: Reducing SD by using voice
300mg in the morning and 300mg in the evening is working very well for me.
Re: Reducing SD by using voice
In 1988 when searching for a diagnosis, I saw a specialist in Philadelphia. He specialized in vocal disorders with an emphasis on singers. He felt that good breath control could overcome the SD symptoms. I did a considerable amount of breathing exercises with his staff, but it did not overcome my problem, long term. I did experience some temporary relief.
My job was a stressful job. With the stress came an exacerbation of my SD symptoms. I assume that real singers (of which I am not) might achieve some success based on better breath training. So stress always made my symptoms worse, and singing (what little I did) was always a great release. Why - because you are pushing out such an increased volume of air when you sing - 95% of lung capacity in use (I'm told) - while normal speaking only uses 5% of lung capacity. So singing really gets the air moving and the vocal cords vibrating while speaking is a major burden. I don't think the more I talked made my sypmtoms any less or talking any easier, however. John
Re: Reducing SD by using voice
Absolutely Steve, I teach and work and if I stop I lose it, it's almost as if practice makes it better, and if you stop talking you forget how. Sometimes if i'm sick or have a headache I can't talk at all because I just can't put the effort in. I also find that if I am talking in a situation where I really HAVE TO talk, my voice is better becuase I put in that effort. I think this phenomenon really shows how SD is affected by the way we think as well as our cords. If i'm in a good mood and i'm confident it makes all the difference.
Narelle
Re: Reducing SD by using voice
Narelle,Yes! It's the same way with me. If I'm in a situation where I really need my voice to be strong and I am confident and put in the effort then my voice is usually fine. However, if I am tired or sick it's very difficult to talk. Thanks, every one, for all your responses. The feedback is very much appreciated and encouraging.
Re: Reducing SD by using voice
Absolutely, I find that too Steve. And when i am confident and prepared to put in the effort it is always better than when I am quiet and aware of it all the time. Whn I am busy it works twice as well. I teach and i find that if i'm in a good confident mood it's OK. I tend to put more effort in for others than for myself and my family, so it's better out there than around the house. maybe it's just my particular Psyche, but my mood does affect my ability to talk (I am writing this after having some surgery which has made my voice so much better, but it was like this before). I am certainly not arguing that SD is "emotional", only that my emotional state (or who i'm talking to) plays a role in how I talk and how much effort I put in!
narelle
Re: Reducing SD by using voice
My voice is froggy upon waking. I do my vocal exercises............like Me me Monday , me me Tues. me me Wed., me me, thurs...........an so on.Then, I hum a song or two on my way to work. My voice is almost normal, at its's best while teaching my first period class. Talking about factual info easier than opinion! Don't debate well, or argue anymore! except on the keyboard(:. Down hill from there. Bad at 10 p.m.,, even reporting school events to family members is a struggle. Ironically, I like the phone. It is my second choice of communication tool. I can speak softer and use body language and sensory tricks. Talking about my voice, or stressful subject sends my voice into the black hole. Interesting how different we are, with one element in common; The emotions playing a part!
Re: Reducing SD by using voice
I'm scared, I want to be a teacher! But I guess I should try it and see how it goes. When I have to give a speech my voice goes down the tubes but that is something I don't want to do. Emotions do have a strong effect, for all of us.Recently I heard of a professor who uses a little microphone, to assist his soft voice. So, there's always a way with a will! My voice is pretty much the same throughout the day.
Steph
Re: Reducing SD by using voice
The above posts, those that agree with Steve and those that disagree, underscore the fact that we have different ways of dealing with the disorder. I still don't know how to optimize what voice I have left. After nearly 2 years of botox, I'm not sure which is worse--the strangled voice or the breathy one. I do know this however; the voice quality that I have when it is at it's peak, isn't very good. I am considering extending my time between shots just to see how bad it gets. I hate not being able to talk over background noise during the post shot, breathy stage.
Re: Reducing SD by using voice
All this facts you have pointed out confirm my findings and my mechanical theory. I already told you that at the onset of my SD I spent a whole year in denial, refusing to believe my SD was just psychological, and I was sure it had to be neurological because I couldn’t control it, and I had trouble speaking even when I wasn’t nervous at all. But believing it was neurological and thinking I couldn’t do anything about it actually made my SD got worse. Only until I accepted that it could be a learned reflex that I could identify and unlearn, I realized that I could do something about it . I was able to heal myself at that time, after a very hard work in self-monitoring breathing and tension (along with meditation, prayer, positive thinking) thanks to my speech therapy knowledge, but mainly I think because I allowed my own body to reform itself . Now I know SD (at least in my specific case) is not neurological but neither psychological. It is functional and mechanical and in many cases it even begins after a real organic problem like an upper respiratory infection, because of the additional effort needed for talking. Although stress may have played an important role in the development of SD in many of us, once our body has learned it, it turns into a physical and very real disability and is not under our will power to control it. But obviously, SD creates lots of additional stress and this additional stress worsens SD and the cycle goes on. During the last five years in which I worked intensively in identifying the many components of SD and finding the way out of it, I can say my SD was better in the mornings, due to the relaxation and rest during sleeping but was even better after speaking if I had been able to find the “channel”. But in many instances I could get all confused, even after doing my breathing and relaxation exercises, while practicing alone in my home, and my voice was terrible. So I agree with Dr. Cooper in that with constant use, one may find ( by making a conscious effort), the right pitch and mode which eliminates SD. But the reason we can’t maintain that quality is because we don’t know precisely the changes required . I’m making progress in this direction and will be telling you about soon.
Re: Reducing SD by using voice
Thanks to all for sharing your experiences with this. I agree with both points of view, i.e., my voice is better when I wake up (and almost always better in the morning than the afternoon), but it's also better after I've been talking for a while (but not to the point of getting tired), as well during some very high stress moments, such as making speeches, etc. My voice is always worse when I begin to speak and settles down somewhat once I'm on a roll. For some reason, the adrenaline from really important presentations seems to help somewhat. It's better in person where I can make the listener comfortable with facial expressions, touching and the like than it is when I'm on the phone. My voice is worst when I'm on the run, especially if that is coupled with fatigue. For example, if I've been out digging in the garden, using my shoulder muscles all day, and then am dashing out the door, trying to communicate something on the run. I always have more difficulty speaking if I'm standing up or walking. And when I'm rushed it's always bad. And, of course, on the phone it's almost always bad. I do best of all in a quiet, one-on-one meeting, in the morning, sitting down. And, by the way, I have less spasming if I speak French (typically at a higher pitch and using slightly different parts of the mouth and throat) than speaking English (but since my French is poor, this is not a very satisfactory trade off).Anyway, I don't think any of that is inconsistent if you think about the physiology of SD. Clearly the signals originating in the brain and being transmitted through the neurological system have a number of triggers. And, similarly, there are a number of "tricks," exercises, voice pitches, etc. that for some reason tend to diminish the misfired signals causing the spasming. It's very helpful to hear everybody's experiences. Thanks. Marcia
Re: Reducing SD by using voice
When I had to give speeches, that was horrible but around my friends my voice is the best quality. I try to think of how I spoke before the problem-paid attention to every syllable, and put effort into pronouncing the words and did not mumble-and that redirects my energies into speaking, not getting all choked up. Sounds simple and too easy, and it's not as easy as it sounds (pardon the pun) but is worth a try. After talking to my friends a while the problem melts off my voice a bit with use.
Best wishes, Steph
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