To make matters more interesting, I'm recently divorced, without medical insurance, and have moved to a whole different state. So, it's not like I can just go back into my first doctor's office and ask them what they think. I haven't set things up with a new doctor yet because I was hoping I'd have two more months of a good voice. Also, I will have insurance with my job--it just doesn't start right away. :( If I go in now, they will charge me $2000 just for another initial consultation where I have to repeat all the same tests I just had in Utah...

Part of this is just complaining, I guess, but how does your voice start to go back to spasms?

As you probably know, the phone is not the best instrument of use for a person with SD - so it's not at all uncommon to be having problems in that area. It could also be the stress of the new job kicking in.

I wouldn't push the panic button just yet. I know that's easy to say, because I remember my first few botox shots. At the first sign of spasms returning, I would call and make an appointment for another shot - these had to be timed rather selectively, as they only gave the shots once a month at my hospital. As time went on and I had more shots I found that some times I could not get an appointment when I felt I needed one. This meant another month or two before I could get my next injection. I found that eventually I could stretch my times between injections without as much stress or panic as I became more experienced to the roller coaster ups and downs.

My advice would be to try and hang in there a little longer, until at least your insurance kicks in with your new job.