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7/15/2023)
This advice does not replace the counsel of a physician. Call 911 in case of a medical emergency.
Chronic coughing and/or throat clearing are behaviors that can cause irritation to your voice (and those around you). Did you know you can learn to replace dry coughing and throat clearing with other behaviors and kick the habit? Contact us for your free 20-minute consultation and we can develop an individualized plan along with you. First steps are managing underlying conditions like reflux, asthma, and allergies as well as hydrating and avoiding irritants (including menthol cough drops). We can offer alternative products and behaviors and help you manage this troublesome problem.
(6/15/2023)
This advice does not replace the counsel of a physician. Call 911 in case of a medical emergency.
One of the most important factors to keep your voice in good shape and speed recovery is to hydrate. This includes drinking water and inhaling steam or water vapor. Contact us for your free 20-minute consultation and we can send you a free handout with hydration tips!
(5/16/2023)
This advice does not replace the counsel of a physician. Call 911 in case of a medical emergency.
Need some tips for vocal warmup and cooldown? I met with my friend @RonnelBlackmon, founder of #hollablack to discuss some basics.
(5/3/2023)
This advice does not replace the counsel of a physician. Call 911 in case of a medical emergency.
Photo credit: Ruth Fletcher, courtesy of The Michael O'Neal Singers
It's concert week! You've been preparing all season and now have extra rehearsals but need to make sure your voice is in tip-top shape for the concert. What can you do?
You're going to be spending a lot of your "vocal budget" on singing this week, so take a look at other things that suck up vocal energy and see if you might be able to eliminate or reduce them this week: calling from room to room in the house, cheering at sporting events, speaking loudly over background noise, yelling/screaming, and lengthy conversations.
Avoid laryngeal irritants and drying factors as much as possible. These include: smoke, chemicals/fumes, allergens, alcohol, decongestants, antihistamines, and acid reflux. Avoid coughing and clearing your throat - these activities irritate your vocal fold tissue and reduce your vocal "budget." If you need help eliminating harmful chronic coughing and throat clearing, your voice therapist can work with you to break these habits and collaborate with your physician(s) to address any underlying causes.
Warm up before rehearsals and concerts and cool down after. Also warm up and cool down after heavy speaking voice use. You may also find laryngeal massage, gargling, and/or tongue stretches helpful. Your voice therapist can assist you with creating a personalized warmup and cooldown routine.
Hydrate by drinking plenty of fluids and also inhale moist air (steam or using an ultrasonic humidifier or nebulized saline)
During rehearsal *and backstage talking,* be mindful of your vocal state. "Mark" (rest) while singing by singing down an octave or a dynamic level when the first signs of vocal fatigue arise: don't wait for a change in sound. Early signs of vocal fatigue include a sense of mucous in the throat (or an urge to throat-clear), a dry or scratchy feeling in the throat, increased effort required to sing (particularly difficulty with high soft singing), tension in the throat, and pitch instability or pitch breaks. "Hoarseness" or voice loss usually comes on after some of these early signals have already given a hint that the activity is too much for the body to handle.
Menthol cough drops are NOT helpful. They are a drying irritant and also numb you to the sensations of vocal fatigue above, causing you to push through discomfort, putting you at risk for vocal injury. If you are ill, it's best to sit out the concert. If you are in a small ensemble or solo, or it is an important paid performance, see an otolaryngologist (preferably a fellowship-trained laryngologist), ideally at least 3 days before the performance; there may be immediate remedies they can prescribe.
(4/26/2023)
This advice does not replace the counsel of a physician. Call 911 in case of a medical emergency.
Before any surgery requiring intubation, meet with the anesthesiologist and explain the particular needs of your voice (i.e. "I'm a singer and I have a concert next week.") and make sure they know about any previous surgeries you've had in your voice box (e.g. laryngoplasty for a paralyzed vocal fold, augmentation for vocal fold atrophy or masculinization, microsurgery for polyps or nodules, glottoplasty for femininization, etc.)
After being intubated, you may have a sore throat and/or voice change for a day or two:. There are some ways to help manage those symptoms:
Drink plenty of fluids (your urine should be relatively clear)
Hydrate topically by breathing in steam or using a n ultrasonic humidifier.
Avoid heavy voice use and loud use. If possible, speak very little for a day or two but do a few minutes of gentle vocal exercises every 1-2 hours. Lip trills or buzzes or straw phonation are good examples.
Some surgeries have risk of change to the function of the voice box (larynx) aside from intubation. These include thyroidectomy, and cervical spine surgery, among others. If you have an immediate and significant change in your voice after a surgery, you will want to see an otolaryngologist relatively soon after the procedure. You may even be able to have a consult while still in the hospital.
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