Yesterday I received a letter, via snail mail, from a 14-year-old young lady in Liverpool, England. She reads this blog and wanted to tell me just how much it means to her.
Well, thank you, Emma. Your letter made my day but why not e-mail me at linda@lindacrabtree.com and we can talk anytime.
You mentioned that your mother has vocal cord paralysis like I have. My left vocal cord simply doesn’t budge. My right one moves over to compensate for the loss of it but for years I had a strange double sounding voice. You say mom is looking for literature on the topic. If you go to my personal website at lindacrabtree.com you’ll see a listing for vocal cord paralysis under CMT Newsletter. Click on it and you’ll see:
Hereditary Motor and Sensory Neuropathy with Diaphragm and Vocal Cord Paresis A synopsis of a journal article written by Peter James Dyck, MD; William H. Litchy, MD; Sharon Mennerath, BS, Thomas D. Bird, MD; Phillip E. Chance, MD; Daniel J. Schaid, PhD and Arnold El Aronson, PhD.
Vocal Cord Paralysis and CMT by Linda Crabtree
Problems in swallowing by Bonnie Pfeiffer, MA, CCC-Sp.
Why we may choke by Erin Chelsea Kelly, speech/language pathologist
In fact I think these titles may even be linked to my site if you click on them here in wordpress.
The article even mentions an operation, I believe, that can be done to help vocal cord paralysis but it isn’t without its problems, so make sure your mom gets all the information needed if she decides to go for it. It’s called an Ishiki Type 1 laryngoplasty and a small wedge of silicone is inserted beside the paralyzed vocal cord to push it over more toward the working one. However, that silicone wedge can work its way out and a person can choke to death if it comes out into your windpipe. I know because mine did work its way out and after two days of knife sharp pain in my throat I choked up the silicone wedge. It had been put in from the outside and it came up from the inside. The morning I choked it up I called the surgeon in Toronto and told him what had happened. His reply was, “Oh, didn’t I tell you? That can happen. You’re lucky it didn’t come out lower in your windpipe, you could have choked to death.” Great!
So, there has to be a better way than that but there are new procedures developed all the time.
Choke?! I choke so bad, mainly on room temperature water, you’d think I was dying. I know that if I can get even a little air in, I’ll be okay, but it isn’t pleasant, especially in a restaurant. I try to figure out what makes me choke and not do it: Drinking while lying down, talking while chewing, drinking room temperature liquids and sipping soup or liquids taking in lots of air (to cool it) makes me choke.
I’ve also just finished an eight-week course on how to use my voice more efficiently. I’ve learned to use my diaphragm (which is also partially paralyzed) more to speak and not to shout. Shouting really doesn’t help that paralyzed vocal cord and puts stress on the working one. Learn to use your brain instead of your voice. Going to someone and talking directly to them in a normal voice makes more sense than shouting at someone from a distance. The impact is so much more direct. There’s always a way.
Also, you can go online to medline and look for CMT and vocal fold paralysis. The correct name is vocal fold, I’ve learned. I know a lot of the journal articles will seem like gibberish to you because they are written in medical terminology but if you take your time and work with a medical dictionary (you can usually find a second-hand one in a used book store or use an online medical dictionary), you’ll learn so much.
Knowing and understanding takes away fear and gives you power. You’ll also know how to make better decisions regarding your CMT. You’re not too young to begin really learning about CMT.
Your mom sounds like an inquisitive woman who wants to know, too, so take a page from her book and get together and find out where to look and how to learn about your CMT. There’s a great deal of information out there. All you have to do is look in the right places.
Emma, I look forward to hearing from you. Please put EMMA CMT in the subject line and we can talk more.
Till later…
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