Will I Sing Again in 2010?

Not even weeks without food could make hospital jello taste better

So here’s the cliff notes version of my last year:

Trip to see a pro singers specialist in Beverly Hill

I went to the ENT with a bruised eardrum from a gig and was told acid reflux was about to burn my vocal cords at the stake (fall ’08).

After all other treatments failed, I had a surgery for acid reflux last December. My stomach burst three days later.

They woke me in the hospital so my husband could say goodbye before I underwent emergency surgery. I spent most of the month in the hospital.

My favorite ride at Disneyland, where my daughter sang

More looks at my vocal cords

The year included a total of four surgeries, an eight inch in scar opened twice and 10 laporascopic holes to try to repair the damage.

When I started all of this I had no trouble singing. Now, on top of my other medical issues, I have a constant gravel in my voice and pain in my throat that is made worse by speech or singing.

After a year of ongoing recovery, barely walking or talking let a lone singing for much of the year and losing my job as a producer/talent and, as a result, our home….just before Christmas 2009 they told me maybe it’s not acid reflux after all and maybe we should start over again with the ENT.

My mom & I at the Mayo Clinic in Phoenix

I don’t mean to be all gripey, but it’s been a long year. It’s been doable in small doses, but then came Christmas and the realization that I haven’t sang O Holy Night for two years now. Sound trite, I suppose, but I’m a singer. It’s the one thing I can (or could) physically do that brings me incredible joy. And for most of my life I’ve had the honor of singing O Holy Night at the Christmas Eve services at my church.

Christmas Eve rehearsal 2007

Now I love rock and the blues and there’s nothing like belting out a good Ella tune, but O Holy Night is in a class of it’s own. It mixes an endless possibility of opportunities for vocal expression with a powerful, timeless message that I’m personally passionate about. I sat and cried like a stupid baby when they sang it at the Christmas Eve service this year. Not because I didn’t get to sing it, but because I so desperately miss singing. I miss the beauty of the notes flowing together and the depth of dynamics that weave in and out to tell a story. I miss being a living part of that. I miss it desperately.

My Sweet Family

I’m in the middle of six more months of vocal rest…though I’m not even sure why at this point. The one thing everyone agrees on is that my vocal cords are strong and healthy; not at all burned from any acid reflux or the truckload of drugs I’ve been on this year. But after one of my surgeries I developed a constant pain that starts just below my vocal cords and runs down my throat. For awhile I couldn’t talk at all. So even though I can technically sing, sneaking out anymore than a few lines is still too painful. No one knows why or if/when it will go away and enable me to sing freely again.

My year wasn’t all bad though. I’ve soaked in the time with my kids and my wonderful husband. I’ve discovered cooking and, believe it or not, crochet! I’ve lived unashamedly and vicariously through my students whom I adore and I have bathed in the beauty of song I suppose like a blind person must soak in each little sound.

Before

After

So I’m thankful for my year. Thankful to have lost weight (can’t ever complain about that!) and to have been surrounded by lots of loving, incredible people.

The doctors aren’t saying what my medical future holds. There are only plans for more medical tests, more medication and maybe more surgery in the new year. And hopefully some answers.

But even if it kills me…I’m going to sing in 2010. God only knows how, but I will.

Top 10 Ways to Care for Your Singing Voice

We’ve all seen them.  The new artists that start out so promising.  You hear the buzz.  You wait for them to tour in your area.  You go to see the show and then reality sets in; they don’t sound at all like you expected them to.  In fact, sometimes they’re just… really, really bad.  (I’m not naming any names, Kelly Clarkson.)

The demands of touring can wreak havoc on a singer, especially on their first major tour when they don’t yet know just how much their bad habits are going to work against their voice.   But the problems you hear in those live performances are just an exaggeration of the basic problems all singers face.  Here are the top 10 ways to avoid them:

10.  Get Some Rest Already

Physical fatigue has a really bad effect on the voice.  That’s what you’re hearing a lot of from singers on the road.  Sure you have to work with the situation you’re in but understanding just how important adequate rest is to performing your best might just make you turn in a bit earlier.  Nighty night.

9.  Watch Those Burritos

Spicy, greasy, milky or heavy foods (farewell Mr. Cheesecake; I knew you well) are big no-no’s when you’ve got a performance coming up.  Depending how sensitive your body is to what you eat you might want to avoid these foods several days before a performance.  The best advice;  eat a healthy, well balanced diet all the time.  For those rolling your eyes right now; back off the junk food before you sing.  It helps.  It really does.

8.  Make H20 Your Favorite Element

Your vocal cords are teeny tiny, slippery little suckers.  They vibrate so fast during speech (or singing) that it wasn’t even until the last year or so before they developed a camera that could slow down enough to see it.  But without adequate hydration, they can’t perform those incredible rolling waves of vibration nearly as well.  Keep them slippery.  Drink 8-10 glasses of water a day.  Not in the habit of drinking that much?  Don’t bet on that bottle of spring water during the show to cut it.  It can take a week or longer to rehydrate your body.  We’ll wait while you go get a glass.

7.  Get in Shape

Even if you don’t have to serve as your own backup dancer, the better shape you’re in, the more energy you have (and give) in your performance.  And and that little edge could mean turning those people who would rather play on their iPhones than really listen to you into loyal fans instead.

6. Don’t Rock ’till You See the Doc

When was the last time you saw an Ear, Nose and Throat doc.  Really?  It’s time.  Singers of all levels should make this an annual event to head off dangerous damage you might not see coming down the pike like acid reflux or signs that your technique might be slipping and physically compromising your voice.

5. Let’s Clear the Air

Smoke=bad.  It’s not even o.k. if you just inhale, Mr. Clinton.  If you tend to sing in smokey venues, start booking more outdoor ones or places that have a no smoking rule for the room where performances take place (some casino’s do this).  If you plan on singing for awhile you’ll be adding years to your voice.

4. Don’t Play with Pain

If you have pain while singing or after a show, somethings amiss in singersville.  See this article to find out if this means you.  Pain is not a part of being a singer, regardless of what style you sing.  Danger, Will Robinson.  Danger.

3. Save it for the Show

I’m not a big fan of the ‘I don’t sing the day of a performance’ mantra.  Sure, if you’re a mega star bombarded by hundreds of crazed screaming fans, maybe you want to keep it on the down low, but the basic principle is this:  Don’t be screaming or talking excessively when you have a demanding show coming up.  It’s damaging at worst, and taking from what you can do on stage at best.

2. Step Up Your Style

Working with a good vocal styling coach can help you develop a bag of styling tricks that are useful way beyond impressing that guy/girl that finally made it to hear you sing.  They allow you options at different difficulties to choose from so if you find yourself having an off night you can still thrill your audience while protecting your voice.  And you do want to thrill them, don’t you?

1. Teacher Knows Best

A qualified vocal technique instructor who understands how the anatomy of your voice works and can assess how your lifestyle and tendencies affect your vocal potential.  Regular vocal lessons should not only provide continuing growth in your skill level, they should also teach you how to best care for your voice in your specific situation and they provide a trusted resource to ask questions as they arise.  Find a good instructor (I recommend Speech Level Singing) and get started!

Got another tip to add?  Think I’m full of it?  Leave a comment at the top of this post.

Stop! You're Killing Your Voice.

Screaming singerHow to Know if You’ve Gone Too Far

If there’s one question I hear all the time, it’s ‘how do I know if I’ve done something damaging to my voice?’  which always makes me think of something someone once told me about child rearing. “It only takes one time to touch a hot stove before they know better.”  Unfortunately I wasn’t that bright in my younger years as a singer.  So let’s take that analogy a bit further.  These are the tell tale signs that you’re taking your voice down a dangerous road. (*I am not a doctor and am not attempting to give medical advice.  If you have medical concerns about your voice please see a highly recommended ear, nose and throat physician.)

Pain

Pain is our body’s way of saying, ‘hey, knock that off!’  It is NOT a signal that you just had an intense performance.  It means you are requiring things of your voice that will damage it.  If you feel pain during or after singing, get the help of a qualified technique instructor to help put your voice back into a healthy balance.  A good one can help you do that without sacrificing your signature sound.  Yes, rock singers.  I’m talking to you.

Hoarseness

Ever scream at a huge sporting event and find your throat is sore the next day?  Probably no shocker.  Yet we seem surprised when the same thing happens after singing.  Hoarseness is another red flag that tells us your voice is not in balance and is being utilized incorrectly.   Hoarseness can also be a symptom of vocal cord polyps, granulomas (a growth caused by acid reflux and accompanied by ear and throat pain) and other medical conditions.  Even it this happens only occasionally, it’s time to be assessed by a good technique instructor.  If it’s happening consistently, see a a good ENT.

Loss of Voice

This is another way your voice protects itself from damage, it says ‘I’ve had enough, thank you.’  We’ve all had times when we’ve had an adrenaline packed performance and required more of our voices than we should, but if you are losing your voice at any time after you sing, you are heading down a road that could lead to nodes, cysts and surgery (oh my).

Missing Notes

If you find that all of a sudden you have specific notes in your range that are really weak or maybe missing altogether, it’s time to see a good ENT.  This is a classic sign that you’ve damaged your voice.  Nodes or cysts are like blisters on the vocal cords.  Wherever they develop the cords have trouble coming together .  If this is happening to you, you’re in need of medical intervention.  Once the problem is diagnosed and fixed, it will most likely return unless you find a qualified technique instructor to help retrain the bad habits you’ve formed that got you there.

If you’ve noticed the reoccurring theme has been ‘technique’.  There are many incredibly talented people who have horrendous technique.  Do they sound good?  Yes.  Will their voice last through everything they’d like to do with that talent?  Not without good technique.    So what is good technique and how do I find someone who teaches it?   We’ll talk about that next time.

Have you had a vocal problem you’d like more information on?  Tell us your stories about your experience with taking your voice a little to far.  Click ‘leave a comment’ at the top of this post.

Why I Can't Talk But I Can Sing

iStock_000005196844XSmallIt’s been rough few weeks as speaking has quickly become so painful that I’ve had to quit talking altogether.  The weird thing is that I can still sing and connect completely through the registers.  Jeffery Skouson, an associate in SLS (speech level singing) and a master level instructor who deals with a lot of different vocal damage issues was stumped too.  My ENT deducted that the nissen fundoplication (surgery for acid reflux that was burning my vocal cords) had failed and I would need to start from scratch and still maybe lose my voice forever.

Those of you who know me or who have read these posts know the first surgery nearly killed me, led to several other surgeries and that I have still not recovered from where this all started when I got my first diagnosis over a year ago. So when I was told I would have to start all over and might possibly lose my voice anyway, I was devastated.

drnasserisofficeSo I took the next flight out to LA and moved up my appointment for a second opinion from Dr. Shawn Nasseri, the guy who trains the voice doctors at Harvard and the Mayo Clinic. Have to say, he’s the only doctor I’ve met with who’s exam room walls are covered with autographed album covers from the artists he’s helped including greats like Whitney Houston and Stevie Wonder to contemporaries like every American Idol to have ever toured. But that’s not the reason I wanted to see him. I went to Dr. Nasseri because he’s the best at what he does.  I also went because all of my work is voice related and I simply can’t imagine being without my voice or the joy of singing.

Now I finally have a real diagnosis; one that made such incredible sense given my symptoms and the unanswered questions posed to my other doctors. It appears what I have is a very uncommon condition called tension muscle dysphonia.  As I understand it, during one or more of my surgeries, the muscles below my vocal cords were scraped by the breathing tubes causing some damage. The muscles reaction to that injury is to increasing seize up with use. It’s similar to a seizure that causes a persons head to pinch to the side, but instead part my throat seizes up causing great and lasting pain through the right side of my neck and head.

The great news is that Dr. Nasseri said I have a beautiful set of vocal cords, no nodes, no damage of any kind and that I will eventually get my speaking voice back. Unfortunately I’m told it will take at least six months working with a special speech pathologist to retrain the muscles to relax.  Apparently the reason I can still sing is because my technique and training have trained these muscles what to do while singing, but speaking, not so much.  Weird.  So for awhile, I’m doing as little of either as possible and visiting my pharmacy often.

What I’ve learned from this experience is that I could’ve saved my self months of emotional distress if I had just bit the bullet and gone to a pro first. Athlete’s don’t see their family physician for a sports injury so why didn’t I do the equivalent for my voice?  Money, primarily.  But it was so worth the cost to get one right answer with a plan to fix it versus the months of pain, guesses and frustration I’ve gone through.

What kind of vocal issues have you had? Click the comments button at the top of this post and leave yours. I’ll be discussing other types of vocal damage and treatment in upcoming posts.  You can help make a difference by sharing your story.

Swimming Pools, Movie Stars and Another Trip to the Doctor

beverly-hillbilliesI’m loading up the family and moving to Beverly; Hills that is.  Ok, so maybe we’re not really moving, but we’re loading up for the trip to get a second opinion on my vocal damage from well known doctor to many stars, Dr. Shawn Nassari.

My fellow SLS instructors agree it’s time to get a real pro to weigh in on the vocal pain I’ve been having.  And I couldn’t ask for a bigger pro than the doctor Nassari who has helped a multitude of million dollar voices.  And after all of the surgery I’ve had this year, I really appreciate a surgeon who would rather not cut.

I’m really hoping it’s something simple, not a cyst or a node.  As a voice teacher and working voice talent, I can’t imagine how I’m going to get by if I get the news that I can’t phonate (make noise) for weeks while I heal.   They say it could be the result of the severe acid reflux that required my first surgery to prevent more damage to my vocal cords. Either way, I’m relieved to be in very capable hands, knowing I’ll finally have an answer in just a few weeks. 

Leave a comment with your vocal questions.  I’ll ask the doctor for you!

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AUDIO:Hear Dr. Nasseri’s own description of the vocal problems he sees in professional singers all the time and get his great tips for a healthier voice.

ARTICLES:

Dr. Nasseri helps ZZ Top Singer

Dr. Nasseri treats Gossip Girl Star

The Scariest Things for Your Voice

jack-o-latern

Happy Halloween! I love this time of year, with all the decorations and costumes. I realized this year that I’ve outgrown the really scary movies, though. After having gone through some very real scares in life, they’ve lost their entertaining edge for me.

In the same way, there are things as a vocalists I’ve found harmless in the past that I now have a new fearful respect for. I remember teasing another vocalist in a live band for over reacting every time there was any feedback. In the last two years I’ve had my eardrum bruised by excessive feedback and later permanently damaged the same inner ear due to feedback. I now have permanent pain in that ear and have to wear special ear plugs to prevent completely blowing the ear out.

As I’ve written about in the last post, my ignoring a seemingly insignificant acid reflux issue turned into an acid monster burning my vocal cords, damaging my voice and requiring surgery. All said, this has been a scary year for my voice.

So, what vocal habits are you playing around with that you really should be scared of? Do you find yourself almost screaming to get more volume? Does it hurt sometimes when, or after, you sing? Do you protect your voice when you’re not singing? It’s easy to think these things are harmless. Most singers do, until it’s too late and they’ve developed nodes or bleeding in their delicate vocal folds. Sure surgery can help repair them, but if you ever get to that point your voice could be changed forever.

Healthy fear is a good thing. And combined with a solid solution, you can protect and make the most of the voice you’ve been given. Learn good vocal technique from a qualified instructor: technique based on a solid understanding of the anatomy of the voice, not just a list of singing exercises. Understand that little things like feedback, singing incorrectly or even singing correctly when your health is compromised can cause serious problems.

Be aware of what to avoid, remember to take potential risks seriously and put vocal fears in their right place… and keep the really scary stuff for Halloween!

The Voice Coach Has Vocal Damage

‘m a vocal instructor.  A big proponent of healthy vocal technique who’s been standing on the soap box of vocal care for years.  I’m also an avid talker by nature.  Anyone who knows me would give you the big eyed major head nod on that one.  So the irony of this is so not lost on me.  I’ve been on doctor assigned ‘vocal rest’ until Thanksgiving after some bruising of my vocal cords from a recent endoscopy.  But that’s not the source of my vocal damage.

The most common cause of vocal damage is incorrect use of the voice.  For singers, that often means belting, or pulling up your chest voice beyond the point at which it’s meant to mix with the head voice, or potentially even more damaging; overusing falsetto.  For voice talent (those who speak for commercials, etc. which I also do), damage is more often related to overuse when the voice is tired or dehydrated.  But even if you do everything you can to build a strong, healthy voice, there’s still something that can severely, and sometimes permanently damage your voice.  And that’s exactly what I have; acid reflux.

It’s amazing that acid reflux can damage your voice, considering that the voice box, or larynx, is in the wind acid_oesophaguspipe and the acid comes up the food pipe.  But in some cases, the acid comes all the way up, over the epiglottis (the little wall between the two pipes) and spills acid over onto your delicate vocal cords.  It hurts just thinking about it.

If you have acid reflux, here are some signs it may be time to talk to a GI specialist; a reoccurring hoarseness, a persistent cough or throat irritation, losing your voice for no apparent reason, shortness of breath, or a change in your voice (loss of volume or missing notes for singers or for voice talent, the fluidity of your read becomes stopped at points).

Most acid reflux can be kept in check with dietary changes and/or medications.  But in some cases, like mine, all the drugs and chocolate banning in the world doesn’t slow down the acid machine.  In those cases, surgery is required, followed by a slow healing process for the blisters surrounding the vocal cords.

Thankfully, my doctors says he expects my voice to recover fully from the damage after my scheduled stomach surgery and a few more months of vocal rest.  But I expect to recover much sooner than that.  Because what my doctor isn’t taking into account is the incredible resilience of the well trained voice.  The method of vocal instruction I use, and teach, is proven to actually reverse vocal damage, and it’s my secret weapon.  I just saw the proof for myself!  The two months of ‘no voice’ I was told to expect after my last procedure, turned into only one week thanks to a few vocal exercises with one of my fellow instructors. (Thanks Mr. Hayes!)

Since I make my living with my voice, vocal damage is my kryptonite.  But thanks to solid vocal technique and the knowledge of how to both avoid damage, and heal it if it happens, this will just be a bump in my vocal road.

So, after my surgery and some regular vocal work, soon I’ll have both my voice, and my chocolate back again.