{"id":1621,"date":"2019-12-17T21:16:31","date_gmt":"2019-12-17T21:16:31","guid":{"rendered":"https:\/\/magazines.uthscsa.edu\/schools\/?p=1621"},"modified":"2019-12-19T20:11:16","modified_gmt":"2019-12-19T20:11:16","slug":"experts-save-singers-voice-return-quality-of-life-to-others","status":"publish","type":"post","link":"https:\/\/magazines.uthscsa.edu\/schools\/2019\/12\/17\/experts-save-singers-voice-return-quality-of-life-to-others\/","title":{"rendered":"Experts Save Singer’s Voice, Help Many Others"},"content":{"rendered":"

By Catherine Duncan<\/p>\n

\"\"
Rachelle Speer, M.A., CC-SLP, speech pathologist (center), and Laura Dominguez, M.D., laryngologist, visit with a patient at the UT Voice Center, which is part of UT Health Physicians at the Medical Arts and Research Center.<\/figcaption><\/figure>\n

Wade Bowen started teaching himself to play the guitar at age 17 in his hometown of Waco, Texas. By 19, he started playing professionally. Hailed now as a Texas Country singer, he was first a member of the band West 84 until pursuing a solo career in 2001.<\/p>\n

Since then, he has released nine solo albums and two albums with friend Randy Rogers of the Randy Rogers Band. His life is consumed with balancing family life in New Braunfels and touring throughout Texas and the United States.<\/p>\n

However, in 2018, Bowen had his first real threat to his career and his livelihood when his voice started to fail him.<\/p>\n

\u201cI had never had to cancel a show. I never had any real problems. I dealt with allergies or a cold before but nothing I couldn\u2019t deal with and still perform,\u201d he said. \u201cI started having issues with my voice in January 2018. Then, I woke up on March 18, and my voice was gone. All I could do was whisper.\u201d<\/p>\n

Bowen headed to Waco so his godfather who is an otolaryngologist could examine his throat. His godfather said there was hemorrhaging on his vocal cord and \u201ctold me to stop singing and seek help. I sang that Friday and Saturday night, and I shouldn\u2019t have. My voice was truly gone then.\u201d<\/p>\n

He flew to Nashville the next Tuesday for an appointment at the Vanderbilt Bill Wilkerson Center for Otolaryngology and Communication Sciences at Vanderbilt University Medical Center. The doctor there told him to take a break from singing for three weeks. Because he didn\u2019t live in Nashville and treatment would be long term, she referred him to Blake Simpson, M.D., director of the UT Voice Center at UT Health San Antonio. Dr. Simpson completed a fellowship in Laryngology and the Care of the Professional Voice at Vanderbilt.<\/p>\n

\u201cIt was priceless having someone I could go to in San Antonio,\u201d he said. \u201cAfter examining my throat that April and May, Dr. Simpson decided rest wasn\u2019t making my throat any better. That is when he decided to do the surgery.<\/p>\n

\u201cDr. Simpson told me there were four or five procedures that could be done, but he wouldn\u2019t know how to proceed until he could get in there and see my vocal cords.\u201d<\/p>\n

Dr. Simpson, an otolaryngologist specializing in voice disorders, said because of all the bleeding around Bowen\u2019s vocal cords, it was not clear what was going on. \u201cFrom what I could see, it wasn\u2019t just bleeding; it looked more serious than that.\u201d<\/p>\n

TIME FOR SURGERY<\/strong><\/h4>\n

By taking him to the operating room and putting him under anesthesia, the team could determine the extent of his laryngitis. On May 31, 2018, Bowen underwent a three-hour procedure.<\/p>\n

\u201cWe found a couple of things. Wade had scarring on his vocal cords that might have been there for a while. This would be normal wear and tear from singing since he was 20. This is not unusual for singers,\u201d he said.<\/p>\n

In addition, Bowen had prominent blood vessels on one of his vocal cords. The location of the blood vessels made the bleeding more profound. \u201cI knew that some of the wear and tear I saw gave him his distinct, raspy tone. I didn\u2019t want to ruin that,\u201d he said.<\/p>\n

The voice team decided to use a KTP laser, which is a powerful greenlight laser that only targets the red blood vessels and does not affect the surrounding tissue. \u201cYou eliminate the vessel. It can\u2019t bleed if it isn\u2019t there. I also injected steroids to reduce the swelling.<\/p>\n

\u201cI really didn\u2019t want to do anything radical. I didn\u2019t want to take away what is Wade,\u201d he said. \u201cIt was a conservative treatment. He recovered well from it, and then he began working with Rachelle Speer, our speech pathologist, on vocal efficiency and vocal hygiene.\u201d<\/p>\n

Dr. Simpson said he also recommended that Bowen see John Nix, singing voice specialist with the Department of Music at The University of Texas at San Antonio. \u201cWhile Wade was healing, John took over and helped him learn to reduce the stress on his vocal cords when he is singing.\u201d<\/p>\n

While recovering, Bowen saw the voice team once a week. \u201cWorking with the speech pathologist made me more cognizant of my voice. I learned to stop talking way back in my throat. It is so much easier on my voice,\u201d he said. \u201cThe voice therapy at UTSA taught me about breathing and how to take the pressure off my vocal cords while singing. Both types of vocal rehab really helped me build back my confidence.\u201d<\/p>\n

On July 3, less than five weeks after surgery, Bowen sang at his first show after three months of cancelling show after show. \u201cI sang about half of the show. Friends kept jumping on stage with me to sing parts for me.\u201d<\/p>\n

By November, he had his voice back.<\/p>\n

\u201cI can\u2019t say enough great things about the UT Voice Center. They saved my career. I\u2019m so thankful my sound wasn\u2019t affected. I really feel that my voice is better and stronger now,\u201d he said. \u201cEvery person I met at the UT Voice Center was first class. They worked as a team and knew what was going on with me. They understood my situation and all worked together to help me continue singing professionally. I am so thankful.\u201d<\/p>\n

NOT JUST SINGERS<\/strong><\/h4>\n

Laura Dominguez, M.D., laryngologist at UT Voice Center, said there is a common misconception that only singers are professional voice users. Many others rely on their voice for their livelihood. Teachers, lawyers, group exercise coaches, physicians and sales professionals are just a few of the individuals who need their voices to work.<\/p>\n

\u201cWe help all kinds of people with voice disorders. It is a basic function that most of us take for granted,\u201d she said. \u201cWe also help people with eating, swallowing and breathing disorders.\u201d<\/p>\n

The UT Voice Center is a multidisciplinary, state-of-the-art clinic and is part of UT Health Physicians, the faculty practice of the Long School of Medicine at UT Health San Antonio. Located in the Medical Arts and Research Center at 8300 Floyd Curl Drive, the center offers office evaluation, surgical care and therapy services.<\/p>\n

\u201cAll new patients are seen by a physician and a speech pathologist at the same time. It is great for the patients to have the speech pathologist in the room too. It helps patients understand the basic functions of their voice,\u201d she said.<\/p>\n

Dr. Dominguez said most of the patients they see have voice or eating disorders. Patients may have a paralyzed vocal cord, a polyp on a vocal cord, or a neurological disorder, such as Parkinson\u2019s disease or multiple sclerosis, that affects speech and swallowing abilities.<\/p>\n

\u201cTreatment can range from voice therapy to surgery. A lot of patients have a combination of both of these treatments. They do very well with the combined care,\u201d she said.<\/p>\n

Dr. Dominguez said the center has an excellent success rate because it is on the cutting edge of laryngology. \u201cWe are able to offer all the treatments. Many of these treatments can\u2019t be found elsewhere.\u201d<\/p>\n

Some people are not aware they can get help for voice and swallowing disorders, she said. \u201cI talk to patients who have been suffering for years and didn\u2019t know there was a specialty just for voice and swallowing.<\/p>\n

\u201cOne patient could only whisper after his vocal cord was paralyzed after spine surgery. When he had his first grandchild, the child was never able to hear his voice. He wanted to be able to talk to her and make her smile.<\/p>\n

\u201cHe had medialization laryngoplasty (vocal cord implant surgery) and for the first time could speak to his grandchild. It was huge for his quality of life,\u201d she said.<\/p>\n

Dr. Dominguez said the center\u2019s staff is very active in national and international academia and present at conferences around the world.<\/p>\n

\u201cI believe our academic and research work makes us better physicians. We are up to date on new and best practices for our patients. We are able to make their lives better,\u201d she added.<\/p>\n","protected":false},"excerpt":{"rendered":"

The UT Voice Center, which is part of UT Health Physicians, is a multidisciplinary, state-of-the-art clinic dedicated to helping individuals with voice, eating, swallowing and breathing disorders. <\/p>\n","protected":false},"author":43,"featured_media":1670,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"magazine":[22],"issue-year":[44],"featured-story":[36,37],"class_list":["post-1621","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-patient-care","magazine-future","issue-year-44","featured-story-homepage","featured-story-landing-page"],"yoast_head":"\nExperts Save Singer's Voice, Help Many Others - Magazines of the Schools at UT Health San Antonio<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/magazines.uthscsa.edu\/schools\/2019\/12\/17\/experts-save-singers-voice-return-quality-of-life-to-others\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Experts Save Singer's Voice, Help Many Others - 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