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BackTable / ENT / Podcast / Episode #125

Gender Affirming Voice Care

with Sarah Schneider MS, CCC-SLP and Dr. Mark Courey

In this episode of BackTable ENT, Dr. Mark Courey (chief of otolaryngology at Mount Sinai) and Sarah Schneider (Speech Language Pathologist at UCSF) join host Dr. Gopi Shah to discuss voice care for transgender patients.

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Gender Affirming Voice Care with Sarah Schneider MS, CCC-SLP and Dr. Mark Courey on the BackTable ENT Podcast)
Ep 125 Gender Affirming Voice Care with Sarah Schneider MS, CCC-SLP and Dr. Mark Courey
00:00 / 01:04

BackTable, LLC (Producer). (2023, August 22). Ep. 125 – Gender Affirming Voice Care [Audio podcast]. Retrieved from https://www.backtable.com

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Podcast Contributors

Sarah Schneider MS, CCC-SLP discusses Gender Affirming Voice Care on the BackTable 125 Podcast

Sarah Schneider MS, CCC-SLP

Sarah Schneider is the speech-language pathology director at the UCSF Voice and Swallowing Center in San Francisco, California.

Dr. Mark Courey discusses Gender Affirming Voice Care on the BackTable 125 Podcast

Dr. Mark Courey

Dr. Mark Courey is an otolaryngologist specializing in laryngology and voice disorders with Mount Sinai in New York City.

Dr. Gopi Shah discusses Gender Affirming Voice Care on the BackTable 125 Podcast

Dr. Gopi Shah

Dr. Gopi Shah is a practicing ENT at UT Southwestern Medical Center in Dallas, TX.

Show Notes

First, Mark and Sarah define terms relevant to transgender healthcare and offer tips on welcoming transgender patients to clinic. They describe how voice care fits into the overall process of transition, and why patients seek care for voice-related concerns at different points in their journey. Gopi asks about collaboration with other specialties, and Mark discusses collaboration with other clinicians in a patient-centered transgender care team.

The conversation then shifts to workup and treatment of voice-related concerns. In Sarah’s experience, trans women present with voice fatigue if they are overly reliant on pitch modulation. By addressing pitch, articulation, rate of speech, volume, and resonance, Sarah helps her patients achieve a more feminine communication style while minimizing physical strain. Mark outlines his physical exam and process of history-taking as they relate to voice concerns. They also address the role of laryngoscopy in transgender patient populations.

Finally, Sarah and Mark address the importance of duration and goals of voice therapy. Both she and Mark emphasize the need to monitor progress over sessions of voice therapy. Delving into surgical management, Mark addresses the indications for, steps in, and complications of voice-modifying surgery. To wrap up, Sarah and Mark encourage listeners to educate their fellow clinicians regarding voice care for transgender patients.

Resources

Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.

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