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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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
Sarah Schneider is the speech-language pathology director at the UCSF Voice and Swallowing Center in San Francisco, California.
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
Dr. Gopi Shah is a pediatric otolaryngologist and the co-host of BackTable ENT.
Synopsis
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
Sarah’s Twitter:
https://twitter.com/scharx16
Sarah’s UCSF Profile:
https://transcare.ucsf.edu/team/sarah-schneider
Mark’s Mount Sinai Profile:
https://profiles.mountsinai.org/mark-s-courey
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.