WEBVTT 1 00:00:00.360 --> 00:00:02.759 Get value you can't argue with at Tesco with their 2 00:00:02.799 --> 00:00:05.639 amazing cloak card prices. Have the perfect night in with 3 00:00:05.679 --> 00:00:08.759 their finest frozen pizza meal deal. Get the finest frozen pizza, 4 00:00:08.960 --> 00:00:11.679 chips and ice cream all for six euro like our 5 00:00:11.679 --> 00:00:14.839 delicious spicy Salami, hot honey and do Ye or Margarito 6 00:00:14.880 --> 00:00:18.039 wood fired pizzas, served up with their crispy chunkie chips 7 00:00:18.239 --> 00:00:21.280 and ice cream like sea salta caramel or pistagio for dessert. 8 00:00:21.679 --> 00:00:25.120 Can't argue with that shop in store or online. Tesco. 9 00:00:25.600 --> 00:00:28.960 Every little helps available in most stores. Prices vary in express. 10 00:00:30.199 --> 00:00:32.920 You're on the bus an hour from home, in bumper 11 00:00:32.960 --> 00:00:36.200 to bumper traffic, creeping forward a few inches at a time, 12 00:00:36.880 --> 00:00:42.119 someone's kids are screaming, and suddenly your back is too. Luckily, 13 00:00:42.240 --> 00:00:45.920 Panadal extra film coated tablets are boosted by caffeine and 14 00:00:46.000 --> 00:00:48.240 they get to work in as little as ten minutes 15 00:00:48.640 --> 00:00:52.439 for powerful relief. That's more than just paracetamol. That's one 16 00:00:52.479 --> 00:00:56.479 for Pana doll speed based on absorption data contains paracetamol. 17 00:00:56.520 --> 00:00:57.960 Always read the label or leaflet. 18 00:01:00.479 --> 00:01:04.560 Oh hi hi, So it's still that bobby pin under 19 00:01:04.599 --> 00:01:07.560 the couch cushion. It's Ali Ward. We're back with part 20 00:01:07.719 --> 00:01:11.519 two of Laryngology. So if you are tuning in without 21 00:01:11.560 --> 00:01:14.079 part one, I don't know what to tell you, go 22 00:01:14.159 --> 00:01:16.079 to part one and then we'll see you in like 23 00:01:16.079 --> 00:01:19.480 an hour for this follow up featuring wall the wall 24 00:01:19.599 --> 00:01:23.079 questions from folks supporting the show at petrion dot com 25 00:01:23.079 --> 00:01:25.840 slash ologies. Also, thank you to everyone who rates the 26 00:01:25.879 --> 00:01:28.959 show and leaves reviews. I do read them all. Here's 27 00:01:29.040 --> 00:01:32.799 a little fresh proof. Thank you Kate ted Mob who 28 00:01:32.920 --> 00:01:36.239 left the review. Been listening since twenty nineteen and it's 29 00:01:36.280 --> 00:01:39.439 still my favorite podcast. You've been with me through college 30 00:01:39.719 --> 00:01:42.719 pandemic and now through every relocation and long distance flight. 31 00:01:43.519 --> 00:01:46.200 Honored to be jammed in your ears. Thank you Kate 32 00:01:46.319 --> 00:01:50.719 ted Mon for that. Okay, let's move on Part two. 33 00:01:51.120 --> 00:01:54.680 Thank you to everyone also who let me know well 34 00:01:54.840 --> 00:01:59.000 some docs may say like eh to the HPV vaccine 35 00:01:59.000 --> 00:02:01.560 after the age of twenty six, you can still request 36 00:02:01.599 --> 00:02:05.359 it and probably get it by and probably get it 37 00:02:05.400 --> 00:02:08.599 covered by insurance much later in life than that. If 38 00:02:08.599 --> 00:02:11.199 you want so, talk to your doctor you totally have 39 00:02:11.280 --> 00:02:15.560 my blessing. Also, those beats were made by Jason Scartmalia, 40 00:02:15.719 --> 00:02:18.520 thank you for making those. That was amazing. Okay, so 41 00:02:18.560 --> 00:02:21.560 get yourself a cup of warm tapwater and let's hear 42 00:02:21.639 --> 00:02:24.199 your questions as I say them with my mouth. We'll 43 00:02:24.199 --> 00:02:29.599 cover whistle tones, Mariah, damage to your voice box, the 44 00:02:29.759 --> 00:02:35.599 lowest voices, throat singing, perfect pitch stress and voice cracks, 45 00:02:35.639 --> 00:02:41.599 and more with surgeon MD Icon and your new favorite laryngologist, 46 00:02:41.960 --> 00:03:05.159 doctor Ronda Alexander. Okay, let's start your questions with Gigi 47 00:03:05.240 --> 00:03:08.960 and first time question asker Chris Lipford's inquiries about, in 48 00:03:09.039 --> 00:03:12.280 Chris's words, what the heck is going on when people 49 00:03:12.560 --> 00:03:15.280 sing in the whistle register. I need to know everything, 50 00:03:15.599 --> 00:03:19.639 please and thanks? Okay, I have these on my phone 51 00:03:20.840 --> 00:03:23.479 so many. Eric Kaye wants to know. Is it possible 52 00:03:23.479 --> 00:03:25.879 to make a sound outside of the human hearing range? 53 00:03:25.960 --> 00:03:28.919 Would we know? I don't know. I don't know. Do 54 00:03:29.000 --> 00:03:30.800 we need like a bat detector. 55 00:03:30.520 --> 00:03:34.840 So we could detect that with specialized audio equipment. I 56 00:03:34.840 --> 00:03:35.919 don't think we've ever tried. 57 00:03:36.000 --> 00:03:39.039 I don't know. I'll look it up. Maybe ultrasonic, who knows? 58 00:03:39.280 --> 00:03:39.479 Huh? 59 00:03:40.000 --> 00:03:42.960 Okay, So I checked into this and according to one 60 00:03:43.199 --> 00:03:48.039 BBC report, we can hear frequencies up to twenty killa hurts, 61 00:03:48.360 --> 00:03:52.479 but most human beings cannot shriek higher than three killer 62 00:03:52.520 --> 00:03:56.560 hurts unless you're Mariah Carey singing her nineteen ninety one 63 00:03:56.919 --> 00:04:15.479 ear splitting single emotions so good. So that was from 64 00:04:15.520 --> 00:04:18.600 the nineteen ninety one VMA's which experts say was her 65 00:04:18.680 --> 00:04:22.480 highest recorded note at a G sharp seven I think, 66 00:04:22.519 --> 00:04:27.319 which would be three point three killer hertz? Is that 67 00:04:27.680 --> 00:04:32.439 like dolphin range? Almost? I checked in, and those marine 68 00:04:32.439 --> 00:04:35.560 mammal friends of ours can whistle at three point five 69 00:04:35.680 --> 00:04:40.000 to ten killer herts. And actually, in looking that range up, 70 00:04:40.160 --> 00:04:43.920 I stumbled across an absolute VENN diagram of this aside, 71 00:04:44.120 --> 00:04:48.360 which was a twenty twenty one TikTok of Mariah in 72 00:04:48.399 --> 00:04:53.240 the ocean singing a whistle tone to a dolphin who 73 00:04:53.240 --> 00:04:57.839 seems to react with some kind of surprise maybe glee. 74 00:04:57.920 --> 00:05:03.519 I shouldn't anthropomorphize, but speaking dolphin Mariah and setting world records. 75 00:05:03.839 --> 00:05:07.639 But then along came Georgia Brown, which is a stage 76 00:05:07.720 --> 00:05:11.800 name for an Italian Brazilian singer who was able to 77 00:05:11.920 --> 00:05:16.399 best Mariah and hit a G ten note. So I'm 78 00:05:16.399 --> 00:05:18.439 gonna play it. If you have really sensitive ears, just 79 00:05:18.480 --> 00:05:20.519 turn down your volume for a second or skip ahead 80 00:05:20.519 --> 00:05:35.399 fifteen seconds because it is bonkers you've like, So that 81 00:05:35.439 --> 00:05:39.199 would be around a five point five killhertz, like mid 82 00:05:39.279 --> 00:05:42.879 dolphin range. So if you're carpooling with dolphins, they loved it. 83 00:05:43.199 --> 00:05:45.959 But those are the highest of highs. There's got to 84 00:05:45.959 --> 00:05:48.959 be a low there is, and its name is Tim. 85 00:05:49.240 --> 00:05:54.839 Tim Storms, an American country crooner, can sing eight octaves 86 00:05:54.920 --> 00:05:58.920 below the lowest piano key, making a sound that is 87 00:05:59.000 --> 00:06:03.000 less than a single parts point one eighty nine parts 88 00:06:03.040 --> 00:06:05.600 to be exact. So we can't even hear it, but 89 00:06:05.639 --> 00:06:08.480 we can fuel the vibrations. And of course I don't 90 00:06:08.480 --> 00:06:11.279 have a recording of that because again we can't hear it. 91 00:06:11.319 --> 00:06:16.279 But here's an example of Tim's just casual, everyday, non 92 00:06:16.360 --> 00:06:17.800 record breaking singing. 93 00:06:21.040 --> 00:06:21.920 The low. 94 00:06:23.279 --> 00:06:23.480 Room. 95 00:06:27.439 --> 00:06:29.879 One of the top comments on that YouTube video is 96 00:06:30.240 --> 00:06:34.199 thanks this dislodged my kidney stones. Now, of course, our 97 00:06:34.199 --> 00:06:36.199 hearing can change over time, but what happens to our 98 00:06:36.279 --> 00:06:40.399 voices over the whole course of our lives? So many 99 00:06:40.480 --> 00:06:44.120 of you had this question, including Virginia Bruce, Hannah Lapham, 100 00:06:44.519 --> 00:06:48.959 Lana Schuster, Celia Bell, Andrea Crane, Marriage Snowlander first time 101 00:06:49.040 --> 00:06:53.399 question askers Laura Roser and Cocoon Soso and Courtney Kay 102 00:06:53.600 --> 00:06:56.120 wanted to know are their strategies to prevent our voices 103 00:06:56.160 --> 00:06:56.680 from aging? 104 00:06:57.000 --> 00:07:00.000 So to reduce the impact of aging on the voice, 105 00:07:00.480 --> 00:07:03.560 stay hydrated, take good care of your voice. Again those 106 00:07:03.600 --> 00:07:07.319 three rules. No cell phone outdoors, no yelling, no whispering, 107 00:07:07.959 --> 00:07:10.759 And if your voice is in trouble for more than 108 00:07:10.800 --> 00:07:13.639 about ten days to two weeks, come see somebody who 109 00:07:13.680 --> 00:07:15.000 can talk to you about options. 110 00:07:15.120 --> 00:07:18.160 I need a doctor. I really love this question, Delaney, 111 00:07:18.199 --> 00:07:22.199 jen A, Greg Wallach, Bennett Gerber, Jade Walker wanted to know, 112 00:07:22.560 --> 00:07:27.120 in Jade's words, voice breaks, what are they? And Bennett 113 00:07:27.160 --> 00:07:29.240 asked why does my voice still crack? And then also 114 00:07:29.639 --> 00:07:31.439 jen A and Delaney want to know why does being 115 00:07:31.480 --> 00:07:33.639 nervous make our voices shake? Like when you watch a 116 00:07:33.720 --> 00:07:36.800 ted talk and you can tell someone's nervous a little warribly. 117 00:07:37.519 --> 00:07:39.079 What's happening when our voice cracks? 118 00:07:39.519 --> 00:07:42.480 Okay, So there's two different kinds of cracks that I'm 119 00:07:42.480 --> 00:07:45.680 hearing in these questions. One is the crack that happens 120 00:07:45.720 --> 00:07:48.920 when you haven't made the switch from your chest voice 121 00:07:48.959 --> 00:07:51.519 to your head voice, or the falsetto So if you're 122 00:07:51.519 --> 00:07:53.720 trying to sing with full power at a note that's 123 00:07:53.759 --> 00:07:57.560 outside of what your voicebox is physically able to do. 124 00:07:57.759 --> 00:08:00.399 It's gonna be like it's gonna say no, gonna sit 125 00:08:00.480 --> 00:08:02.279 down like an angry dog and say no. And that's 126 00:08:02.279 --> 00:08:05.879 when you get the haha while you're trying to sing. Now, 127 00:08:06.199 --> 00:08:09.439 the effect that you see when someone's doing a public 128 00:08:09.480 --> 00:08:13.519 speaking event, when they're having nerves that's coming from adrenaline 129 00:08:13.600 --> 00:08:17.199 or epinephrin, that's coursing through the body. Because all of 130 00:08:17.240 --> 00:08:21.439 our threats are now mental and psychological largely instead of physical, 131 00:08:22.000 --> 00:08:24.800 our body perceives danger the same way. So there's no 132 00:08:24.839 --> 00:08:28.800 difference between I'm about to be interviewed by Ali Ward 133 00:08:29.720 --> 00:08:33.600 and I'm being chased by a tiger. Right, So your 134 00:08:33.600 --> 00:08:37.159 body's nervous system again, that's sympathetic nervous system is like, 135 00:08:37.440 --> 00:08:39.200 all right, gang, we're in danger. 136 00:08:39.720 --> 00:08:41.120 Everybody get pumped. 137 00:08:41.919 --> 00:08:42.759 Let's do it. 138 00:08:43.399 --> 00:08:47.919 Kidneys, shut off, blood vessels to the to the outside parts. 139 00:08:48.120 --> 00:08:48.799 Clamp down. 140 00:08:48.879 --> 00:08:50.120 We don't want to bleed to death. 141 00:08:50.679 --> 00:08:50.960 Heart. 142 00:08:51.159 --> 00:08:54.440 Let's go to the big muscles in the in the 143 00:08:54.559 --> 00:08:56.200 in the close part of the arm, and in the leg. 144 00:08:56.200 --> 00:08:59.960 Because we're either gonna run or we're gonna kick a doubles, right, 145 00:09:00.240 --> 00:09:04.639 And so that adrenaline feeling is going to make your 146 00:09:04.720 --> 00:09:07.480 voice box just a little bit shakier because your breathing is. 147 00:09:07.480 --> 00:09:09.960 More erratic, and that's the power. 148 00:09:10.000 --> 00:09:12.080 There you go the lesson stuck. 149 00:09:12.080 --> 00:09:14.519 And then is there anything a person can do? 150 00:09:14.759 --> 00:09:17.840 What I did before you came was I sat still 151 00:09:19.159 --> 00:09:22.879 and I did some breathing exercises to help myself settle in. 152 00:09:23.000 --> 00:09:25.200 One of them is box breathing. I love this one 153 00:09:25.320 --> 00:09:28.360 very much, where you pick the number and you count 154 00:09:28.919 --> 00:09:33.440 in breath hold out, breath hold for whatever that number is. 155 00:09:33.519 --> 00:09:35.120 So in the beginning I usually start with like a 156 00:09:35.159 --> 00:09:37.960 three count, and then as I get more relaxed, I 157 00:09:38.000 --> 00:09:39.799 can get to a five count because I can hold 158 00:09:39.840 --> 00:09:42.679 my breath that long, and those breath holdings are going 159 00:09:42.759 --> 00:09:47.000 to activate the balancing system, the power sympathetic system to 160 00:09:47.039 --> 00:09:48.039 calm you down. 161 00:09:48.639 --> 00:09:52.799 So deep breathing does work neurologically, it does. Yeah, It's 162 00:09:52.799 --> 00:09:55.120 so funny because it's like, if you are freaking out 163 00:09:55.120 --> 00:09:57.639 a little bit, it seems so difficult to sit down 164 00:09:57.639 --> 00:09:59.000 and have a deep breath even though you know it's 165 00:09:59.000 --> 00:10:02.000 going to help. Yeah, same thing as like if you're depressed. 166 00:10:02.240 --> 00:10:04.200 If you can get up and walk, it's probably gonna 167 00:10:04.200 --> 00:10:06.639 make you feel better. Yeah, but you're like, it's the hardest. 168 00:10:06.759 --> 00:10:09.360 Yeah, the activation energy to do the thing is the 169 00:10:09.399 --> 00:10:10.000 hardest part. 170 00:10:10.519 --> 00:10:14.480 Yeah, activation energy, executive function anyone. So we have a 171 00:10:14.519 --> 00:10:18.240 three part series on ADHD from February twenty twenty two 172 00:10:18.360 --> 00:10:22.240 with doctor Russell brand come again. Oh my god, what 173 00:10:22.279 --> 00:10:25.200 the fuck? Russell brand is not his name. His name 174 00:10:25.279 --> 00:10:28.320 is Russell Barkley. Russell Brandt is the British guy with 175 00:10:28.320 --> 00:10:30.320 the hair that looks like it smells like knag Champa 176 00:10:30.320 --> 00:10:33.080 who was married to Katie Perry. Not an evil version, 177 00:10:33.159 --> 00:10:36.200 but just you know, Russell Barkley. I had to go 178 00:10:36.840 --> 00:10:38.600 step out of the audio booth and look that up 179 00:10:38.600 --> 00:10:41.840 on my phone. I've recently given up caffeine. Let's get 180 00:10:41.919 --> 00:10:44.120 back to it, Like I was saying, we have a 181 00:10:44.120 --> 00:10:47.200 three part series on ADHD from February twenty two for you, 182 00:10:47.519 --> 00:10:49.840 and yes, I will link that in the show notes 183 00:10:50.080 --> 00:10:53.080 to make it easier because I get it. I see you. 184 00:10:53.279 --> 00:10:57.440 I'm one of you. Speaking of patron, Jasmine Quassa asked, 185 00:10:57.759 --> 00:11:00.639 why can I always tell the other person on the 186 00:11:00.679 --> 00:11:03.480 line is also black like me? I know that race 187 00:11:03.600 --> 00:11:07.080 is a construct with no biological basis, and that accents 188 00:11:07.159 --> 00:11:10.600 and dialects are the things that can be reliably associated 189 00:11:10.639 --> 00:11:13.279 with race. And I know that this is a sticky question, 190 00:11:13.399 --> 00:11:16.240 they write, but is there something about ancestral origin that 191 00:11:16.279 --> 00:11:18.200 can affect the quality of the voice, just like the 192 00:11:18.200 --> 00:11:21.039 eye shape and hair textures and how they vary across 193 00:11:21.039 --> 00:11:23.840 the planet. So I looked into this and I found 194 00:11:23.840 --> 00:11:27.080 a few papers such as do African Americans really have 195 00:11:27.159 --> 00:11:31.720 lower voices? Pitch? Gender and ethnicity in Memphis and another 196 00:11:31.720 --> 00:11:35.720 one titled variation in global and intonational pitch settings among 197 00:11:35.840 --> 00:11:39.120 Black and White speakers of Southern American English. Guests who 198 00:11:39.159 --> 00:11:44.320 wrotem none other than twenty eighteen phonology guest doctor Nicole Holliday, 199 00:11:44.399 --> 00:11:46.960 who has been on the show and whom we love so. 200 00:11:47.120 --> 00:11:49.399 One of the points that she makes in her research 201 00:11:49.519 --> 00:11:54.879 is that aave African American vernacular English sees more pitch variation. 202 00:11:55.360 --> 00:11:57.799 And I texted doctor Alexander between the Part one of 203 00:11:57.799 --> 00:11:59.919 the Part two episodes about this question, and she said, 204 00:12:00.240 --> 00:12:04.279 sometimes we are tricked. These intonations and flavors in the 205 00:12:04.360 --> 00:12:08.039 voice are learned, and often we put on the affectations 206 00:12:08.120 --> 00:12:10.679 we think that the audience or other person will connect 207 00:12:10.679 --> 00:12:13.960 to best. She continued, I've had at least three accents 208 00:12:14.080 --> 00:12:16.159 throughout my life, but I've been the same person the 209 00:12:16.159 --> 00:12:18.679 whole time. And she ended that with a heart emoji 210 00:12:18.759 --> 00:12:21.600 because she's the best. Also, we have a melanology episode 211 00:12:21.639 --> 00:12:26.159 coming up about race an biology and skin pigment and 212 00:12:26.600 --> 00:12:29.360 so much good stuff with doctor Tina Lisisi. So that's 213 00:12:29.399 --> 00:12:31.360 coming out in a few weeks, So hang on tight 214 00:12:31.399 --> 00:12:34.080 for that because we'll address that very question. And on 215 00:12:34.159 --> 00:12:38.759 the note of pitch being acquired or biological specs, OWL 216 00:12:38.879 --> 00:12:42.639 and Tristan de Brunner asked about the sociology between fem 217 00:12:42.840 --> 00:12:47.639 and mask voices, and Gabe Nuth said, sometimes someone speaks 218 00:12:47.840 --> 00:12:50.279 and I'm surprised by the way their voice sounds, so 219 00:12:50.440 --> 00:12:53.320 I often wonder why I even had that expectation in 220 00:12:53.320 --> 00:12:55.080 the first place. They were not alone. 221 00:12:55.759 --> 00:12:55.919 R J. 222 00:12:56.080 --> 00:12:59.080 Deutsch said, ask about gay voice, please and thank you, 223 00:12:59.480 --> 00:13:02.879 and Alive said, also, mommy voice, is it really an 224 00:13:02.919 --> 00:13:06.120 evolutionary thing that sparked human language? You know, speaking in 225 00:13:06.159 --> 00:13:09.120 a register that's higher. Red Cedar also said, I've heard 226 00:13:09.159 --> 00:13:11.879 rumors that some deep voice guys are totally faking it. 227 00:13:11.960 --> 00:13:15.000 And that the gay voice might be more natural. Do 228 00:13:15.039 --> 00:13:21.039 you ever have patients who are trying to modify the 229 00:13:21.120 --> 00:13:22.879 way they sound for cultural reasons? 230 00:13:23.279 --> 00:13:23.919 Absolutely? 231 00:13:24.039 --> 00:13:24.279 Yeah. 232 00:13:24.320 --> 00:13:28.519 And overall the umbrella term for that is affectations, okay. 233 00:13:28.600 --> 00:13:32.600 And so the quote gay voice is about signaling in 234 00:13:32.679 --> 00:13:37.480 grouping when you're with your people, right and to find 235 00:13:37.840 --> 00:13:41.960 your people, and it can be a way of determining 236 00:13:42.120 --> 00:13:46.720 very quickly who is for or not for you with 237 00:13:46.919 --> 00:13:49.960 all of the vocal affectations. And so if you are 238 00:13:49.960 --> 00:13:52.519 a vocal fry kind of a talker, people who are 239 00:13:52.559 --> 00:13:54.799 irritated are gonna they're gonna gravitate away from you, and 240 00:13:54.840 --> 00:13:56.679 you're going to keep people around you who are your 241 00:13:56.679 --> 00:13:59.879 in group if you need the or if you're if 242 00:13:59.879 --> 00:14:05.080 you're putting on or exaggerating the gay voice as people 243 00:14:05.159 --> 00:14:08.480 do call it, that also signals this is who I am. 244 00:14:08.799 --> 00:14:10.639 I'm comfortable with who I am, and if you're not, 245 00:14:11.000 --> 00:14:12.480 that is your problem, not mine. 246 00:14:12.639 --> 00:14:12.879 M h. 247 00:14:14.120 --> 00:14:18.159 And oh, we just had that theahnose where that's an affectation. 248 00:14:18.679 --> 00:14:22.159 The documentary exposed that wasn't her voice. She was up 249 00:14:22.159 --> 00:14:24.320 there on the dead stages and such talk at all 250 00:14:24.440 --> 00:14:27.039 like this. And then when you catch her aside question, 251 00:14:27.159 --> 00:14:29.519 she would talk in her more natural voice. But there 252 00:14:29.559 --> 00:14:34.960 are connotations of power vulnerability in group belonging, all of 253 00:14:35.000 --> 00:14:38.440 which can be signaled with the voice, And so we're 254 00:14:38.440 --> 00:14:41.200 all doing it. My voice that I'm talking with to 255 00:14:41.240 --> 00:14:43.639 you now signals in group, to the family I was 256 00:14:43.679 --> 00:14:45.919 born into, because this is around where my mom talked, 257 00:14:46.000 --> 00:14:48.159 and so like, this is what I grew up hearing 258 00:14:48.200 --> 00:14:50.960 as a woman's voice, and so when mine comes out 259 00:14:50.960 --> 00:14:53.720 this way, that's fine. Now. Sometimes maybe if I'm a 260 00:14:53.759 --> 00:14:57.639 little excited, or if we're having a very femi time, 261 00:14:57.919 --> 00:15:00.080 my pitch might go up a little bit and I 262 00:15:00.120 --> 00:15:02.679 might be talking up here. But this is my relaxed 263 00:15:02.720 --> 00:15:05.240 register right here. I probably even did it during this 264 00:15:05.320 --> 00:15:06.919 recordings run. 265 00:15:07.000 --> 00:15:08.559 You listen back, you're gonna have to hear it. 266 00:15:08.639 --> 00:15:12.200 Yeah, Like a range of your own pitch is also 267 00:15:12.320 --> 00:15:18.120 normal because the voice is an emotional experience also, And 268 00:15:18.159 --> 00:15:23.039 so yeah, when I'm super excited, when my mets are 269 00:15:23.120 --> 00:15:25.519 killing it and we make the playoffs, my. 270 00:15:25.480 --> 00:15:27.759 Pitch goes a higher. I get excited. 271 00:15:28.279 --> 00:15:31.200 And when things are a little eh, yeah, maybe I'm 272 00:15:31.399 --> 00:15:33.919 a little bit down here when I'm giving maybe some 273 00:15:34.000 --> 00:15:37.080 disappointing news or I don't want to talk about the thing. 274 00:15:37.240 --> 00:15:40.120 I might be down here, but that entire range is 275 00:15:40.240 --> 00:15:43.000 natural for me. If it's taking a lot of work, 276 00:15:43.159 --> 00:15:45.120 I wouldn't recommend it, because again, then you're putting too 277 00:15:45.159 --> 00:15:47.480 much tension on the voice box. If you ever feel 278 00:15:47.519 --> 00:15:50.559 pain either in the neck or in the throat when 279 00:15:50.600 --> 00:15:53.799 you're speaking, that's an indication for a medical exam immediately. 280 00:15:54.840 --> 00:15:55.960 What about baby talk? 281 00:15:56.480 --> 00:16:01.559 When we see something cute, why does it goes up. 282 00:16:02.200 --> 00:16:04.919 And is attached with the violence called cute aggression? Yes, 283 00:16:05.240 --> 00:16:08.159 so that I think is more cultural, it's not physiological. 284 00:16:08.399 --> 00:16:10.840 But gosh darn it if babies don't respond to those 285 00:16:10.879 --> 00:16:13.519 high pitches, Gosh darn it if they don't love it, 286 00:16:13.559 --> 00:16:14.600 and so we do it more. 287 00:16:14.960 --> 00:16:17.480 And just a side note, we side noted about this 288 00:16:17.600 --> 00:16:21.360 in the Touthology or Squid episode with doctor Sarah McNaulty. 289 00:16:21.840 --> 00:16:25.919 But if something adorable makes you want to destroy a 290 00:16:26.000 --> 00:16:29.960 vase or kick your couch, this is indeed what Yale 291 00:16:30.039 --> 00:16:34.519 researchers have studied and dubbed cute aggression. And one hypothesis 292 00:16:34.559 --> 00:16:39.240 is that the brain simply cannot deal with that much 293 00:16:39.399 --> 00:16:43.559 positive stimulation at once and turn some of it into 294 00:16:43.600 --> 00:16:47.200 the opposite, like a negative emotion, which for most people 295 00:16:47.639 --> 00:16:52.879 ends up being aggression or screaming or squealing or slapping 296 00:16:52.919 --> 00:16:56.600 themselves about the face. But what if you squeal in 297 00:16:56.639 --> 00:16:58.679 the presence of a baby? Do they like it? I 298 00:16:58.679 --> 00:17:01.440 don't know, I asked the fourth mentioned called the Internet, 299 00:17:01.759 --> 00:17:05.640 and it pointed me toward the twenty seventeen Current Biology 300 00:17:05.640 --> 00:17:11.559 study titled mothers consistently alter their unique vocal fingerprints when 301 00:17:11.599 --> 00:17:15.759 communicating with infants And yes, parents raise the pitch of 302 00:17:15.799 --> 00:17:20.880 their voice around babies across so many cultures and languages. 303 00:17:21.039 --> 00:17:25.160 Even monkeys do it, and scientists think that the exaggerated 304 00:17:25.400 --> 00:17:29.359 speech patterns can maybe help babies pick up on communication faster. 305 00:17:29.880 --> 00:17:32.519 But I also think that when we see something cute, 306 00:17:33.279 --> 00:17:35.359 what happens is there's a variety of ghosts in the 307 00:17:35.440 --> 00:17:39.279 room who also see the cute thing, and since they 308 00:17:39.279 --> 00:17:41.480 can get away with a lot of weird shit, the 309 00:17:41.559 --> 00:17:44.200 ghosts experience that cute aggression and then they try to 310 00:17:44.279 --> 00:17:47.920 choke us, and then it compresses our resonators and our larynx, 311 00:17:48.319 --> 00:17:51.640 making us squeal. And that theory isn't proven, but it 312 00:17:51.720 --> 00:17:55.920 is correct. So patrons, Sedoni s and Maddy East wanted 313 00:17:55.960 --> 00:18:00.160 to know if you're with child, why your voice might 314 00:18:00.279 --> 00:18:03.640 sound different to you, And the reason is because it 315 00:18:03.720 --> 00:18:06.240 is different. Have you ever seen a pregnant person's feet. 316 00:18:06.960 --> 00:18:09.240 A lot of the body swells up and the vocal 317 00:18:09.319 --> 00:18:12.000 cords just do not have a get out of swelling 318 00:18:12.079 --> 00:18:16.319 free pass here, folks. So that's what's going on. Wacky huh, now, 319 00:18:16.400 --> 00:18:19.559 Earl of gramblecan and Patron David wanted to know. In 320 00:18:19.640 --> 00:18:22.559 David's words, am I correct that some health issues can 321 00:18:22.599 --> 00:18:27.880 be diagnosed by speech? If so? Has that work, doctor Alexander? 322 00:18:28.039 --> 00:18:31.440 That's how so there are signs that we can hear 323 00:18:31.519 --> 00:18:34.799 in the voice. There is a certain category of neurologic 324 00:18:34.960 --> 00:18:38.559 voice disorders that are attached to things that go throughout 325 00:18:38.599 --> 00:18:41.880 the whole body. Among them includes like Parkinson's disease. The 326 00:18:41.880 --> 00:18:45.440 Parkinson's voice tends to be very low in volume, so 327 00:18:45.640 --> 00:18:49.200 very quiet and also a little bit garbled or jumbled 328 00:18:49.240 --> 00:18:52.160 because they're not moving their lips and face as well. 329 00:18:52.200 --> 00:18:55.880 They're resonators and articulators as well, so sometimes we can 330 00:18:55.920 --> 00:18:59.559 get an inkling that way. There are some autoimmune diseases 331 00:18:59.559 --> 00:19:02.319 that show up in the voicebox because they make deposits 332 00:19:02.440 --> 00:19:04.799 or changes in the shape of the voicebox or even 333 00:19:04.920 --> 00:19:08.039 narrow part of the breathing passage, so that'll give us 334 00:19:08.039 --> 00:19:12.680 a hint. And then there are also some nerve diseases 335 00:19:12.720 --> 00:19:15.480 of the voice box themselves that I can those of 336 00:19:15.559 --> 00:19:17.759 us who are experienced with it, we can begin to 337 00:19:17.839 --> 00:19:20.279 diagnose it just on the story and listening to the 338 00:19:20.279 --> 00:19:23.160 person's voice, which is one of the tensions of having 339 00:19:23.160 --> 00:19:25.440 a voice practice is the person's coming to me with 340 00:19:25.480 --> 00:19:29.000 a voice problem or concern and then I ask them 341 00:19:29.079 --> 00:19:30.880 to talk. And so they often will come with a 342 00:19:30.920 --> 00:19:32.759 family member who wants to talk for them, and I 343 00:19:32.759 --> 00:19:34.559 have to tell them. I know this is a loving 344 00:19:34.559 --> 00:19:37.200 attempt to make this easier for them, but me hearing 345 00:19:37.240 --> 00:19:39.920 their voice is a part of my diagnostic process. And 346 00:19:40.000 --> 00:19:42.440 so as much as you can tell me your story, 347 00:19:42.480 --> 00:19:45.880 and when you cannot anymore, will go to your reliable, 348 00:19:46.400 --> 00:19:48.799 loving helper. And I always frame them that way as 349 00:19:48.799 --> 00:19:50.920 a support, like, I know you're not trying to ruin this, 350 00:19:51.759 --> 00:19:54.160 but when they can't tell their own story, we will 351 00:19:54.200 --> 00:19:55.759 absolutely come to you. And I will come to you 352 00:19:55.799 --> 00:19:58.920 for any details you think they missed, because the sick 353 00:19:58.960 --> 00:20:02.559 person is going to miss things pretty often. So yeah, 354 00:20:02.599 --> 00:20:05.039 we have to hear the voice to diagnose the voice. 355 00:20:05.240 --> 00:20:08.359 But let's move on to something more critical, like when 356 00:20:08.400 --> 00:20:11.200 your roommate goes to Spain for three weeks and comes 357 00:20:11.240 --> 00:20:15.480 back with an accent. Patrons Amy Vagallen, Savannah Maguire, Afa Schaeffer, 358 00:20:15.680 --> 00:20:19.960 Jesse Hurlbert, and Jacqueline Pushman asks in Jacqueline's words, do 359 00:20:20.119 --> 00:20:23.160 accents have an impact on voice boxes or the other 360 00:20:23.200 --> 00:20:26.960 way around. A lot of people asked about accents and 361 00:20:27.680 --> 00:20:31.119 what do they have an impact on voice boxes or 362 00:20:31.160 --> 00:20:33.599 do they play a role or is that completely just 363 00:20:33.680 --> 00:20:36.160 affectation and that is something our brain is doing. 364 00:20:36.000 --> 00:20:38.160 So that's going to be articulators. Again, the way that 365 00:20:38.200 --> 00:20:40.640 we sound, the way that we shape the sound with 366 00:20:40.640 --> 00:20:45.240 our mouth, throat, lips, tongue, teeth. Accents are particular lips, tongue, teeth. 367 00:20:45.319 --> 00:20:47.319 And it has to do with the fact that when 368 00:20:47.319 --> 00:20:51.039 you're young and learning language, your primary language or languages 369 00:20:51.079 --> 00:20:54.079 that you get when you're a kid, train how your mouth, lips, tongue, 370 00:20:54.119 --> 00:20:56.559 and teeth move when you're making language. And so if 371 00:20:56.759 --> 00:20:59.359 there are some sounds that if you never practiced doing them, 372 00:20:59.640 --> 00:21:01.359 it's hard for you to do it when you're an adult. 373 00:21:01.359 --> 00:21:03.920 Oh for sure, so many folks I will listen to 374 00:21:03.960 --> 00:21:07.359 Inside Here we Go, Ap Miranda Halsey, Vincent, Meghan Duffy, 375 00:21:07.400 --> 00:21:11.559 Aril Van san Emmettwald, Shakira Alahi, Julia Cherka, Mark Hewlett, 376 00:21:11.640 --> 00:21:14.839 mccorndog A Bob's Burgers fan, You, Kylie Peerless, down Tween, 377 00:21:15.119 --> 00:21:18.720 Rachel Garvey's, Patti Bergman's Beeck's Owl, Meriti Snowlander, Connie Brooks, 378 00:21:18.759 --> 00:21:21.640 Julie s Bradley and first time askers Ashley Rivers, Wendy 379 00:21:21.640 --> 00:21:25.000 Sue Grover and Louise Combate want to know what happens 380 00:21:25.160 --> 00:21:28.440 when you are losing your voice? Where does it go? 381 00:21:28.839 --> 00:21:31.279 Rachel asked if it's normal to be hoarse after shouting 382 00:21:31.359 --> 00:21:35.519 or cheering at events. I recently went to Disneyland and 383 00:21:35.559 --> 00:21:38.920 screamed my face off, and then my episode that came 384 00:21:38.960 --> 00:21:41.799 out that week, I sounded like I was. I should 385 00:21:41.799 --> 00:21:42.599 be in the hospital. 386 00:21:42.720 --> 00:21:47.759 That's right. So that's right, young lady. So when you 387 00:21:47.920 --> 00:21:51.119 lose your voice, it is because we have lost the 388 00:21:51.200 --> 00:21:55.000 ability for the vocal folds to do their vibration, and 389 00:21:55.079 --> 00:22:00.480 that can happen from swelling or from new stiffness, something 390 00:22:00.519 --> 00:22:04.279 like a blood vessel breaking. So shouting in particular, can 391 00:22:04.319 --> 00:22:06.839 put blood vessels at risk in the voice box to 392 00:22:06.880 --> 00:22:09.839 break and when well, let's talk about the structure of 393 00:22:09.880 --> 00:22:12.000 the vocal cords. So they've got a lining what we 394 00:22:12.079 --> 00:22:15.759 call epithelium, and then just under that is a special 395 00:22:15.839 --> 00:22:20.759 jelly layer called the superficial lamin appropria, and that jelly 396 00:22:20.839 --> 00:22:24.920 layer is what lets the skin, the epithelium, the mucosa, 397 00:22:25.039 --> 00:22:29.119 the lining vibrate to make the sound. While the rest 398 00:22:29.160 --> 00:22:33.599 of the vocal fold is changing positions to breathe and speak. 399 00:22:33.680 --> 00:22:39.279 This very thin vibration is what's really making the sound. 400 00:22:39.920 --> 00:22:44.160 And so if that gets stiffened by swelling or an 401 00:22:44.200 --> 00:22:48.079