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C. Gaelyn Garrett, M.D.Assistant Professor |
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The Voice DoctorDr. Garrett is a voice doctor. In medical terminology she is an otolaryngologist with a subspecialty in laryngology. "Ear, nose, and throat doctor" is the common name people use for an otolaryngologist. Laryngology is one of the newer fields in medical training. Laryngologists are specialists who help people keep healthy voices, perform surgery on the head and neck, and treat airway problems in children and adults. Laryngology comes from the word "larynx" which refers the vocal cords and the voice box. Vanderbilt began its voice center 5 years ago.Dr. Garrett is a clinical doctor, a surgeon, a researcher, and a teacher. She treats patients in the Voice Center, performs surgery, does research, and instructs medical students. The patients she sees at the voice center vary from singers to other professional voice users, which include teachers, lawyers, and receptionists. Her research is about how to use laser technology to treat voice and airway problems.
Wow! Look at the Vocal ChordsQ: How can you tell what is wrong with a person’s voice?A: Part of the evaluation of a voice patient is
looking at the vocal cords. If you are just looking in someone's mouth and have them say "Ah" you will not see the vocal cords. We have fiber optic technology where we can use flexible
and rigid telescopes to look at the vocal cords without discomfort. It gives us a video picture which we can look at together. The instrument you see is a laryngeal video stroboscope. The video part is obvious. In the strobe portion, we have patients hold a stethoscope bell on to their necks. As they say "eeee," the microphone picks up their
voice frequency. When we synchronize a flashing light with their voice frequency, it gives us a pseudo-slow motion view of the vocal cords vibrating. Choosing Medicine as a CareerQ: Why did you choose medicine as a career? A: I am the only one in my family in a science-oriented field. I don't come from a medical family background. I have always enjoyed problem solving, especially non-abstract problem solving. When I was growing up, I helped my Dad fix the car. I always built models with my brother, ship models and things like that. I have also been involved in sports. I have always been a "doer," an activity-oriented person. When I went to high school, the sciences were more interesting to me. I wanted to put that to work in a people-oriented field. If you can enjoy what you are doing and help people at the same time, that is ideal. Q: Did you know you wanted to be a doctor when you left high school? A: I have been asked that many times. It seemed like a natural progression for me. When I went to college I immediately geared my curriculum towards medical school. I just never wavered from that. Fortunately I made it through freshman chemistry, the "weed-out" course, and here I am. Q: What about women going into medicine? A: I have never come across any problems. In my medical school the enrollment was 50/50 men to women, although more men than women choose surgery as a career. My particular specialty is a wonderful one for women. Fifty percent of my practice is surgery and fifty percent is outpatient medicine. A woman has as much chance of becoming a physician as a man. Q: What is your education and training? A: I went to college for 4 years. I got a Bachelor of Arts in chemistry. Then I went to medical school for 4 years. After medical school, I spent 5 years in training as a resident in Otolaryngology, head and neck surgery. I learned to perform many kinds of operations including tonsillectomy, sinus, ear, growths on the vocal chords, and surgery for cancer. When my residency was complete, I was selected for a one-year fellowship at the Voice Center, which completed my training. Q: Are there other careers at the Voice Center? A: In the Voice Center we have nurses, speech and language pathologists, voice coaches, audiologists, receptionists, secretaries, and patient technicians. Hearing is important for voice, especially in young children who learn to speak by imitating the voices they hear. How to Keep A Healthy VoiceA lot of people take their voices for granted. For vocal hygiene, sometimes I use the analogy of car engine. If you think about the vocal cords, the vocal folds vibrate at a frequency of about 120 - 200 times a second. When you phonate, they are hitting themselves that fast. You need lubrication provided by mucus and saliva which must be thin. If your car engine's oil is thick and gunked up, it won't work. You should drink plenty of water and avoid caffeine. Smoking is horrible, not only for the vocal cords for general health. Smoking is a risk factor in throat and lung cancer.Ask a QuestionWould you like to ask Dr. Garrett a question about being a voice doctor? You can email her at gaelyn.garrett@mcmail.vanderbilt.edu.Would you like to learn more about the voice? Visit The Voice Center at Eastern Virginia Medical School. |
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