Adele's Operation and Vocal Health

Adele recently had laser microsurgery to stop recurrent vocal cord hemorrhage (bleeding) from a benign polyp according to a statement from Massachusetts General Hospital, where the surgery took place.  This condition is typically the result of unstable blood vessels in the vocal cord that can rupture.  The surgery stops the bleeding and has been used in the past on other famous singer’s such as Aerosmith’s Steven Tyler in 2006.  The continual wear and tear to professional singer’s vocal cords can be intense especially if one is battling illness and fatigue. 

Just like an athlete, singers can get injured.  The vocal cord muscles are small and fatigue easily.  Football players get hamstring pulls, broken ribs, concussions.  They listen to the trainers and doctors and take a rest.  If you push through the injury it leads to more trouble.  All are better off it they stop and let the body recover.  Some athletes and singers need to take longer to recover completely. 

An athlete goes through physical therapy and rehabilitation to retrain their body.  A singer goes through voice therapy to retrain their vocal cords and singing voice.  Adele wrote "My voice is weak and I need to build it back up. I'm gonna be starting up vocal rehab [soon] and start building my overall stamina in my voice, body and mind.  Wanting to do something so bad and not being able to is the most frustrating thing as I'm sure you know.”  http://www.latimes.com/health/boostershots/la-heb-adele-vocal-hemorrhage-20111005,0,1943101.story

Each person’s voice can withstand different trials and tribulations.  The stresses a singer’s voice endures can be great.  The key to success is in how we pay attention to our bodies and react to what they are saying.  Stopping, getting surgery now while going through vocal rehabilitation and following through on healthy vocal hygiene will save a good portion of Adele’s voice. http://www.healthyandconfidentsingingvoice.blogspot.com/  She had quit smoking and drinking to save her voice and says “I follow all the advice I’m given and stick to regimes, rules and practices to the best of my ability but it seems to simply not be enough."     http://www.ohniww.org/adele-smoking-singing-voice-doctor  Sometimes this is true, but the best hygiene and paying attention to your bodies signals is the best thing anyone can do!

Dr. Lee Akst, a laryngologist and director of the Johns Hopkins Voice Center in Baltimore states, "A vocal hemorrhage would stop anyone in their tracks; singers are considered a high-risk group because they use their voices so much.  A hemorrhage is the result of phonal trauma”.

"Every time we use our vocal cords to sing or speak, one vocal cord vibrates against another, and that leads to collisions between them.  Lots of collisions can cause blood vessels to break, leading to bleeding in the vibrating layer of the vocal cord, which in turn causes the area to bruise. The inability of the vocal cords to vibrate is what causes hoarseness, the main symptom of vocal hemorrhages.  The louder you use your voice the more violent the collisions, and the higher the pitch the more frequent the collisions," Dr. Akst said. "That's why singers are at high risk."
Taking aspirin or other medications that thin the blood may make someone more prone to a vocal hemorrhage; the best remedy is rest.   Steam heat, via a humidifier, can help as well.  Do not take a cough drop with menthol to relieve the strain, it in the end will harm you not help you.

"When you have a black and blue mark," Dr. Hopp Saint Sanai Hospital says, "it usually takes a good week or so to recover. You have to be very careful -- you don't want it to come back because you'll have to go through the healing process again." 

Remedies people typically use for sore throats such as gargling with salt water or drinking hot tea with honey won't work in this instance, since they won't affect the vocal cords.  In some cases there may be an underlying vocal malformation causing the hemorrhaging, Akst says.  But if it's just a case of bruising, then the prognosis is probably good.  The person will sing again.

http://www.mtv.com/news/articles/1673944/adele-throat-surgery-recovery.jhtml

Moral of the story?  Listen to your body and seek the advice of a vocal professional or doctor if things don’t feel right. Although medical advancements can get us through tough situations, it is best to avoid it all together.

What about John Mayer is up next……

Adele cancels US Tour for good reason! What can we learn? Take care of your voice and take care of you!

Recent cancellation of the rescheduled US Concert Tour for Adele is cause to really think about how we are treating our own singing voices.  She is doing the wisest thing she can by listening to her doctors and taking a break from singing to get vocal rehabilitation.  Singing is a joy and a means of sharing our souls.  We must pay attention to our bodies and respond to what they are telling us.  If it doesn’t feel good or you are seriously sick, don’t sing or you could face some troubled roads ahead.

"I have a hemorrhage again and it is paramount that I rest and therefore wont be able to come and do these already rescheduled U.S shows 23-year-old Adele wrote in a blog posted Tuesday. I apologise from the bottom of my heart, sincerely I do "singing is literally my life, its my hobbie, my love, my freedom and now my job. I have absolutely no choice but to recuperate properly and fully, or I risk damaging my voice forever…..this is the only thing I can do to make sure I can always sing and always make music for you to the best of my ability.”

When the vocal cords are damaged either from overuse or abuse, they leak and spread under the surface just like a bruise.  The blood accumulating under the surface makes it harder for the vocal cords to vibrate, causing a sudden change in the voice. Like a black eye, the bruise will heal. But recurrent damage can cause scar tissue to build up and cause a permanent change in a person's voice.  "The typical scenario is, a singer will say, 'I was doing fine and then all of a sudden, in the middle of a show or a rehearsal, I had a break in my voice and couldn't sing well anymore.’”  Dr. Gaelyn Garrett, medical director of the Vanderbilt Voice Center in Nashville.  

According to Garrett, anyone can suffer a vocal cord hemorrhage, but singers are more likely to notice minor voice changes. "It can even occur after coughing, or anything that generates a lot of pressure," she said. "There are some patients that just come in with evidence of a bleed from several days ago." Whether a person needs rest or surgery depends on whether the injury recurs and on their voice demands.   For more detailed information go to

http://www.webmd.com/oral-health/news/20111005/singer-adele-cancels-us-tour-due-to-vocal-cord-hemorrhage

http://abcnews.go.com/Health/Wellness/adele-cancels-us-tour-vocal-cord-hemorrhage/story?id=14671798

What does this mean to you?  Listen to your body at all times.  As a singer, your body is your instrument and it should be taken care of.  Good technique, adequate sleep, plenty of water, a good diet and exercise are essential.  There are good guidelines to follow in my blog www.findyoursingingvoice.blogspot.com/2011/04healthy-voice-and-healthy-you.html.  

Also, warm up when you are under the weather and ask yourself if it feels okay to sing and do you really need to do that performance or can it be rescheduled?   www.findyoursingingvoice.blogspot.com/2011/04to-sing-or-not-to-sing.html.  If it does not feel good, seek the advice of a voice professional and/or otolaryngologist (ENT).

Best wished to Adele in her recovery and we all look forward to hearing her sing again!  Take care of yourself and your voice.  Watch your technique and always check in with your voice teacher.  Most professional singers check in with a vocal coach periodically to check their technique and sound quality.  They also check in with an ENT if anything feels different.  Please contact me with any questions, visit your ENT or the Voice Foundation at http://www.voicefoundation.org/

Most of all, keep singing and sharing your music with the world!

Why Singing? The Passion of Singing.

Why Singing? 
Singing is an art form that is an extension of yourself.  It is a means of self expression and creation of beauty so enjoy it!

Sing for yourself, sing for the school choir, sing for your church, sing for karaoke, audition for American Idol or the Glee Club.  Above all do it for yourself and find someone you trust and whose opinion you value to help you make the most of the instrument that was given to you!

Understanding and appreciating art is so helpful when it comes to processing the hard stuff in the world.  Music is a safe place to let out emotions.  An outlet for times you feel powerless and it can be invaluable in your emotional survival.  Art can be such a powerful tool for children to express themselves.    Jennifer Nettles, Sugarland

Extra Reasons to Take Voice Lessons

·                    Increases attention span

·                    Increase focus on task at hand

·                    Improved reading capabilities (both music and reading comprehension)

·                    Analysis of literary content

·                    Value of connection between math and real life experiences

·                    Self confidence and courage

·                    Improve communication skills

·                    Improve breath control (asthma)

·                    More awareness of mind and body connection

·                    Awareness of physical body and taking care of your body

·                    An emotional outlet

For more reasons to take music lessons, visit http://www.garnetvalleyschools.com/1381208211121177/lib/1381208211121177/benefits_of_music.pdf
http://www.nats.org/
http://www.menc.org/

How do you make the most of your practice time for your voice lessons?

Okay, so you are taking voice lessons and you are wondering:
How do I make sure I am making the most of my practice time?

How Long Should I Take Voice Lessons? 

Singing, just like any other instrument, benefits from regular practice and dedication to a craft.  Piano lessons develop muscular coordination in your hands while singing lessons develop muscular coordination in your whole body.  Your body must become in sync with itself!  Sometimes this takes a little while of dedicated practice and it is different for everyone.

We are all different but you get out what you put in to your voice lessons.  Disciplined practice on a regular basis yeilds the best and quickest results.  We all have individual instruments with different starting points, but as a general rule, at least 6 months of dedicated weekly lessons will give you a solid basis.  It is best to keep taking weekly lessons to make sure that you continue to progress vocally.  If after many years of lessons you absolutely must take a break, keep practicing on your own and check in regularly with a trusted voice teacher.  Persistence and consistency is key to singing beautifully.  (See Blog Post The Personal Touch of Private Voice Lessons).

How Do I Know I Am Making the Most of Your Practice Time?  How do you know you are not 'just singing'?

* Voice teachers craft warm-ups (vocalise) for a reason. Always start practice with the warm-ups from your previous lessons as well as a few favorites you know line up your voice well.

* Make sure you have a clear, focused practice space.  Once you have started practicing, do your best to  not answer your phone, text, talk to anyone.  It is your private singing and practice time; stay on task.

* Practice songs with a focus on what your teacher recommended in you lesson in addition to learning new pitches.
            - It is helpful to pinpoint 2 or 3 things you should work on during the week in practice and put it into your own words.  i.e. Breath Control (use your laughing muscles) and Breathe only where you have breath marks!  I do this with each of my students in every lesson.

* Pay attention to what is happening with your voice in the moment.  Make a note of it in both your warm-ups and repertoire.  Write down questions for your teacher to take to your next lesson.

* End your practice time by singing a song that is well set in your voice.  This way you 'warm-down' and know if your practice of the day follow good technique for your vocal development.  It is always fun to end your practice time by just singing something you love!

**  The more active your brain is when practicing, the more you will get out of your practice time and the quicker you will obtain your singing goals!

Happy Singing!  http://www.susanandersbrizick.com/

The Personal Touch of Private Voice Lessons

The Personal Touch of Individual Voice Lessons

Weekly time spent singing with a voice teacher and identifying what is going on with your voice right now is invaluable.  Outside ears and eyes help identify where you are that day or week and professional guidance and diligent work can take you to the next level.  Although we establish good vocal technique using proper breathing, support, and vowel placement, sometimes it takes time to get there.  Through dedicated practice and patience you can develop a beautiful singing voice.  It is not an overnight (or couple of week) process.

Persistence is the key as your body is your instrument.  Muscle memory develops over time and helps you sing with consistency throughout your range with a stronger, more balanced tone.  Just like training to run a 5K, your body remembers what it should do and needs to do to create a stronger sound.  It pulls on its resources, muscle memory!

If you are pursuing singing, there can be no rush!! There is no reason to wait to begin the journey but no rushing the development! Vocal muscles develop with the natural athleticism they have. If you try too hard or go too fast, it is dangerous. -Susan Eichhorn Young

Our bodies and voices change on a weekly basis (sometimes daily) because our lives are continually changing.  Your technique may be working wonderfully and a few days later there may be some troubles in a particular spot.  You may not notice it on a consistent basis but sporadically.  Has your muscle memory kicked in enough to know what to do when you are not feeling 100%?  Are you an adolescent going through puberty therefore in constant change?  Weekly voice lessons can help you identify what is going on quickly and provide you with solutions.

What we hear while we’re singing just isn’t true, so we are always dependent on someone we trust to take the role of our ‘outside ears’.  Renee Fleming

How do you trouble shoot on your own?

There are a few questions you can always ask yourself:

Have you been eating differently?  Did you stop drinking enough water?  Stayed up late a lot?  Has your posture changed?  Not worked out recently?  Are you stressed?  Did you go to a concert and sing too loudly for too long?  Do you have a cold and need techniques to sing above it?  Find a voice teacher you trust to help you.

For more information regarding voice lessons visit http://www.susanandersbrizick.com/ or sign up for my free newsletter.

Follow Up to Singing and Exercise: Cardio and Yoga

So, how did you do?  I have added at least 2 sessions of cardiovascular exercise and 2 sessions of yoga and/or pilates to my weekly routine for the last month.  I have more energy in general and am more focused on my daily tasks.  I have more motivation to try new things and get more accomplised.

I am also more focused when I practice.  As a singing teacher, I know it means a lot more to practice well in less time than to spend 1 hour just singing.  I am able to spend time perfecting a phrase and with more ease than before.  Being more in tune with body, I can diagnose the problem quicker and solve the problem faster (i.e. my posture is not in alignment, so by fixing that, I improve my sound).  I can sustain phrases longer in my repertoire and feel more grounded when I sing.  My nerves are even a little better when I perform for others.

How has increased exercise and yoga impacted your life and your singing?

Singing and Exercise: The yoga connection

Exercise such as yoga aligns your spine, improves posture, calms your mind, and strengthens your whole body which is all beneficial to singing.  Pilates focuses on strengthening your body from the inside out with much emphasis on ‘the core’ or abdominal muscles which are the powerhouse of a singer.  Both pilates and yoga are practices that help you to be more in tune with your body and pay attention to the needs and comfort of your body and mind.  Because your body is your instrument, it is essential to be in tune with it and take care of it. 

As a singer, your body is your instrument, so take care of it by exercising and eating well.  Both aerobic exercise and yoga help posture for singing.  You will  have more control over your breath, be able to sing longer phrases, have more endurance, and feel better about yourself.   You will also be more in tune with your body and, just like an athlete, the more awareness you have over you body, the greater your success.

So, get out there in the warm air and exercise, eat the fresh foods of summer, and balance your mind and body and make your singing the best it can be! 

What do you think about the connection between exercise, diet and singing?

Join me in an experiment! 

Add both Cardio exercise 2 times and yoga 2 times to your weekly routine for the next 2 weeks.  Practice sometime during the day following the activity and notice how you sing.

Does it change your singing?  Improve your breathing?  Increase your focus?  Make singing easier?  Make you more in tune with your body so that you fix and problems quicker?

Links:

http://www.classicalsinger.com/

http://www.thenext100pounds/,

http://www.thebusinessofsinging.com/,

http://www.theathleticperformer.blogspot.com/