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my name is megan esper i am a speech language pathologist in the duke voice care center i see everybody from a child who has hoarseness from screaming too much on the playground to maybe a paralysis patient who has a vocal cord paralysis and as an adult i also see upper airway patients who have chronic cough or a sensation that something is caught in their throat that leads to chronic throat clearing or chronic throat irritation in terms of treatment it really depends on what the disorder is that the patientamp;#39;s coming in with so if itamp;#39;s more of a voice disorder weamp;#39;ll focus on things like focal function exercises which is kind of like physical therapy exercises for the voice if youamp;#39;re coming in for an upper airway concern like chronic cough or chronic throat irritation sometimes itamp;#39;s a little bit more hands-on at first and iamp;#39;ll teach you stretches or iamp;#39;ll actually administer the stretches and give you kind of a routine that you prac