Vocal cord dysfunction - Dr. Sidney Braman 2/2

A nice talk about the pathophysiology of Vocal cord dysfunction and how to differentiate from asthma.
Place: Memorial Hospital of Rhode Island
Date: 12/21/2010

Category:

Nonprofits & Activism

Tags:

• Vocal
• cord
• dysfunction
• Memorial
• Hospital
• of
• Rhode
• Island
• Sidney
• Braman
• Brown
• university
• open
• source
• CME

[SHAHINOVE]

We are more and more discovering that psychological factors play bigger roles than we initially thought. From IBS to migraine, I think VCD is simply another illness with a physical manifestation and no clear physical etiology but evidence suggestive of a relationship with psychological factors. Dr. Braman might sound like he's carried away with his psychological explaination but I don't find it far from reality.

[meandk0610]

why did you only mention psychiatric causes of VCD? why didn't you mention GERD, post-nasal drip, or voice abuse as other causes? you are training new doctors to assume that every patient that presents with this problem do not have any physical condition. also, just because a problem sometimes has psychosomatic origins does not mean that the resulting physical symptoms are not real.

[phinfanfish]

This is asinine and I find it disturbing. He is professing that VCD is psychiatric in nature. As the previous post suggests, there are physical causes of VCD. He even mentions that he is not sure of how some patients cause their vocal cords to shut on expiration. The answer is that the patient is not willing this to happen. I certainly hope that those who view this video, and Dr. Braman himself, will research VCD and learn the facts.

[TheSpartanole]

Though VCD can be linked to psychological factors, it is also important to consider physiological causes. There are several case hx of infants with VCD available (I could not post the links) - check them out. There are clear etiological factors here; it is important to consider that not all people with VCD are malingering. TB, hypertension, and stomach ulcers were considered malingering prior to identification of their exact cause; we need to be cautious in our claims.

[JennyBray]

There's a mind-body connection to all illnesses. I wish medical doctors would realize this fact. The asthma patient may have asthma for psychological reasons, just as the VCD patient. Triggers for asthma or VCD are sometimes similar. Just because treatment may be different doesn't mean doctors should be dishonest in their diagnosis of VCD (i.e. exiting room to evaluate VCD symptoms, as if the patient is purposely whizzing.)

[KurtisCummings]

Awesome discussion, great work! I've witnessed a few of these cases in the pre-hospital setting and this education will definitely help me in the future.