self help laryngectomee

SELF HELPFor The

LARYNGECTOMEE

ByEDMUND LAUDER

Edited By James Lauder

Call for Catalog800-388-8642

4754 Shavano Oak, Suite 104 • San Antonio, TX 78249-4027 • www.electrolarynx.com

At Lauder - The ElectroLarynx Company™ our most important goal is to make available the very best speech aids and laryngectomee products to our customers at fair prices.

Our company began when my father Col. Edmund Lauder self-published his book, "Self Help for the Laryngectomee." Col. Lauder was himself a Laryngectomee; thus bringing needed experience and clarity to the project. Throughout the years, this book has become an indispensable guide for laryngectomees and those who care for them.

In 1990, when I was planning to print and update my father's book, I felt I could further serve his customers by off ering the best products available today for the laryngectomee.

Our products include:

books

tapes

electrolarynges (sales and service)

voice amplifi ers and

batteries.

We carry most of what you may need. What we don't carry, we usually know where you can get it and will be happy to refer you to a distributor.

Call us at 800-388-8642 or e-mail me at [email protected].

All my best,Jim Lauder

LAUDER ENTERPRISES INC.

Learn more about the new Blom-Singer HME System by visiting our web site www.inhealth.com

Call us today to place an order at (800) 477-5969

Introducing the New Blom-Singer ™ HME System Heat and moisture exchange for laryngectomees

We’ve Given It Just The Right Touch. The EasyTouch™ Speech Button.

OPENCLOSED

© December 2007 International Healthcare Technologies, A Division of Helix Medical, LLC U.S. PATENT 7,025,784080105.10 © 2010 IntHealth Technologies, A Division of Helix Medical, LLC U.S. PATENT 7,025,784

The EasyTouch™ speech button represents an innovative step forward in HME technology—because it makes stoma occlusion simple. Users need only press it with minimal, manual force and it closes to produce voice.

The feeling is definite. Release the EasyTouch button and it instantly returns to its open, breathing position.

Plus, our integrated MucusShield ™ occluder provides protection to the HumidiFilter® foam filter from mucus secretions. And it creates an air-tight seal closure for speech.

The new Blom-Singer HME System consists of a fully assembled, daily-disposable HME cartridge and a Blom-Singer TruSeal® adhesive housing (sold separately).

The new Blom-Singer HME System. Breathe healthy. Speak confidently.

iix

Introduction ....................................................................................................................................1 I. Personal Information ......................................................................................................................3II. Your New Voice ............................................................................................................................15III. Using An Artificial Larynx ............................................................................................................25IV. Speech Aids and Voice Amplifiers ................................................................................................27V. Publications and More Devices ....................................................................................................33VI. How To Organize and Run a Laryngectomee Club ......................................................................39VII. Useful Information for Laryngectomees ......................................................................................44VIII. A Simple Smelling and Nose-Blowing Device ............................................................................49IX. Making the Esophageal Voice Feminine ......................................................................................55X. Emotional Aspects of Laryngectomees .........................................................................................59XI. Advice To The Spouse ..................................................................................................................63XII. The Rehabilatated Laryngectomee ...............................................................................................69XIII. Tracheoesophageal Puncture and Voice Prosthesis ......................................................................73XIV. Near-Total Laryngectomy and Voice Shunt .................................................................................77XV Speech Exercises ............................................................................................................................81 Conclusion ..................................................................................................................................108

Buyers Guide ..............................................................................................................................110

© 2010 InHealth Technologies – 100514 LT DUAL VALVE-B

Introducing the New Blom-Singer® Dual Valve

Voice Prosthesis

Our new dual valve Indwelling voice prosthesis uses leading-edge design to deliver on a very simple, but powerful benefit: two valves are better than one!

Should the primary valve fail due to Candida (yeast) colonization, the secondary valve is intended to remain viable to help prevent leakage of fluids.

As an added advantage, each valve is imbedded with silver oxide, an antimicrobial agent that provides significant protection to the device for laryngectomees who are susceptible to Candida growth. Blom-Singer voice prostheses that contain silver oxide have been proven to eliminate or reduce the need for antifungal agents, such as Nystatin™ or Mycelex®.

Included with the Dual Valve Voice Prosthesis is a unique pop-through insertion system, designed to assist the clinician in the deployment of the esophageal flange during placement.

�e Voice of Experience Since 1978

Call us today to place an order at (805) 684-9337 or visit our website at www.inhealth.com

LENGTH 20 FR DIAMETER

6mm DV2006-NS

8mm DV2008-NS

10mm DV2010-NS

12mm DV2012-NS

14mm DV2014-NS

primary valve

secondary valve

The Dual Valve voice prostheses are offered in non-sterile 20 Fr. indwelling packages, in five lengths:

x

(866) 425-3678.

WebWhispers

Sharing Support Worldwidewww.webwhispers.org

Dedicated to Laryngectomee Rehabilitation

Free Laryngectomee Support Via The InternetMust have current email address to join online or request information

webwhispers.orgComprehensive Information Library, Booklets & Newsletters

Moderated E-Mail Lists, Forums, Chat Room & Social Events

The IAL925B Peachtree Street, Suite 316Atlanta, GA 30309-3918(866) 425-3678www.theial.com

Supporting ENT needs for more than 50 years

SERVOX Quality Made in Germany

Find your local US distributor at www.servona.com

Servona GmbH, Troisdorf, GermanyInternet: www.servona.com

Electronic speech aids aSERVOX – ® digital

SERVOX – ® PURE

Voice amplifier a

Tracheostomy tubes aPU tracheostomy tubes –

Silicone tubes –

Tracheostomy care aOriginal Tracheofix –

Tracheal compresses –

Larynx protection bib –

Larynx rolli shirt style –

Larynx neckerchiefs –

Artificial Noses a

New late

summer 09

SERVOX® PURE

INNOVATION in voice restoration

SERVOX Quality Made in Germany



SOUND a maximum intelligibility –closer to human voice –

HANDLING abuttonless control –easy settings –

ENDURANCE apowerful li-ion battery –stainless steel plate –

DESIGN asmooth grip –lean charging stand –

CONVENIENCE ainternational power –

Introducing...� e New Rapid ResponseSpecial Order Voice Prostheses Program

© 2010 InHealthTechnologies–100503

Prostheses Program

Visit our web site www.inhealth.com

Call us for details! (805) 684-9337

Now Available! Voice prostheses that meet the special needs of your patients.

√

√

√

√√ Increased Resistance:A voice prosthesis with a valve that opens less easily. Designed to be used in patients in whom conventional voice prostheses open intermittently with fl uctuations in esophageal pressures resulting in air ingestion and/or leakage.

TEP Occluder:Voice Prosthesis with its valve permanently sealed closed.

Special Length:Available in one millimeter incremental lengths for comfort and a more precise TE puncture fi t.

Large Esophageal Flange:Provides a “seal” to help manage leakage around a voice prosthesis. Also, enables a safe and convenient downsizing from a wider diameter prosthesis to a smaller diameter.

Effectiveness is dependent on an optimal prosthesis length fi t that achieves a snug fl ange-to-fl ange seal against the wall surface(s).

Large Esophageal & Tracheal Flanges:Provides a “double seal” in patients with signifi cantly enlarged puncture tracts and “tear-drop” or irregularly shaped punctures.

Effectiveness is dependent on an optimal prosthesis length fi t that achieves a snug fl ange-to-fl ange seal against the wall surface(s).

Offered in non-sterile 16 Fr. & 20 Fr. Indwelling packages by prescription only.

The IAL925B Peachtree Street, Suite 316Atlanta, GA 30309-3918(866) 425-3678www.theial.com

© January 2010 InHealth Technologies 090902.03

Introducing...The New Blom-Singer®

Scar Management Gel SheetNew medical-grade silicone-based products designed to improve the

appearance of keloids and hypertrophic scars, which are raised, red and sometimes itchy and/or painful scars resulting

from surgery or trauma to the skin.

Self-adhering Reusable Washable

Visit our web site www.inhealth.comCall us for details! (805) 684-9337

WebWhispers






SERVOX® digital Electrolarynx

More than 50 years innovation in voice restauration

Fine quality, made in Germany



Easy to find YOUR voice a

Easy and individual asettings, with intonation

Easy battery control a

Easy charging and a lot aof accessories

Reliable and long-lasting a

4754 Shavano Oak, Suite 104San Antonio TX 78249

WebWhispers






As producer and distributor of medical devices, we have been dealing withthe health care and the medical attendance of laryngectomy and tracheoto-my patients since 1992. Our objectives are the health care and comprehen-sive attendance as per the needs of our patients. The customer satisfactionis our top priority.

Our product overview:

� Tracheal cannulas and accessories

� Cannula Cleaning and Care

� Tracheostoma Cleaning and Care

� Tracheostoma Protection

� Emergency Aids

www.fahl.dewww.fahl.deANDREAS FAHLMEDIZINTECHNIK-VERTRIEB GMBHAugust-Horch-Straße 4a · 51149 Köln · Phone +49(0)22 03/29 80-0Fax +49(0)2203/2980-100 · Germany · mail [email protected] · www.fahl.de

REHABILITATION AFTERLARYNGECTOMY AND TRACHEOTOMY

As producer and distributor of medical devices, we have been dealing withthe health care and the medical attendance of laryngectomy and tracheoto-my patients since 1992. Our objectives are the health care and comprehen-sive attendance as per the needs of our patients. The customer satisfactionis our top priority.

Our product overview:

� Tracheal cannulas and accessories

� Cannula Cleaning and Care

� Tracheostoma Cleaning and Care

� Tracheostoma Protection

� Emergency Aids

www.fahl.dewww.fahl.deANDREAS FAHLMEDIZINTECHNIK-VERTRIEB GMBHAugust-Horch-Straße 4a · 51149 Köln · Phone +49(0)22 03/29 80-0Fax +49(0)2203/2980-100 · Germany · mail [email protected] · www.fahl.de

REHABILITATION AFTERLARYNGECTOMY AND TRACHEOTOMY

Become a member of our Speakers Club so that you can stay up-to-date on the latest product offerings and information from InHealth. Just some of the benefi ts you will receive are:

• Automatically receive our newest catalog.

• Regular email updates on the release of new products and services.

• Member-only product specials and promotions.

• Complimentary 1-year membership to MedicAlert® upon joining.*

• Free membership, there is absolutely no fee to join.

*The fi rst year, your MedicAlert® membership is free. Then after spending $300 on Blom-Singer/InHealth merchandise within 12 months of joining the Speakers Club, InHealth will renew your MedicAlert® membership for another 12 months, at no charge! Note: there is no obligation to purchase merchandise to be a member of the Speakers Club; membership is only available to customers residing in the USA, Virgin Islands and Puerto Rico.

Please send us your complete contact information by one of the following methods:

• Email: [email protected]

• Fax: (805) 684-8594 • Toll-free Fax (888) 371-1530

• Post: Speakers Club InHealth Technologies 1110 Mark Avenue Carpinteria, CA 93013-2918

Please complete the following information to join the InHealth Speakers Club. The Speakers Club contact list is confi dential; your personal information will never be shared or sold.

Name (please print)

Address

City State Zip Code

Telephone (area code) Fax (area code)

E-mail

InHealth Speakers ClubAre you a member of our Speakers Club?

To Join

support

060410

Thanks to the laryngectomee commu-nity for your patronage over the past 20 years. It has been my privilege to serve you as individuals as well as helping to support your organizations including, especially, the IAL and WebWhispers. I look forward to the next 20.Jim Lauder

108

Since launching the � rst Provox® voice prosthesis, Atos Medical has helped patients all over the world regain their right to speak. Now we are introducing our most innovative voice prosthesis ever...

Provox® Vega™ with SmartInserter™

� e Provox Vega Voice Prosthesis with innovative placement de-vice, the SmartInserter, o� ers optimized air � ow in three sizes; 17 Fr, 20 Fr and 22.5 Fr. A recent survey indicated that 92% of pa-tients preferred the Provox Vega over their previous prosthesis.*

Talk to your clinician today to � nd out how to exercise your new level of freedom of speech.

www.atosmedical.us1-800-217-002511390 W. � eo Trecker Way, West Allis, WI 53214

* Survey data on � le. Insurance coverage, payment, co-payments, deductibles and some restrictions apply depending on the individual’s policy and medical need. Rx required.

Atos Medical products and expertise are developed in close cooperation with leading institutions, doctors, researchers, speech language pathologists and patients from all over the world. All our claims and arguments rest on the results of clinical studies. Atos Medical started the research and development on the � rst Provox voice prosthesis in 1987. Throughout the years, we have worked hard to develop Provox as the leading voice and pulmonary rehabilitation system on the market. We continue to allocate substantial resources for product development and training programs for Ear, Nose and Throat specialties. Atos Medical, leading the way in ENT.

It s so easy!

Freedom of speech, what’s it worth if you can’t exercise it?

© A

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Inc,

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8Welcome two new family membersXtraMoist™ HME comes even closer to mimicking normal nasal function. Humidi� cation is improved and good ari� ow is maintained for easy breathing. XtraMoist is recommended for patients who have recently undergone a total laryngec-tomy, and for those already accustomed to using an HME.

XtraFlow™ HME delivers superior air� ow. XtraFlow is great to use when exercising, adapting to using an HME, and for those that prefer lower resistance breathing.

XtraHME™ acts as an e� ective arti� cial nose. Many expe-rience the following bene� ts from using an HME:• Reduced mucus production• Reduced coughing• Improved pulmonary function• Improved speech• Hygienic stoma occlusion

Atos Medical presents: Provox® XtraHME™

Provox FreeHands HME cassette is not to be worn at night unless used with an HME cap. Insurance coverage, payment, co-payments, deductibles and some restrictions apply depending on the individual’s policy and medical need.

Call to request your free sample today. 1-800-217-0025

HME (arti� cial nose) Selection Guide

HMECassette

Air� ow Resistance Humidi� cation

Bacteria, virus, dust and pollen � ltration

24/7 capabilities

Antimicrobial hygroscopic properties

Normal Low Better

HiFlow Lower Good

XtraMoist Low Best

XtraFlow Lowest Better

Micron Low Better

FreeHands Low Good

www.atosmedical.us

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Provox® Heat Moisture Exchanger...the 24/7 HME

UltraVoice Plus IIUltraVoice Plus II is the first artificial larynx to provide natural speech prosody. This means yourspeech will not have the robotic sound usually associated with the electrolarynx.

UltraVoice Plus II does this automatically by using a computer chip which analyzes your speech asyou talk and provides a natural sounding voice.

UltraVoice Plus II is the loudest artificial larynx ever made. Your voice will be heard across acrowded noisy restaurant, if you want it to be. Or you can make it a soft clear natural whisper.

UltraVoice Plus II has 3 components:

1) Oral Unit 2) Control Unit 3) Charger

Oral Unit

The Oral Unit contains a loud speaker, a controlcircuit and rechargeable batteries all fitted neatlyinto an upper denture or retainer.

Control Unit

The control unit contains a high speed batterypowered computer which samples your speech andcontrols the prosody (how the voice pitch goes upand down) to add naturalness to the sound. Also,it contains a loud speaker and amplifier which canbe used to make the UltraVoice Plus II louder thanany other speech aid.

Charger

UltraVoice Plus II comes with a convenient charg-ing unit which recharges the oral unit and controlunit overnight. Also it provides a convenient stor-age site while the unit is not being used.

UltraVoice, Ltd90 South Newtown Street Road

Suite 14Newtown Square, PA 19073

1-800-721-4848www.ultravoice.com

Collar Microphone

Oral Unit

Control Unit

Components Engineered with Precision

Since 1972 - Friendly, helpful, caring assistance to laryngectomees & others with voice problems - and to speech pathologists, therapists, physicians, families & caregivers.

We offer you an unequaled choice of laryngectomee products:Most major brands of electronic artificial larynges & supplies:batteries, chargers, oral adapters, tubes, Servox 9 V. adaptersand holster carriers, C-R cords & many EL replacement parts.

Cooper-Rand intra-oral artificial larynx - with adaptations toprovide speech for people who are trached, laryngectomized,using ventilators, have paralyzed vocal cords, etc. but havelimited or no use of their hands or arms.

The country's widest selection of quality tracheostoma filters, coversand cravats in many colors, shower collars & DiAnna’sNeckLaces for the ladies in black, white & colors. Our StomaCover Starter Kit offers a selection of the basic covers at asavings. Or ask us for a free sample pack of the foam stick-on filtersand a free Breathe-Easy filter. And we have a free sample of a veryhandy pair of plastic tweezers. Let us know what you’d like to try.

And books for laryngectomees and speech pathologists.

Our catalog is on line or ask us to mail you a FREE copy and/or a CD with detailed productinformation to help you make choices. We offer a large selection because there is no one“best”instrument or stoma cover, only the one that is best suited to a specific user’s needs andpreferences! As both a manufacturer & supplier, we can give expert advice on comparativefeatures, operation, maintenance, care and repair. Write, phone, fax or e-mail us. Our staff willbe happy to help you. If we don't have what you need we'll try to direct you a company that does!

Speech Pathologists, Laryngectomee Clubs: Ask aboutdiscounts and about In-Services and meeting Demos

We accept American Express, Discover, MasterCard & Visa.

We no longer handle Medicare, but LauderEnterprises and other companies sell many ofour products and can take your order and fileMedicare claims for you. Let us refer you.

8688 Tyler Boulevard Mentor, OH 44060-4348 CALL 800-255-3408 440-255-9082 FAX 440-255-2250 e: [email protected] www.luminaud.com

PERSONAL PORTABLE VOICE AMPLIFIERS FOR EASIER, SURER, LESS FRUSTRATING COMMUNICATION!!!!

Personal voice amplifiers and mics in several types and sizes for esophageal or TEPspeakers and artificial larynx users who want more volume. Also for anyone with vocalnodules, Parkinson’s, MS, ALS, etc. who wants a louder voice with less tiring effort in anysetting. And a great help to people with no voice problem who want to be heard withoutshouting or voice strain when speaking in noisy areas or to a large or wide-spread group.

The small, lightweight Spokeman (7 oz. w/batteries) gives a nice volume boostfor 1 to 1 or small group conversation. Cleaver carry case allows it to be wornor carried many different ways. Longlasting rechargeable HiMH AAA batteries.

The ChatterVox comes mounted on a waistband, weighs 1 lb., 2 oz. includingits 6 AA HiMH batteries which will last for several years. Adjusts from 1 to 1conversation up to reaching an attentive group of as many as 75 or 100.

The Voicette can be set on a table, worn over the shoulder or hung on a peg orthe side of a wheelchair. 2 lbs., 7"x7"x3" Has a NiMH battery pack that usuallygives a week or more of service on one charge. Talk to 1 person or up to 100nearby. In a durable black, leather case. Like the other amplifiers, it has manychoices in microphones. Adaptable for use by most quadriplegics.

Some of our microphone choices. See our web page or catalog or CD for details on all ouramplifiers & mics, including larger but stillcarryable amps for those who need toreach bigger groups or wider & noisierareas. Can amplify music, allow voice oversand two people can use them at once.

ALSO

Voice Magnifier telephone attachment to amplify outgoing soft voices.

Special switches for very limited but controlled movement capability

Signal & message devices for quick, basic communication.

Products to analyze & treat of swallowing disorders, including two sizesof the Thermo-Stim oral motor stimulator, a special version of theVoicette with a stethoscopic mic to listen to & record swallowing sounds, and Kapi-Cups.

CONTACT US FOR FULL INFORMATION ON ALL THESE PRODUCTS

Proudly Made in the USA

Included Accessories:

9v BatteryCharger Batteries

*Must return warranty registration card

Specifications Subject to Change Without NoticeCopyright © 2010 Griffin Laboratories, All Rights Reserved.

Single Pressure-Sensitive Button, for Natural Expression

Wide Frequency Range, Allowing for Masculine or Feminine Voice Adjustment

Light Weight, Small Size and Extremely Durable

9v Battery Operation Means No Custom Mail-Order Batteries

2 Years of "Drop & Soak" Coverage with an additional 3 Year Limited Warranty Protection*

With its simplicity and ease of use, you can truly express your feelings and emotions once again.

The ™ Electrolarynx is the only instrument available with natural intonation.

You may qualify for a FREE device!

Medicare Allowable in All 50 States and Now AssistingWith Private Insurance

Call Today for Details

Additional Accessories Available:

SolaToneEasy to use Single-Tone Button Activation

Wide Frequency Range Allows for Masculine or Feminine Voice

Light Weight, Small Size and Extremely Durable

9v Battery Operation Means No Custom Mail-Order Batteries

Electrolarynx Holder

Regain the Freedom to Use Your Hands for the More Important Things in Life.

Works With Both the and SolaTone Speech Aids

Electronic Speech Aid

Proudly Made in the USA


Proudly My ade in the USA

Discreet Noise-Canceling MicrophoneDiscre


et Noise ng icrophoneisee-C-Cananceceliling MMicrophone

Lightweight, Portable, and Easy to Use

Conveniently Straps Around Your Waist

Great for Personal Conversations and Small Groups

Powerful 7-watt Speaker

Designed to Give the Laryngectomee the Best Sound Possible

Lightweight

Convenient

Great for PeSmall Group

Powerful 7-w

Designed tothe Best Sou

Includes Everything You Need!Call Us or Visit Our Website Today!


The BoomVox(TM) Wireless Amplifier is perfect for the Laryngectomee who wants to add an extra boost to their voice. No matter what speech method

you use, the BoomVox(TM) Wireless Amplifier will ensure that you are heard.

Great Volume Range for Home Useand Large Groups

Powerful 15-watt Speaker Powered by AC or Built-In Battery

Includes Everything You Need!Call Us or Visit Our Website Today!

Convenient AUX Audio Input

Excellent Wireless Range With Great Sound Quality

Discreet Noise-Canceling Microphone

New book chronicles physician’s journey as a throat cancer survivor who learns to speak again.

This book captures three years of the authors’ life that followed throat cancer diagnosis and tells his personal story of facing and dealing with medical and surgical treatments and adjusting to life afterwards. As a physician with lifelong experience in caring for patients, the author shares his insights and perspective on these events as he experiences for the first time the effects of severe illness through the eyes of a patient. He endures the consequences of radiation, repeated surgeries, and prolonged hospitalizations. He confronts medical errors in his care, discrimination following loss of his vocal cords, and struggle to regain his ability to speak again and find a new meaning to his life. The author shares his fears, anxieties, frustrations, failures, and ultimate adaptation and adjustment to life with continuous uncertainty about the future. Readers of this book will gain insight into the mind of a patient with a life threatening illness such as cancer. This book can assist readers in dealing with trying times in their own lives and shed insight into the struggles that patients with cancer of the head and neck face and how to overcome them. Through the author’s insights, health care professionals can become more aware of what their patients actually experience, and patients who face similar hardships may find out how to cope with them.

“My Voice” - A physician’s personal experience with throat cancer by Georgetown University Professor Dr. Itzhak Brook offers a personal look as a doctor who becomes a patient.

Dr. Itzhak Brookemail: [email protected]: (202) 744-8211

Chapters of the book are available at: http://dribrook.blogspot.com/

Printed copy of the book can be obtained at https://www.createspace.com/900004368and at Amazon at http://amzn.to/cAMVzm. An e-book version of the book is available at http://bit.ly/9ZWznP.

More than 50 years innovation in voice restoration

Easy and individual settings, with intonation

Easy charging and a lot of accessories

Reliable and long-lasting

SERVOX® digital Electrolarynx

PC-data-transferset:

for individual intonation

Easy to find YOUR voice

Easy battery control

Your local US distributor:


Lauder - The ElectroLarynx Co™4754 Shavano Oak, Suite 104San Antonio, TX 78249-4027Tel: 800-388-8642fax [email protected]

Fine quality, made in Germany

self help laryngectomee

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