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Tim, your vocal cords have become thinner, and therefore do not allow the air going through to be moduated properly. There is a procedure which involves injections of bovine collagen into the area, which takes a few minutes, and is highly effective, and after it is done a few times, lasts indefinitley. I am not a doctor, nor am I a victim of PD, but I learned this by reading this list. For details, you should ask Barb Mallut, who has had the procedure, twice, I think. There is also a therapy called Lee Silverman Therapy, which involves training of the voice, and I have also heard it works. So depending on several factors, such as where you live, or would be willing to travel to, you have at least two choices, so good luck, and keep us informed. [log in to unmask]