Listen to six real patients, guess the diagnosis, then watch the scope footage. A speech pathologist shows where trained ears get it wrong.

Speech-language pathologist Anna Siciliano plays real patient recordings and asks you to rate each voice before revealing the stroboscopy footage. You will learn the GRBAS scale (grade, roughness, breathiness, asthenia, strain), why she has every voice patient read the Rainbow Passage, and what maximum phonation time tells you. Cases include vocal fold varices, a soft fluid-filled polyp, bilateral polyps with hourglass closure, nodules with a contact lesion, post-COVID intubation paralysis, and false-fold compression from muscle tension. She also covers referral etiquette, straw work, strap-muscle massage boundaries for teachers, and thyroid surgery risk. Essential listening for any teacher who has wondered whether to keep teaching or refer.