@mariemarie The BIG program is good for speech problems for PD folks,a speech therapist will help you practice projecting your voice. I could not use it because I have a paralyzed left vocal cord. Most PD patients have voice problems but not usually a paralyzed vocal cord. Makes me different, I suppose. I had the vocal cord treated at Cleveland Clinic. They implanted a silastic implant so that the paralyzed cord would close up with the working cord and that helped with swallowing, choking and speech. This is not typical for PD patients, so don't worry about it. Thanks for calling me young, I'm just a few years behind you actually. There is a new term called "young-onset" Parkinson's and it is for diagnosis under the age of 50. My PD probably started in my late 40's and was not diagnosed for a number of years. It's been an interesting journey to say the least! It has been nice getting to know you. Teresa