Thanks for responding so quickly to my posting. I started becoming more aware of my problem after a period of a year of throat irritation and some minor swallowing problems and no improvement. My first ENT said he didn't see any real problem with my throat and gave me a prescription to help the irritation. The next visit I saw his PA and he went down my nose with a scope and said my left vocal cord was vibrating different than my right and they weren't closing tight. At this point my primary care Doctor recommended me to another ENT and he looked down my throat and said my left vocal cord was paralyzed in an open position but my right cord was functioning as it should. At that point he didn't offer a solution but he recommended throat and speech therapy. He further said that this problem could have been caused by acid reflux burning my vocal cord and started me on a drug to help with the reflux. I was not aware of ever having acid reflux if that in fact is possibly the cause. I started speech and throat therapy soon after and all of this took place over 10 to 12 month period. Early on I also had a swallow test that showed my esophagus did not completely close and I was given warning to being careful regarding swallowing. As I mentioned in my first note my ENT was familiar with a couple procedures for treating the paralyzes but didn't leave me with any confidence to consider them here in Naples, FL. Both ENT's I have seen here in Naples have credentials that say they are Otolaryngology Drs. I will be grateful and very pleased to hear back from you. @ensign60 (Paul)