Learn what to expect from your first appointment at Duke Voice Care Center.
Yes. Please arrive about 15 minutes before your appointment time in order to complete your new patient form and the voice intake form. To save time, you can complete them in advance and bring them to your appointment. Download the patient forms
Bring any medical information relating to the reason for your visit, and a list of medications you are taking. Also, bring any applicable patient forms.
Once the surgery is scheduled, the preregistration office personnel proceed with obtaining appropriate authorizations. The patient and the physician’s office will be notified before your surgery day if there are any problems with your insurance.
The preoperative work up allows us to review your medical history and medications, examine you, and clear you medically for your surgical procedure. We also make sure you are capable of undergoing anesthesia.
Yes. There are no nutritional limitations to observe on the day of your work up.
If you are on any blood thinners such as Coumadin or aspirin, these will need to be discontinued for approximately seven days prior to your surgery. Some patients will need to be switched to another medication during this time, and others will need to discontinue it altogether. This will be coordinated with your physician who prescribes those medications.
It is likely that you will be given antibiotics and/or pain medications after your surgery. These prescriptions will be given to you when you leave the hospital.
Approximately every four to six weeks.
The botulinum toxin A (BOTOX) is injected through a very thin needle, and although every patient differs, it is not usually associated with a significant amount of pain.
Most patients have improvement in their voice for about three months. Some patients, however, experience an improved voice for up to a year.
Yes. We will be happy to put you in contact with other patients who have had botulinum toxin A injections for a voice disorder.
Yes. While lots of botulinum toxin A treatments are considered cosmetic, treatment for spasmodic dysphonia with botulinum toxin A is not for cosmetic purposes, and is covered by most insurance companies.
This is possible, depending upon what the prescription is and how long it has been since you have seen the doctor. If you are a patient of Dr. Cohen’s, call 919-681-7350. If you are a patient of Dr. Scher's, call 919-681-8069. If you are a patient of Dr. Witsell's, call 919-668-6065.