The patient is a 40-year-old female who noted voice changes after choking. She was drinking water the night before and noted it went down the wrong pipe. She only coughed for 1-2 minutes but had a sore throat afterwards and felt her voice was different. She has a large stadium engagement tomorrow and so she called her regular ENT who prescribed her steroids over the phone. However, she was concerned because of how important the performance was and so she sought a second opinion to have her vocal folds examined.