Dysphonia, Dysphagia, and the Dys- Between

A Terrifying Observation

At the end of a flexible nasoendoscopy, a procedure in which a small camera was passed through my left nostril, the right one having proved less pliant, there were a few conclusions, though none of particular concern.

The procedure examined my throat and voice box for a simple reason: since I commenced four weeks of radiotherapy for prostate cancer in September 2024, I had lost my natural voice. It had been reduced to a hoarseness, carrying a semblance of weariness and tiredness that might suggest I was gravely ill.

In general, I am fine. The voice that comes and goes does not reflect that impression, and yet a consultant on another stream of the multidisciplinary team that handles my clinical issues and healthcare outcomes has been on my case since January 2025.

Questioning the Cause

While I had surmised that the change in my voice was a long-term side effect of the radiotherapy, she disputed this. Even if I, as a man, were kicked in the testicles, with the usual prospect of momentarily losing my voice, and I had indeed been through the equivalent by way of radiotherapy, the effect should not last as long as it has in my case.

I even dared to question how she, as a female, would know about this uniquely male anatomy.

Then, at my biannual consultation just over a week ago, the consultant took the initiative on the matters I had been reticent to pursue, and scheduled sessions with other specialists in the very fields she had been seeking answers in. My hospital visit yesterday was to see an ENT (Ear, Nose, and Throat) specialist, or should I say an otolaryngologist.

Into the Consulting Room

Before meeting the consultant, I filled in three pages of tick boxes, affirmatives or negatives, to provide a general overview of what needed assessing. I was then called into a consulting room to sit in an abridged version of a dentist's chair.

On what was my third hospital visit in eight days, I could be forgiven for feeling some trepidation, whilst remaining hopeful that nothing untoward would be found.

Understanding Dysphonia

The condition under review is called dysphonia, a medical term for any voice disorder that makes your voice sound hoarse, raspy, breathy, or strained. This is in addition to sexual dysfunction, an obvious side effect of the radiotherapy, and dysphagia, another condition that may have been exacerbated by radiotherapy but has existed for longer, for which I had an oesophagogastroduodenoscopy in May.

In layman's terms, my vocal cords were considered quite thin, not closing properly when I talk, and carrying a slight tremor. It was watching the video playback, while we discussed the prognosis, that left me a little terrified. The movement of my vocal cords looked like the wings of a bat about to take off from a perch. You mean that was happening inside me?

The Prognosis

A contributory factor to my snoring was that my palate is unusually low, though nothing was attributed to that condition beyond the raspiness in my voice, which is probably caused by acid reflux that does not occur all that often.

We agreed there was little else to do, unless I initiated a follow-up because my voice had noticeably worsened, or unless I wanted the filler injection known as vocal fold injection augmentation, not an endearing prospect from what I have read about it.

Exploring the Prefix Dys-

Meanwhile, the original consultant has already scheduled an appointment to discuss the results, and I am learning more about the prefix dys-, which might refer to any of the following kinds of situations.

Bad / Ill: working in a harmful or poor way.

• Dysfunction: impaired or unhealthy functioning (e.g. family dysfunction)
• Dyspepsia: bad digestion
• Dystopia: a bad or undesirable society
• Dysphoria: a state of unease or dissatisfaction

Difficult / Painful: causing trouble or hurt to do.

• Dyslexia: difficulty reading
• Dysphagia: difficulty swallowing
• Dyspnoea: difficulty breathing
• Dysmenorrhoea: painful menstruation

Abnormal / Impaired: moving away from the normal state or standard.

• Dysplasia: abnormal development of cells or tissue
• Dyskinesia: abnormal or impaired movement
• Dysarthria: impaired speech articulation
• Dysgraphia: impaired writing ability

A Gemini Notebook AI Podcast on this blog

When Technical Debate Meets Workplace Dysfunction

The Facts Always Win

In a lengthy set of exchanges on a technical forum, we tried to resolve what became an exception to the rule that proved a process was not functioning as intended or designed.

It was the second of such conversations where, again, one assumption about facilitating something could not be proven by the evidence gathered. My engineering background compels me to seek out and gather the evidence proving a point. Once I have that evidence, I can only be dissuaded with superior data.

My work life is filled with many such arguments where, as far as I am concerned, electronic data is more reliable, convincing, and conclusive. If you cannot present the evidence of the facts in play, then you are left adrift, subject to illogical premises redolent of clutching at straws.

Poorly Reading the Room

I appreciate that I can be quite forceful, but I make no apology for that. Whilst I am neither infallible nor omniscient, I am quite thorough and won't mind painstakingly reviewing whatever viewpoints I have reached if there is any doubt that the means for making those assertions are suspect.

Caught in the flow of these conversations, someone mistook the technical commentary for social banter. Taking exception, he suggested we take our liaison to a private space and, once we had consummated our tryst, we could return with the baby.

You pause and wonder what had got into them. You might take into consideration that they might have had a bad day, but to intrude and insinuate in that manner was uncalled for. The fact is, I have to countenance many impolite, uncouth, bad-mannered, and ill-disciplined people in the managerial cadre who exhibit little respect for their reports.

Another Place, Another Face

Having been a freelance consultant for three decades, I am quite likely to understand this more and better than those who have only been the archetypal corporate person. Anyone has the prerogative to shimmy and slide up or down the greasy pole in obedience and obsequious genuflection for pecuniary advantage. I have seen the best and the worst of the lot, but not at my expense.

My interlocutor was having none of it. Just one unfortunate abuse of privilege and an inadvertent level of tone can quite seriously piss people off. Our accuser was swiftly told off before a feeble apology came in response. I do not have to always be the vocal contrarian, and, likely, my card is already marked, but I am unperturbed.

There is an art to office politics and the power plays of the little-minded that amuse no end.

If the axe is dull,
And one does not sharpen the edge,
Then he must use more strength;
Wisdom is profitable to direct. Ecclesiastes 10:10

We've been at this game long enough to know where to use a dull axe, how it needs to be sharpened, when to use more strength, and wherefore the wisdom to see people for who they really are. In the same vein, all is vanity, vanity.

Seeing the unnecessary and Nigerian dysfunction through a Kaduna Polytechnic vacancy

Long ago in memory

This morning, a tweet flashed through my timeline that attracted my interest, nostalgic interest at that. The Kaduna Polytechnic had published a vacancy for the post of rector. The polytechnic currently has an acting rector and in the recent times, there has been some industrial action by the faculty which apparently led to ousting of a previous rector. [The Nigerian Voice]

The nostalgic part of my interest stems from the fact that we first settled in Kaduna after my parents returned from their studies in the UK. Both were lecturers at the polytechnic in 1971, before my father moved to Jos in early 1972.

In the mid-1970s, we returned in Kaduna and lived in Tudun Wada, an uncle of mine towards the end of that decade graduated the best student of his class in Quantity Surveying, I used to walk by the front of the polytechnic to the Panteka ironmongery, scrap and arts market and further on to the main Kaduna market where my mother ran a side business market stall.

A vision without sight and a mission without path

However, going back to the vacancy notice, reading through it, I began to see issues with the way it was crafted, the kinds of information required and I will provide an analysis of the vacancy as a prism into how unnecessary processes make Nigeria a difficult working environment, why easy of doing business is fraught with red tape, bureaucracy, rent-seekers and ineptitude.

The Vision and Mission Statement aspires to a practice that does not exist, nor does it show any indication that anyone desires it. Reading the text of the vacancy, it states: “To be recognized (US English spelling) as a unique Polytechnic of international repute, setting (a) high standard in education, training and innovation.”

The mission in the vacancy goes on to state: “To be an innovative institution of repute, empowering people to compete successfully in the global arena of work by providing relevant research centered, technology driven and skill-oriented education with (an) entrepreneurial outlook.”

The needed and the unnecessary

The responsibilities related to the post of the rector suggest the person will be the chief academic, administrative and accounting officer of the polytechnic. The requirements for the post look nice enough requiring a minimum academic qualification, experience, leadership, published papers, information technology proficiency and the capacity to attract funding and grants.

The evidence of medical fitness is probably a requirement, though you wonder if it is necessary, the judgement elements of morally sound, of impeccable probity and integrity are in general subjective, though useful for anyone who would aspire to such a role. Being free from financial embarrassment is loaded and probably intrusive.

That the candidate should not be more than 60 years old at the point where they assume the role is in my view unnecessary. Our political leadership tends towards the septuagenarian. Someone in their 60s probably brings at least 30 years of experience to a role that would be more than useful to advance that institution. The age-limited qualification for academic roles is at best an anachronism if the said person meets all the essential requirements that pertain to performing the role.

This is reflecting the stone age

The methods of application, however, must come in for sanction and excoriation. Why an institution that vaunts its claims to innovation, technology driven and skill-oriented education requires an application to be submitted in 15 copies in 2017, beggars belief. It makes you wonder if they are promoting an ascetic existence harking back to prehistoric times. Whatever happened to electronic communication?

The post of rector should be one filled by qualification and merit, such that several elements of information asked for in the application are both unnecessary and superfluous. State of origin and local government area, makes no sense, either in Nigeria or if a foreigner decides to apply for the job. One would think the institution would be going for the best person for the job.

Patently unnecessary

Whilst knowing the marital status of the applicant can be useful, would there be an issue if the person never married? It is very likely if the person were married the age requirement might put the person in a grandparent bracket that the need for the number of children and their dates of birth makes no sense.

Obviously, if the institution does have to make provision for relocation of families of the successful applicant, that can come up at interview stage and should primarily be with the human resources department.

There is no reason apart from the subjective to require that information for an academic role. If they are asking for an email address, then this whole application should be accessible online and posted online, that is innovation.

Surely, you can do better than this

The other parts requiring supporting documents for academic achievement and publications could be done at this stage or they should better apply for transcripts from the academic institutions, it is 2017. Publications can be referenced online, especially if they are in reputable journals. There is probably not one need for a piece of paper submitted for this vacancy beyond showing an identity document.

Applications submitted in sealed envelopes, come on, Kaduna Polytechnic, you can move swiftly into the 21^st Century. In fact, I believe there are probably people who because of the lack of technical nous in the publication of this vacancy that would give it a miss except if they want to take on the challenge the status quo, dragging the polytechnic out of archaic times into the modern age.

For one of the premier institutions of higher learning in Nigeria, the mode and method of the publication of this vacancy is a great let-down to its history, to Nigeria and many of us who have nostalgic affinities to Kaduna Polytechnic. This is a shame and shambles, fix this travesty.