Conversation: The conversation between human and AI assistant.
[|Human|] i have a good friend with multiple myeloma.  he suddenly has developed a raspy voice.  He has multiple hairline fractures in his spine and ribs and has become quite stooped and seems to have difficulty breathing.  Is the raspy voice related to the condition of his spine
[|AI|]  Hi, Thanks fir writing in. A raspy voice is due to stimulation of the recurrent laryngeal nerve which supplies the vocal cords. It is possible that your friend has a lowered immune status after taking treatment for multiple myeloma. This might cause him to have infection in the throat which is causing irritation to the recurrent laryngeal nerve. Any infection or condition in the throat might cause the raspy voice. It is suggested that he consults the ENT specialist immediately and has a clinical examination of his throat done. This will show any inflammatory changes in the region and whether it requires treatment. Please tell him to do throat gargle with warm water twice daily to soothe the throat. The raspy voice is not related to his spine but might have an indirect association to his treatment which he is getting right now. Please do not worry.