Google CEO Breaks Silence on His Vocal-Cord Paralysis

The rare disorder kept company co-founder Larry Page quiet for months

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Google CEO Larry Page speaks at a press conference in New York City on May 21, 2012

It’s been almost a year since Google executive chairman Eric Schmidt announced that CEO Larry Page would be absent from a number of company events including last year’s annual meeting because he had lost his voice. On the heels of the death of Apple founder Steve Jobs in 2011, Page’s mysterious absence rattled Silicon Valley, stirring up speculation over whether Google was hiding an ailing CEO.

But Page allayed concerns over his health Tuesday afternoon, when he took to Google+ to explain why he  and Google  remained silent for so long. As Businessweek reports, Page wrote about his struggle with a strained-voice condition that began 14 years ago when a cold ultimately left him with paralysis in his left vocal cord. Doctors never identified a cause, but the condition left him with a fainter voice  nothing that could hinder him from running one of the world’s biggest companies.

(MORE: Grading Google’s CEO Larry Page: A First-Year Report Card)

Last summer, Page was stricken with a similar cold that left him hoarse and with limited movement in his second vocal cord, which is why he chose to sit out the company’s annual events. “Thankfully, after some initial recovery I’m fully able to do all I need to at home and at work, though my voice is softer than before,” he wrote. “And giving long monologues is more tedious for me and probably the audience.”

According to Businessweek, the 39-year-old reportedly uses a microphone even for small staff meetings, but people close to him at Google said cancer has been ruled out. In his post, Page also revealed that in 2003 he was diagnosed with Hashimoto’s thyroiditis, a mild chronic inflammatory condition of the thyroid, but doctors are uncertain whether it contributes to his vocal-cord impairment or if both are result of a virus.

Page also announced plans to fund a research program at the Voice Health Institute led by Dr. Steven Zeitels, a laryngeal surgeon who operated on singer Adele. But in his post, the CEO remains positive on his rare condition. “And Sergey says I’m probably a better CEO because I choose my words more carefully,” he quipped. “So surprisingly, overall I am feeling very lucky.”

(MORE: Adele Expected to Make Full Recovery After Surgery)

Read the post in full below:

About 14 years ago, I got a bad cold, and my voice became hoarse. At the time I didn’t think much about it.  But my voice never fully recovered. So I went to a doctor and was diagnosed with left vocal cord paralysis. This is a nerve problem that causes your left vocal cord to not move properly. Despite extensive examination, the doctors never identified a cause — though there was speculation of virus-based damage from my cold. It is quite common in cases like these that a definitive cause is not found.

While this condition never really affected me — other than having a slightly weaker voice than normal which some people think sounded a little funny — it naturally raised questions in my mind about my second vocal cord. But I was told that sequential paralysis of one vocal cord following another is extremely rare.

Fast forward to last summer, when the same pattern repeated itself — a cold followed by a hoarse voice. Once again things didn’t fully improve, so I went in for a check-up and was told that my second vocal cord now had limited movement as well. Again, after a thorough examination, the doctors weren’t able to identify a cause.

Thankfully, after some initial recovery I’m fully able to do all I need to at home and at work, though my voice is softer than before. And giving long monologues is more tedious for me and probably the audience. But overall over the last year there has been some improvement with people telling me they think I sound better.  Vocal cord nerve issues can also affect your breathing, so my ability to exercise at peak aerobic capacity is somewhat reduced. That said, my friends still think I have way more stamina than them when we go kitesurfing! And Sergey says I’m probably a better CEO because I choose my words more carefully. So surprisingly, overall I am feeling very lucky.

Interestingly, while the nerves for your vocal cords take quite different routes through your body, they both pass your thyroid. So in searching for a cause for both nerves that was an obvious place to look. I was diagnosed with Hashimoto’s thyroiditis in 2003. This is a fairly common benign inflammatory condition of the thyroid which causes me no problems. It is unclear if this is a factor in the vocal cord condition, or whether both conditions were triggered by a virus.

In this journey I have learned a lot more about voice issues. Though my condition seems to be very rare, there are a significant number of people who develop issues with one vocal nerve. In seeing different specialists, I met one doctor — Dr. Steven Zeitels from the Harvard Medical School and the Massachusetts General Hospital Voice Center — who is really excited about the potential to improve vocal cord nerve function. So I’ve arranged to fund a significant research program through the Voice Health Institute, which he will lead. Thanks a bunch to my amazing wife Lucy, for her companionship through this journey and for helping oversee this project and get it off the ground. Also, thanks to the many people who have helped with advice and information many of whom I have not had a chance to thank yet.

Finally, we’ve put together a patient survey to gather information about other people with similar conditions. As it’s fairly rare, there’s little data available today — and the team hopes that with more information they can make faster progress. If you have similar symptoms you can fill it out here: voicehealth.org/ip

5 comments
SanjayKumar
SanjayKumar

I am speech Language Pathologist working at Bangalore ,India .We treat our patient by voice therapy (vocal exercises).Results can be seen in our videos: Bilateral Vocal Cord Paralysis

G.V.Kumar Swamy
Before: http://www.youtube.com/watch?v=zldUTqa1W-g
After : http://www.youtube.com/watch?v=dgmxLIh1ALU                                                                                                                                       Unilateral Vocal cord Paralysis
Before: http://www.youtube.com/watch?v=Y1b4v4iO4Ak
After: http://www.youtube.com/watch?v=DcCZEuzrZ4A   Regards Sanjay Kumar

kansong619
kansong619

I am a 60 years old physician who developed vocal cord paralysis suddenly in August 2010. My situation was so severe that I ended up with a tracheostomy tube within 24 hors of onset. Several extensive evaluations did not identify the cause of the paralysis. Fortunately for me the vocal cords recovered and the tracheostomy tube was removed after about 6 weeks. Several months later I took an OTC cough medicine which I had taken at the time of the initial vocal cord paralysis. Within one hour I experienced the same symptoms which drove me to the ER that August night. Rather than rush to the ER I decided to wait for the duration of the drug's effects which in this case was 12 hours. The symptoms resolved completely after 12 hours and I have been asymptomatic since then. My own investigation revealed that I was allergic to one of the inactive ingredients in this drug. This is something that would never have been identified under normal circumstances. May be my story and the effort I put into discovering the cause of my paralysis can be helpful to this gentleman.

SteveA. MD, MPH 

sachi_bbsr
sachi_bbsr

Steve Jobs also claimed that he had 'recovered' and that it was nothing to worry about when he took his leave of absence.

But clearly the Google CEO is quite young.

@sachi_bbsr