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Hemorrhages and the Professional Singer

Singers, vocal coaches, and fans have been scratching their heads over this injury, as hemorrhages have not been discussed much in the vocal community. Nodules, thick vocal fold callouses, are the most feared diagnoses among singers. What they have not yet been taught is that the hemorrhage is the original insult and should be the real focus of our attention.

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It used to be that singers would “push through” injuries, singing while sick and accepting hoarseness as a badge of honor or a necessary evil after a performance. Teas, lozenges, scarves, and steroid shots were Band-Aids that allowed the singer to push through the next day again. When pushing became impossible for them, they would seek attention. At this point, they often received the diagnosis of nodules and this reviled pathology became common and feared.

We have come to understand more about nodules and vocal injury, specifically how injuries form. When the voice is pushed past its natural limits, the vocal folds may bruise.

Vocal demands are extremely high on the touring performer. When high demand is compounded by even a small issue like a cold, this will often precipitate a hemorrhage.

Small blood vessels in the vocal fold burst which results in blood leaking into the vocal fold. There may be a small amount of blood, resulting in hoarseness that the singer feels they can “work around.” The voice change from a small hemorrhage is only slight, and so it is common for the singer to ignore it and proceed with singing.

Figure 1: This singer has a very small hemorrhage that she was unaware of. Her only symptom was vocal fatigue and slight increase in effort in the upper part of her head voice.
Figure 1: This singer has a very small hemorrhage that she was unaware of. Her only symptom was vocal fatigue and slight increase in effort in the upper part of her head voice.

The small hemorrhages are the dangerous ones. Unknown to the singer, they are pushing through an injury which, due to continued voice use, allows inflammation and scarring to develop. After repeated hemorrhagic injury, this will become nodules (or a polyp, or a cyst, or any other vocal injury) if left undiagnosed. The “push” past small hemorrhages is the problem that leads to eventual larger problems.

Figure 2: This singer had a moderate hemorrhage that she was unaware of (right). Conservative treatment involved laser treatment of the vessel. However, the injury from repeated hemorrhage had already been done and the resultant polyp is seen (left).
Figure 2: This singer had a moderate hemorrhage that she was unaware of (left). Conservative treatment involved laser treatment of the vessel. However, the injury from repeated hemorrhage had already been done and the resultant polyp is seen (right).

Mirrors in the mouth or flexible scopes in the nose are still used by many ENTs to screen the vocal folds. These exams miss small hemorrhages, giving performers who have these exams a false sense of security when they are evaluated and told they are fine. The “steroid shot and send them on their way” approach misses small, early injuries that evolve into bigger injuries. The singer will only get a diagnosis when the injury is large enough for these technologies to catch. It is why it seems these things come out of the blue.

We, as voice professionals, need to be proactive and no longer accept inadequate training and equipment from our voice team. Other articles on this site have discussed the keys to good diagnostics in singers. In brief, singers require:

  • A board-certified, fellowship-trained laryngologist; being a “voice doctor” is not enough; look for the credentials
  • A fellowship-trained vocal therapist (speech pathologist with vocal injury and rehabilitation training)
  • A voice team: a laryngologist, a vocal therapist, and a vocal coach
  • Videostroboscopy: a rigid camera inserted into the mouth. Mirrors in the mouth and flexible scopes in the nose are inadequate to find early injury
  • A close follow up plan for the high-intensity performer. Steroids alone are a set-up for further injury when there is no larger, long-term plan
  • A screening exam (videostroboscopy) when healthy and vocal therapy when demand is high, before injury has occurred.

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Jephte Bastien: The Visionary Filmmaker Behind Exit 67 and The Draft

Whether through his portrayal of gritty urban landscapes or his exploration of the human spirit, Jephte Bastien continues to push the boundaries of cinema. As we await the premiere of The Draft, one thing is certain: Bastien’s journey as a filmmaker is just beginning, and the best is yet to come.

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Jephte Bastien, the award-winning filmmaker renowned for his gripping storytelling and raw cinematic style, is set to captivate audiences once again with his upcoming film, The Draft. Best known for his debut feature film Exit 67, which garnered critical acclaim and won numerous awards, Bastien has established himself as a powerful voice in the world of cinema.

From Haiti to Canada: A Unique Perspective

Born in Haiti and raised in Canada, Jephte Bastien brings a unique perspective to his work, combining the rich cultural heritage of his homeland with the multicultural influences of his upbringing in Montreal. This blend of experiences has given Bastien a distinctive voice in filmmaking, allowing him to explore complex themes of identity, belonging, and the immigrant experience with authenticity and nuance.

Breaking Ground with Exit 67

Bastien burst onto the scene with his first feature film, Exit 67. Released in 2010, the film tells the story of a young man named Jecko, who is caught between the world of street gangs and his desire for a better life. Drawing from his own experiences and the reality of many young immigrants in Montreal, Bastien crafted a gripping narrative that resonated deeply with audiences and critics alike. The film’s success earned Bastien a Genie Award, cementing his status as a filmmaker to watch.

The Draft: A New Chapter

With his latest project, The Draft, Bastien is poised to once again capture the imagination of viewers. While details about the plot remain under wraps, the film promises to explore themes of power, corruption, and the human condition—elements that have become hallmarks of Bastien’s work. Set against a backdrop of political intrigue and moral dilemmas, The Draft is expected to be another compelling addition to Bastien’s filmography.

A Filmmaker with a Mission

Beyond his artistic achievements, Jephte Bastien is a filmmaker with a mission. He aims to tell stories that reflect the realities of marginalized communities and challenge societal norms. His films often delve into difficult subjects, shedding light on issues such as crime, poverty, and the immigrant experience, all while maintaining a deep sense of humanity and hope.

Looking Ahead

As Jephte Bastien prepares for the release of The Draft, anticipation is building among fans and critics alike. With his track record of compelling storytelling and his commitment to exploring important social issues, Bastien is sure to deliver another thought-provoking film that will leave a lasting impact.

Whether through his portrayal of gritty urban landscapes or his exploration of the human spirit, Jephte Bastien continues to push the boundaries of cinema. As we await the premiere of The Draft, one thing is certain: Bastien’s journey as a filmmaker is just beginning, and the best is yet to come.

https://www.imdb.com/title/tt19799652

https://www.imdb.com/name/nm3904454

https://www.instagram.com/the_draft_movie

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“Spark Davidson: The Visionary Behind Montreal’s R&B Revolution”

THIS IS THE TRUE STORY OF SPARK AND HIS HUSTLE THAT NEVER STOPS AND NEVER SLEEPS AS HIS DREAMS BECOME REALITIES AND HAVE ALWAYS BEEN THE BIGGEST HE CAN IMAGINE.

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Spark Davidson, a Montreal-based artist, has made significant contributions to the music industry since launching his professional career in 1995. At the age of 28, Spark began managing multiple music groups, including his own R&B ensemble, “Portfolio,” featuring three of Montreal’s most talented vocalists: Alan Prater, Chris Millington, and Danny Blanco. With his keen eye for talent and innovative management style, Spark quickly established Portfolio as a powerhouse in the R&B scene. Within a year, the group achieved remarkable success, consistently selling out performances and captivating audiences with their soulful harmonies and dynamic stage presence.

Spark’s strategic negotiations for Portfolio’s publishing and recording contracts in both Montreal and Los Angeles further solidified his reputation as a savvy music industry professional. His efforts culminated in the launch of his own music production label, “4indamorning,” which rapidly became a household name in Montreal. Under his guidance, “4indamorning” emerged as a pivotal force in the local music scene, known for its distinctive sound and dedication to nurturing emerging talent.

Beyond his work with Portfolio, Spark Davidson’s influence extended throughout Montreal’s music community. His commitment to innovation and excellence helped elevate the city’s R&B and hip-hop genres, setting a high standard for artistic expression and collaboration. Spark’s ability to fuse traditional R&B elements with contemporary influences showcased his versatility and deep understanding of the evolving music landscape.

Spark’s impact on the music industry is a testament to his passion, creativity, and determination. As a manager, producer, and artist, he has left an indelible mark on Montreal’s music scene, inspiring a new generation of musicians and contributing to the city’s vibrant cultural tapestry. His journey from a rising artist to a respected industry leader is a remarkable achievement, reflecting his dedication to music and his unwavering pursuit of artistic excellence.

His latest music project IT’S ABOUT TIME -DA 4AM MIXTAPE ALBUM is available NOW

https://www.4indamorning.com

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“Charting Success: The Modern Artist’s Guide to Thriving in the Music Industry”

By combining these strategies, artists can navigate the challenges of the music business and build successful, sustainable careers. In a rapidly changing industry, adaptability, creativity, and a strategic mindset are key ingredients for success.

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In the rapidly evolving landscape of the music industry, achieving success requires more than just talent. It demands a strategic approach, adaptability, and a keen understanding of current trends. Here are some key ingredients for artists aiming to thrive in today’s competitive music scene:

1. Develop a Unique Sound and Brand

One of the foundational elements of success in the music industry is cultivating a distinctive sound and brand. Authenticity is crucial; audiences are drawn to artists who are genuine and relatable. Developing a unique musical style that reflects your personality and values can help you stand out in a crowded market. Alongside your sound, creating a strong personal brand—including a memorable stage name, visual aesthetic, and consistent messaging across all platforms—will solidify your identity and attract a loyal fan base.

2. Leverage Digital Platforms

Digital platforms have become essential tools for music distribution and promotion. Streaming services like Spotify, Apple Music, and YouTube provide artists with access to global audiences, allowing them to share their music with fans worldwide. Additionally, social media platforms such as TikTok, Instagram, and Twitter are vital for engaging with fans and promoting new releases. Viral trends on these platforms can propel songs to overnight success, making them invaluable for independent and emerging artists.

3. Engage with Your Audience

Building a strong connection with your audience is essential for long-term success. Interactivity is key—connect with fans through live streams, Q&A sessions, and social media interactions to foster a sense of community around your music. Encourage fan involvement in creative projects, such as remix contests or fan art competitions, to deepen their engagement and loyalty.

4. Utilize Data and Analytics

Data and analytics are powerful tools for understanding your audience and optimizing your strategies. Streaming services and social media platforms provide valuable insights into audience demographics, listening habits, and engagement patterns. By analyzing this data, artists can tailor their marketing efforts, identify successful strategies, and refine their approach to maximize impact.

5. Collaborate and Network

Collaboration and networking are essential components of success in the music industry. Working with other artists, producers, and influencers can help you reach new audiences and create innovative music. Building relationships with industry professionals, attending events, and joining music associations can open doors to new opportunities and expand your network.

6. Create High-Quality Content

Investing in high-quality music production and visual content is crucial for attracting and retaining fans. Professional recording, mixing, and mastering ensure your music is polished and competitive. Additionally, compelling music videos, lyric videos, and behind-the-scenes content can enhance your brand and engage your audience visually.

7. Adapt to Industry Trends

The music industry is constantly changing, and artists must be flexible and open to new trends and technologies. Staying informed about industry developments, such as AI in music production or blockchain for royalties, can give you a competitive edge. Being willing to experiment with new sounds, formats, and promotional strategies can help you stay relevant and innovative.

8. Build a Strong Team

Surrounding yourself with a skilled team is vital for navigating the complexities of the music business. A manager who understands your vision can provide valuable guidance and support. Legal and financial advisors can handle contracts, royalties, and other business aspects, allowing you to focus on your art and creative endeavors.

9. Plan for Live Performances

Live performances are a cornerstone of success in the music industry, offering artists a platform to showcase their talent and connect with fans in real-time. Organizing both in-person and virtual shows can expand your reach and maximize exposure. Strategic touring can also help you grow your audience and build a strong fan base in key markets.

10. Monetize Beyond Music Sales

Diversifying your revenue streams is crucial for financial stability in the music industry. Creating and selling merchandise that reflects your brand can generate additional income and strengthen your connection with fans. Exploring sponsorships and partnerships with brands that align with your image can also provide valuable opportunities for growth and exposure.


By combining these strategies, artists can navigate the challenges of the music business and build successful, sustainable careers. In a rapidly changing industry, adaptability, creativity, and a strategic mindset are key ingredients for success.

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