Spasmodic dysphonia (SD), sometimes referred to as laryngeal dystonia, is a rare neurological condition impacting the voice and speech that impacts approximately 50,000 people in North America. For people with SD, muscles spasms in the larynx (also known as the voice box) cause the voice to sound tight, strangled or strained.

As he seeks to lead the health department, Mr. Kennedy wore a thin tie dotted with feathered creatures to cap a classic suit.