I assume that your co-worker was told that she had a vocal cord nodule. The most important question is how the diagnosis was made. If it was not confirmed by direct examination of her larynx and vocal cords, with the use of an instrument designed for this purpose (a fiberoptic laryngoscope), an experienced physician can have a high index of suspicion of nodule(s), based on clinical findings. However, the persistence of symptoms with voice rest is worrisome, as is the persistence of pain which is not generally a symptom of nodules. Thus the pain could be caused by something other than a nodule.
Nodules are generally treated with voice rest and
speechHearing or speech impairment - resources
Speech disorders therapy.
At this time, the best suggestion I can give is that she should see a
throatCancer - throat or larynx
Throat swab culture specialist (
ENTAbdomen - swollen
Abdominal tap
Adjustment disorder
Adolescent control test
Adolescent depression
Adolescent development
Adolescent pregnancy
Adolescent test or procedure preparation
Alopecia, under treatment
Alzheimer’s disease
Amenorrhea - primary), both to confirm the diagnosis and to recommend the proper therapy.
Good luck