Submitted by Anonymous (not verified) on Sat, 2012-04-07 13:45 Forums: Singing voice Good Day Doc, I am a Singer from the Caribbean Island of Grenada. Lately I've noticed that i am not able to hit notes that i am accustom to. I am also hoarse alot of the time. What do you think might be the problem? Nekoyan. Submitted by James P Thomas MD on Sat, 2012-04-07 13:45 Permalink Dear Nekoyan, I would love to hazard a guess, but it would be no more than a guess with so little information. About the best I can suggest is to see an ENT doctor, and I do not know how hard it would be to find one on your island. The other option is to read the various areas of this website and see if anything seems to match up with your symptoms. Ultimately, only a good look of the vocal cords will answer your question precisely.