My breathing is such that I run out of air easily in mid-sentence, and mid-word if I keep on pushing. I struggle to get a full breath, and I especially struggle to fully expel because of a weakened diaphragm. When my throat muscles and vocal cords collapse, air flow gets impeded, and I have to work harder to breathe. The most remedial of tasks destroys my breathing. The same destroys my voice, even if I haven’t been talking. It can take hours to recover, and sometimes days.