Amazing!" said Mr. McSwiney. "You've got a permanently fixed larynx," he told...

Amazing!" said Mr. McSwiney. "You've got a permanently fixed larynx," he told Owen. "I've rarely seen such a thing," he said. "Your voice box is never in repose - your Adam's apple sits up there in the position of a permanent scream. I could try giving you some exercises, but you might want to see a throat doctor; you might have to have surgery."
"I DON'T WANT TO HAVE SURGERY, I DON'T NEED ANY EXERCISES," said Owen Meany. "IF GOD GAVE ME THIS VOICE, HE HAD A REASON," Owen said.