In all cases, illness is caused by the botulinum toxin produced by the bacterium C. botulinum in anaerobic conditions and not by the bacterium itself. The pattern of damage occurs because the toxin affects nerves that fire (depolarise) at a higher frequency first.
BMT (Bachelor of Music Therapy) Voice majors in this degree often have music skills and an interest in the science and medicine. Future vocal music majors are often the top singers in their high schools. It is not unusual for talented teens to sing a variety of vocal styles in high school.
Fortunately for musically-inclined young people, a basic education in music theory is not required for acceptance into the your local Commercial Music Academy Institute of Technology. For those musically-inclined (or reclined as the case may be): Buzzgrinder is hosting an Admiral Ackbar song contest.