The Story of The 2022 Cleveland Clinic Sports Medicine Courage Award Winner

Photo: Photo: David Shvartsman/Getty; Illisration: Jake Underwood

CLEVELAND - Maya Austerman, a junior from Avon Lake, Ohio, overcame significant medical obstacles to continue playing competitive sports. She will be honored with the Cleveland Clinic Sports Medicine Courage Award during the 23rd Greater Cleveland Sports Awards presented by Medical Mutual and Ancora on Wednesday, Jan. 25, 2023, at Rocket Mortgage FieldHouse.

In 2019, Austerman was playing in a summer basketball league when she began to experience chest and throat tightness, shortness of breath, and wheezing during periods of intense play, leading to increased anxiety while exercising. Her pediatrician recommended she undergo spirometry testing, which is used to diagnose and monitor certain lung conditions by measuring how much air she can breathe in a forced breath. The results suggested she had a component of exercise-induced asthma and other possible issues in her upper airway that could be causing her shortness of breath.

Shortly after receiving these results, Austerman was referred to Dr. Claudio Milstein, Ph.D., a voice and upper airway specialist at the Head and Neck Institute at the Cleveland Clinic.

Over the next year, Austerman tried using inhalers to help with her breathing, but her physical struggles and anxiety persisted on the basketball court. In early 2021, Austerman’s mother read an article about another athlete’s similar struggles with breathing and made an appointment with Dr. Milstein.

During his assessment in May 2021, Dr. Milstein examined Austerman's vocal cords while simulating her breathing problems, revealing that her vocal cords close rather than open during intense exercise. He diagnosed Austerman with exercise-induced laryngeal obstruction, or EILO, a condition often mistaken for asthma.

Over the next several months, Austerman attended four therapy sessions with Dr. Milstein focused on various breathing techniques to help retrain her vocal cords to remain open during strenuous activities. Even with practicing these techniques several times a day, she initially became stressed and anxious when trying to apply these strategies in practice or during a game when her focus was on the competition.

Austerman realized learning to maintain control of her vocal cords during activity, in addition to her mental aspect, was critical to returning to her game. She relentlessly practiced her breathing techniques and used her courage, perseverance, and the support of her family, teammates, and coaches to make the girls' varsity basketball team the following year.

"When I first saw Maya, she was down and out. She was struggling with her breathing on the court, and you could tell how much it was affecting her off the court," said Dr. Milstein. "Thinking she may have to give up basketball was tough for her, but with the right diagnosis of EILO, we could treat her, allowing her to make her way back. I am proud of how hard she worked and continues to work to keep her EILO under control."

Today, Austerman continues to experience symptoms of EILO, which she may always have, but now feels confident using breathing techniques to help her manage the condition. This has allowed her to push herself and enjoy the game of basketball even more than she did before.

 "I feel lucky to have been able to figure out why I was struggling to breathe, and when I finally received my diagnosis, I used it as validation to jump right into my recovery," said Austerman. "At times, I feared I may never be able to play basketball or any sport again, but I'm grateful to have had the support from my family and the team at the Cleveland Clinic to help me return to playing the sport I love."

Austerman is currently a junior at Avon Lake High School and lives at home with her parents, siblings, and their two dogs. She plays varsity basketball, is a member of the National Honor Society, is the sports editor for her school newspaper, and hopes to pursue a degree in the medical field in college. 

Cleveland Clinic, Sports Medicine Courage Award, is given to an athlete who displays courage beyond the boundaries of their playing field to inspire those around them.

Greater Cleveland Sports Awards is the premier annual sports fundraiser supporting Greater Cleveland Sports Commission and celebrates the past year of Cleveland's professional, collegiate and high school sports achievements.

Tickets and tables are available for purchase at

Past recipients of the Courage Awards presented by Cleveland Clinic Sports Medicine include:

2021 – Robbie Boyce, St. Ignatius, Baseball

2020 – Camryn Colahan, Vermillion, Volleyball, and Basketball

2019 – Skylar Scarnecchia, Champion Township, Basketball, Soccer, Track & Field, and Volleyball

2018 – Sophia Pecjak, Mentor, Soccer, and Basketball

2017 – Samer Babi, North Olmsted, Football

2016 – Kendra Seitz, Hudson, Competitive Swimming

2015 – Colin Teets, Westlake, Hockey

2014 – Nick Lenyo, Huron, Football

2013 – Courteney Belmonte, Westlake, Competitive Cheerleading

2012 – Molly Miller, Notre Dame Academy, Soccer

2011 – Brandee Kelly, Cleveland State University, Basketball

2010 – Olivia Warhop, Hathaway Brown School, Swimming and Soccer

2009 – Gyasi Cooper, St. Ignatius High School, Track & Field

2008 – Eric Anderson, Jr., Gilmour Academy, Basketball

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