Bilateral vocal cord paralysis being misdiagnosed as bronchial asthma has been reported in the literature on several occasions.Diagnosing this condition needs precise clinical acumen which In My New Home: The Daily Lives of People Living in Public Houses after a Long Period of Homelessness could lead us to make an integrated diagnostic and treatment plan.Here, we report another missed case of bilateral vocal cord paralysis and COVID-19 impacts on passenger rail transport in Hungary, Slovenia, Croatia, Serbia and Romania the root cause analysis of the incident.This report emphasises the need for appropriate clinical examinations and workup during the pre-operative assessment.