Florence Monroe has lived more than two decades without a voice box because of laryngeal cancer.

“She had to learn how to speak by this process where she swallows air and regurgitates it to make sounds,” said her attorney, Juan Bauta of the Ferraro Law Firm in Miami.

Monroe's lawsuit against R.J. Reynolds Tobacco Co. ended in a $6.38 million verdict last month, with a Gadsden County jury finding the company's cigarettes were a legal cause of Monroe's cancer.