I find it difficult to hold a conversation. My speech is labored -- it takes a lot of effort to pronounce the words. Sometimes the word will not come out. The words are slurred. This is so different for me as I was a university professor. I gave many speeches and was know for my speaking ability. People tell me that they understand me, but I know they have to work hard to understand me. Speech therapy helped my volume, but not my clarity and my ability to "say" the words. I do not want a "pity party"--I just want to be respected for having ideas.