Writing by hand was generally okay, although with the occasional loss of a word or wrong word. Typing was mostly okay as long as I didn't go too fast, but I had a lot more dropouts, mixed up words, and typos. Speech recognition software was about the same as typing, with the benefit that the software does the spelling. Speech was struggling to say anything at all. I spent a lot of time communicating with my colleagues in writing and waving my hands around. Fortunately the ones who knew me well were fairly good at interpreting what I was trying to say when I didn't have a pen to hand.

I've always had slight dysphasia as part of my normal migraine aura, which was the source of mild amusement at work until the day it wasn't any more. My migraine flipped from a mild one every few weeks to so severe I was off work for three months, and migraine continuously for a year and half before medication finally managed to get it down to the point where I had the occasional few hours with only aura and not full-on pain and nausea. I wrote half a novel with a fountain pen during those three months, since that and reading paper books were the only things I could do.