It very definitely leaves me with a confidence issue. My social life isn't the same either. I can't remember names, details of their life or anything. I won't let my kids live any further away than 3 hours cause I'm not sure I could make the trip. It would have been the reason I quit but I was in a big excacerbation and I never went back to work after. But I'm fine as long as my Grandkids still love me! Life can be very interesting, I am teaching my little ones how to play charades in order for me to get my words out at times.