* Well, Marci, have the lambs stopped screaming? 
Seriously, though, the cognitive issue is a real one. I think we mostly experience a sort of disconnect between our thoughts and our mouths, but that it is not a cognitive issue, it is more a physical coordination issue. Our voices don't sound the same to us, or the mouth movements don't feel the same, and that causes some built in feedback circuit to fire and say "you are not saying this correctly" - even if you are saying it correctly. The hesitations that result can interrupt concentration or cause us to lose the rhythm, and we sometimes get stuck on a word, or lose our train of thought because of the distraction.
I still experience something like this, but I am getting more and more used to it, and it doesn't interrupt me as much. I sometimes find myself speaking, and have the odd sensation that I am saying just what I mean to say, but it doesn't quite feel like my mouth saying it. I just let the slightly alien mouth keep talking, and it turns back into my mouth a few moments later. Okay, that sounded a little weird. But my point is that it is more like an eye/hand coordination problem, except it is your hearing/voice coordination that is getting thrown off by changes in hearing or facial nerves.
I'm convinced that our minds are still working just fine.
Steve
