For example, even though I can speak to crowds of thousands of people my neurology does not permit me to engage in telephone conference calls in a meaningful way. The most I can do is listen, but after a few minutes I cannot process the words of the several different voices I can hear over the phone line. Actually speaking on a conference call is not something I am able to do.
I have found some online video chat alternatives that do work for me and allow me to participate in national work groups. It is necessary for me to see the people and to have the person talking visually highlighted so my brain can process the words that are being spoken. Also, I need to be able to type my words because I am not able to access meaningful spoken words when tracking and processing the talking of the group. Group Skype and Go To Meeting are two platforms that allow me to participate.