Hacker News Reader

I once attended a live talk by Leslie Lamport and as he talked, I had the overwhelming feeling that something was wrong, and was thinking “did he have a stroke or something?” but then I realized I had just always watched his lectures online and had become accustomed to listening to him at 2x.

No but a little. I struggle with people who repeat every point of what they're saying to you several times or when you say "you told me exactly this the last time we spoke" they cannot be stopped from retelling the whole thing verbatim. Usually in those situations though there's some potential cognitive issues so you can only be understanding.

I wonder if there is negative side effects of this though, do you notice when interacting with people who speak slower require a greater deal of patience?

You are basically training your brain to work faster, and I suspect that causes some changes in the structure of your memory; if someone speaks too slowly, I'll be more likely to forget what they said earlier, compared to if they quickly gave me the entire sentence.