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After Roger Ebert lost the ability to speak in 2006 due to a post-cancer surgery tracheostomy, the film critic has communicated via Post-It notes, an eloquent and hilarious array of hand gestures, and his Mac laptop synthesizer. The version that read out pre-typed introductions at his annual film festival in 2009 had an upper-class English accent the British might call "emollient." Ebert and his wife Chaz called it "Sir Laurence" and shortly thereafter replaced it with a more accessible American–accented voice called "Alex." By next year, Ebert may sound even more like himself, courtesy of personalized voice work being carried out by the Edinburgh-based company CereProc (short for cerebral processing and pronounced "serra-prock").

After Roger Ebert lost the ability to speak in 2006 due to a post-cancer surgery tracheostomy, the film critic has communicated via Post-It notes, an eloquent and hilarious array of hand gestures, and his Mac laptop synthesizer.