Dear MAthew
Sorry to learn of the stroke that bit you. You are going very well with your recovery. My speech impediment lasted six months and got easier and easier during those six months.
I believe the medical term is "post stroke tiredness". What a useless term that is. About three years ago the contribtors to this forum described it as stroke fatigue or SF. The terminology seems to have stuck !
I can identify the difference between being sleepy tired and being stroke fatigued, although I am lead to believe many can not tell the difference.
SF in my case is particularly bad but every stroke is different. I recovered my mobility very quickly, but the SF is still going now, 4+years later.
SF did ease (a lot) over the first two years. After just ten months it suddenly ceased (what a fab day that was) but restarted the next day. I had one further day when it cleared for a few hours. But that was it. I am making the point that it can clear and when it does you really notice. Also, lots of SS do have the SF clear but no one has any idea if thats 80% 50% or 20%.
Medical support for SF is hopeless. No one knows what causes it. Science is, at last, looking in to this, probably due to the increasing number of ME sufferers.
I have observed that return to work is probably right from about nine months. A heavily phased return is much much better. When discussing your return, then politely ask if HR can have someone on their team with training in stroke. The perception and understanding towards us SS is just awful. HR are unlikely to have a clue. You will come across the idea that you look well so you must be well. Even worse that you must now be better. Of course we never "get better" in general parlance terms. Stroke damage is permanent. We become new people. The old us doesnt "get better".
Most of us get very satisfactory improvement sometime between 6 months and 24 months.
I am not medically trained, I have just listened to other SS for four years.
The vagueness is so frustrating isnt it. And the time scale likewise.
Whatever, if you smile a lot and if you look at what you can do rather than what you can not, then things will improve.
Colin