This is an excellent advancement for totally blind programmers. I suppose one does get accustomed to the speed of the speech after a while.
I know where I went for training in Cobol programming, in the early 1990s, was a blind person in the class after me that used a screen reader but I didn’t keep in touch with him to see how it worked out. The program was very intense and was to train people with disabilities as Cobol programmer with a 9-month course followed by a 3-month internship. Some of the students had to drop out because it was too much for them. The training was taught by a professor from Milwaukee Area Technical College and had feedback and guidance from some local companies.
I am blessed that though legally blind, I do not need any adaptive equipment or software to do my job as a mainframe programmer. I merely sit closer to the screen and adjust the font size or use a magnifier app.
My mom was so surprised when I told her that I wanted to be a programmer. But I’ve been a mainframe programmer for over 25 years and using computers since I was in the seventh grade.