Insights

A person fishing in a foggy river, title
By Bruce Powell October 21, 2025
A reflection on finding peace in stillness. Sometimes the most meaningful act isn't catching fish, it's standing quietly in the water.
Dr Bruce Powell wearing forearm braces, arms crossed, standing inside.
By Bruce Powell September 2, 2025
Rehabilitation transforms lives. For every $1 invested in brain injury rehab, $92 is returned. So why is it still underfunded and undervalued?
Woman wearing hat, lying on golf green, surrounded by balls, golf club nearby.
By Bruce Powell August 30, 2025
Rehabilitation after brain injury is like golf on a strange course. Progress is slow, victories are small, but you keep shining, keep trying.
Collage of images: patient in hospital, man atop mountain, wedding party, person on boat, couple, cyclist after crash, headline
By Bruce Powell August 25, 2025
Discover why we forget, how memory changes after brain injury, and why remembering, not forgetting, shapes identity, resilience and growth.
Dr Bruce display
August 8, 2025
From psychologists to editors, Bruce reflects on the challenges of writing, trauma, and turning personal experiences into compelling stories.
Dr Bruce Powell standing beside his award-winning poster, voted Best Poster at the World Congress on Brain Injury in Montreal.
May 28, 2025
Voted the Best Poster at the World Congress on Brain Injury in Montreal.  What a journey, halfway across the world to offer my poster to the World Congress and what a pleasure to be voted the winner. The conference itself was worth the trip and I look forward to maybe contributing more when the next event occurs in Valencia, Spain 2027. A massive thanks to the organising committee and all the fascianting, driven, passionate clinicians I met there. Bruce.
Who are you? Dr Bruce Powell's article.
May 14, 2025
A heartfelt reflection on identity, neurodivergence, and recovery. Bruce explores what makes us who we really are.
People playing bagpipes, illustrating Brad’s Circadian Rhythm.
March 31, 2025
Explore neurodivergence, tolerance, and empathy through Brad’s circadian rhythm story at a school assembly.
March 10, 2025
From theatre chaos to flight anxiety, Bruce shares the intense challenges of brain injury before traveling to the World Congress in Montreal.
Rehabilitation is a long and difficult journey. Laughter is often a useful tonic.
February 14, 2025
Bruce Gump shares a heartfelt reflection on living with brain injury, coping with grief, and finding small moments of hope and joy.
Dr Bruce Powell in the hospital.
February 6, 2025
PTSD isn’t just a label. Discover how one doctor navigates trauma, brain injury, and the slow path to healing.
Dr Bruce Powell with his arms outstretched is standing on top of a hill.
January 16, 2025
ADHD is no weakness, it’s a hidden strength. Join ADHD-Man on a fun journey that celebrates creativity and unstoppable energy.
Dr Bruce and Annabel are posing for a picture.
January 16, 2025
Annabel lies silent, but her unfiltered message is clear. A story of resilience, humor, and human connection.
April 21, 2024
What happens when your “Bank of Me” runs low? A personal reflection on trauma, cognitive fatigue, and emotional burnout.
March 7, 2023
It’s hard not to dwell on the past, however much it shaped who you are or how you feel about yourself. I found this video in my archives and figured I would share it. If only to reveal how the hairstyles and shorts have changed with time.
July 12, 2022
An unexpected in-flight emergency calls Dr Powell to action. Flying Solo tells the story of skill, calm, and heroism at altitude.
June 28, 2022
The Life Project: Raising Awareness in WA
May 14, 2020
Dr Bruce Powell shares his journey from medical director to trauma patient, navigating recovery, identity, and the realities of life after a devastating accident.
Holding emotions inside is often necessary and sharing those feelings is important too.
May 7, 2020
A doctor’s unfiltered journey through grief, joy, and resilience in the ICU, from tears in the car park to profound patient connections.
May 2, 2020
Starting a new job is confronting and disconcerting. The day before, you knew what you were doing, you were an ‘expert’. Now that you have been promoted or recruited, ironically, you’re clueless. You will definitely figure it all out, but the first few days constitute a crisis. Medicine is especially prone to that phenomenon and the accompanying anxiety that comes with moving one-step closer to the absolute responsibility for each patient’s well-being.  The State Medical Director for Organ and Tissue Donation was a very large step indeed. High profile and politically tricky, the unique part about donation was that without our community’s engagement, belief and trust in us, there was no donation. It wasn’t ‘my’ service, nor anyone else’s at DonateLife. We were merely the facilitators of a life-saving process that had no ceiling to its budget, no limit to the number of retrievals we could potentially do, except those set by the public’s willingness to donate part of themselves, to someone that they would never meet. I witnessed my first organ retrieval as a houseman, looked after kidney transplant patients as a nephrology registrar, anaesthetised for organ retrieval and implantations and finally cared for donors and their relatives on intensive care unit. With increasing experience and fewer chance of surprises, comes a vague whiff of arrogance, even for the humblest of us. I was already an ICU Head of Department and now a whole Australian State’s solo representative on the national ‘Organ and Tissue Authority’. I was practically a God and divinity can make social engagements particularly enjoyable, since our community holds a special place of mystery and intrigue for organ donation and transplantation. “Do they take your organs before you’re dead?” took a bottle of Corona to dispel. “Has anyone ever woken up after their heart was removed” took only a mouthful of nuts to deny. Whereas “how come my relatives can overrule my decision to be a donor” could take a half bottle of wine to cover the legalities and the rationale. In fact the questioner needed the other half of the Sav Blanc to stay enthused. It had only been a few weeks but I had it pretty much covered already. Our community knew so little about donation that even the range of questions was predictable and limited. “Are you in charge of organ donation?” a lady asked as she approached me and my newly acquired sausage from the BBQ. I instinctively hoped this was the second “has ever anyone ever woken up…..” question. If it was, the sausage would outlast my answer. “They threw my husband away.” That was a first, as an opening gambit at a BBQ. The novelty of the introduction was in itself, disconcerting, irrespective of the images it conjured. “He had a brain tumour. So they just threw him away.” I gazed thoughtfully down into the heart of my sausage/bap/onion combo and wished it was a bottle of Gin. “They never told us that he could have been a donor. Never asked us. Just dumped him in a hospice and waited for him to die.” I tried to formulate an opening line through the beer, wine and nuts, still staring at my onions but missed my slot in the discussion. “Me and my kids don’t get to go to any services of thanksgiving. Have him remembered for saving someone’s life.” “Just threw him away.” “Why didn’t they ask me?” I sort of knew the medical answer to that conundrum, but from the other side, that reasoning didn’t stand up to scrutiny. I would have to find answers for us both.
April 26, 2020
Dr Bruce reflects on life after a life-changing cycling accident, sharing his journey from ICU patient to anaesthetist in recovery, resilience, and perspective.
Organ donation is a emotive and personal issue that each of us has to decide about for ourselves.
April 26, 2020
Organ donation is complex and resistant to simple solutions. This analysis explores how collective strategies could transform Australia’s system.

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