Speak to Me

Bruce Powell • May 5, 2026

Same moment. Different understanding.

Annabel lies alone in her side room, cot sides up.


She can’t speak.


Who has a massive stroke at 48?


I’m not sure what to do.


I’m resigned to another bollocking.


The bow-tied neurology professor spelt out what he expected of me.


‘S-P-E-A-K to her.’


’She can’t speak, Sir’, I plead. ‘I feel like I’m annoying her.’


‘That makes two of us.’


I shuffle out of his carpeted office, back onto the wipe-clean 8th Floor, knock rhetorically, and re-enter the side-room.


The slow steady beeping of her heart monitor punctuates the sterile silence.


‘Do you mind if I call you Annabel?’


Perhaps she’s deaf and blind?


I take a gamble.


'NEVER SIT ON THE BED.' The nurses would say.


Her face flickers. Progress?


Her right arm unfolds from the lifeless left and straightens out towards me, ramrod straight, palm up, fist clenched.


Now we’re getting somewhere.


Her long, middle-finger unfurls itself from the fist and straightens beneath my chin. She eyeballs me for twenty two heartbeats.


We connect.


F-U-C-K-O-F-F she mouths.


I hang the “DO NOT DISTURB” sign on her door as I leave.


We’re trained to measure communication in words.


She managed without them.


The professor was right.


I need to learn how to listen.


Hamlet cover with a black hand holding a white skull on a pale background
By Bruce Powell July 30, 2026
What Hamlet and the operating theatre reveal about automaticity, high performance, rehearsal and life after brain injury.
The Lancet Global Health logo in black and magenta text on a white background
By Bruce Powell July 13, 2026
An ICU doctor who became a brain injury survivor on why the world must finally count TBI as the chronic, lifelong condition it is.
Abstract portrait of a man with gray hair and beard, surrounded by chaotic scribbles, arrows, and geometric shapes
By Bruce Powell June 30, 2026
A traumatic brain injury exposed the ADHD that once powered my career. A raw, honest story about when a superpower turns curse
Red math book titled “The Book of Mathematics” standing on a wooden floor by a window.
By Bruce Powell June 23, 2026
A restless boy, nuns, Christian Brothers and a mind that refused to sit still. A childhood story about intelligence, shame and difference.
Sunset over a sandy beach with silhouettes of people near the waterline
By Bruce Powell June 16, 2026
An ICU doctor becomes the patient after a brain injury, and finds the language of burnout and trauma too thin for what's actually been lost.
Sketch of a man wearing headphones and glasses, seated and labeled “Bruce”
By Bruce Powell May 26, 2026
Former intensive care doctor turned brain injury patient and advocate reflects on recovery, identity, rehabilitation and life after survival.
Headway logo with a face in hands and the text “the brain injury association”
By Bruce Powell May 19, 2026
A reflection on caring, exhaustion and survival, and how writing, poetry and creativity offer carers a quiet place to put things down.
Waterfront city skyline across a calm blue bay under a clear sky, with a railing in the foreground
By Bruce Powell May 13, 2026
A near-fatal crash, a stranger by the river, and the uneasy recognition that sometimes survival depends on someone stopping to ask if you’re OK.
Fluffy brown dog with a dark face sitting outdoors on green grass, looking left
By Bruce Powell May 12, 2026
A brain injury survivor reflects on friendship, identity and uncertainty after trauma, where survival can feel lonelier than loss.
Red question marks blocking a blue arrow path between two rows of directional buttons
By Bruce Powell May 6, 2026
Experience teaches doctors how to stay calm when everything feels chaotic. High performance is often just structured thinking under pressure.
Show More