“Speak to Me”

January 16, 2025

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 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.


Split image comparing NASA cockpit and supermarket aisle to show cognitive overload in brain injury
By Bruce Powell December 15, 2025
A powerful reflection on cognitive overload, showing why brain injury patients must use high-performance strategies just to shop at Christmas.
AATPHRM conference logo
By Bruce Powell December 7, 2025
Trauma reshapes the brain and identity itself. A former critical care doctor reflects on PTSD, humour as armour, and why honesty is the first step toward recovery.
By Bruce Powell November 29, 2025
Up to 70% of WA prisoners have a brain injury yet lose Medicare, GP access and oversight. A human rights crisis affecting identity, PTSD and survival.
An unfinished path are stones
By Bruce Powell November 24, 2025
A personal story of rebuilding life after brain injury, told through the process of creating a home, rediscovering identity, and finding renewed meaning.
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.
August 21, 2025
A podcast series where Bruce shares conversations with inspiring people, learning from their experiences since his life-changing accident.
Man in pink cap and sunglasses, standing in front of a large poster featuring a child.
By Bruce Powell August 20, 2025
Bruce reflects upon the powerful impact of organ donation upon his personal and professional career.
Show More