Special 3 – Bruce and Janco Return

July 16, 2024

One more chat before Janco returns to his proper career, working in “sustainability”, whatever that means.


1:05 Med Student mentoring. Brain Melt.

3:15 Golf

5:49 Beards at school

7:45 ADHD labels

10:40 Brain Injury Unit

14:10 Qantas pyjamas

15:30 Transition from patient to independent person again

17:00 Naked podcasting and nudism

27:15 Escape Plan

28:10 Base jumping and nudity

28:50 Cognitive collapse and Ritalin.

34:45 Hard to be in medicine if you don’t fit in

36:30 ADD vs ADHD

37:45 MAFFS? Isn’t that married at first sight?

38:50 Let Janco talk more


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.
Close-up of a bearded man in a purple shirt outdoors with tall grass and blue sky behind him
By Bruce Powell June 2, 2026
Brain injury rehabilitation risks mistaking consensus for evidence. A call for better data, broader thinking and intellectual humility.
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.
Hospital room with two beds and beige privacy curtains, white walls, and bright overhead lighting
By Bruce Powell May 5, 2026
A patient who can’t speak communicates perfectly. A reminder that listening is often the skill clinicians misunderstand, even when words are absent.
Selfie of a man with light curly hair and a white beard, making a playful face indoors.
By Bruce Powell May 5, 2026
Insight promises clarity, but it often destabilises identity. What happens when you see too much, too late, and can’t return to who you were.
Smiling person soaking in a bathtub with a white foam beard and wet spiky hair
By Bruce Powell April 27, 2026
Rethinking “bad behaviour” in brain injury: less about intent, more about control, shame, and the gap between clinical labels and lived reality.
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