Professor Misha Perouansky is a consultant anaesthetist and experimental neuroscientist in Madison WI, USA. He first took part in Countercurrent 2017. In 2023 he suffered a catastrophic water-skiing accident, leading to a high above-knee amputation of one lower limb and a number of other injuries. In this Countercurrent Revisited conversation we explore Misha’s experience of serious trauma and its impact on his life and career.