He went out for a bike ride and woke up almost three weeks later in critical care. Tom’s story is frightening, funny in places, and deeply human: a craft beer lover with “Reinheitsgebot” on his helmet, forced into sobriety after a severe traumatic brain injury and a 19-day coma, then left to rebuild a life where alcohol is suddenly a risk he can’t ignore.
We talk about what that does to identity when beer has been your social glue, your hobby, and your language with friends. We get into craft beer culture and the lure of collectability, the quiet snobbery that can creep into the alcohol-free space, and the reality that routines and rituals don’t vanish just because the ABV does. There’s also the oddly specific stuff only drinkers will recognise: the “fake buzz” after a few AF pints, the fridge full of favourites, and the way a perfect pour can hit you with gratitude when you least expect it.
Tom shares the practical medical side too: depression risk after TBI, seizure warnings, why doctors draw hard lines around alcohol during recovery, and how support networks extend beyond family to community. If you’re sober curious, cutting down, zebra striping, or simply looking for the best non-alcoholic craft beer, this one offers both perspective and real-world tools.
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Some Important notes from Tom:
Three years ago I suffered a severe Traumatic Brain Injury (TBI) in a road bike accident. Cause unknown.
I wouldn’t ’wake up’ in critical care at King’s College Hospital until 19 days later.
I had brain surgery on an extradural haemotoma (bleed between the skull and the membrane which surrounds the brain).
I went through the same major trauma centre shown in Critical: Between Life and Death on Netflix. (A year before they filmed that show.)
My skull had shattered into seven pieces when my helmet hit the tarmac. It was pieced back together, away from me, then plugged back in to the rest of my skull. It all looked a lot “like tapping a hard boiled egg with a teaspoon” (John, my neurologist).
Nearly three weeks of coma followed. Within which pneumonia and major organ failure got even closer to finishing me off than the tarmac ever did.
Some key stats would then be shared with me, first at my bedside and later in recovery:
- 50% Chance of developing depression after a TBI such as mine
- 60% of moderate-severe TBI patients never return to full time work in the same roll. (I’m now back to four days per week.)
- Risk of seizure is greatly elevated after TBI/brain surgery. Advised to completely eliminate booze for six months.
- In reality the return to my ‘old full fat drinking self’ is not recommended for years, if at all.
- My consultants emphasised that the social fabric that booze provides is a critical part of recovery. That’s where the rise of AF slots in.
- AF beer hasn’t saved my life. But it has made living it more fulfilling in ways BIG and small.
- I’m not an expert in brains or beer. But I feel sufficiently experienced to give my opinion on both, to whoever is unfortunate enough to be cornered by me...
To find out more about the wonderful world of alcohol free beer and to check in with me head to www.instagram.com/sober_boozers_club
This episode is Sponsored by Chance Clean Cider.