What doesn’t kill you doesn’t make you stronger

Industry

AP Staff

June 5, 2000

References

Nalbandian A, Sehgal K, Gupta A, et al. Post-acute COVID-19 syndrome. Nat Med 2021;27(4):601–15. 
Australian Institute of Health and Welfare. Chronic respiratory conditions. 2024. At: www.aihw.gov.au/reports/chronic-respiratory-conditions/chronic-respiratory-conditions/contents/summary
Constantino V, Grafton Q, Kompas T, et al. The public health and economic burden of long COVID in Australia, 2022–2024: a modelling study. Med J Aust 2024;221(4):217–23.
4. Global Initiative for Chronic Obstructive Lung Disease. Global Strategy for the Prevention, Diagnosis and Management of COPD: 2023 Report. At: https://goldcopd.org/2023-gold-report-2/ (org)
5. Bowe B, Xie Y, Al-Aly Z. Acute and postacute sequelae associated with SARS-CoV-2 reinfection. Nat Med 2022;28(11):2398–405. 
6. Australian Institute of Health and Welfare. Older Australians. Canberra: AIHW; 2023. At: aihw.gov.au/reports/older-people/older-australians/contents/summary
Ezzati M, Lopez AD, Rodgers A, et al. Selected major risk factors and global and regional burden of disease. Lancet. 2002;360(9343):1347–60.
Australian Bureau of Statistics. Disability, Ageing and Carers, Australia: Summary of Findings. Canberra: ABS; 2018. At: www.abs.gov.au/statistics/health/disability/disability-ageing-and-carers-australia-summary-findings/latest-release
Public Health Communications Collaborative. Still Here: Communicating about Long COVID. 2025. At: https://publichealthcollaborative.org/communication-tools/still-here-communicating-about-long-covid/(org)
Terrie YC. The role of the pharmacist in overcoming vaccine hesitancy. US Pharm 2021;45(4):28–31.
World Health Organization. A clinical case definition of post COVID-19 condition by a Delphi consensus. Geneva: WHO; 2021. At: who.int/publications/i/item/WHO-2019-nCoV-Post_COVID-19_condition-Clinical_case_definition-2021.1 
Van Beusekom M. RSV vaccine 75% effective against hospitalization in older adults. Minneapolis: CIDRAP; 2024. At: www.cidrap.umn.edu/respiratory-syncytial-virus-rsv/rsv-vaccine-75-effective-against-hospitalization-older-adults-cdc 
Notarte KI, et al. Impact of COVID-19 vaccination on the risk of developing long-COVID and on existing long-COVID symptoms: a systematic review. eClinicalMedicine 2022;53:101624.
Xie Y, Choi T, Al-Aly Z. Nirmatrelvir and the risk of post-acute sequelae of COVID-19. JAMA Intern Med 2023;183(7):632–40.
Whimbey E, Ghosh S. Respiratory syncytial virus infections in immunocompromised adults. Curr Clin Top Infect Dis 2000;20:232–55.
Asthma Australia. A life affected by severe asthma. 2024. At: https://asthma.org.au/about-asthma/severe-asthma/
Lung Foundation Australia. Overview: chronic obstructive pulmonary disease.2025. At: https://lungfoundation.com.au/patients-carers/living-with-a-lung-disease/copd/overview/

8:30 am	Early start Morning huddle with the clinic team re who is in today, the services running, and important announcements. I calibrate spirometry software for the day. Check emails and intramails for referrals from doctors, nurses or Aboriginal health practitioners.
9.00 am	First patient of the day Review the past 2 weeks of continuous glucose monitoring, where we identified multiple early morning hypoglycemic events while using Ryzodeg twice daily. We discuss the impact of food on blood sugar levels and reflect on which foods impact this more than others. I attend the patient’s booked doctor’s appointment. This is to hand over recommended timing and dose changes to insulin to minimise hypoglycaemia as well as to collaborate to adjust medicines in line with the patient’s goals and lifestyle.
11.00 am	Asthma care A young patient with childhood history of asthma attends for spirometry complaining of experiencing increasing shortness of breath. Using the Asthma Control Test, the spirometry results demonstrate normal lung function with no change after administering a bronchodilator. We discuss her lifestyle and the symptoms, which I suspect are associated with anxiety. I hand over to the GP, who agrees with my investigations and provides the patient with a mental health care plan.
2.00 pm	Emergency support A man presents with a bag of medicines, yelling in pain, seeking analgesia and a wound dressing change post-hospital discharge for a four-toe amputation. Provided with non-PBS prescriptions for doxycycline and moxifloxacin from the hospital, he can’t afford to fill them so hasn’t started therapy. It is decided to return him to the hospital. I counsel on the importance of waiting for the hospital to dispense the medicines to ensure he gets them. I also call the hospital’s Aboriginal Liaison Officer to ask that they see the patient to ensure culturally sensitive care.
5.30 pm	Wind down End a hectic day with a pilates reformer class. Then a cup of tea and a Netflix catch-up.

8:30 am	Early start Morning huddle with the clinic team re who is in today, the services running, and important announcements. I calibrate spirometry software for the day. Check emails and intramails for referrals from doctors, nurses or Aboriginal health practitioners.
9.00 am	First patient of the day Review the past 2 weeks of continuous glucose monitoring, where we identified multiple early morning hypoglycemic events while using Ryzodeg twice daily. We discuss the impact of food on blood sugar levels and reflect on which foods impact this more than others. I attend the patient’s booked doctor’s appointment. This is to hand over recommended timing and dose changes to insulin to minimise hypoglycaemia as well as to collaborate to adjust medicines in line with the patient’s goals and lifestyle.
11.00 am	Asthma care A young patient with childhood history of asthma attends for spirometry complaining of experiencing increasing shortness of breath. Using the Asthma Control Test, the spirometry results demonstrate normal lung function with no change after administering a bronchodilator. We discuss her lifestyle and the symptoms, which I suspect are associated with anxiety. I hand over to the GP, who agrees with my investigations and provides the patient with a mental health care plan.
2.00 pm	Emergency support A man presents with a bag of medicines, yelling in pain, seeking analgesia and a wound dressing change post-hospital discharge for a four-toe amputation. Provided with non-PBS prescriptions for doxycycline and moxifloxacin from the hospital, he can’t afford to fill them so hasn’t started therapy. It is decided to return him to the hospital. I counsel on the importance of waiting for the hospital to dispense the medicines to ensure he gets them. I also call the hospital’s Aboriginal Liaison Officer to ask that they see the patient to ensure culturally sensitive care.
5.30 pm	Wind down End a hectic day with a pilates reformer class. Then a cup of tea and a Netflix catch-up.

8:30 am	Early start Morning huddle with the clinic team re who is in today, the services running, and important announcements. I calibrate spirometry software for the day. Check emails and intramails for referrals from doctors, nurses or Aboriginal health practitioners.
9.00 am	First patient of the day Review the past 2 weeks of continuous glucose monitoring, where we identified multiple early morning hypoglycemic events while using Ryzodeg twice daily. We discuss the impact of food on blood sugar levels and reflect on which foods impact this more than others. I attend the patient’s booked doctor’s appointment. This is to hand over recommended timing and dose changes to insulin to minimise hypoglycaemia as well as to collaborate to adjust medicines in line with the patient’s goals and lifestyle.
11.00 am	Asthma care A young patient with childhood history of asthma attends for spirometry complaining of experiencing increasing shortness of breath. Using the Asthma Control Test, the spirometry results demonstrate normal lung function with no change after administering a bronchodilator. We discuss her lifestyle and the symptoms, which I suspect are associated with anxiety. I hand over to the GP, who agrees with my investigations and provides the patient with a mental health care plan.
2.00 pm	Emergency support A man presents with a bag of medicines, yelling in pain, seeking analgesia and a wound dressing change post-hospital discharge for a four-toe amputation. Provided with non-PBS prescriptions for doxycycline and moxifloxacin from the hospital, he can’t afford to fill them so hasn’t started therapy. It is decided to return him to the hospital. I counsel on the importance of waiting for the hospital to dispense the medicines to ensure he gets them. I also call the hospital’s Aboriginal Liaison Officer to ask that they see the patient to ensure culturally sensitive care.
5.30 pm	Wind down End a hectic day with a pilates reformer class. Then a cup of tea and a Netflix catch-up.

8:30 am	Early start Morning huddle with the clinic team re who is in today, the services running, and important announcements. I calibrate spirometry software for the day. Check emails and intramails for referrals from doctors, nurses or Aboriginal health practitioners.
9.00 am	First patient of the day Review the past 2 weeks of continuous glucose monitoring, where we identified multiple early morning hypoglycemic events while using Ryzodeg twice daily. We discuss the impact of food on blood sugar levels and reflect on which foods impact this more than others. I attend the patient’s booked doctor’s appointment. This is to hand over recommended timing and dose changes to insulin to minimise hypoglycaemia as well as to collaborate to adjust medicines in line with the patient’s goals and lifestyle.
11.00 am	Asthma care A young patient with childhood history of asthma attends for spirometry complaining of experiencing increasing shortness of breath. Using the Asthma Control Test, the spirometry results demonstrate normal lung function with no change after administering a bronchodilator. We discuss her lifestyle and the symptoms, which I suspect are associated with anxiety. I hand over to the GP, who agrees with my investigations and provides the patient with a mental health care plan.
2.00 pm	Emergency support A man presents with a bag of medicines, yelling in pain, seeking analgesia and a wound dressing change post-hospital discharge for a four-toe amputation. Provided with non-PBS prescriptions for doxycycline and moxifloxacin from the hospital, he can’t afford to fill them so hasn’t started therapy. It is decided to return him to the hospital. I counsel on the importance of waiting for the hospital to dispense the medicines to ensure he gets them. I also call the hospital’s Aboriginal Liaison Officer to ask that they see the patient to ensure culturally sensitive care.
5.30 pm	Wind down End a hectic day with a pilates reformer class. Then a cup of tea and a Netflix catch-up.

Clinical calm under kitchen pressure

From drug compounds to unexpected ingredients

Counselling skills at the judging table

Balancing pharmacy passion with culinary ambitions

New pharmacy horizons

Expanding 24/7 access in metropolitan Adelaide

Sydney’s only hub for after-hours pharmacy support

Self-funded after-hours service in regional Victoria

PSA Victorian Pharmacist of the Year – Sara Murdock MPS

PSA Victorian Early Career Pharmacist of the Year – Dr Wejdan Shahin MPS

PSA Victorian Intern Pharmacist of the Year – Katelyn Beattie

PSA Victorian Lifetime Achievement Award – Joe Demarte FPS

PSA Victorian Pharmacist Medal – Linda Ha

Why choose pharmacy?

What’s the benefit of running GP pharmacist-led spirometry in an Aboriginal Health Service (AHS)?

What initiative are you proud of introducing?

How do you establish a culturally safe environment at the AHS?

What are the opportunities for pharmacists working in an AHS?

Clinical calm under kitchen pressure

From drug compounds to unexpected ingredients

Counselling skills at the judging table

Balancing pharmacy passion with culinary ambitions

New pharmacy horizons

Expanding 24/7 access in metropolitan Adelaide

Sydney’s only hub for after-hours pharmacy support

Self-funded after-hours service in regional Victoria

PSA Victorian Pharmacist of the Year – Sara Murdock MPS

PSA Victorian Early Career Pharmacist of the Year – Dr Wejdan Shahin MPS

PSA Victorian Intern Pharmacist of the Year – Katelyn Beattie

PSA Victorian Lifetime Achievement Award – Joe Demarte FPS

PSA Victorian Pharmacist Medal – Linda Ha

Why choose pharmacy?

What’s the benefit of running GP pharmacist-led spirometry in an Aboriginal Health Service (AHS)?

What initiative are you proud of introducing?

How do you establish a culturally safe environment at the AHS?

What are the opportunities for pharmacists working in an AHS?

Clinical calm under kitchen pressure

From drug compounds to unexpected ingredients

Counselling skills at the judging table

Balancing pharmacy passion with culinary ambitions

New pharmacy horizons

Expanding 24/7 access in metropolitan Adelaide

Sydney’s only hub for after-hours pharmacy support

Self-funded after-hours service in regional Victoria

PSA Victorian Pharmacist of the Year – Sara Murdock MPS

PSA Victorian Early Career Pharmacist of the Year – Dr Wejdan Shahin MPS

PSA Victorian Intern Pharmacist of the Year – Katelyn Beattie

PSA Victorian Lifetime Achievement Award – Joe Demarte FPS

PSA Victorian Pharmacist Medal – Linda Ha

Why choose pharmacy?

What’s the benefit of running GP pharmacist-led spirometry in an Aboriginal Health Service (AHS)?

What initiative are you proud of introducing?

How do you establish a culturally safe environment at the AHS?

What are the opportunities for pharmacists working in an AHS?

Clinical calm under kitchen pressure

From drug compounds to unexpected ingredients

Counselling skills at the judging table

Balancing pharmacy passion with culinary ambitions

New pharmacy horizons

Expanding 24/7 access in metropolitan Adelaide

Sydney’s only hub for after-hours pharmacy support

Self-funded after-hours service in regional Victoria

PSA Victorian Pharmacist of the Year – Sara Murdock MPS

PSA Victorian Early Career Pharmacist of the Year – Dr Wejdan Shahin MPS

PSA Victorian Intern Pharmacist of the Year – Katelyn Beattie

PSA Victorian Lifetime Achievement Award – Joe Demarte FPS

PSA Victorian Pharmacist Medal – Linda Ha

Why choose pharmacy?

What’s the benefit of running GP pharmacist-led spirometry in an Aboriginal Health Service (AHS)?

What initiative are you proud of introducing?

How do you establish a culturally safe environment at the AHS?

What are the opportunities for pharmacists working in an AHS?

References

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