In part two of our Respiratory special we sat down with Ren Lawlor, a nurse practitioner who specialises in Respiratory Medicine. We discussed her career, moving from secondary care to primary care, and what her current clinical and educational work entails. We also unpicked the presentation of COPD and how to distinguish existing symptoms from something more sinister. As an interesting follow on from our last episode, she also shared her perspective on inhalers and the shift in guidelines towards combined therapy. This episode is a really interesting listen for anyone interested in respiratory medicine or a specialist career within nursing.