Woolcock, Ann Janet 1937-2001 Respiratory Physician / Medical Scientist

https://sydney.edu.au/medicine/museum/mwmuseum/extensions/MediaBank/MediaBankSh ow.php?mid=http://smp.sydney.edu.au/mediabank/|medmediabank|FMMUS134&imagex= 1000&imagey=600

*****

She was interviewed by Professor Jonathan Stone in 2000.

The interview provides an excellent overview of Ann Woolcock’s work. See: https://www.science.org.au/learning/general-audience/history/interviews-australian- scientists/professor-ann-woolcock-1937-2001 . The summary is as follows:

Professor Ann Woolcock was born in Reynella, South in 1937. She graduated in medicine from the and pursued postgraduate studies in respiratory medicine at the . Her MD thesis, awarded in 1967, was on the mechanical behaviour of the lungs in asthma.

From 1966 to 1968 she worked at McGill University in then returned to the University of Sydney to continue her work on asthma. Her research in asthma and epidemiology showed that asthma was caused by allergens but that there is a genetic component. In 1989, she wrote, with others, the world's first national guidelines for asthma management, the Australian Asthma Management Plan.

In 1984 Professor Woolcock was appointed to a personal chair of Respiratory Medicine. She founded the Institute of Respiratory Medicine, based at the Royal Price Alfred Hospital in Sydney, and opened in 1985. The Institute was renamed the Woolcock Institute of Medical Research in her memory in August 2002.

 Beginnings: from home through university  The move into research  Asthma research: the shape of things to come  Terrific productivity  Epidemiological contributions  Most of asthma is driven by allergy  But not all allergic people get asthma  'Breakthroughs' for asthma?  Real breakthroughs  Forging a career  Ceilings and supports  Sharing good times in an academic family  Taking a research institute into a cooperative research centre  The interface between clinical work and research  The future: asthma

The future: the whole gamut in respiratory disease

*****

The American Journal of Respiratory and Critical Care Medicine published the following appreciation in 2001:

Home > All ajrccm Issues > Vol. 163, No. 5 | Apr 01, 2001 Peter Macklem https://doi.org/10.1164/ajrccm.163.5.16351

A star has been lost. Ann Janet Woolcock died, too young, on February 17, 2001. The enduring friendship she and I shared has been a privilege that has enriched my life enormously. She was one of the few people whom I trusted absolutely. I miss her. She succumbed to a 15-year battle against breast cancer. For a long time almost nobody outside of her immediate family and her doctors knew about it. She insisted that it be kept a secret. She first felt the fatal breast lump in the fall of 1986 while she was at a meeting in Singapore. Because she needed to talk to someone and I was there, I knew from the very beginning and knew how much the news upset her. After returning to Australia she had a mastectomy, followed by chemotherapy because there were positive lymph nodes. There followed a period of relative quiescence when we all hoped that the dread disease had been conquered. Alas, in 1997, a lymph node biopsy showed a recurrence. Ann knew what her future held for her.

Rollo May has defined courage, not as the absence of fear, but as the ability to carry on in the face of despair. That fateful day in Singapore, I witnessed Ann's extraordinary courage for the first time. She was devastated by the uncertainty of her future. But to everybody else she acted as if everything was just fine, thank you. There was not a clue that she might have received a death sentence. Following the recurrence in 1997 she continued to act as if nothing was wrong. She knew she would eventually lose the battle, but in the face of this despair, she carried on. She remained active in international affairs. She competed for and won a large grant for a cooperative research center. She motivated and organized her colleagues and developed the research program for the CRC. A short time before her death her own personal research grant was renewed as were many others in the Institute for Respiratory Medicine that she founded. Talk about carrying on in the face of despair! She was a very courageous lady.

Ann's professional life was devoted to improving the care of patients with respiratory disease. Indeed, when she created the Institute for Respiratory Medicine her philosophy for it was to focus on research with important practical applications to improve diagnosis, treatment, management, and quality of life, focusing particularly on individuals with asthma. She gathered around her a team of experts who could help her accomplish her goals. And accomplish them she did. She and her Institute became world leaders in the field of asthma research and management. She received many well deserved national and international honors. Among others, she was an Officer of the Order of Australia and one of the few women members of the Australian Academy of Sciences.

To my mind, three of her achievements stand out above all others. In the early 60s, before she came to work with me, her first research showed that asthmatics could have severe hyperinflation with loss of lung elastic recoil, and that following appropriate therapy this could return to normal. These findings have been amply confirmed but never explained. How can the elastic properties of lungs, which most of us regard as immutable, change so quickly? This remains as much a mystery today as it was when Ann first reported it. Secondly, Ann showed that normal subjects had a plateau on the dose–response curve for smooth muscle agonists, whereas in asthma this plateau was lost. For me and many others this is the fundamental abnormality in asthma. The plateau on the dose–response curve protects normal subjects against excessive bronchoconstriction. The loss of the plateau is the only way that asthma can become a serious illness. She was, I believe, the first to develop individualized management plans for asthmatics. This is probably her greatest achievement and her idea has now been copied worldwide. It is probably the most important therapeutic advance for asthma since the introduction of steroids, and all it took was common sense, which Ann had in abundance.

My daughter Jennifer, an artist who as a child knew Ann both in and later as an art student in Paris wrote “She was someone who had an enormous influence on me when I was little.” I doubt that Ann was aware of this, and I feel badly that she was not told. Her integrity, honesty, humility and generosity commanded more than respect. She was loved. During her last months she received more than 100 letters from around the world supporting her in her courageous fight. This profoundly touched her. Two and a half weeks before her death, Ann received an honorary degree from the University of Ferrara. During that celebration when I was with her for the last time I told her that all those letters showed how much she was loved. She appeared genuinely mystified. “Why should they love me,” she said, “what have I done for them?” Ann, in her humility, only realized late in her life how much she was loved. Thank heavens she died with that knowledge. This love was so strong it was palpable during the two speeches she gave when she received her degree. She was not strong enough to stand and gave her talks seated with a weakened voice. She may have been physically weak, but she was mentally as tough as ever. Her courage, just to be there, was heart rending and she received two of the most emotional standing ovations I have ever witnessed.

Ann was a devoted wife and mother who had a close and loving relationship with her brothers and sister. Her family have suffered an irreplaceable loss. Our sympathies are with them. Her patients and indeed the worldwide community of asthmatics have lost their strongest advocate. Her colleagues in the Institute of Respiratory Medicine and in respiratory research the world over have lost an inspirational leader. The Meakins-Christie Laboratories has lost one of its most distinguished alumni. Ann was among my first research fellows and I have lost a scientific daughter. We have all lost a star. But the light she shed will not be extinguished.

*****

More comprehensive and personal, is a biography authored by Babette Smith in Historical Records of Australian Science, 2014, 25, 313–336

See https://www.science.org.au/fellowship/fellows/biographical-memoirs, type ‘Woolcock’ into the ‘search by name’ space, and download the 24 page PDF. Page 1 is reproduced on the next page.

On a personal note, the compiler of this article (PK), as a medical student, spent five weeks in New Guinea with Ann Woolcock as part of the University of Sydney survey team. We were in the Highlands – Baiyer River, Keglsugl and Goroka; it was January and February 1965. In those days Ann was known as ‘Annie’. The others in the team were Professor Blackburn, (Dr) Warren Arter – known as ‘Pud’, and medical student John Harris.