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Dr. Darryl Adamko: Little Lungs, Lessons Learned

Researchers Under the Scope

Release Date: 01/08/2023

Exercise Your Right to Breathe: Dr. Brianne Philipenko & Asthma show art Exercise Your Right to Breathe: Dr. Brianne Philipenko & Asthma

Researchers Under the Scope

Brianne Philipenko (MD) was midway through her respirology fellowship in Calgary when the Covid-19 pandemic shut down the city.   She started interval workouts at home using Nike’s fitness app — when inspiration struck.   “Coming up with a creative, innovative way to allow people to access an exercise program outside of the typical organized pulmonary rehabilitation in a gym setting was something that I became really interested in,” said Philipenko..   As a respirologist, Philipenko was already frustrated by the lack of ‘mainstay’ guidelines on incorporating exercise...

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Researchers Under the Scope

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Researchers Under the Scope

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Researchers Under the Scope

Growing up in Columbia had a profound impact on Dr. Juan-Nicolas Pẽna-Sànchez. In this episode, hear why the former family physician pivoted, becoming Saskatchewan's lead in finding the best ways to treat Crohn's disease and ulcerative colitis in rural and Indigenous patients.   Even as a teenager, Juan-Nicolás Peña-Sánchez could see stark differences in health for those who had medical coverage — and those without, thanks to his stepfather, an emergency department physician. “I used to go with him sometimes on shifts to learn and shadow him,” said Peña-Sánchez said. “The...

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Researchers Under the Scope

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Researchers Under the Scope

As an undergrad, Daniel Fuller didn’t have a car, nor was he keen on taking the bus.    “I rode my bike to university every day in the fall and then just kept on going and never stopped,” said Fuller, a former national and international canoe/kayak athlete.   As he pedaled, Fuller watched the way people used trails, sidewalks and roads.   “I really started to get into active transportation, how people move around cities and how we can get people active -- outside of the sport environment,” said Fuller, now an associate professor in Community Health and...

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Researchers Under the Scope

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Researchers Under the Scope

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Researchers Under the Scope

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More Episodes

Diagnosing pulmonary diseases ilike asthma in young children is still largely a matter of trial and error, according to Saskatchewan’s top pediatric respirologist.

 

As viruses and colds tear through schools and daycares across North America, Dr. Darryl Adamko wants to change that.

 

“If you have asthma this year and you're not taking your inhaled steroids, well you're rolling the dice,” said Adamko, who’s watched an influx of young patients over the past few months at the Jim Pattison Children’s Hospital in Saskatoon.

 

In children, problems with breathing are the leading cause of hospitalizations.

 

Undiagnosed asthma and other pulmonary conditions in children mean small patients have a a much tougher fight when they’re infected by Covid-19, RSV or influenza.

 

“You have to be taking those preventative drugs first before the virus finds you,” said Adamko.

 

That’s why he’s pinning down biomarkers for pulmonary disease in a familiar tool for family doctors: urine samples.

 

“We still really don't have a great test for like preschool kids. It's just history for the most part,” he said.

 

Using mass spectrometry and nuclear magnetic resonance imaging, he and his team have spent more than a decade analyzing urine samples and refining their methodology.

 

“Now that we've got enough urine samples analyzed that, I think we've got a good signal,” said Adamko.

 

His research today is aimed at creating a urine test that would give giving family doctors and paediatricians a faster, more efficient way to diagnose pulmonary conditions long before kids arrive at the hospital.

 

In this episode, he explains why a resurgence of RSV after years of Covid restrictions has hit young patients hard.

 

“It's really bad for little babies. It loves the smallest little airways,” Adamko said. “This year the problem is we've got a bunch of two-year-olds, and one-year-olds who have never seen these viruses.”