From Scratch: Rural Dementia Care with Dr. Debra Morgan
Release Date: 02/05/2023
In the Trenches: Dr. James Stempien on Emergency Medicine
Researchers Under the Scope
James Stempien (MD) has navigated some of the most challenging corners of emergency medicine, from the frigid isolation of Inuvik to the bustling corridors of Saskatoon’s emergency departments. His experience in low-tech outposts has shaped his approach to modern emergency care. “When things aren’t going well you see it in the emergency department first,” Stempien said. “We’re the front door. We’re always open.” As provincial department head of emergency medicine, Stempien sees patients on their worst days in hospitals bursting at the seams, struggling to...
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All’s Not Lost: A Roadmap to Treating Hepatitis C on the Prairies
Researchers Under the Scope
As the world aims to eradicate hepatitis C (HCV) by 2030, Carrielynn Lund and Dr. Alexandra King’s team created a how-to guide. is a step-by-step guide to tackling a spike of new infections across the three Canadian prairie provinces. Hepatitis C (HCV) causes severe liver disease, and was notoriously difficult to treat until the introduction of direct-acting antivirals a decade ago — antivirals which boast a remarkable 95% success rate. Despite this advancement, Lund and Dr. King say Saskatchewan, Alberta and Manitoba need to know why HCV cases keep rising, particularly in...
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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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Dr. Sarah Forgie: Why the New Dean of Medicine Taught Herself the Ukelele
Researchers Under the Scope
In this episode, we gain insight into Dr. Sarah Forgie, the new Dean of the College of Medicine. She discusses her innovative teaching methods, her career as a pediatric infectious disease specialist, and her vision for advancing Saskatchewan’s College of Medicine. Dr. Forgie also shares the story behind her decision to learn the ukulele. Born to family physicians, Dr. Forgie grew up in Lynn Lake, Manitoba, a remote fly-in mining community. Her family later relocated to Winnipeg, where Dr. Forgie credits much of her motivation to her mother, who encouraged her to pursue both medicine and...
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Grey Area: Dr. John Howland on Cannabis & Budding Brains
Researchers Under the Scope
A behavioural neuroscientist in Saskatoon is uncovering marijuana’s effects on fetal brain development. After recently winning a five-year CIHR grant of $960,076 in the spring of 2024, Dr. John Howland’s lab at the University of Saskatchewan is expanding its work examining prenatal exposure to cannabis smoke. Howland’s teams will assess the way cannabis exposure alters higher brain functions like memory and learning in both rats and mice. Compared to cannabis injections in the past, the professor of Anatomy, Physiology and Pharmacology at the College of Medicine said exposing...
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Innovating and Bridging Gaps in IBD Care: Dr. Juan-Nicolás Peňa-Sánchez
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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Cuts Like a NanoKnife: Dr. Mike Moser
Researchers Under the Scope
"When I got into medical school, the last thing in the world I wanted to be was a surgeon because I couldn't stand the sight of blood," said Dr. Mike Moser. Fast-forward to the present day, where Moser is now one of Saskatchewan's top kidney transplant surgeons, winning last year's Golden Scalpel Award for Pre-clerkship Education, the 2022 Logan Boulet Humanitarian of the Year Award, and numerous teaching awards. In this episode, the professor of general surgery at the University of Saskatchewan's College of Medicine takes us back to one pivotal day where everything changed, propelling...
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Walking the Talk: Dr. Daniel Fuller on Urban Health and Mobility
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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Anatomy of Success: Three Researchers, Three Grants, One Goal
Researchers Under the Scope
From the laboratory to saving lives, this episode brings together three outstanding researchers from the University of Saskatchewan’s Department of Anatomy, Physiology, and Pharmacology (APP) as they discuss their work and its implications for cardiac care. Dr. Michelle Collins, Dr. Scott Widenmaier, and Dr. Changting Xiao are all recent recipients of research grants from Heart & Stroke (formerly the Heart and Stroke Foundation of Canada). In Canada, one per cent of newborns have congenital heart defects. Thanks to advances in cardiac care, up to 85 per cent of these...
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Dr. Jacob Alhassan and the Politics of Expendability
Researchers Under the Scope
"Pushing politicians to do what is good for the health of the people, there's no way around it," said Dr Jacob Alhassan. Born and raised in a rural Ghanaian village, Alhassan grew up without electricty and paved roads. He watched women die in childbirth. He grew resentful of health systems that left the poorest people to fend for themselves, while the rich thrived. Alhassan decided to take action. At first, he thought he would study hard to become a local hospital administrator. Partway through his university years, Alhassan began to dream even bigger. In this episode, he looks back at his...
info_outlineDebra Morgan grew up on a farm and continued farming with her husband, initially working in nursing in the winter.
Nursing shifts took her from neurosurgery to pediatrics, to orthopedics, then to Saskatoon's geriatric units at City Hospital and Royal University Hospital.
"I just found that I really enjoyed working with older people," Morgan said.
She soon followed her passion for research, opting to study geriatric care as she earned her masters' and doctoral degrees in nursing.
Today, she's a professor and chair of rural health delivery at the Canadian Centre for Rural and Agricultural Health. Morgan also serves as the director of the University of Saskatchewan's specialist Rural and Remote Memory Clinic launched in 2004 as a research demonstration project and now funded by the Ministry of Health. She built and leads Saskatchewan's Rural Dementia Action Program (RaDAR).
"Twenty years ago when we started this, there was very little rural dementia research," said Morgan. "We didn't know if the best practices in the literature would work in rural settings, or how."
Early on, RaDAR team specialists observed a disproportionate number of rural patients referred to the specialist Rural and Remote Memory Clinic were for less complex diagnoses, where a specialist referral is not typically indicated.
Morgan wanted to know why those patients couldn't get care closer to home.
“Alzheimer’s disease, which is the most common type of dementia, should usually be diagnosed by primary care providers in their community," she said.
Often, she found family doctors and nurse practitioners did not feel comfortable making a dementia diagnosis.
After a provincial consultation, Morgan realized rural and remote nurse practitioners and family doctors would benefit from working in an interdisciplinary team and from a standardized assessment tool, one connected to the patient's provincial health record.
"Rural primary care providers see so many different conditions in a day, they are generalists," said Morgan. "They don't see the number of people with dementia as they would someone with diabetes or heart disease, for example."
Starting from scratch, Morgan and her team put together a one-day interdisciplinary rural memory clinic for patients in the Sun Country Health Region, using the town of Kipling, Sask. as its initial base.
During periodic memory clinics in Kipling, she'd bring together patients and their families with nurse practitioners, occupational therapists, physical therapists, home care nurses, social workers and family doctors, along with a First Link coordinator from the Alzheimer Society.
That team would assesss one dementia patient in the morning, and another in the afternoon.
Morgan has been documenting their progress each step of the way and spreading the memory clinic model to other rural communities. Six rural primary healthcare teams are now delivering these clinics and more are planned.
"Our research, we try to involve the people who will be delivering or using the services in their rural communities, as they know best what is needed to improve the quality of life of people living with dementia and their families," she said.
"Families tell us they really value having that clinic close to home, with healthcare providers that they know," Morgan said.
"It reduces that feeling of just being very isolated and alone.
In this episode, hear why Covid-19 stalled expansion plans for more than a year, and next steps for expanding the services delivered by both the specialist Rural and Remote Memory Clinic at the University of Saskatchewan, and the rural primary healthcare memory clinics.