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Adam Jaffe

Oct 6, 2026

2:59
Mm.
2:59
So you've got a maj- major big airway, the trunk, uh, the trachea, the breathing pipe, and then it splits, uh, into two lungs, and there are 22 branches.
3:11
And where the leaves hang out, the alveoli is where the gas exchange is.
3:15
What happens in asthma, um, is that, uh, there's usually a trigger, um, and our airways look like this, like a hose pipe, and what happens is there's a trigger, the airways will shut down.
3:28
Um, so if you imagine a garden hose, you know, as a kid you're, you're always pressing your thumb on a garden hose-

18 MINS LATER

21:09
Mm-hmm.
21:10
To make the diagnosis, it's really age dependent.
21:14
Um, so in older children it's much easier.
4:32
Yeah.
4:32
And, and so this was the mid-'90s, and people were starting to talk about gene therapy.
4:39
And so I, I knew that at the Brompton and Imperial College, there was a, um, whole program for gene therapy, uh, commencing.
4:47
So I went to him and said I wanted to do research in cystic fibrosis and gene therapy particularly.
4:52
And at the time he said, "Look, there isn't a position.
4:55
Um, when...
4:56
Will you do asthma?" And I remember saying, "Look, I, I'm really interested in cystic fibrosis.

6 MINS LATER

10:56
Mm
4:21
[laughs] And if you contrast that to then to now, kind of what's changed and what should people be aware of kind of moving into 2026?
4:30
You know, when I got into this space, it was, you know, very much the, the Wild West.
4:35
You know, Facebook Gaming was kind of at its peak.
4:38
You still had a lot of the kind of web platforms like Pogo and Yahoo Games and Spiegel Games, you know, these sort of flash-based and, in some cases, like HTML, HTML5 wasn't even really a thing then, um, type web, you know, portals.
4:49
Um, there was no mobile at that time.
4:51
You know, it was still kind of WAP devices and things like that.
4:54
And, you know, App Store really had, had...

41 MINS LATER

46:20
We'll find out.

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