The Cracking Cancer Podcast
In this critical episode of Cracking Cancer, host Dr. Kyle Concannon reunites with co-host JJ Singleton and welcomes Zach Schroeder, a first-year intern at Wake Forest and the founder of the Rural Cancer Institute. Zach sharing his harrowing personal journey as a 21-year-old diagnosed with Stage III melanoma in a tiny Kansas town anchors the conversation. To receive life-saving surgeries and radiation at MD Anderson, Zach faced an 1100-mile round trip, waking up at 2:00 AM on treatment days to fly across state lines—all while balancing his junior year of college. The trio dives into the staggering statistics defining the "Rural Cancer Gap." They explore the reality that while cancer mortality is declining nationwide, urban survival rates are improving significantly faster than rural ones. From local hospital closures and severe screening shortages (like having only seven providers to perform colonoscopies across a 14-county region in western North Carolina) to systemic medical licensing laws that legally prohibit academic oncologists from billing for telehealth across state lines, this episode exposes the bureaucratic and geographic barriers holding back rural survival. But it also highlights a powerful cultural truth: the profound community support unique to small-town medicine, and how model frameworks like the "Rural Oncology Home" are blending high-tier academic decision-making with local, close-to-home infusion care. Key Takeaways: 1. The Widening Rural Mortality Gap 2. The Telehealth "Billing Wall" 3. The "Rural Oncology Home" Model 4. Severe Screening Deserts 5. The Sibling/Caregiver Strain Want to get more involved with cancer research and support the podcast? Visit the link below: ⬇️ (All proceeds go strictly towards furthering cancer research and supporting this podcast) Giving.CU.EDU/CrackingCancer [http://giving.cu.edu/CrackingCancer] Chapters: (00:00) Zach Melanoma Journey (08:16) JJ Colon Cancer Travel (10:34) Rural Care Barriers Data (16:35) Rural Cancer Gap Explained (20:45) Rural Oncology Home Model (25:18) Telehealth and Licensing (39:41) Isolation and Culture Shock (49:45) Solutions Training and Teams (53:20) Second Opinions and Support (56:22) Final Advice and Wrap To find out more about supporting the show and research endeavors, please go to the following website: www.crackingcancer.org [https://www.crackingcancer.org/] Attributions The music track - Progression Pulse - is provided by Denys Brodovskyi through the Attribution 4.0 International License X: (1) Cracking Cancer Podcast (@Cracking_Cancer) / X [https://x.com/cracking_cancer] IG: Cracking Cancer (@crackingcancerpodcast) • Instagram photos and videos [https://www.instagram.com/crackingcancerpodcast/]
55 episodios
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