#387 The Hidden Work of Rare Disease: Navigating a Broken Healthcare System

#387 The Hidden Work of Rare Disease: Navigating a Broken Healthcare System

March 27, 2026 · 1h 8m · Episode 387

About this episode

The episode features a panel discussion on the challenges faced by individuals with rare diseases in navigating the healthcare system.

In this special live recording from The University of Connecticut’s 2026 Rare Disease Symposium, host Kira Dineen, moderates a powerful panel featuring individuals living with rare conditions. The conversation moves beyond clinical diagnostics to explore the "hidden work" of navigating the healthcare system, the trauma of medical dismissal, and the fierce advocacy required to survive and thrive in a complex medical landscape. Shoutout to the lead organizer Anthony Zuo for putting this conference together. The Panel (in order of appearance) David (Dave) Leeds: Lives with Hereditary Angioedema (HAE) with normal C1 inhibitor (specifically the HS3ST6 gene mutation), a type of HAE that affects fewer than 20 people worldwide. He also advocates for his son, who has Specific Antibody Deficiency. Kate Tokarski: A social worker and former paramedic living with three conditions: vitiligo, type 1 diabetes, and SUNCT syndrome (short-acting unilateral neuralgiform headache with conjunctival injection and tearing). She navigates a "rare family" dynamic, including children affected by gastroparesis, keratoconus, juvenile arthritis, celiac disease, ampfield pain syndrome, COPA syndrome, and…

People in this episode

Host: Kira Dineen

Guests: David (Dave) Leeds, Kate Tokarski, Jill Gassman Zullo, Jonathan Cappiello

Topics covered

Mentioned in this episode

Organizations: The University of Connecticut, Gene Pool Media

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