>> pelley: paula meade got the call from the e.r., which didn't want to bear the cost. the health wagon had the drug for free, and there was no charge f f some stern medical advice. >> meade: you are going to die if you don't quit smoking, and it could be within a week. you need to stop now, okay?! >> pelley: she took the advice to stop smoking and took lovenox, but one day she felt so bad, she went back to the e.r. >> moore: and they did a ct scan blood clot had went to my lung. but they also saw another mass on my lung, and then transported me to a bigger hospital. they found the lesions in my brain, so i was diagnosed wiwi stage 4 lung cancer and brain cancer. >> pelley: what are the doctors telling you? >> moore: i start my treatment on monday, the brain radiation/ and he seemed very... i mean, he seemed optimistic. >> pelley: are you hopeful? >> moore: i am. i have been. i don't know, i just feel very hopeful. >> pelley: hope, especially when the odds are long, has always been essential to survival in appalachia. the recocery from the great recession hasn't arrjved.

>> nope. >> okay. >> pelley: teresa gardner and paula meade apply for grants, and travel to churches praying for donations and passing the plate. are there days you say to yourself, "i can't do this anymore." >> meade: oh, every day. not every day, i shouldn't say every day. there are a lot of days that you go home and you get frustrated because we're writing grants till 10:00 at night. we're begging for money. and you're almost in tears because we're, like, "okay, what are we going to do?" because i've got a family, too. it gets frustrating, it gets hard. >> pelley: it's enough to wear you out, teresa. down by the end of the day on most days, really. but we do get more out of it than we ever give. >> meade: when you look at it practically, you think, "what in the world am i thinking?" but then i have that one patient that may come in and say, "couldn't bring you anything, can't pay anything, but here's a quilt i want to give you." and i mean, when they do that and they're so heartfelt and they put their arms around you-- "i don't know what i'd do without you." you're doing a lot bett