Lung cancer treatment takes more than physical strength — it takes time.

Host James Hiter sits down with lung cancer survivor Maida Mangiameli to talk about “time toxicity” — the often overlooked burden of treatment on daily life.

They discuss:

• What time toxicity really means for patients
• The hours spent in treatment, recovery, and waiting
• How lung cancer impacts work, routines, and independence
• The time commitment required for clinical trials
• The role caregivers play in managing that time
• How patients adjust to a new pace of life

If you or someone you love is navigating lung cancer, this episode offers a real and honest look at what treatment truly involves.

Guests: James Hiter Endurance Athlete | LCFA Speakers Bureau Member | Survivor

Diagnosed in 2017 with a rare lung cancer, James has navigated three surgeries and now operates at 55% lung capacity—yet he still runs daily. His journey through complex treatments and surveillance gives him a deep, personal understanding of the patient experience. James asks the tough questions because he’s lived them himself. Maida Mangiameli Voices of Hope Speakers Bureau Member | SCLC Survivor & Advocate

A 74-year-old survivor of extensive-stage small cell lung cancer (SCLC), Maida has been in remission for six years. From canceling a dream cruise for immediate treatment to managing spinal tumors with humor and grit, she refuses to be a statistic. Maida is a dedicated advocate for research and a powerful voice on balancing intensive medical care with a vibrant, active life. Show Notes – https://lcfamerica.org/wp-content/uploads/2026/04/LCFA-AMA-Time-Toxicity-Show-Notes.pdf Transcript – https://lcfamerica.org/wp-content/uploads/2026/04/AMA-Time-Toxicity-Transcript.pdf Video – https://youtu.be/jgnw0B4mUZY

• NEW! LCFA Caregiver Resources Everything caregivers need in one place — guidance, community, and tools for every stage of the lung cancer journey. lcfamerica.org/living-with-lung-cancer/caregiving-resources/
• Understanding Clinical Trials: FREE Conversation Toolkit For people diagnosed with lung cancer, clinical trials may offer access to promising treatments in addition to standard care. https://lcfamerica.org/about-lung-cancer/clinical-trials/
• Side Effects & Lung Cancer: The Hidden Realities Patients Live With https://lcfamerica.org/story/side-effects-lung-cancer-the-hidden-realities-patients-live-with/