AI Would Have Straigthened my Path

When David MacGrandle first noticed back pain in early 2024, he expected a routine diagnosis and a few months of treatment.

Instead, that ache unraveled into a two-year medical and emotional odyssey that would test everything he thought he knew about strength, humor, and survival.

At fifty-eight, David was a seasoned finance executive, husband, and father—someone used to solving problems, not becoming one. What began as a “manageable” lymphoma diagnosis quickly evolved into septic shock, multiple abdominal surgeries, an ostomy bag, and a last-chance CAR-T procedure that sounded more like science fiction than medicine. Through it all, his world shrank to stitches, tubes, and monitors—but it also expanded into humor, love, and unexpected clarity.

The memoir traces both the clinical and the human story: the noise of infusion labs, the chaos of hospital nights, and the small, absurd victories that defined recovery. Showers become milestones. Transparent ostomy bags become punch lines. Technology alternately saves and frustrates, while Natalie—his wife and unshakable partner—turns their Colorado home into a “cancer suite,” complete with grab bars, lists, and quiet grace.

Resilience, symbolism, and faith anchor the journey. Years earlier in Naples, David had visited the shrine of Saint Giuseppe Moscati, the patron saint of modern medicine. During treatment, he found himself praying to that same saint while trusting a futuristic therapy built on re-engineered cells. Rocky Balboa’s underdog resilience became a mantra. Lou Gehrig’s farewell speech reframed luck as gratitude. And the crooked fence David had built long before cancer—a 1,400-foot line of imperfect cedar rails leaning but still standing—became the metaphor that defined everything that followed.

As months turned into years, cancer forced David to slow down and truly see his life. Family and friends rallied. Work continued in the background, though for once he had to delegate and trust. Doctors saved his body, but humor, humility, and Natalie’s steadfast care saved his sanity.

By mid-2025, after a near-fatal CAR-T recovery and countless setbacks, remission finally arrived. His last surgery reconnected what illness had divided, and walking out of the hospital on his own two feet beside Natalie became his version of ringing the bell.

But Saved By Book doesn’t end at survival—it begins there. The disease stripped away comfort and control but revealed what was already solid: love, gratitude, humor, and resilience. Cancer didn’t make him a better man; it reminded him he already was one. The crooked lines of his story, like that fence, still hold.