My Dad Has A Serious Illness. He Started Eating McDonald's And We Couldn't Believe What Happened Next.

The author with her father before a home-cooked meal in Pittsboro, North Carolina, in June 2023.
The author with her father before a home-cooked meal in Pittsboro, North Carolina, in June 2023. Courtesy of Sara Heise Graybeal

Several years ago, my dad was diagnosed with pulmonary fibrosis. The news was a shock. At 84 years old, Daddy had been dedicated to his physical health for decades. He played tennis twice a week, ate my mother’s low-fat meals, and spent lots of time outdoors on their organic vegetable farm.

But the diagnosis did explain the symptoms he’d been experiencing. He got out of breath more quickly. He had a cough that wouldn’t go away. And he’d lost so much weight, none of his old clothes fit — likely, the doctors said, because taking in less oxygen limited his exertion, thus lessening his appetite.

Pulmonary fibrosis is considered a progressive, terminal disease; there is no cure for the irreversible scarring of the lungs that occurs. But my dad told me not to dwell on that — and not, under any circumstances, to google it. All that mattered, he said, was that it wasn’t cancer.

“Maybe I will reverse it,” he mused, “and demonstrate that it’s reversible after all!”

He approached his diagnosis with his trademark jovial attitude, and I didn’t doubt the sincerity of his optimism, but I had a hard time feeling it myself. The pandemic had been raging for two years, and I couldn’t help but think my dad was one COVID infection away from life-threatening complications. I also found his new physical limitations hard to watch — the way he stopped to catch his breath, panting, after walking down the stairs; the rope from his tool shed now threaded through his belt loops to hold up his pants.

To slow the progression of the disease, the doctors issued a list of suggested life modifications, and my dad hated all of them. Stop mowing the hay fields? Stop heating the house with the wood stove? These activities had likely contributed to his lung scarring, doctors said, but they were also some of my dad’s greatest joys.

At first, he rebelled. He bought an air purifier to offset the wood stove’s impacts. He took to riding the tractor with a mask in his pocket, which he could pull out if anyone asked (none of us ever saw him wearing it).

The author's father making hay on his North Carolina farm in May 2024.
The author's father making hay on his North Carolina farm in May 2024. Courtesy of Sara Heise Graybeal

Eventually, my mom used a study linking wood stove use to lung cancer in women to persuade my dad to give up this one earthly pleasure for her sake. After that, he proved slightly more open to change.

When his doctor mentioned that alcohol often worsened a secondary medical condition he was dealing with, Daddy surprised everyone by quitting immediately. The bottle of bourbon I’d already chosen for his birthday sat on my shelf untouched.

My dad’s lifestyle choices were trending in the right direction, but there was still one big problem: his weight.

Daddy had once been 6 feet tall and 155 pounds. Now at 5 foot 8 and just 123 pounds, he weighed less than anyone else in the family. At lunch, he ate peanut butter smeared on a single slice of bread and claimed to be full. Mom pressed him to take second helpings at dinner, but she had increasing difficulty finding food he liked.

For the last four decades, my mother had sold organic fruits and vegetables at a local farmer’s market and assembled them into fresh meals for her family. She taught my brother and me to eschew fast food, reject sodas and always opt for low-fat milk and ice cream. When we played away soccer games in high school, our parents came to watch but refused to eat at the Arby’s or KFC or Golden Corral that everyone else headed to after the game.

“It’s too depressing in there,” they told us.

If Mom was our health food leader, Daddy was her willing right-hand man. But along with the other changes his body had undergone, his taste buds also seemed to weaken around the time of his diagnosis. He no longer enjoyed salads and rice and beans the way he used to. He cared more about color and texture now, Mom noted irritably. He refused leftovers because, once in their Tupperware containers, they no longer seemed visually appealing.

With her own health issues to worry about — including high cholesterol and a predisposition for diabetes — Mom kept cooking the same plant-based meals she always had, and continued trying to convince Daddy to eat larger portions of them. But he remained stubborn, and the risk his low weight presented felt increasingly dire.

The author's mother and father in Pittsboro, North Carolina.
The author's mother and father in Pittsboro, North Carolina. Courtesy of Sara Heise Graybeal

I was torn over this food dilemma. On one hand, my dad was far too skinny, and everyone agreed this was now the most urgent medical issue to address. On the other hand, was it my mom’s responsibility to fix it?

I started cooking beef stews and chicken casseroles on the weekend and driving them down to my parents’ farm. This way, my mom could keep eating her vegetables, and my dad could load up on fat and protein. However, this fix was unsustainable — as a working mom of a toddler, my schedule was far from predictable. Any bump in the road meant it could be several weeks before I had time to take my dad more meals.

The solution came so quietly and unexpectedly that, at first, we missed it. One day at lunchtime, my dad was driving home from playing tennis with some friends and felt an unusual sensation — hunger. A McDonald’s just north of our town had opened up several years before, but no one in our family had ever stopped there. Now, as he saw the restaurant’s giant yellow M glinting in the sun ahead of him, Daddy felt a strangely powerful urge to stop. He pulled in, parked his car, and did something he’d never done before: ordered Chicken McNuggets and fries.

Daddy drove home slowly, his meal open in the passenger seat, savoring the extravagant taste of this new food.

“Ready for lunch?” Mom asked when he arrived.

“I picked something up on the way,” Daddy told her, and, imagining his typical granola bar or pack of peanut butter crackers, she sighed.

Two days later, Daddy did it again. Sitting at McDonald’s, sunlight spilling in through the window, he worked through McNuggets, French fries and the New York Times headlines on his phone. Despite his tennis loss that morning, he came home cheerful. Mom couldn’t figure it out.

A few days after that, Daddy decided that the only thing that could make McDonald’s taste even better was to eat it in his favorite chair at the head of the dining room table. So he ordered his meal to go, brought the bag home, and unveiled his McNuggets and fries in front of my mom, who was crunching her salad. She was predictably disgusted. But as the salty grease flooded his mouth, he found he didn’t really care.

Daddy’s juicy story made its way around the family. After 37 years of eating chickpeas, kale and tofu, he had found his way to McDonald’s. Tickled, I took my son to the drive-thru to see what all the fuss was about. We got enough takeout for all of us and unloaded it onto my parents’ dining room table.

Mom, tight-lipped, tipped leftover quinoa into a bowl. Daddy, delighted, accepted his large carton of fries.

I watched Mom’s face as we chowed down in front of her. I knew how difficult this might be for her. She had labored so diligently to feed us well for so many years, and now we seemed to be throwing her hard work back in her face.

But I also saw a softening — a brightening. She didn’t have to make dinner that night, and after so many evenings in the kitchen, that was a blessing.

The author's father enjoying his birthday cake in Chapel Hill, North Carolina, in September 2023.
The author's father enjoying his birthday cake in Chapel Hill, North Carolina, in September 2023. Courtesy of Sara Heise Graybeal

The bigger blessing came at my dad’s next doctor’s appointment, where he learned he’d gained 10 pounds. “You’re on the right track!” his doctor cheered.

“But here’s the thing,” said Mom. “Does it matter how he’s gaining the weight?”

Daddy grimaced at her.

“To be frank,” the doctor replied, “the man’s 87. He could be eating chocolate bars all day and I’d be OK with it. Whatever he’s doing, he needs to stay the course.”

If there’s one thing Mom respects, it’s a doctor’s orders. So Daddy kept going to McDonald’s. Mom kept making her salads. And while his battle with pulmonary fibrosis continued, I slowly stopped worrying that a common cold would knock Daddy sideways. The day he unstrung the rope from his belt loops — and his pants didn’t fall — we all cheered. 

My son and I aren’t McDonald’s converts. Unlike Daddy, we don’t go two or three times a week. But once my son got a taste of the PlayPlace, I knew we’d be back at least occasionally. I have to admit, their Big Breakfast tastes surprisingly good on a Sunday morning, and a mouthful of hot fries after a soccer defeat does lift our spirits somehow.

I’d never say that fast food is the cure for all — or most — of life’s problems, or even that it makes a great choice for a meal. Few medical professionals would prescribe a bag of grease and salt as a solution to anything. But watching the joy those McNuggets and fries brought my dad — not to mention the weight they’ve helped him gain and maintain — made me rethink what I consider absolutes in my own life. 

Maybe there are times to ease up and experience something new. Maybe an answer to our prayers can come from the most unexpected place. It might not be a Big Mac that’s going to change my — or your — life, but maybe it’s something else we’ve never tried. Maybe joy is waiting down the road, just beyond that offramp we’ve never taken. Maybe we should try it sometime.  

Sara Heise Graybeal is a writer and journalist with an MFA in fiction from the University of North Carolina at Greensboro. Her writing has appeared in The Rumpus, Hobart Pulp, Beloit Fiction Journal, Colorado Review, TODAY, Business Insider, and elsewhere. Sara lives in Greensboro, North Carolina, with her 7-year-old son. Connect with her on Substack @saragraybeal or Instagram @sarageeeeee.

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