Help Me Help, Jan

Estimated reading time: 10 minutes, 41 seconds

Mike and Elyssa to the Rescue

“Mom, are you OK? Elyssa and I are here to help you,” Mike said. I brought over one of the wooden chairs with the no-scrape patches. It was nearby as the physical therapist needed it for exercises. “This might help to get her to the toilet.

They got her up into the chair and slid her like an ice boat across the wooden floor. 

“Her urine is full of blood,” Mike said. 

I mentioned that the visiting nurse would be here in a few hours. 

“We need her now,” said Elyssa. 

I handed her my iPhone and indicated the number for the visiting nurse. 

Elyssa stepped into the hallway to speak to her. 

“She is on her way. She had an appointment but rescheduled it to get here immediately.”

I thanked Elyssa and rubbed my back. 

“Do you want to sit down?”

I nodded no and tried to walk off the pain. 

My iPhone rang, and it was the Visiting Nurse. Mike went down to let her in.

“Ms. Lilien let me take your vitals,” said the nurse. 

While waiting for the vitals, I stopped breathing for a minute.

“Her blood pressure is 70 over 40, and her temperature is over 100,” said the nurse. “That combined with the blood in her urine, she is high risk and needs to be hospitalized now.”

“I need to call her Oncologist and let him know.”

Dr. Strair answered on the first ring, and I placed him on speakerphone and provided an overview of the situation, and the nurse provided the details.

“I agree she should go to the hospital,” Dr. Strair said. “Do you know what is in her advanced directive? You should read it and know what to do as you might need to use it.

My body shook like an earthquake had torn the apartment into two pieces.I can’t lose Jan. She is all I have.

The nurse called for an ambulance. 

“Jan, I know going to the hospital is not what you want, but it is what you need to do,” said Elyssa in a very soothing and reassuring voice.

Overlook Hospital

“Thanks for driving me,” I said to Mike. “Can you and Jon make calls to family and friends? I can text you the names and phone numbers. I can’t do it now….” Mike said yes as we pulled into the parking deck at the hospital.

“Only one of you can stay,” said the triage nurse. Mike and Elyssa hugged me and left. 

I paced the narrow hallway as I had not slept in forty hours. 

“I did not know she had COVID,” said the triage nurse. “You cannot stay.”

“It’s important that they call Dr. Strair,” I said as I scribbled his name and number on paper. 

“I will make sure they call the doctor.”

“What about the bag I brought?”

“I will give it to her.”

I stumbled out of the ER and texted my sons that I could not stay with her. Will I ever see her again?

When I got in the car, I called Rabbi Renee.

“Jan’s in the ER!” I said as tears overflowed my face like an open hydrant. 

“She is very sick.”

“What happened,” she asked.

Between my tears, I updated her the best I could.

“I will update everyone at services tonight.”

The Rabbi asked what she could do to help her very calming voice. 

“I just need Jan to stay alive!”

Any prayers for her recovery will help.

After parking the car, I texted my sons, family, and close friends this message. 

Jan is in Overlook Hospital. I just spoke to the emergency room physician. He described her as being critically ill. Her blood pressure was 70 over 40, and she had a temperature of 100. She is being admitted to the ICU. Because she still has Covid, I was not allowed to stay with her. I will update you as I learn more.

Friday, April 2, 4 PM

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The Heat Will Kill You First

Read: July 2023

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The Heat Will Kill You First

by Jeff Goodell

I recently started reading “The Heat Will Kill You First” by Jeff Goodell, which delves into the extreme ways our planet is already changing. The book explores how spring is arriving earlier and fall is arriving later and how this will impact our food supply and disease outbreaks. As I have stated in my Action Alert: EPA’s Carbon Rule, the time to act is now.

The book also predicts the consequences of summer days in cities like Chicago and Boston, reaching temperatures as high as 110°F. Goodell explains that heat waves are used only to affect the most vulnerable people, but as they become more intense and familiar, they will affect everyone.

It is becoming increasingly clear that the world is facing a new reality. In California, wildfires are now seasonal, while the Northeast is experiencing less and less snow each winter. Meanwhile, the Arctic and Antarctic ice sheets are melting alarmingly. Heat is the primary threat that is driving all other impacts of the climate crisis. As temperatures rise, it exposes weaknesses in our governments, politics, economy, and values.

The basic science is straightforward: If we stop burning fossil fuels tomorrow, the global temperature will also stop rising. However, if we wait for 50 years to stop burning them, the temperature will continue to rise, making parts of our planet uninhabitable. The responsibility to act is in our hands. The hotter it gets, the more our underlying issues will surface and expand.

Jeff Goodell has been an award-winning journalist in the field of environmental reporting for several decades. His latest book explains how extreme heat will cause significant changes in the world. The book is an excellent blend of scientific insights and on-the-ground storytelling, and Goodell explores some of the most significant questions surrounding the topic. He reveals that extreme heat is a force we have yet to comprehend fully.


The Jan Lilien Education Fund sponsors ongoing sustainability and environmental awareness programs. Gifts made this month; I will match dollar-for-dollar. All donations are tax-deductible.

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Where Reasons End

Read: June 2025

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Where Reasons End

by Yiyun Li

Yiyun Li, grappling with life’s deepest sorrows, invites readers into a poignant conversation between a mother and child in a timeless world.  Where Reasons End, composed in the aftermath of the loss of her son, ventures into the liminal space between life and death. Here, mother and child engage in conversations untethered from past images and narratives, a profoundly moving portrayal of the love and complexity of their relationship.

The narrator of Where Reasons End shares a profound insight, saying, “I clung to one delusion with all my might: We once gave Nikolai a life of flesh and blood; and I’m recreating it, this time through words.” This emotional journey of recreating a life through words is a central theme that resonates throughout the novel.

With a unique blend of originality, precision, and poise, Where Reasons End immerses readers in a world of intimacy, inescapable pain, and fierce love. The novel’s emotional impact is profound, leaving a lasting impression on those who delve into its pages.


Yiyun Li, a prolific author, has penned six works of fiction—Must I Go, Where Reasons End, Kinder Than Solitude, A Thousand Years of Good Prayers, The Vagrants, and Gold Boy, Emerald Girl—and the memoir Dear Friend, from My Life I Write to You in Your Life.

Her literary prowess has been recognized with numerous awards, including a PEN/Hemingway Award, a PEN/Jean Stein Book Award, a MacArthur Foundation fellowship, and a Windham-Campbell Prize.

She was also featured in The New Yorker’s 20 Under 40 fiction issue. Her work, which has been published in The New Yorker, A Public Space, The Best American Short Stories, and The O. Henry Prize Stories, among other publications, is a testament to her literary excellence.

Currently, she imparts her knowledge at Princeton University and resides in Princeton, New Jersey.



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Read: June 2024

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The Sorrow Apartments

by Andrea Cohen

Today, I explored “The Sorrow Apartments,” the eighth collection of poems by poet Andrea Cohen. Renowned poet Christian Wiman accurately describes Cohen’s work as a “cumulative force,” showcasing her deep attention, genuine intelligence, and soul. Cohen’s distinctive talents are featured in this collection, complemented by her characteristic sly humor, unwavering conciseness, and surprising moments of profound wisdom.

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The Sorrow Apartments house a collection of sparse and haunting poetry, each piece a captivating narrative of mystery, grief, and awe. These poems transport us not just across time but also through a spectrum of emotions. Cohen’s unique approach to illumination is evident in “Acapulco,” where an unanticipated companion muses, “as men tend to, / the stars comprising Orion’s belt — / as if it were the lustrous sparks and not / the leveling dark that connects us.” For a poet often deemed unfashionable, Cohen’s work proves that unfashionable can be beautiful.

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Playground: A Novel

Read: December 2024

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Playground: A Novel

by Richard Powers

I started reading “Playground: A Novel” by Richard Powers today. This remarkable new novel comes from the Pulitzer Prize-winning and New York Times best-selling author of “The Overstory” and “Bewilderment.” Even more astonishing is that this marks my three hundredth book since I embarked on this reading journey on January 1, 2019! I’m also enjoying “Judaism Is About Love,” which means “Playground: A Novel” will be my 98th or 99th book in 2024.

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Set against the world’s most enormous ocean backdrop, this awe-inspiring book delves into the last wild place we have yet to colonize, exploring a still-unfolding oceanic narrative. It beautifully weaves rich characters, profound themes of technology and the environment, and a deep examination of our shared humanity—and exploration that only Richard Powers can deliver.



When you purchase a book through one of my links, I earn a small commission that helps support my passion for reading. This contribution allows me to buy even more books to share with you, creating an incredible cycle of discovering great reads together! Your support truly makes a difference!


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American Bulk

Read: February 2026

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American Bulk: Essays on Excess

by Emily Mester

In a series of deeply personal essays, Emily Mester‘s “American Bulk” examines how the things we buy, eat, accumulate, and discard become integral parts of our lives. We often guiltily watch Amazon boxes pile up on the porch, sift through countless reviews to find the perfect product, and crave the familiar comfort of a chain restaurant. With humor and sharp insight, Mester reflects on the joys and anxieties of Costco trips, how a seasonal job at Ulta Beauty taught her the subtle art of sales, and what it means to feel “mall sad.”

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Emily Mester is a writer from the suburban Midwest, where her family shopped at Costco every Sunday. She earned an MFA in nonfiction from the University of Iowa, where she received the Prairie Lights Nonfiction Prize. Currently, she resides in New York.



Discover your next favorite book and dive into a world of curated, exciting reads by purchasing through my links. You’ll have access to a diverse selection of books that I’ve personally vetted to ensure quality and enjoyment. Additionally, by supporting these selections, you’ll help me continue to provide you with more personalized recommendations. I earn a small commission from your purchase, which allows me to buy and share even more books with you. Your support truly makes a difference!


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Read: August 2025

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Flashlight: A Novel

by Susan Choi

A monumental new novel by National Book Award winner Susan Choi, Flashlight spans decades and continents in a captivating and emotional exploration of family, loss, memory, and the ways we are influenced by what remains hidden. Longlisted for the 2025 Booker Prize, the novel follows the journey of a father’s disappearance over time, across nations, and within the realm of memory. This work comes from the author of Trust Exercise.

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Susan Choi is the author of Trust Exercise, which won the National Book Award for fiction. She has also written the novels The Foreign Student, American Woman, A Person of Interest, and My Education.

Choi has received several prestigious awards, including the Asian American Literary Award for fiction, the PEN/W. G. Sebald Award, a Lambda Literary Award, and the Sunday Times Audible Short Story Award. Additionally, she has been awarded fellowships from the National Endowment for the Arts and the Guggenheim Foundation.

Currently, she teaches in the Writing Seminars at Johns Hopkins University and resides in Brooklyn, New York.



When you purchase a book through one of my links, I earn a small commission that helps support my passion for reading. This contribution allows me to buy even more books to share with you, creating an incredible cycle of discovering great reads together! Your support truly makes a difference!

Enjoy a limited-time offer of 20% off your next book purchase at Bookshop.org!


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