Home for Hospice

Estimated reading time: 11 minutes, 53 seconds

Jan Runs Out of Options

“Your mom was very frustrated today,” I told Jon as we set the table for dinner after I visited with his mom on Monday. “I had hoped she would have been as vibrant as she was when I saw her in the ICU on Saturday after the emergency stent surgery. I remain optimistic and want to focus on getting her home and keeping her here.”

Jon looked pensive as he queried me, “What can we do?”

“Well, from what I had seen when she was home, she was weak, and I could not always help her. We may need to look into rehab or more intensive physical therapy at home.”

While we ate dinner, we left those suggestions on the sideboard. They were thoughts that might be easier to discuss on a full stomach. 

We were sitting on the couch after cleaning the dinner dishes. 

“Those are the only options I can see,” said Jon. 

“We should talk to both of the oncologists. They might have ideas.”

Can you reach out to them to set up a call so Mike and I can discuss the next steps?

“Yes, I will text Dr. Strair in the morning and schedule a call.”

Is the physical therapist downstairs the one Mom used?

I said yes. “I will reach out to Karyn in the morning.”

Next Steps Planning

“Jon, let’s see if we can chat with Karyn for a few minutes before getting Mom her milkshake.” I pulled my mask up and stepped into the office of Keating Physical Therapy. As soon as she saw me, Karyn came over to me.

“Do you have a minute to chat with my two sons about the next steps for Jan?”

“Yes, how is she?”

As we walked outside, I gave her a quick update on Jan’s recent hospitalization and surgery. 

After introducing my sons, Jon asked, “We are trying to make the best plans for Mom’s return home. Is there a time we could talk to you about rehab or more physical therapy?

Yes, I would be happy to help with discharge plans,” said Karyn. Your Mom is wonderful, and I would be happy to do what I can to help.

Thanks; let us know the best time for you.

We stopped to get Jan a chocolate milkshake, and the mood was upbeat and optimistic. 

While they prepared the shake, I texted Dr. Strair. 

Both of our sons are in NJ this week. They are concerned, and if it is OK, they might appreciate a brief call to understand the next steps better.

April 6, 2021, 10:13 am

Dr. Strair responded and said we could talk this evening. 

“I will be at Mike’s for dinner,” said Jon.

I nodded as I got into the car and drove to visit Jan


Next Page


Pages: 1 2 3 4 5

27 comments add your comment

Share your thoughts and ideas

This site uses Akismet to reduce spam. Learn how your comment data is processed.

Previous Post:

Next Post:

The Jan Lilien Education Fund!

Read: September 2025

Get this book

Buckeye: A Novel

by Patrick Ryan

Buckeye: A Novel” by Patrick Ryan takes readers on a captivating journey through a single town, where the lives of two families intertwine amidst a life-altering secret. With its sweeping narrative and intimate moments, the story delves deeply into the human experience, offering rich insights and a warmth that resonates with anyone seeking love, goodness, and yearning for connection.

In Bonhomie, Ohio, a stolen moment of passion, sparked in the exuberant aftermath of the Allied victory in Europe, binds Cal Jenkins, a man wounded not in war but by his inability to serve in it, to Margaret Salt, a woman trying to obscure her past. Cal’s wife, Becky, possesses a spiritual gift: she is a seer who can conjure the dead, helping families reconnect with those they’ve lost. Margaret’s husband, Felix, is serving on a Navy cargo ship, out of harm’s way—until a telegram suggests that the unthinkable might have happened.

Later, as the country reconstructs in the postwar boom, a secret grows in Bonhomie—but nothing stays buried forever in a small town. Against the backdrop of some of the most transformative decades in modern America, the consequences of that long-ago encounter ripple through the next generation of both families, compelling them to reexamine who they thought they were and what the future might hold.


Patrick Ryan is the author of the story collections The Dream Life of Astronauts and Send Me. The Dream Life of Astronauts was named one of the Best Books of the Year by the St. Louis Times-Dispatch, Literary Hub, Refinery29, and Electric Literature, and it was also longlisted for The Story Prize.

His work has been featured in The Best American Short Stories and the anthology Tales of Two Cities, among other publications. Ryan is the former associate editor of Granta and currently serves as the editor-in-chief of One Story. He resides in New York City.



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!


×
Wait: A Novel

Read: May 2025

Get this book

Wait: A Novel

by Gabriella Burnham

Today, I began reading Wait: A Novel by Gabriella Burnham. This story is told with deep insight, humor, and an unexpected tenderness that will captivate you. The novel revolves around a family struggling against the societal issues that deteriorate their bonds, such as housing instability, immigration policies, and inherited wealth. At its core, it is also a tale about love, humor, and sisterhood, highlighting how two sisters lean on each other amid monumental changes while dreaming of a brighter future.

Elise is out dancing the night before her college graduation when her younger sister, Sophie, calls to inform her that their mother is missing. Elise promptly booked the next flight back to her childhood home on Nantucket Island, which she hadn’t visited in nearly four years.

Upon her return, the sisters are confronted with the harsh reality that their mother was stopped by the police while returning home from work and deported to São Paulo, Brazil. Despite the daunting odds, Elise boldly decides to stay fueled by her love for her mother and takes the same job she had during high school: monitoring endangered birds.

Meanwhile, her college best friend, Sheba—a lively socialite and heir to a famous children’s toy company—reveals that she has inherited her grandfather’s summer mansion on Nantucket. As Elise navigates her new reality, her worlds collide as she faces the emotional and material challenges that have fractured her family and the life in Brazil that her mother has been forced to leave behind.


Gabriella Burnham‘s debut novel, It Is Wood, It Is Stone, was named a best book of the year by Harper’s Bazaar, Marie Claire, Publishers Weekly, and Good Housekeeping. She holds an MFA in creative writing from St. Joseph’s College and has been awarded fellowships to Yaddo and MacDowell, where she was named a Harris Center Fellow. Her nonfiction writing has appeared in Harper’s Bazaar. Burnham and her partner live in Brooklyn, New York, with their rescue cats, Galleta and Franz.



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!


×
The City We Became

Read: October 2021

Get this book

The City We Became: A Novel

by N. K. Jemisin

The City We Became: A Novel by N. K. Jemisin is my first science fiction and urban fantasy novel in quite some time. It is a story of culture, identity, magic, and myths in contemporary New York City. Jan and I had lived in New York City, and the book brought back fond memories.

Every great city has a soul. Some are ancient as myths, and others are as new and destructive as children.

But every City also has a dark side. A roiling, ancient evil stirs beneath the earth, threatening to destroy the City and her five protectors unless they can come together and stop it once and for all.

As Jemisin writes:

A city is never alone, not really — and this city seems less solitary than most. More like a family: many parts, frequently squabbling … but in the end, against enemies, they come together to protect one another. They must, or die.

The challenge is when evil forces threaten the City; the entire community needs to unite, and the City’s avatars for each of the five boroughs.

Initially, this is supposed to be one for each borough and one for the entire City. In the end, one of the avatars for the five boroughs chooses not to unite with the others. Without all six, they stand no chance to defeat the forces of evil.

How do they solve this? By adding the sixth borough – Jersey City.

I recommend this book without reservation.

When you buy a book or product using a link on this page, I receive a commission. Thank you for supporting Sharing Jan’s Love blog.

Subscribe

Contact Us

×
Reunion: A Novel

Read: June 2024

Get this book

Reunion: A Novel

by Elise Juska

Today, I immersed myself in the distinct world of Reunion: A Novel by Elise Juska. This enthralling narrative, crafted by the esteemed author of The Blessings, transports us alongside three middle-aged friends as they live during a college reunion in coastal Maine. Reunion, my forty-eighth read this year and my 250th since January 15, 2019, stands out for its compelling storytelling.

It’s June 2021, and three old college friends are heading to New England for the twenty-fifth reunion that was delayed the year before. Hope, a stay-at-home mom, is desperate to return to her beloved campus, a reprieve from her tense marriage and the stresses of pandemic parenting. Adam hesitates to leave his rustic but secluded life with his wife and young sons. Single mother Polly hasn’t been back to campus in more than twenty years and has no interest in returning—but changes her mind when her struggling teenage son suggests a road trip.

Yet, the reunion takes an unforeseen path, shattering their preconceptions. Hope, renowned for her sunny outlook, is forced to confront the harsh realities of her life and the fractures in her friendships. Adam embarks on a journey of self-discovery, reigniting the spirit of his carefree contrast to his current responsibilities. A single mother, Polly is compelled to face the shadows of her past,  youth, and a stark, long-kept secret. As the weekend takes a dramatic turn, all three are pushed to confront their past and its implications for the future, leading to profound personal transformation.

Beautifully observed and insightful, Reunion is a page-turning novel about the highs and lows of friendship from a writer at the height of her powers. Elise Juska’s skill in portraying the intricate dynamics of friendship will leave you intrigued and wanting more.

×
The Mango Tree: A Memoir of Fruit, Florida, and Felony

Read: April 2024

Get this book

The Mango Tree

by Annabelle Tometich

Today, I started reading Annabelle Tometich‘s The Mango Tree: A Memoir of Fruit, Florida, and Felony. The Mango Tree is not just a memoir but a profoundly emotional family saga. It takes us through the complexities of Annabelle’s life, from her childhood in a house filled with balikbayan boxes, vegetation, and luscious mangoes to her journey from aspiring medical student to restaurant critic.

It is a tribute to her fellow Filipino Americans, her younger self, and the mango tree symbolizing her family. Above all, it is a heartfelt homage to Annabelle’s mother, Josefina, who carved out a life and a home without whom Annabelle would not be who she is.

When journalist Annabelle Tometich picked up the phone one June morning, she wasn’t expecting a collect call from an inmate at the Lee County Jail. And when she accepts, she certainly isn’t prepared to hear her mother’s voice on the other end of the line. However, explaining the situation to her younger siblings afterward was easy; all she had to say was, “Mom shot at some guy. He was messing with her mangoes.” They immediately understood. Answering the questions of the breaking news reporter—at the same newspaper where Annabelle worked as a restaurant critic––proved more difficult. Annabelle decided to go with a variation of the truth: it was complicated.

Thus commences The Mango Tree, a memoir that deftly weaves a tapestry of a mixed-race Filipina’s life in suburban Florida. Annabelle’s journey is not linear but a series of interconnected stories that delve into her upbringing, her father’s tragic demise, her mother’s longing for her homeland, and her quest for identity.

×
The Bee Sting: A Novel

Read: December 2023

Get this book

The Bee Sting: A Novel

by Paul Murray

I began reading “The Bee Sting: A Novel” by Paul Murray today, the seventy-fifth book I have read this year, one more than last year. This exuberantly entertaining novel is a tour de force that portrays post-crash Ireland, a tragicomic family saga, and a dazzling story about the struggle to be good at the end of the world.

The Barnes family is in trouble, with Dickie’s once-lucrative car business going under. However, Dickie is spending his days in the woods, building an apocalypse-proof bunker with a renegade handyperson. His wife, Imelda, sells off her jewelry on eBay while trying to avoid the attention of fast-talking cattle farmer Big Mike. Meanwhile, their teenage daughter, Cass, formerly top of her class, seems determined to binge drink through her final exams. As for twelve-year-old PJ, he’s on the brink of running away.

If you were to change this story, how far back would you have to go? To the infamous bee sting that ruined Imelda’s wedding day? To the car crash one year before Cass was born? Or back to Dickie at ten years old, standing in the summer garden with his father, learning how to be a real man?


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.

Subscribe

Contact Us

I receive a commission when you buy a book or product using a link on this page. Thank you for supporting Sharing Jan’s Love blog.



×

Discover more from Sharing Jan’s Love

Subscribe now to keep reading and get access to the full archive.

Continue reading