Home for Hospice

Estimated reading time: 11 minutes, 54 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


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Western Lane: A Novel

Read: March 2023

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Western Lane: A Novel

by Chetna Maroo

Western Lane: A Novel by Chetna Maroo is a taut, enthralling first novel about grief, sisterhood, and a young athlete’s struggle to transcend herself. Western Lane is about three sisters who have lost their mother. Their father is encouraged to provide structure in raising his daughters. Gopi, the narrator, is a squash player, and her father imposes a brutal training regimen. I highly recommend this novel!

The following passage explains the importance of squash to Gopi and how she views the world.

In the court, your mind is not only on the shot you’re about to play and the shot with which your opponent might reply, but on the shots that will follow two, three, four moves ahead. You’re watching your opponent’s position and the game he or she is playing, making calculations. This is how you choose which way to go. Though your mind is following several paths at once, it’s not a splitting but an expansion forwards and backwards in time, and it happens so quickly that it feels like instinct. Sometimes, you don’t even know you are thinking.

In the first few pages, I wondered what I would have done if I had been a single parent when my sons were young. I do not believe I would have imposed on my sons what Gopi’s father did to her. However, I have found reading and art to be powerful tools to help me cope with grief. I have focused on rituals, structure, and purpose.

The Goodreads summary provides an overview,

Eleven-year-old Gopi has been playing squash since she was old enough to hold a racket. When her mother dies, her father enlists her in a quietly brutal training regimen, and the game becomes her world. Slowly, she grows apart from her sisters. Her life is reduced to the sport, guided by its rhythms: the serve, the volley, the drive, the shot, and its echo.

But on the court, she is not alone. She is with her pa. She is with Ged, a thirteen-year-old boy with formidable talent. She is with the players who have come before her. She is in awe.

An indelible coming-of-age story, Chetna Maroo’s first novel captures the ordinary and annihilates it with beauty. Western Lane is a valentine to innocence, to the closeness of sisterhood, to the strange ways we know ourselves and each other.


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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The Liberators

Read: November 2023

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The Liberators

by E. J. Koh

I started reading The Liberators by E. J. Koh today. The book is a debut novel about Insuk, a 24-year-old Daejeon, a South Korean college student who falls in love with her classmate, Sungho. They get married with her father’s blessing. Still, things take a turn for the worse as the military dictatorship, martial law, and nationwide protests bring the country to the brink of collapse, and Insuk’s father mysteriously disappears.

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

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In Praise of Walking

Read: April 2023

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In Praise of Walking

by Shane O'Mara

I recently received a book from my family that combines two interests: walking and reading. The book, “In Praise of Walking” by Shane O’Mara, celebrates the joys, health benefits, and mechanics of walking. It emphasizes the importance of getting out of our chairs and discovering a happier, healthier, more creative self.

One of the most important insights I gained from this book is that walking can lead to mind wandering, focusing on autobiographical memory rather than the immediate environment. This realization helped me accept and appreciate Jan’s love and move forward with her passion.

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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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Read: June 2023

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Everything’s Fine

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I started reading Everything’s Fine by Cecilia Rabess today, a stunning debut introducing a talented new author. However, I found it easier to decide to read it after reading in the New York Times that some reviewers on Goodreads criticized the book’s premise without reading it. It’s unfair to criticize something after experiencing it first-hand.

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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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Read: October 2021

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Such a Fun Age

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The Swimmers: A Novel

Read: October 2022

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The Swimmers: A Novel

by Julie Otsuka

The Swimmers: A Novel by Julie Otsuka is a novel about what happens to a group of obsessed recreational swimmers when a crack appears at the bottom of their local pool. This searing, intimate story of mothers and daughters—and the sorrows of implacable loss—is the most commanding and unforgettable work yet from a modern master. I highly recommend The Swimmers: A Novel by Julie Otsuka.

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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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