A Day of Fear and Hope

Estimated reading time: 10 minutes, 30 seconds

April 2, 2021, The Day
I Almost Lost Jan!

Following numerous sleepless nights, I experienced an overwhelming sense of mental and physical exhaustion. My body was weary, and I could not provide my wife, Jan, with the necessary assistance to get to the bathroom. The constant strain had also left my back in excruciating pain. Although the county police had been kind enough to aid us overnight, Jan was reluctant to seek help from our son, Mike. Faced with no other option, I took the initiative to contact Mike without seeking Jan’s approval.

When Mike and Elyssa arrived, they immediately expressed concern for their mother’s well-being. “Mom, are you okay? We’re here to help you,” they said in unison. I quickly fetched a wooden chair with no-scrape patches nearby, as the physical therapist had previously used it for exercises. This chair might be helpful for you to get to the toilet,” I suggested to their mother, hoping to provide some comfort and assistance during this difficult time.

They helped her into the chair and smoothly glided across the polished wooden floor like an iceboat. “Her urine is full of blood,” Mike said. 

As Elyssa desperately needed assistance, I quickly informed her that the visiting nurse was scheduled to arrive in a few hours. However, she could not wait that long and exclaimed, “We need her now.” Without wasting any time, I handed her my iPhone and showed her the number for the visiting nurse. Elyssa swiftly stepped into the hallway to make the call, her face etched with worry and anxiety.

As I winced in pain, I received some good news: the Visiting Nurse was on her way. Even though she had an appointment, she rescheduled it so she could come immediately. I expressed my gratitude to Elyssa and gently rubbed my aching back. She asked if I wanted to sit down, but I mustered the courage to refuse and attempted to alleviate the discomfort by taking a few steps.

Mike rushed downstairs to answer the door as my iPhone rang through the house. It was the visiting nurse who was here to check on my health. “Ms. Lilien, let me take your vitals,” she said. As she worked, I felt a sudden, alarming tightness in my chest, causing me to gasp for air. For a moment, it seemed as if my very breathing had stopped.

As the nurse relayed Jan’s vital signs, her voice was urgent. “The patient’s blood pressure is dangerously low at 70 over 40, and her temperature is above 100 degrees Fahrenheit. Additionally, there is visible blood in her urine, indicating internal bleeding. Given these concerning symptoms, she must be hospitalized immediately to receive prompt medical attention.”

I reached for my iPhone urgently, knowing I had to contact her Oncologist immediately. With trembling fingers, I dialed his number and waited anxiously for him to answer. To my relief, Dr. Strair picked up on the first ring, and I immediately placed him on speakerphone. As I gave him a summary of the situation, the nurse provided the necessary details calmly and professionally, her voice steady despite the gravity of the situation. Together, we worked to ensure that Jan received the care she urgently required.

Dr. Strair‘s question was like a sudden bolt of lightning that illuminated the room. His words hung heavily in the air, punctuated by my racing heartbeat. “I agree she should go to the hospital,” he said, “but 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.” His tone was severe, and I could sense the gravity of the situation. My body shook uncontrollably as he spoke like an earthquake had torn our apartment. The thought of losing Jan, my everything, was almost too much to bear.

The nurse requested an ambulance. “Jan, going to the hospital is necessary,” Elyssa assured her.

Overlook Hospital

As we pulled into the hospital’s parking deck, I thanked Mike for driving me. I then requested his help reaching out to my family and friends, explaining that I couldn’t make the calls myself. “Can you and Jon make the calls? I can text you all the necessary details,” I asked. Mike kindly agreed, and I felt relieved knowing that my loved ones would be notified of my situation.

“Only one of you can stay,” said the triage nurse. Mike and Elyssa hugged me and left. I paced the narrow hallway, having not slept in forty hours. 

“I wasn’t aware that she had COVID,” said the triage nurse. “I’m sorry, but you cannot stay here.” 

“It’s important that you call Dr. Strair,” I said as I quickly jotted down his name and phone number on paper.

“Don’t worry. I’ll contact the doctor immediately,” the nurse replied.

“What about the bag that I brought with me?” I asked.

“I’ll make sure to deliver it to her,” assured the nurse.

I stumbled out of the emergency room and sent a text message to my sons, informing them that I could not stay with her. I was worried if I would ever see her again. 

After getting into the car, I called Rabbi Renee. Through my tears, I told her that Jan was in the ER and that she was very sick. The Rabbi asked for more information about what had happened, and I updated her as best as possible.

She assured me that she would update everyone at services that night and asked if there was anything she could do to help. I replied that I just needed Jan to stay alive and that any prayers for her recovery would be greatly appreciated.

As Jan’s Prius glided smoothly towards our home, I couldn’t help but feel a sense of relief that my wife was safe and unscathed. However, my mind was still preoccupied with the thought that I had almost lost Jan by delaying my call for help from my son. Our marriage had always been based on equality, but I now realized that my reluctance to take charge had almost cost us dearly.

I couldn’t help but think of the pizza dough I had seen tossed into the air earlier in the week. It was a perfect analogy to how I had been indecisive, unsure of what to do, and had let the situation spiral out of control. I had waited too long, not wanting to be seen as a man who made decisions for his wife, but in the end, it almost resulted in a tragedy.

Sitting in the passenger seat, I pondered my actions and inactions. I knew I had made a mistake by not calling for help earlier, but I also knew I had learned from my mistake. I had to be more decisive and proactive and not let my pride get in the way of doing what was right. Next time, I would know what to do and be ready to take charge if the situation demanded it.

After parking the car, I messaged my sons, family, and close friends to inform them of the situation.

Jan is currently at Overlook Hospital, and I just spoke to the emergency room physician. According to him, she is in critical condition with a blood pressure reading of 70 over 40 and a temperature of 100. Due to her ongoing battle with Covid, I could not stay with her. She will be admitted to the ICU, and I will keep you updated on her condition as I receive more information. 

Friday, April 2, 4 PM

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Memorial Days: A Memoi

Read: March 2025

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Memorial Days: A Memoir

by Geraldine Brooks

Today, I started reading “Memorial Days: A Memoir” by Geraldine Brooks, the bestselling Pulitzer Prize-winning author of Horse”. In this poignant and beautifully written memoir, she explores sudden loss and the journey toward healing. Why do I choose to read novels and memoirs about loss and grief? Perhaps it’s because, as Martín Prechtel wrote in his book The Smell of Rain on Dust”, “Grief is praise because it is the natural way love honors what it misses.”

Many cultural and religious traditions expect grieving people to withdraw from the world. In modern life, we frequently encounter bureaucratic obstacles and lengthy to-do lists. This is precisely what happened to Geraldine Brooks when her partner of more than thirty years, Tony Horwitz—just sixty years old and, to her knowledge, vigorous and healthy—collapsed and died on a sidewalk in Washington, D.C.

After spending their early years together in conflict zones as foreign correspondents, Geraldine and Tony settled down to raise two sons on Martha’s Vineyard. They lived a fulfilling life filled with meaningful work, good humor, and tenderness. Geraldine and Tony spent their days writing and evenings cooking family dinners or enjoying sunsets with friends at the beach. Their peaceful existence abruptly ended on Memorial Day 2019 when Geraldine received the dreaded phone call we all fear. The demands of life became immediate and overwhelming, leaving little room for grief. The sudden loss created a profound void in their lives.

Three years later, she booked a flight to a remote island off the coast of Australia to give herself the time to mourn finally. She often spent days alone in a shack on the pristine, rugged coast without seeing another person. It was a space for her to reflect on the various ways cultures grieve and consider which rituals might help her rebuild her life in the wake of Tony’s death.

Memorial Days,” a spare and profoundly moving memoir, portrays a larger-than-life man and the timeless love between two souls. It exquisitely captures the joy, agony, and mystery of life.


Geraldine Brooks is the author of six novels, including “Horse,” “People of the Book,” “Year of Wonders,” and the Pulitzer Prize-winning “March.” She has also written acclaimed nonfiction works, including “Nine Parts of Desire” and “Foreign Correspondence.” Her books have been translated into more than thirty languages and have sold millions of copies worldwide. Born and raised in Australia, Brooks now divides her time between Sydney and Martha’s Vineyard.


My journey through grief has significantly helped me grow as a person by focusing on conscientious resilience. I make it a point to read and walk daily, engage in worship, and actively participate as a volunteer and a good neighbor in my community. Fourteen hundred days ago, I wasn’t sure if I could continue living or how to move forward. However, by concentrating on strengthening my resilience, I now lead a life filled with meaning and purpose. I choose to look back not on what I lost but on what I have gained.

As my friend Danny said nearly a year ago, “You are an incredible person! You are a new person! A better person! Although Jan is not here physically, she has done so much for you!

My Rabbi, Rav Uri, echoed similar sentiments during his remarks when I received the Rev. Dr. Martin Luther King, Jr. Distinguished Service Award. If their beliefs are true, much of my progress directly results from my conscientious resilience!



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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Being Mortal

Read: August 2019

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Being Mortal

by Atul Gawande

Before departing for Toronto to celebrate our 44th Wedding Anniversary, I went through the e-library. Everything on my list that I wanted to read was not available except for this book. Being Mortal by Atul Gawande is the book I read on our vacation before Jan’s diagnosis of non-Hodgkin Large B-cell Lymphoma.

Selecting Being Mortal might seem an accidental choice to some, and I believe it was a divine intervention. It prepared me to be a caregiver to my wife over the nineteen months of her fight with cancer. It helped me focus on the good life that my wife lived and not the pain and suffering.

Atul Gawande describes his book as “riveting, honest, and humane. Being Mortal shows that the ultimate goal is not a good death but a good life – to the very end.”

When I read the book, I wondered what I could have done to help my mother in her final years. The book offers an excellent overview of how nursing homes and assisted living facilities have struggled to meet the needs of their residents.

Dr. Gawande provides an in-depth overview of the benefits of hospice care. Although I knew of this option, reading this book helped me understand that I was ready for hospice when my wife came home for the last time.

He reminds us that “when it comes to the inescapable realities of aging and death, what medicine can do often runs counter to what it should.” As he writes in the book, the current system does not work and, in many cases, actually shortens life.

This book has had a lasting impact on my life. It allowed me to be a loving caregiver to my wife when she needed it more than anything else. I read it when it would be most beneficial to me.

I highly recommend this book.


Atul Gawande is the author of several bestselling books: Complications, a finalist for the National Book Award; Better; The Checklist Manifesto; and Being Mortal. He is also a surgeon at Brigham and Women’s Hospital in Boston, a staff writer for The New Yorker, and a professor at Harvard Medical School and the Harvard School of Public Health. He has won the Lewis Thomas Prize for Writing about Science, a MacArthur Fellowship, and two National Magazine Awards. In his work in public health, he is the Founder and Chair of Ariadne Labs, a joint center for health systems innovation, and Lifebox, a nonprofit organization dedicated to making surgery safer globally. He is also the chair of Haven, where he served as CEO from 2018 to 2020. He and his wife have three children and live in Newton, Massachusetts.



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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The Days of Abandonment

Read: July 2024

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The Days of Abandonment

by Elena Ferrante

I’ve just started reading The Days of Abandonment by Elena Ferrante after finishing My Brilliant Friend. This book is among the New York Times’s 100 Best Books of the 21st Century. I chose to read it after watching An Undoing, a documentary about healing from an abusive 20-year marriage using unstitching wedding garments, one stitch at a time.

The film was part of the first night of the International Women’s Film Festival in Cranford. Although, except for one brief moment, I have never been in the same situation as the woman in the short video or Olga, the protagonist in the novel, I choose this as my next book to read. Of course, Ferrante’s writing is known for rich character development and powerful prose.

The Days of Abandonment follows the gripping story of an Italian woman named Olga, whose husband suddenly leaves after fifteen years of marriage. With two young children to care for, Olga finds it increasingly difficult to maintain her previous lifestyle of keeping a spotless house, cooking creative meals, and controlling her temper. After encountering her husband with his much younger lover in public, she even resorts to physically assaulting him.

In a “raging, torrential voice,” according to The New York Times, Olga describes her journey from denial to devastating emptiness. Trapped within the four walls of their high-rise apartment, she confronts her ghosts, the potential loss of her identity, and the possibility that life may never return to normal.

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Booth

Read: January 2023

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Booth: A Novel

by Karen Joy Fowler

Booth by Karen Joy Fowler was on my to-read list for several months. Booth is an epic and intimate novel about the family behind one of the most infamous figures in American history: John Wilkes Booth. I have always been fascinated by history, especially the Civil War. Booth is a startling portrait of a country in the throes of change and a vivid exploration of the ties that make and break a family. It is the second book I have read this year.

Ms. Fowler struggled with how to write this novel without focusing on the cruelest member of the Booth family. She succeeded, but I sometimes felt confused about the type of book I was reading. Was it historical fiction or a textbook?

In the afterword, she admits that there is more of the story in the children of the siblings of John Wilkes Booth. I wish I knew more about that generation and how they responded to the notoriety. A family tree would have helped as there are many family members.

I recommend Booth as history is a dynamic lesson we must keep studying.

The Goodreads summary provides an overview,

In 1822, a secret family moved into a secret cabin some thirty miles northeast of Baltimore to farm, hide, and bear ten children over the next sixteen years. Junius Booth–breadwinner, celebrated Shakespearean actor, and master of the house in more ways than one–is at once a mesmerizing talent and a man of terrifying instability. One by one, the children arrive, as year by year, the country draws frighteningly closer to the boiling point of secession and civil war.

As the tenor of the world shifts, the Booths emerge from their hidden lives to cement their place as one of the country’s leading theatrical families. But behind the curtains of the many stages they have graced, multiple scandals, family triumphs, and criminal disasters begin to take their toll, and the solemn siblings of John Wilkes Booth are left to reckon with the truth behind the destructively specious promise of an early prophecy.


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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Borscht Belt Boy: Recollections of a Hotel Brat

Read: January 2024

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Borscht Belt Boy

by Mark Kramer

I started reading Borscht Belt Boy: Recollections of a Hotel Brat by Mark Kramer today. The book is the story of a young man who grew up in the heyday of the Borscht Belt. The author sent me a copy when I shared my 2023 reading accomplishments. I found joy in reading his memoir as the author, and I are almost the same age.

The author, the son of a Catskills Mountain resort hotel owner, describes his experiences growing up when hotels, bungalow colonies, and sleep-away camps were booming. Learn about the characters that populated this world, from the kids who worked in the dining rooms, the handymen recruited from the Bowery, to the chefs and maitre d’s.

Enjoy the author’s humorous description of the different kinds of people who summered in the mountains. Read fascinating tales of entertainers, including Buddy Hackett and Lenny Bruce’s experiences at the family hotel. There is a brief history of Catskills’ institutions, how the influx of Jews changed the landscape, and how the resort trade influenced race, religion, and class.

This lighthearted memoir will return fond memories to those who visited the Borscht Belt in their youth and enlighten those not lucky enough to have shared this particular time and place in history.


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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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.



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Such a Fun Age

Read: October 2021

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Such a Fun Age

by Kiley Reid

Such a Fun Age by Kiley Reid. Although many reviewers highly rated this book, I was unsure it was the book for me. However, once I started reading, I could not stop. It is “a striking and surprising debut novel from a compelling new voice. Such a Fun Age is a big-hearted story about race and privilege, set around a young Black babysitter, her well-intentioned employer, and a surprising connection that threatens to undo them both.

Alix Chamberlain is a woman who gets what she wants and has made a living with her confidence-driven brand, showing other women how to do the same. So she is shocked when her babysitter, Emira Tucker, is confronted while watching the Chamberlains’ toddler one night, walking the aisles of their local high-end supermarket. The store’s security guard, seeing a young Black woman out late with a White child, accuses Emira of kidnapping two-year-old Briar. A small crowd gathers, a bystander films everything, and Emira is furious and humiliated. Alix resolves to make things right.

But Emira herself is aimless, broke, and wary of Alix’s desire to help. At 25, she is about to lose her health insurance and has no idea what to do with her life. When the video of Emira unearths someone from Alix’s past, both women find themselves on a crash course that will upend everything they think they know about themselves and each other.

With empathy and piercing social commentary, Such a Fun Ageexplores the stickiness of transactional relationships, what it means to make someone “family”, and the complicated reality of being a grown-up. It is a searing debut for our times.

When race and privilege are paramount issues, this book is a first step to understanding the intersectionality of the issues and addressing them. I recommend this book with our reservation.

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