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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Mercy Street: A Novel by Jennifer Haigh is a tense, riveting story about the disparate lives intersecting at a Boston women’s clinic. The novel was named Best Book of the Year by the Washington Post, the New Yorker, and the Boston Globe. Mercy Street is a novel for right now, a story of the polarized American present. Ms. Haigh is a gifted storyteller who has written a very readable book. I highly recommend it. 

I truly enjoyed Mercy Street. I read her short story Zenith Man and enjoyed her storytelling skills. I wanted to read her most recent novel. Until the last few pages, I was unsure how Ms. Haigh‘s intricate storylines could conclude the story. Usually, I can predict how a story will unfold well before I finish reading it. Mercy Street was a rare exception to that rule.

I have never had to run the gauntlet in front of a women’s clinic, but Ms. Haigh has made that experience so real that I could taste it. The day-to-day work of the staff and the clients was detailed and believable. The male characters, Timmy, the affable pot dealer; Anthony, a lost soul; and Excelsior11, the screenname of Victor Prine, were drafted credibly.

As stated earlier, I highly recommend this book.


Jennifer Haigh is the author of seven best-selling, critically acclaimed works of fiction. Her first, Mrs. Kimble, won the PEN Hemingway Award for debut fiction. Her latest, Mercy Street, was named a Best Book of 2022 by the New Yorker and won the Mark Twain American Voice in Literature Award. A Guggenheim fellow and Iowa Writers’ Workshop graduate, she lives in Boston.


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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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Told with deep sensitivity and a tart sense of humor and full of the joys and heartbreaks of love, marriage, and family life, “Three Days in June” is a triumph and shows the perennially bestselling, Pulitzer Prize-winning writer at the height of her powers.



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Read: August 2022

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by Hillary Jordan

Aftermirth by Hillary Jordan is a book about grief as the two protagonists take a road trip that is a darkly funny journey of healing that takes them deep into the heart of their suffering and others, and then beyond it, to a place of peace and laughter. I had just finished reading When She Woke by Ms. Jordan and having enjoyed that book, reading a second one by the same author seemed reasonable.

When I selected this short novel to read, I questioned if it was a good choice for me.

I found it easier to read and, in some ways, helpful. It was like meeting fellow widows from my Zoom grief groups in person at Camp Widow. The ability to laugh about our loss and cry openly is essential to meeting fellow benefits.

Michael Larssen, the narrator, raised a question I have not and still do not want to consider. What if I am still alive, Jan was a great love but is not the love of my life?

“You can’t know that he was the love of your life, and do you know why? Because guess what, you aren’t dead yet. You may feel dead right now, and believe me I’ve been there, but the fact is, until you’re lying under a tombstone of your own you can’t be sure about anything. You could prick your finger on one of your roses tomorrow, and as you’re climbing the stairs to get a Band-Aid, you trip over one of the pugs and tumble to your death. Or you could meet a man in the checkout line at the grocery store–hell, you could meet a woman even and fall madly in love with her and end up with six kids and twenty grandkids. Michael looks over at Elena, then back at George. You just don’t know, George. That’s the thing. None of us does.”— Aftermirth (Kindle Single) by Hillary Jordan

Despite my anxiety about considering this disturbing question, I highly recommend Aftermirth by Hillary Jordan.

The Goodreads summary provides an overview.

I stopped being funny the day my wife was electrocuted by her underwire bra.” So begins “Aftermirth,” a dark comedy that explores the absurdity of death through the eyes of thirty-one-year-old comedian, writer, and actor Michael Larssen. What is funny to the rest of the world is devastating to Michael, who loves his wife deeply, exceptionally her bright, rippling, abandoned laughter, which captivated him from the first time he heard it. In the aftermath of her death, he loses his sense of humor and his career.

Then, after two years of mourning her, he sees an article in the paper about a factory worker named Julio Santiago who fell into a giant vat of dough and was kneaded to death. For reasons Michael doesn’t understand, he decides to go to the man’s wake. There he meets and bonds with Julio’s twenty-nine-year-old daughter Elena, a law student who is reeling from her father’s unexpected and preposterous death.

Three months later, she calls him out of the blue and suggests that the two of them drive to North Carolina to speak with another survivor like themselves Elena has found on the Internet. Their road trip is a darkly funny journey of healing that takes them deep into the heart of their grief and others and then beyond it to a place of peace and laughter.


The Jan Lilien Education Fund sponsors ongoing sustainability and environmental awareness programs. All donations are tax-deductible.

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