A Day of Fear and Hope

Estimated reading time: 10 minutes, 30 seconds

Emergency Surgery

“Good evening, is this Mr. Brown speaking?” I said yes. “My name is Sarah, and I am one of the nurses attending to your wife, Mrs. Brown. I regret to inform you that her condition is still critical, but we are doing everything in our power to ensure her comfort and recovery.

I am seeking your approval for a stent installation procedure that could help improve her condition.” She explained this was a routine medical procedure involving inserting a tiny mesh tube into the blocked artery to help restore blood flow to the heart. 

I understand this is a difficult time for you, but we need your permission to proceed. Can we count on your approval for this procedure?” I nodded in agreement but then realized she couldn’t see my response over the phone.

“Please do whatever is necessary to help my wife,” I pleaded, hoping that the procedure would help improve her condition.

The clock struck midnight, and I realized I hadn’t slept this entire month. I was on edge, waiting for any news about Jan, and I was willing to agree to every risk factor the nurse mentioned to ensure that she would live. 

Once the nurse had obtained all the necessary information, she asked, “Okay, that’s all I need for now. Is this the best number to reach you?” I confirmed that it was.

I started pacing around the apartment, my heart beating fast and my mind racing with worry. I was exhausted, but I knew I couldn’t sleep until I knew Jan was okay. I took a deep breath as my iPhone rang.

Mr. Brown, the surgery went well, and she’s back in the ICU!” the voice at the other end said.

Relief flooded my body, and I muttered my words of appreciation, “Thank you, thank you!

With overwhelming gratitude, I texted Dr. Strair, the Rabbi, and my sons to let them know Jan was okay.

The surgery was successful, and she is now in the ICU, where they can drain the fluid and treat the infection with antibiotics. This is a minor but essential step in the right direction!

April 3, 2021, 1:43 am

Dr. Strair responded immediately to my text.

After a night of very little sleep, I texted a morning update. 

Morning update: The medical team conducted a CAT scan and found a life-threatening infection in her kidneys that caused fluid buildup. If she hadn’t been admitted to the hospital, it could have been fatal. They performed an emergency surgery to insert a stent in her kidney to drain the fluid. The surgery was successful, and they are treating the infection’s cause with antibiotics. Now, they can concentrate on treating the lymphoma that has returned and is more aggressive than anticipated. 

Saturday, April 3, 7:34 AM

Hope Fades, But Jan is Still With Me!

As human beings, we can sometimes fall into the monotonous routine of our daily lives, where most days tend to blur together into a vague memory. However, certain days remain so vivid in our minds that they remain fresh and unforgettable for years. One such day for me was April 2, 2021 – filled with fear and hope, which I will never forget. At that moment, I thought I would never see my wife again.

The following day, I received great news that filled me with joy and relief. Jan had undergone emergency surgery, and I had been worried sick about her. However, I learned that she had not only survived the surgery but was well on her way to a full recovery. That day will always remind me of the fragility of life and the power of hope.

However, the joy and relief of April 3 were short-lived. Four days later, we received the devastating news that nothing more could be done, and Jan was coming home for the last time. In those moments, I felt like my world had come crashing down around me, and I was consumed by grief and sadness.

It was then that I remembered Atul Gawande‘s book “Being Mortal,” which taught me about the importance of hospice care for those who are terminally ill. I knew that hospice care could provide Jan with the support and comfort she needed in her final days, and it would also allow our family to have a final conversation with her.

Although three years have passed since that fateful day, I still recall it with clarity but less emotional intensity. Jan may no longer be with us, but her love and memory remain alive, and I cherish them daily.


If you liked this post, you should read Help Me Help, Jan, written a year ago, or Learning From Grief.


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


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The Café with No Name

Read: May 2025

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The Café with No Name

by Robert Seethaler

Today, I started reading The Café with No Name by Robert Seethaler, translated by Katy Derbyshire. It’s a vibrant story of love, companionship, and renewal in 1960s Vienna. With warm prose and tender humor, Seethaler has created a delightful parable about human existence, brought to life by unforgettable characters and a rich tapestry of narratives.

In the summer of 1966, Robert Simon was in his early thirties and had a dream. Raised in a home for war orphans, he has grown into a warm-hearted, hard-working, and determined man. When the former owners of the corner café in Carmelite Market Square close the business, Robert sees an opportunity to realize his dream.

The café, dark and dilapidated, is located in an impoverished neighborhood of the Austrian capital. However, a new energy is beginning to fill the air, signaling a desire for renewal. In the newspapers that fishmongers use to wrap char and trout from the Danube, one can read about the great things to come, heralding a bright future emerging from the shadows of the past.

Inspired by this optimism, Robert refurbishes the café. His efforts pay off as customers arrive, drawn to a congenial space where they can gather, talk, read, or sit and reflect. Each visitor brings their passion, friendship, loss, and heartache stories. Some search for companionship, while others long for love or a place to feel understood. As the city transforms, Robert’s café becomes a haven—a refuge from which to observe life, mourn, and rejoice.


Robert Seethaler was born in Vienna in 1966 and is the author of eight novels. In 2017, he was a finalist for the Man Booker International Prize with A Whole Life (FSG, 2016). He also works as an actor, most recently in Paolo Sorrentino’s Youth. He lives in Berlin.

Katy Derbyshire translates contemporary German writers, including Christa Wolf, Heike Geissler, and Olga Grjasnowa. Her translation of Clemens Meyer‘s While We Were Dreaming was longlisted for the 2023 International Booker Prize. She was born in London and has been based in Berlin for over twenty years.



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All the Sinners Bleed- A Novel

Read: June 2023

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All the Sinners Bleed: A Novel

by S. A. Cosby

Today, I delved into the gripping pages of “All the Sinners Bleed” by S. A. Cosby. This enthralling novel centers around Titus Crown, the first African American sheriff in Charon County, Virginia. Despite the county’s reputation for traditional customs such as moonshine, cornbread, and honeysuckle, Titus, with his FBI expertise, knows that the peace won’t last forever.

On the first anniversary of Titus’s election, a schoolteacher is murdered by an ex-student, and Titus’s deputies take down the perpetrator. As Titus delves deeper into the case, he uncovers a web of horrendous crimes and finds a serial killer lurking in plain sight, haunting Charon’s dirt roads and woodland clearings.

Titus is determined to solve the case, despite its connection to a nearby church, and he harbors a personal secret that haunts him. However, he faces opposition from a far-right group that wants to hold a parade to honor the town’s Confederate past while he tries to solve the issue.

Despite the challenges, Titus remains resolute in his love for Charon and his commitment to finding justice. The collision of religion and hatred cannot deter him from his duty.


S. A. Cosby is a New York Times bestselling writer from southeastern Virginia. He is the author of All the Sinners Bleed, which was on more than forty Best of the Year lists, including Barack Obama’s, as well as Edgar Award finalist Razorblade Tears and Los Angeles Times Book Prize winner Blacktop Wasteland. He has also won the Anthony Award, ITW Thriller Award, Barry Award, Macavity Award, BCALA Award, and Audie Award. He has been longlisted for the ALA Andrew Carnegie Medal for Excellence.



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John of John

Read: August 2026

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John of John: A Novel

by Douglas Stuart

“John of John” is a captivating novel that explores themes of duty, passion, and the transformative power of truth. This remarkable literary work solidifies Douglas Stuart‘s reputation as one of the greatest contemporary novelists. The story follows a young man who returns to his home on a Hebridean island, depicting the complex relationship between a father’s expectations and a son’s desires.

Out of money and with little to show for his art school education, John-Calum Macleod takes the ferry back home to the Isle of Harris in the Outer Hebrides to find that little has changed except for him. He returns to the windswept croft and the two pillars of his childhood: his father John, a sheep farmer, tweed weaver, and lay preacher in the local Presbyterian church, and his maternal grandmother Ella, a profanity-loving Glaswegian whose steady warmth helped Cal weather the sudden departure of his mother.

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Douglas Stuart is a Scottish-American author. His New York Times bestselling debut novel Shuggie Bain won prizes including the 2020 Booker Prize and the Sue Kaufman Prize from the American Academy of Arts and Letters, was a finalist for the National Book Award and the PEN/Hemingway Award, and was named one of the “25 Best Books of the 21st Century” by the Sunday Times (UK). His second novel, Young Mungo, was a national bestseller, longlisted for the Andrew Carnegie Medal and a finalist for the British Book Award, and one of the most highly acclaimed books of the year. His stories are published in The New Yorker, and his essays have featured on Literary Hub. He lives in New York City.



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Salvation

Read: March 2026

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Salvation: A Novel

by C. William Lanksfield

Salvation by C. William Lanksfield is a remarkable debut novel that explores profound themes through evocative prose and a compelling plot, all set against the breathtaking yet often intimidating backdrop of the Rocky Mountain West. This emotionally charged Western noir examines father-son relationships, masculinity, and spirituality, centering around a shocking event: the murder of one man’s best friend by another.

A small rural Colorado town is in crisis at the height of winter. Tom Horak has just murdered his best friend, Rust Hawkins. Morris Green, the town’s Lutheran pastor, is experiencing a profound crisis of faith, questioning the very existence of God. And Marshal Thomlison, the local peace officer, looking forward to retirement, is now thrown into the middle of a murder investigation.

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C. William Langsfeld lives in a small town on the Western Slope of Colorado.



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The Hidden Life of Trees

Read: August 2021

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The Hidden Life of Trees

by Peter Wohlleben

The Hidden Life of Trees: What They Feel, How They Communicate ― Discoveries from A Secret World is a book I have wanted but had not had the time to read. In July of this year, when I was still in the early stages of my recovery journey, I talked to a friend of my wife’s (whom I now count as my friend) about our plans to plant a tree in Hanson Park.

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Are trees social beings? In The Hidden Life of Trees forester and author Peter Wohlleben convincingly makes the case that, yes, the forest is a social network. He draws on groundbreaking scientific discoveries to describe how trees are like human families: tree parents live together with their children, communicate with them, support them as they grow, share nutrients with those who are sick or struggling, and even warn each other of impending dangers. Wohlleben also shares his deep love of woods and forests, explaining the amazing processes of life, death, and regeneration he has observed in his woodland.

Having read this book, I am more sensitive to trees and have enjoyed my walks more than ever. In addition, when we plant Jan’s tree in Hanson Park, I will now have even more reasons to talk about the importance of trees to Jan, myself, and the community.

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Parable of the Sower.

Read: January 2024

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Parable of the Sower

by Octavia E. Butler

Today, I started reading Octavia E. Butler‘s acclaimed post-apocalyptic novel, “Parable of the Sower.” The book depicts a world in which global climate change and economic crises have led to social chaos, particularly in California. The state is plagued by dangers such as pervasive water shortages and masses of vagabonds who are willing to do whatever it takes to survive.

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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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