When Grief Is A Threat to Mental Health

Mental Health and Grief

Estimated reading time: 0 minutes, 42 seconds

Celebrate JanAlthough I have always felt Jan’s death impacted my mental health, I have never been in a crisis.

Julie Halpert’s article in The New York Times, “How to Help a Loved One Through Sudden Loss,” was a reminder of the multiple risks and of how we can help each other.

Jan’s death was only a sudden loss if hearing that she only has weeks to live meets the definition of sudden.

But the impacts on my mental health were clear, and it altered my support network drastically.

Grieving is difficult. Because Jan’s will never die, my grief is manageable.

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When Grief Is A Threat to Mental Health

April 2, 2021

Estimated reading time: 0 minutes, 42 seconds

My mental health was at risk on April 2, 2021. Jan had been home for four days, and I could not assist her in getting to the bathroom. Mike and Elyssa came by in the morning, and we reached out to the visiting nurse.

The nurse took Jan’s blood pressure, and it was 70 over 40, and her temperature over 100.

Consulting with Dr. Strair, we agreed the only option was to take Jan by ambulance to Overlook Hospital. “Make sure you read her advance directive; you may need to use it,” he said.

My heart stopped beating. Would I lose Jan without a chance for one last kiss?

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When Grief Is A Threat to Mental Health

Emergency Surgery

Estimated reading time: 0 minutes, 42 seconds

Mike drove me to the hospital, but I could not stay with Jan due to the COVID diagnosis. I asked Mike to call family and critical friends, and I called Rabbi Renee the drive home. I sleepwalked back to my car.

My Rabbi reassured me, but the thought of losing Jan made the journey home a frightening drive.

By midnight the triage nurse called to tell me that a CAT scan had determined that she had a life-threatening infection in her kidneys backing up fluid. Had Jan not been hospitalized, it would have been fatal.

I approved emergency surgery to insert a stent in her kidney to drain the fluid. The surgery was successful.

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When Grief Is A Threat to Mental Health

She Was OK Until She Wasn't

Estimated reading time: 0 minutes, 42 seconds

Friday night, I barely slept. The night before had been sleepless. But I knew my wife was still alive.

When I arrived at the hospital and walked into her room, I was welcomed by Jan’s smiling face. She was alive and healthy. She asked for her iPhone, and it rang as I handed it to her. It was our oldest son, Jon. She told him not to when he said he was about to fly to see her. “I will be OK,” she said.

When I left her, I was sure she would be OK. Four days later, Jan’s doctors told her there was nothing more than they could do for her.

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Jaded: A Novel

Read: April 2024

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Jaded: A Novel

by Ela Lee

Today, I started reading “Jaded: A Novel” by Ela Lee. The main character’s name is Jade, which isn’t even her real name. Jade began using it as her Starbucks name because all children of immigrants have a Starbucks name. “Jaded” is a must-read book for fans of “Queenie” and “I May Destroy You.” It offers a blistering—and sometimes darkly funny—account of consent, power, race, sexism, and identity in a broken society.

Jade has accomplished everything she ever wanted.

She’s a successful lawyer, a dutiful daughter, a beloved girlfriend, and a loyal friend. However, everything starts to crumble when she wakes up the morning after a work event, naked and alone, with no idea how she got home. Jade is caught between her parents, who can’t understand, her boyfriend, who feels betrayed, and her job, which expects silence.

Jade thought she was everything she ever wanted to be. But now she feels like nothing at all.

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Hurricane Season

Read: September 2024

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Hurricane Season

by Fernanda Melchor

Hurricane Season‘ by Fernanda Melchor, translated by Sophie Hughes, is a literary gem acknowledged by the New York Times as one of the 100 Best Books of the 21st Century. The story opens with the discovery of a dead witch in a village, leading to an investigation into her murder. As the novel unfolds, it offers a unique perspective on the lives of the villagers, each narrating the story from their point of view.

This unique portrayal of the characters, each with flaws and virtues, uncovers new details and acts of depravity. Despite the characters being seen as irredeemable, Melchor extracts some shred of humanity from them, creating a lasting portrait of a doomed Mexican village. This deep connection to Mexican culture is a significant aspect of the novel that will surely resonate with readers interested in this topic.

Hurricane Season” draws significant literary inspiration from Roberto Bolaño‘s “2666” and Faulkner‘s novels. Like these works, it is set in a world filled with mythology and actual violence that seeps into the surroundings, creating a connection that makes it more terrifying the deeper you explore it.

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What's Mine and Yours

Read: February 2022

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What’s Mine and Yours

by Naima Coster

What’s Mine and Yours by Naima Coster is one of the best books I have read in the last few years. At this moment in my life, family means more than ever. This book explores how families can collapse and find ways to reunite. Although my life circumstances are the polar opposite of the protagonists, the book’s central themes resonated with me.

The focus on integration in this Millenium is a subject that needs to be discussed openly and honestly. The racist response of some of the parents is told in a way that clarifies the pain that that can cause.

Even the parents who favor integration have their flaws, which are passed on to their children.

The children, especially Noelle and Gee, oppose their parent’s actions. The sins of their parents are sowed upon them as well.

I have placed this book on my list of novels for reading later this year or n 2023. Its themes are so strong that a second reading is required to engage with its multiple levels fully.

This is a Goodreads summary.

A community in the Piedmont of North Carolina rises in outrage as a county initiative draws students from the primarily Black east side of town into predominantly white high schools on the west. For two students, Gee and Noelle, the integration sets off a chain of events that will tie their two families together in unexpected ways over the next twenty years.

The debate is Jade, Gee’s steely, ambitious mother, on one side of the integration. In the aftermath of a severe loss, she is determined to give her son the tools he’ll need to survive in America as a sensitive, anxious, young Black man. On the other side is Noelle’s headstrong mother, Lacey May, a white woman who refuses to see her half-Latina daughters as anything but white. She strives to protect them as she couldn’t protect herself from the influence of their charming but unreliable father, Robbie.

When Gee and Noelle join the school play meant to bridge the divide between new and old students, their paths collide, and their two seemingly disconnected families begin to form deeply knotted, messy ties that will shape the trajectory of their adult lives. And their mothers-each determined to see her child inherit a better life-will make choices that will haunt them for decades to come.

As love is built and lost, and the past never too far behind, What’s Mine and Yours is an expansive, vibrant tapestry that moves between the years, from the foothills of North Carolina to Atlanta, Los Angeles, and Paris. It explores every family’s unique organism: what breaks them apart and how they come back together.

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She's Up to No Good

Read: July 2022

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She’s Up to No Good

by Sara Goodman Confino

After writing Road Trippin, I needed to read about other homeward-bound journeys that help us find peace and a future after a tragedy. Today I started reading She’s Up to No Good by Sara Goodman Confino. The book is a funny, poignant, and life-affirming novel about family, secrets, and broken hearts. It may be the best read for my days in San Diego.

It was the perfect read for my time at Camp, as it was a life-affirming novel. As much as I know that life continues, She’s Up to No Good reaffirmed my belief.

I highly recommend this book.

The Goodreads summary provides an overview.

Four years into her marriage, Jenna is blindsided when her husband asks for a divorce. With time on her hands and her life in flux, she agrees to accompany her eccentric grandmother, Evelyn, on a road trip to the seaside Massachusetts town where much of their family history was shaped.

When they hit the road, Evelyn spins the tale of the star-crossed teenage romance that captured her heart more than seventy years ago and changed the course of her life. She insists the return to her hometown isn’t about that at all—no matter how much she talks about Tony, her unforgettable and forbidden first love.

Upon arrival, Jenna meets Tony’s attentive great-nephew Joe. The new friendship and fresh ocean air give her the confidence and distance she needs to begin putting the pain of a broken marriage behind her.

As the secrets and truths of Evelyn’s past unfold, Jenna discovers a new side of her grandmother and of herself that she never knew existed—and learns that the possibilities for healing can come at the most unexpected times in a woman’s life.


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

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The Time Traveler's Wife

Read: May 2021

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The Time Traveler’s Wife

by Audrey Niffenegger

My wife had asked me to read – The Time Traveler’s Wife by Audrey Niffenegger – on several occasions. When we first met, we both liked to read fiction and non-fiction. As we aged, I focused almost exclusively on non-fiction, and she focused on fiction. Since her passing, I have started reading more of both genres. We could now have a book club!

Both Jan and I have always enjoyed books and movies about time travel. If I could travel back in time, there are tens of thousands of days I would love to spend with her again. But time travel is not possible. Or is it? Her spirit returns to me whenever I am paralyzed and encourages me to dust myself off and keep going. Maybe one day we will time travel together!

I enjoyed reading this book, even if it was difficult to keep track of the periods. It is very much the type of time-traveling book that both of us would have liked to read, and it has helped me to imagine a world in which Jan and I will meet again.

But what if it is not time travel as imagined by H. G. Wells. As the Hasidic story foretold, God split our souls at birth and placed one part of my soul in her body and placed the rest into my body. Very few people are lucky enough to find the person who has the other half of their soul, and Jan and I did.

When my life ends, what if God takes a portion of our two souls and places them into new bodies. Each of their souls would include a part of each of us. Those two new people would have to find each other in the future to connect as we did. They might not see each other and forever hunger for true love. Whatever happened, they would not know that they once were very much in love.

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O Beautiful A Novel

Read: March 2023

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O Beautiful: A Novel

by Jung Yun

O Beautiful: A Novel by Jung Yun, the critically acclaimed author of Shelter, has written an unflinching portrayal of a woman trying to come to terms with the ghosts of her past and the tortured realities of a deeply divided America. With spare and graceful prose, O Beautiful presents an immersive portrait of a community rife with tensions, competing interests, and one woman’s attempts to reconcile her anger with her love of beautiful but troubled land. I highly recommend O Beautiful!

I finished reading O Beautiful on International Women’s Day. It might have been coincidental, but in my humble opinion, it was the perfect book to read on this important day. Ms. Yun has written a novel that touches on the intersectionality of the core issues of our divided land. The misogyny, the racism, and the impact of capitalism out of control are all related and are affecting the quality of life in the early twenty-first century.

Elinor Hanson, the protagonist, is so vividly written that she jumps off the page and becomes someone we know as a family member. When she returned home to write about the Bakken oil boom in North Dakota, I felt I had known her all my life. Unfortunately, the novel ended when she finally understood the issues and was in touch with her anger. I wish it would have continued so that the problems might have been addressed. Despite this, I highly recommend this novel.

O Beautiful is the twenty-first book I have read this year! My goal was twenty-three.

The Goodreads summary provides an overview,

Elinor Hanson, a forty-something former model, struggles to reinvent herself as a freelance writer when she receives an unexpected assignment. Her mentor from grad school offers her a chance to write for a prestigious magazine about the Bakken oil boom in North Dakota.

Elinor grew up near the Bakken, raised by an overbearing father and a distant Korean mother who met and married when he was stationed overseas. After decades from home, Elinor returns to a landscape she hardly recognizes, overrun by tens of thousands of newcomers.

Surrounded by roughnecks seeking their fortunes in oil and long-time residents worried about their changing community, Elinor experiences a profound sense of alienation and grief. She rages at the unrelenting male gaze, the locals who still see her as a foreigner, and the memories of her family’s estrangement after her mother decided to escape her unhappy marriage, leaving Elinor and her sister behind.

The longer she pursues this potentially career-altering assignment, the more her past intertwines with the story she’s trying to tell, revealing disturbing new realities that will forever change her and how she looks at the world.


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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