Cancer

Knowing What Needs to be Done and Doing It Are Not the Same

I held the cold cup of milkshake from Cranford Vanilla Bean Creamery, looking over at my wife, Jan, who sat beside me in the hospital room. The milkshake tasted terrific, but Jan had already expressed that she couldn’t drink. Trying to conceal my emotions, I observed her closely, knowing what would happen at 3 pm today. We were sitting in the familiar Overlook Hospital, a place I knew so well that I could navigate without asking for directions. Visitors even came to me for help. It was a reality I never imagined that my beloved wife would fall ill and that we would spend so much time in hospitals. Due to the COVID-19 restrictions, I couldn’t leave the room, so I offered to call the nurses’ station. Waiting was the only option, forcing me to chat with Jan as if everything would be OK. Despite the hard truth I knew, she did not.

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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.

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Thoughts on the Seventy-fifth Orbit of the Sun!

I have always preferred not to celebrate my birthday, as a year is too short to measure any significant change or growth. After I met Jan, whose birthday falls just twenty-five days after mine, I used to joke that we could skip the month of March and celebrate her birthday instead. However, my wife didn’t appreciate my attempts to avoid celebrating my birthday.

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I Live in the Present and
Embrace the Future!

Today, March 30, 2024, on my 75th birthday, I wrote as I do daily in my journal. As I put pen to paper, I paused to contemplate my life’s journey. Looking back, I am grateful for all the experiences – both joyful and gloomy – that have shaped me into the person I am today. I’ve experienced moments of pure joy and also times of deep sorrow. One of the most heart-wrenching moments was when I lost Jan, my dear wife, in May 2021. It was a challenging time that left an indelible mark on my soul. Although the loss has been painful, I choose to live in the present and embrace the future.

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The Jan Lilien Education Fund!

Tell Me Everything: A Novel

Read: January 2025

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Tell Me Everything: A Novel

by Elizabeth Strout

Today, I dived into “Tell Me Everything: A Novel” by Elizabeth Strout, and I’m already captivated. This book made it onto NPR’s best books list for 2024 and caught the eye of Oprah’s Book Club—no small feat! Strout writes with such empathy and emotional depth that it reflects her incredible talent. Lucy beautifully captures this sentiment by stating, “Love comes in many different forms, but it is always love.”

With her profound understanding of the human condition and silences that convey deep emotions, Elizabeth Strout returns to the town of Crosby, Maine, reuniting with her beloved characters—Lucy Barton, Olive Kitteridge, Bob Burgess, and others—as they confront a shocking crime, navigate love while choosing to remain apart, and ponder the question, as Lucy Barton puts it, “What does anyone’s life mean?”

It’s autumn in Maine, and the town lawyer, Bob Burgess, finds himself entangled in a murder investigation, defending a lonely, isolated man accused of killing his mother. He has also developed a deep and abiding friendship with the acclaimed writer Lucy Barton, who lives nearby in a house by the sea with her ex-husband, William.

Lucy and Bob take walks and discuss their lives, fears, regrets, and what could have been. Meanwhile, Lucy is finally introduced to the iconic Olive Kitteridge, who now resides in a retirement community on the outskirts of town. They spend afternoons in Olive’s apartment, sharing stories about people they have known—what Olive calls “unrecorded lives,” which reanimate their experiences and imbue their lives with meaning.



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Earth 7

Read: July 2026

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Earth 7: A Novel

by Deb Olin Unferth 

An end-of-the-world love story, Earth 7 is filled with both pathos and humor, exploring what aspects of our planet can still be cherished. Unfortunately, the tale of planet Earth is disheartening; it has been diminished to little more than a lump of burnt coal. However, as Deb Olin Unferth demonstrates in her latest electrifying novel, life and love can endure even in the most unexpected and inhospitable circumstances.

Two women meet on a beach of artificial sand. One was raised in a pod in the ocean, and the other may or may not be a robot. Their love—or any love—seems so unlikely. Earth is severely depopulated. Some people have given up, gone off to Mars. Others pursue eternal life as digital code. And yet others, like Dylan and Melanie, are holdouts—and some of those holdouts are constructing a vast molecular collection in hopes that a future person may be alive to make a new Earth. Foolhardy? Misguided? Quixotic? Probably. But what can a human (or a robot) do?

By the end of Unferth’s wild, poetic, revelatory, and slyly philosophical novel, the reader has traveled to the very edges of the cosmos as a “soul globule” and between grains of sand as a microscopic tardigrade. A slim book tackling big questions (is all matter conscious? will we tech ourselves into salvation, or out of existence?), Earth 7 is a poignant inquiry into death, mourning, and indefatigable life, the most exhilarating work to date by one of our most original and beloved writers.


Deb Olin Unferth is the author of six books, including Barn 8 and Wait Till You See Me Dance. She has received a Guggenheim Fellowship and three Pushcart Prizes and was a finalist for the National Book Critics Circle Award. Her work has appeared in Granta, Harper’s, McSweeney’s, and The Paris Review.



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A Train to Moscow

Read: February 2022

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A Train to Moscow

by Elena Gorokhova

A Train to Moscow by Elena Gorokhova is set in post–World War II Russia; a girl, must reconcile a tragic past with her hope for the future in this powerful and poignant novel about family secrets, passion, loss, perseverance, and ambition. In a small, provincial town behind the Iron Curtain, Sasha lives in a house full of secrets, one of which is her dream of becoming an actress.

When she leaves for Moscow to audition for drama school, she defies her mother and grandparents and abandons her first love, Andrei.

Before she leaves, Sasha discovers the hidden war journal of her uncle Kolya, an artist still missing in action years after the war has ended. His pages expose the official lies and the forbidden truth of Stalin’s brutality. Kolya’s revelations and tragic love story guide Sasha through drama school and cement her determination to live a thousand lives onstage.

After graduation, she begins acting in Leningrad, where Andrei, now a Communist Party apparatchik, becomes a censor of her work. As a past secret comes to light, Sasha’s ambitions converge with Andrei’s duties, and Sasha must decide if her dreams are genuinely worth the necessary sacrifice and if, as her grandmother likes to say, all will indeed be well.

This was a page-turner, as I held my breath to find out the next steps that Sasha would take. Her ambition combined with the secrets she learns keeps the reader focused on the next page.

I recommend this book.

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The New Wilderness

Read: October 2021

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The New Wilderness

by Diane Cook

The New Wilderness by Diane Cook. The New Wilderness is a timely book and one that resonated with me. When Jan and I met in 1973, it was a revolutionary time with movements encouraging communes and returning to the farm. Neither Jan nor I were interested in living in a commune. Reading this book helped reassure me that we made the correct choice.

The summary of the book is:

Margaret Atwood meets Miranda July in this wildly imaginative debut novel of a mother’s battle to save her daughter in a world ravaged by climate change; A prescient and suspenseful book from the author of the acclaimed story collection, Man V. Nature.

Bea’s five-year-old daughter, Agnes, is slowly wasting away, consumed by the smog and pollution of the overdeveloped metropolis that most of the population now calls home. If they stay in the city, Agnes will die. There is only one alternative: the Wilderness State, the last swath of untouched, protected land, where people have always been forbidden. Until now.

Bea, Agnes, and eighteen others volunteer to live in the Wilderness State, guinea pigs in an experiment to see if humans can exist in nature without destroying it. Living as nomadic hunter-gatherers, they slowly and painfully learn to survive in an unpredictable, dangerous land, bickering and battling for power and control as they betray and save one another. But as Agnes embraces the wild freedom of this new existence, Bea realizes that saving her daughter’s life means losing her in a different way. The farther they get from civilization, the more their bond is tested in astonishing and heartbreaking ways.

At once a blazing lament of our contempt for nature and a deeply humane portrayal of motherhood and what it means to be human, The New Wilderness is an extraordinary novel from a one-of-a-kind literary force.

When I finished this book, I read Pompeii Still Has Buried Secrets by  in The New Yorker. It reminded me of all of the threats to civilization that we face, who will be Pliny the Younger to be “the only surviving eyewitness account of the disaster.” Fleeing our cities for the wilderness is no longer an option!

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The Slip

Read: December 2025

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The Slip: A Novel

by Lucas Schaefer

The Slip” is the debut novel by Lucas Schaefer, telling a compelling American story about a missing teenage boy, themes of fluid and mistaken identity, and the transformative power of boxing. Navigating the ever-changing landscape of a shifting country, “The Slip” offers an audacious and daring exploration of sex and race in America. The narrative builds to an unforgettable climax in the center of the ring.

This novel is the winner of the Kirkus Prize for 2025  and one of The New York Times Book Review’s 100 Notable Books of 2025, as well as one of The Washington Post’s 10 Best Books of 2025.

Austin, Texas: It’s the summer of 1998, and there’s a new face on the scene at Terry Tucker’s Boxing Gym. Sixteen-year-old Nathaniel Rothstein has never felt comfortable in his own skin, but under the tutelage of a swaggering, Haitian-born ex-fighter named David Dalice, he begins to come into his own. Even the boy’s slightly stoned uncle, Bob Alexander, who is supposed to be watching him for the summer, notices the change. Nathaniel is happier, more confident, and even tanner. Then one night, he vanishes, leaving little trace behind.

Across the city, Charles Rex, now going simply by “X,” has been undergoing a teenage transformation of his own, trolling the phone sex hotline that his mother works, seeking an outlet for everything that feels wrong about his body, looking for intimacy and acceptance in a culture that denies him both. As a surprising and unlikely romance blooms, X feels, for a moment, like he might have found the safety he’s been searching for. But it’s never that simple.

More than a decade later, Nathaniel’s uncle Bob receives a shocking tip, propelling him to open his own investigation into his nephew’s disappearance. The resulting search involves gymgoers past and present, including a down-on-his-luck twin and his opportunistic brother; a rookie cop determined to prove herself; and Alexis Cepeda, a promising lightweight who crossed the US-Mexico border when he was only fourteen, carrying a license bearing the wrong name and face.


Lucas Schaefer lives with his family in Austin. The Slip is his first novel.



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Tom Lake

Read: August 2023

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Tom Lake: A Novel

by Ann Patchett

Today, I began reading Tom Lake by Ann Patchett. The novel beautifully explores family, love, and growing up. Patchett once again proves herself as one of America’s finest writers. Both hopeful and mournful, it explores happiness even when the world falls apart.

The story follows Lara’s three daughters as they return to the family’s orchard in Northern Michigan in the spring of 2020. While picking cherries, they ask their mother about Peter Duke, a famous actor with whom she had a romance years before at a theater company called Tom Lake.

As Lara reminisces, her daughters confront their own lives and relationships with their mother, leading them to reevaluate everything they thought they knew. With its hopeful and mournful tone, the novel is a testament to the transformative power of understanding what happiness truly means, even amid chaos. Patchett’s compelling narrative artistry and profound insights into family dynamics weave a rich and luminous story, showcasing why she is one of our time’s most revered and acclaimed literary talents.

I have also read Patchett’s Bel Canto, a compelling tale that explores themes of strength, vulnerability, love, and confinement. It ultimately tells an inspiring story of transcendent romance.


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