Home for Hospice

Estimated reading time: 11 minutes, 53 seconds

Jan Runs Out of Options

“Your mom was very frustrated today,” I told Jon as we set the table for dinner after I visited with his mom on Monday. “I had hoped she would have been as vibrant as she was when I saw her in the ICU on Saturday after the emergency stent surgery. I remain optimistic and want to focus on getting her home and keeping her here.”

Jon looked pensive as he queried me, “What can we do?”

“Well, from what I had seen when she was home, she was weak, and I could not always help her. We may need to look into rehab or more intensive physical therapy at home.”

While we ate dinner, we left those suggestions on the sideboard. They were thoughts that might be easier to discuss on a full stomach. 

We were sitting on the couch after cleaning the dinner dishes. 

“Those are the only options I can see,” said Jon. 

“We should talk to both of the oncologists. They might have ideas.”

Can you reach out to them to set up a call so Mike and I can discuss the next steps?

“Yes, I will text Dr. Strair in the morning and schedule a call.”

“Is the physical therapist downstairs the one Mom used?”

I said yes. “I will reach out to Karyn in the morning.”

Next Steps Planning

“Jon, let’s see if we can chat with Karyn for a few minutes before getting Mom her milkshake.” I pulled my mask up and stepped into the office of Keating Physical Therapy. As soon as she saw me, Karyn came over to me.

“Do you have a minute to chat with my two sons about the next steps for Jan?”

“Yes, how is she?”

As we walked outside, I gave her a quick update on Jan’s recent hospitalization and surgery. 

After introducing my sons, Jon asked, “We are trying to make the best plans for Mom’s return home. Is there a time we could talk to you about rehab or more physical therapy?

Yes, I would be happy to help with discharge plans,” said Karyn. Your Mom is wonderful, and I would be happy to do what I can to help.

Thanks; let us know the best time for you.

We stopped to get Jan a chocolate milkshake, and the mood was upbeat and optimistic. 

While they prepared the shake, I texted Dr. Strair. 

Both of our sons are in NJ this week. They are concerned, and if it is OK, they might appreciate a brief call to understand the next steps better.

April 6, 2021, 10:13 am

Dr. Strair responded and said we could talk this evening. 

“I will be at Mike’s for dinner,” said Jon.

I nodded as I got into the car and drove to visit Jan


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Stony The Road

Read: October 2019

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Stony the Road

by Henry Louis Gates Jr

Stony the Road: Reconstruction, White Supremacy, and the Rise of Jim Crow by Henry Louis Gates Jr. is a must-read book, especially with white nationalism on the rise.

I read this book when Jan began her chemotherapy. Although the book’s subject – the retreat from reconstruction – was one I studied in college, at times, I found it hard to focus on the material and my wife’s health at the same time. I stayed on the stony road as it is a subject we need to understand if we are going to correct the past failures.

As The New York Times wrote,

Henry Louis Gates Jr.’s “Stony the Road: Reconstruction, White Supremacy, and the Rise of Jim Crow,” an indispensable guide to the making of our times, addresses 2017’s mystifications. The book sets the Obama era beside Reconstruction and the Trump era beside the white supremacist terrorism of Redemption, the period beginning in 1877 during which Reconstruction’s nascent, biracial democracy was largely dismantled. Gates juxtaposes the optimism of Reconstruction, the despair of Redemption, and the promise of the New Negro movement — the effort by black Americans, starting around the turn of the 20th century, to craft a counternarrative to white supremacy. In doing so, “Stony the Road” presents a bracing alternative to Trump-era white nationalism.

Growing up in the Jim Crow south, I was well aware of white nationalism. This book is an essential read if we are going to make America a multi-racial democracy.

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My Friends: A Novel

Read: October 2024

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My Friends: A Novel

by Hisham Matar'

Today, I started reading Hisham Matar’s “My Friends: A Novel.” It is a finalist for the 2024 National Book Award for Fiction and the winner of the Orwell Prize for Political Fiction. This novel explores themes of friendship, family, and the harsh realities of exile. Hisham Matar is also the Pulitzer Prize-winning author of “The Return.” The pages on my Kindle App on my iPad fly like autumn’s falling leaves.

One evening, a young boy named Khaled, growing up in Benghazi, hears a captivating short story read aloud on the radio. The story, about a man being eaten alive by a cat, leaves an indelible mark on Khaled, igniting a lifelong fascination with the power of words and the enigmatic author, Hosam Zowa. This transformative experience sets Khaled on a journey that will lead him far from home to the University of Edinburgh to pursue a life of the mind.

In a new and unfamiliar environment, Khaled finds himself far from his familiar life in Libya. His resilience is tested when he attends a protest against the Qaddafi regime in London. The event turns into a tragedy, leaving Khaled injured and unable to leave Britain. Despite the danger posed by monitored phone lines, his determination to communicate his situation to his parents is a testament to his strength.

When Khaled has a chance encounter with Hosam Zowa, the author of a life-changing short story, at a hotel, Khaled begins the most profound friendship of his life. This friendship sustains him and eventually compels him, as the Arab Spring unfolds, to confront complex tensions between revolution and safety, family and exile, and how to define his sense of self concerning those closest to him.

A profound exploration of friendship and family and how time can test and fray these bonds, ‘My Friends‘ is a work of literature that resonates with its readers. Hisham Matar’s novel is not just a story but an achingly beautiful reflection on life and relationships crafted by an author at the peak of his powers.



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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Time of the Child

Read: December 2024

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Time of the Child

by Niall Williams

Today, I dove into “Time of the Child” by Niall Williams, and I can already tell it will be a journey worth taking. This beautifully crafted novel, penned by the same author who brought us “This Is Happiness,” unfolds during a magical Christmas in the quaint Irish town of Faha. At its heart is a touching story about a father and daughter that beautifully explores the idea that miracles can touch our lives, no matter our beliefs.

As I turned the pages, I thought about how this enchanting tale would evoke love’s profound and transformative power when I light my Hanukkah candles. It promises to be a genuinely uplifting read!

Doctor Jack Troy was born and raised in Faha, but his responsibilities toward the sick and his care for the dying have always set him apart from the town. His eldest daughter, Ronnie, has grown up in her father’s shadow and remains there, having missed one chance at love and declined another marriage proposal from an unsuitable man.

During the Advent season of 1962, as the town prepared for Christmas, Ronnie and Doctor Troy’s lives were turned upside down when a baby arrived on their doorstep. As winter passes, the lives of the father and daughter, their understanding of family, and their roles in the community are changed forever.

Set throughout one December in the same village as Williams’ beloved “This Is Happiness,” “Time of the Child” offers a tender return to Faha for readers familiar with its charms and serves as a heartwarming welcome for new readers exploring it for the first time.



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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The Vanishing Half

Read: September 2021

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The Vanishing Half

by Brit Bennett

The Vanishing Half by Brit Bennett was a true page-turner, and I did not want to stop reading it even when I got to the last page. I am not a fan of sequels, but if I was ever going to change my mind, this is the book I would want to read a sequel.

Ms. Bennett focuses on two twins who run away from home at age 16. They have grown up in Mallard, a fictional town in Louisiana. “In Mallard, nobody married dark,” Bennett writes starkly. Over time, its prejudices deepened as its population became lighter and lighter, “like a cup of coffee steadily diluted with cream.” The twins, with their “creamy skin, hazel eyes, wavy hair,” would have delighted the town’s founder. One of the women chooses to pass as white while the other does not.

The Vignes twin sisters will always be identical. But after growing up together in a small, southern black community and running away at age sixteen, it’s not just the shape of their daily lives that is different as adults, it’s everything: their families, their communities, their racial identities. Many years later, one sister lives with her black daughter in the same southern town she once tried to escape. The other passes for white, and her white husband knows nothing of her past. Still, even separated by so many miles and just as many lies, the fates of the twins remain intertwined. What will happen to the next generation, when their own daughters’ storylines intersect?

Weaving together multiple strands and generations of this family, from the Deep South to California, from the 1950s to the 1990s, Brit Bennett produces a story that is at once a riveting, emotional family story and a brilliant exploration of the American history of passing. Looking well beyond issues of race, The Vanishing Half considers the lasting influence of the past as it shapes a person’s decisions, desires, and expectations, and explores some of the multiple reasons and realms in which people sometimes feel pulled to live as something other than their origins.

The question of why people choose to live differently than their origins is one that I often ponder. Growing up in a small town and living in a metropolis raises questions for me as to what my life is now and what was once.

I strongly recommend this book.

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Aftermirth

Read: August 2022

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Aftermirth by Hillary Jordan

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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The Bookstore Sisters: A Short Story

Read: October 2022

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The Bookstore Sisters: A Short Story

by Alice Hoffman

The Bookstore Sisters: A Short Story by Alice Hoffman is a heartfelt short story about family, independence, and finding your place in the world. The overview should be enough to encourage everyone to read the book. I recommend this short story without any reservations. Ms. Hoffman has written a moving story that helped me to grapple with grief and reminded me that love is the highest and most important goal that humans can aspire.

Isabel Gibson has all but perfected the art of forgetting. She’s a New Yorker now, with nothing left to tie her to Brinkley’s Island, Maine. Her parents are gone, the family bookstore is all but bankrupt, and her sister, Sophie, will probably never speak to her again.

But when a mysterious letter arrives in her mailbox, Isabel feels drawn to the past. After years of fighting for her independence, she dreads the thought of going back to the island. What she finds there may forever alter her path—and change everything she thought she knew about her family, home, and herself.

Isabel sums up the power of love in this paragraph,

She was thinking about the way a fish loved a river, and a bird loved the sky, and a mother loved her daughters. She was remembering everything. How love could change a person, how it could cause you the greatest sorrow or shelter you from harm. There were moths hitting against the windowpanes. A night heron called in the marshland as if its heart were breaking.

I have always fantasized about working in or owning a small bookstore.

The Bookstore Sisters: A Short Story rekindled that dream and reminded me of the power of love.


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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