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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Last House: A Novel

Read: May 2024

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Last House: A Novel

by Jessica Shattuck

I started reading “Last House: A Novel” by Jessica Shattuck today. She is an esteemed New York Times bestselling author known for her work “The Women in the Castle.” This sweeping narrative, perfect for “The Dutch House” and “Great Circle” fans, explores a nation’s rise to power and a family’s complex ties to the resources that shaped their wealth. It also delves into the events that led to their greatest tragedy, a secret that threatens to tear them apart.

In 1953, a World War II veteran turned company lawyer, Nick Taylor, saw oil as the key to the future. He commutes to the city for work and returns to the peaceful suburbs to be with his wife, Bet, a former codebreaker now a housewife, and their two children, Katherine and Harry. Nick, who comes from humble origins, can provide for his family, including their secluded country escape called Last House, thanks to his work for American Oil. Last House, deep in the Vermont mountains, offers the Taylors a retreat from the stresses of modern life. Bet no longer worries about the Russian H-bombs that haunt her dreams, and the children can roam freely in the woods. Last House is a place that seems capable of surviving the end of the world.

1968, a turning point in American history, where the nation teeters on the brink of transformation. The streets pulsate with protestors challenging everything from the Vietnam War to racism and even the country’s reliance on Big Oil. As Katherine enters adulthood, she finds herself caught in the era’s tide, struggling to reconcile her ideals with the privileged upbringing her parents, part of the Greatest Generation, toiled to provide. But when the Movement takes a secure, more radical turn, each member of the Taylor family must face the repercussions of their choices for the causes they believed in. This rich historical backdrop infuses the Taylor family’s narrative with depth and intrigue, leaving us hungry for more about this transformative era.

Last House” spans multiple generations and nearly eighty years, telling the story of one American family during a time of grand ideals and significant downfalls. It explores themes of family dynamics, the impact of wealth, and the societal changes that shaped America. Set against the backdrop of our nation’s history, this emotional tour de force delves deeply into questions of inheritance and what we owe each other. It captures the gravity of time, the double edge of progress, and the hubris of empire to stunning effect.

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How Democracies Die

Read: January 2021

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How Democracies Die: What History Reveals About Our Future

by Steven Levitsky and Daniel Ziblatt

How Democracies Die: What History Reveals About Our Future by Steven Levitsky and Daniel Ziblatt was on my reading list for almost a year. In late December of last year, I started reading it and was in the final chapter on January 6, 2021. Like many of us, I never in my life expected to see a day like that in our country.

This type of event is one the authors talk about in their book.

According to the overview in GoodReads,

Donald Trump’s presidency has raised a question that many of us never thought we’d be asking: Is our democracy in danger? Harvard professors Steven Levitsky and Daniel Ziblatt have spent more than twenty years studying the breakdown of democracies in Europe and Latin America, and they believe the answer is yes. Democracy no longer ends with a bang–in a revolution or military coup–but with a whimper: the slow, steady weakening of critical institutions, such as the judiciary and the press, and the gradual erosion of long-standing political norms. The good news is that there are several exit ramps on the road to authoritarianism. The bad news is that, by electing Trump, we have already passed the first one.

Drawing on decades of research and a wide range of historical and global examples, from 1930s Europe to contemporary Hungary, Turkey, and Venezuela, to the American South during Jim Crow, Levitsky and Ziblatt show how democracies die–and how ours can be saved.

Our democracy is too valuable for us to have it die. We all need to work to preserve and strengthen it. How Democracies Die is a book that everyone needs to read!

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Lucy by the Sea: A Novel

Read: November 2022

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Lucy by the Sea: A Novel

by Elizabeth Strout

Lucy by the Sea: A Novel by Elizabeth Strout is a poignant, pitch-perfect novel about a divorced couple stuck together during lockdown–and the love, loss, despair, and hope that animate us even as the world seems to be falling apart. Having lost Jan during Covid, I was apprehensive about reading this book. However, it was not only a page-turner but also a novel that gave me a new perspective on loss which helped me manage my grief.

With her trademark spare, crystalline prose, Elizabeth Strout turns her exquisitely tuned eye to the inner workings of the human heart, following the indomitable heroine of My Name Is Lucy Barton through the early days of the pandemic.

I highlighted several passages that specifically spoke to me.

We all live with people—and places—and things—that we have given great weight to. But we are weightless, in the end.

Who knows why people are different? We are born with a certain nature, I think. And then the world takes its swings at us.

It has been said that the second year of widowhood is worse than the first—the idea being, I think, that the shock has worn off and now one has to live with the loss, and I had been finding that to be true, even before I came to Maine with William. But now there were times I felt that I was just learning of David’s death again for the first time. And I would be privately staggered by grief. And to be in this place where David had never been (!)—I was really dislocated is what I mean.

And I also understood: Grief is a private thing. God, is it a private thing.

We are all in lockdown, all the time. We just don’t know it, that’s all. But we do the best we can. Most of us are just trying to get through.

The Goodreads summary provides an overview,

As a panicked world goes into lockdown, Lucy Barton is uprooted from her life in Manhattan and bundled away to a small town in Maine by her ex-husband and on-again, off-again friend, William. For the next several months, it’s just Lucy, William, and their complex past together in a little house nestled against the moody, swirling sea.

Rich with empathy and emotion, Lucy by the Sea vividly captures the fear and struggles that come with isolation, as well as the hope, peace, and possibilities that those long, quiet days can inspire. At the heart of this story are the deep human connections that unite us even when we’re apart–the pain of a beloved daughter’s suffering, the emptiness that comes from the death of a loved one, the promise of a new friendship, and the comfort of an old, enduring 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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Mercury: A Novel

Read: January 2024

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Mercury: A Novel

by Amy Jo Burns

Today, I started reading Mercury: A Novel about a roofing family. The family’s bond of loyalty is tested when they uncover a long-hidden secret at the heart of their blue-collar town. The book is written by Amy Jo Burns, the author of the critically acclaimed novel Shiner, which I read and enjoyed in 2022. I highly recommend it.

The story is set in 1990, and it follows the journey of a seventeen-year-old girl named Marley West, who arrives in the river valley town of Mercury, Pennsylvania. She is a loner who is looking for a place to belong. The first thing she sees when she gets to town is three men standing on a rooftop, and they soon become her whole world.

Marley becomes a young wife to one of the Joseph brothers, The One Who Got Away to another, and an adopted mother to all of them. Marley guides these unruly men as their mother fades away and their roofing business crumbles under the weight of their unwieldy father’s inflated ego. Years later, an eerie discovery in the church attic causes old wounds to resurface, and suddenly, the family’s survival hangs in the balance.

With Marley as their guide, the Joseph brothers must decide whether they can save the family they’ve always known or build something more substantial in its place.


The Jan Lilien Education Fund sponsors ongoing sustainability and environmental awareness programs. Regarding gifts made this month, I will match dollar for dollar. All donations are tax-deductible.

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I receive a commission when you buy a book or product using a link on this page. Thank you for supporting Sharing Jan’s Love blog.



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The Little Prince

Read: May 2021

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The Little Prince

by Antoine de Saint-Exupéry

The Little Prince by Antoine de Saint-Exupéry is often referred to as a children’s book. I read it as a child and later read it to my children. After Jan died, I picked it up again and read it more than once.

I have found quotes from the book very helpful during my grief journey. These are three that I often use in my writing and my conversations with friends and family.

The most beautiful things in the world cannot be seen or touched, they are felt with the heart.”

It is such a mysterious place, the land of tears.

You see, one loves the sunset when one is so sad.”

The first quote about beautiful things only felt in the heart summarizes how I knew Jan was the one for me within seconds of meeting her.

For those who have not read the book, this overview might help convince you to read it today!

The Little Prince describes his journey from planet to planet, each tiny world populated by a single adult. It’s a wonderfully inventive sequence that evokes the great fairy tales and monuments of postmodern whimsy. The author pokes similar fun at a business person, a geographer, and a lamplighter, all of whom signify some futile aspect of adult existence.

The Little Prince will be by my bedside as long as I live!

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Fire Exit: A Novel

Read: June 2024

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Fire Exit: A Novel

by Morgan Talty

Today, I started reading the novel “Fire Exit” by Morgan Talty. The book is the debut novel of the award-winning author of “Night of the Living Rez,” Morgan Talty. “Fire Exit” is a compelling story that explores the themes of family, legacy, culture, and our complex obligations toward one another. These are themes that I have focused on after losing my wife.

The protagonist, Charles Lamosway, lives by a river near Maine’s Penobscot Reservation. He watches his neighbor Elizabeth grow up, from her early days to her twenties, but he holds a secret: Elizabeth is his daughter, a truth he can no longer conceal.

Charles becomes anxious when he hasn’t seen Elizabeth for weeks. As he tries to hold on to his home, look after his friend Bobby and his mother Louise, and grapple with his past, Charles is forced to confront painful memories and ask himself difficult questions. Is it his place to share the secret about Elizabeth, and would she want to know the truth even if it means losing everything she has ever known?

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