Home for Hospice

Estimated reading time: 11 minutes, 53 seconds

Visiting Jan 

Dr. Saksena, it’s so nice to see you,” I said as I stood by Jan’s bed, holding her hand. We had been waiting for the doctor as we both had many questions.

Jan’s smile was one of the weakest I had ever seen.

“I am sorry you are back in the hospital, but the stent has made a difference,” she said. “How are you feeling today?”

Jan shook her head up, down, and sideways. 

I am OK, just very tired of being in the hospital and worried about the lymphoma returning.

“We are in touch with Dr. Strair and his team and constantly monitor it.”

 “How aggressive is it?”

“It’s not where we would like it to be, but we are looking at various treatment options.”

She asked Jan a few more questions before leaving. 

“Thanks, Dr. Saksena!”

I kissed Jan and reminded her how much I loved her. 

“We will find a way to get thru this, my dear!”

“The lymphoma is active again; how can you be so positive?”

“Because we have an excellent medical team and….”

She napped for a few minutes, and I texted Dr. Strair.

Dr. Strair, how are you? I am at the hospital with Jan. Dr. Saksena stopped by and spoke about how aggressive the lymphoma is. Jan asked if she would survive. Saksena was realistic in her response. 

Do you know when we can speak tonight? The sooner I know, the easier it will be to connect my sons to the call.

Tuesday, April 6, 2021, 6:26 pm

He responded quickly. 

How is 7:30?

Tuesday, April 6, 2021, 6:32 pm

I agreed and texted Jon and Mike.


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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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A House for Alice: A Novel

Read: September 2023

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A House for Alice: A Novel

by Diana Evans

I just started reading A House for Alice: A Novel by Diana Evans. The story is set against a complicated political backdrop but is filled with hope, humor, and humanity. A House for Alice explores the scars of grief and betrayal across generations and reveals the secrets we keep from our loved ones.

The novel opens with two tragedies that occur in London. The first is the Grenfell Tower fire, which took many lives. The second is the death of Cornelius Winston Pitt, a family patriarch who dies alone. A House for Alice is a beautiful and poignant story about a family of women shaken by loss and searching for closure.

The family matriarch, Alice, has lived in England for fifty years but longs to spend her remaining years in her homeland, Nigeria. Her three daughters are divided on the matter. The youngest daughter, Melissa, is also struggling with the aftermath of her failed relationship. The family’s foundational pillars of trust, love, and cultural identity begin to weaken as they navigate these difficult times.


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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Conjure Women

Read: November 2021

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Conjure Women: A Novel

by Afia Atakora

Conjure Women by Afia Atakora is about a mother and her daughter with a shared talent for healing—and for the conjuring of curses — at the heart of this dazzling first novel. Conjure Women takes place before, during, and after the Civil War. The book is structured around three-time frames; Slaverytime, Freddomtime, and Wartime.

Having grown up in the South and heard far too many stories about the Lost Cause, it was a joy to read a book narrated by two African-American women. The third leading character is the daughter o the owner of the plantation. At the end of the war, she was hidden away for six years and was unaware the South had surrendered.

Conjure Women is a sweeping story that brings the world of the South before and after the Civil War vividly to life. Spanning eras and generations, it tells of the lives of three unforgettable women: Miss May Belle, a wise healing woman; her precocious and observant daughter Rue, who is reluctant to follow in her mother’s footsteps as a midwife; and their master’s daughter Varina. The secrets and bonds among these women and their community come to a head at the beginning of a war and at the birth of an accursed child, who sets the townspeople alight with fear and a spreading superstition that threatens their newly won, tenuous freedom.

Magnificently written, brilliantly researched, and richly imagined, Conjure Women moves back and forth in time to tell the haunting story of Rue, Varina, and May Belle, their passions and friendships, and the lengths they will go to save themselves and those they love.

Since Jan died, I have read many books that I know she enjoyed. We both enjoyed Call the Midwife, and this book focused on birthing and mothering. Although conjuring was their medical care and not the type practiced in poplar by the Midwives, we would both have enjoyed the book.

Conjure Women also raises questions about the meaning of freedom. For example, Rue chooses not to leave the former plantation after the Klan attacks despite being free.

I recommend this book and look forward to reading more from Afia Atakora.

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Martyr! A Novel

Read: October 2024

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Martyr! A Novel

by Kaveh Akbar

Today, I started reading “Martyr! A Novel” by Kaveh Akbar, the last of one of the five finalists for the 2024 National Book Award for Fiction I have read. This is also the 79th book I have read this year, surpassing my record from last year. Kaveh Akbar‘s “Martyr!” is a tribute to our pursuit of meaning in faith, art, ourselves, and others. The story follows Cyrus Shams, the newly sober, orphaned son of Iranian immigrants.

He is guided by the voices of artists, poets, and kings as he embarks on a search for a family secret, which leads him to a terminally ill painter living out her final days in the Brooklyn Museum.

Cyrus Shams, our protagonist, grapples with an inheritance of violence and loss. His mother’s tragic death and his father’s limited life in America have left him with scars. He’s a drunk, a person with a substance use disorder, and a poet, but above all, he’s a human being on a journey of self-discovery. His fascination with martyrs leads him to explore the mysteries of his past, including his uncle’s inspiring yet haunting role on Iranian battlefields and a painting that suggests his mother may not have been who or what she seemed.

Martyr!” is a novel that’s not just electrifying and funny but also wholly original. It’s a testament to Kaveh Akbar‘s unique storytelling and heralds the arrival of an essential new voice in contemporary fiction. Get ready to be captivated by his narrative prowess.

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Four Spirits

Read: July 2021

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Four Spirits

by Sena Jeter Naslund

Four Spirits by Sena Jeter Naslund is a book that I could not put down. It is a page-turner. The title is from the four girls killed at Sunday School in Birmingham. When that happened in 1963, I was only a few years older and the impact brought home to me that we lived in a broken world that required repair. Like Stella Silver in the novel, my life changed as a result of the bombing. 

As my reading list may indicate, I have always preferred non-fiction with a preference for history. Picking this novel up combined my prior reading habits with my desire to read books that my wife, Jan, recommended.

Weaving together the lives of blacks and whites, racists and civil rights advocates, and the events of peaceful protest and violent repression, Sena Jeter Naslund creates a tapestry of American social transformation at once intimate and epic.

In Birmingham, Alabama, twenty-year-old Stella Silver, an idealistic white college student, is sent reeling off her measured path by the events of 1963. Combining political activism with single parenting and night-school teaching, African American Christine Taylor discovers she must heal her own bruised heart to actualize meaningful social change. Inspired by the courage and commitment of the civil rights movement, the child Edmund Powers embodies hope for future change. In this novel of maturation and growth, Naslund makes vital the intersection of spiritual, political, and moral forces that have redefined America.

Stella’s idealism reminded me of how I became the person I am. Change is not easy but, it takes all of us to risk our lives to repair the world so, it works for all of us.

The book’s critical focus on the “intersection of spiritual, political, and moral forces that have redefined America” makes this a must-read. The redefinition has made America a better country but, we may be retreating from that ideal.

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The Rabbit Hutch

Read: October 2022

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The Rabbit Hutch

by Tess Gunty

My sixtieth book this year, The Rabbit Hutch, was a page-turner that I highly recommend. The Rabbit Hutch by Tess Gunty is a debut novel that won the 2022 National Book Award for fiction. It is a novel about four teenagers—recently aged out of the state foster-care system—living together in an apartment building in the post-industrial Midwest, exploring the quest for transcendence and the desire for love.

As Viktor Frankl wrote in Man’s Search for Meaning, “love is the ultimate and highest goal to which man can aspire. Then I grasped the meaning of the greatest secret that human poetry and human thought and belief have to impart: The salvation of man is through love and in love.”

Ms. Gunty’s book focuses on that ultimate and higher goal. If you can read only one book this year, I recommend The Rabbit Hutch!

“This week is the ceremony for the National Book Award, and one of the finalists is Tess Gunty, whose debut novel, The Rabbit Hutch, is a finalist in the fiction category,” said Kerry Nolan as she spoke with Ms. Gunty.

The Goodreads summary provides an overview,

The automobile industry has abandoned Vacca Vale, Indiana, leaving the residents behind, too. In a run-down apartment building on the edge of town, commonly known as the Rabbit Hutch, several people now reside quietly, looking for ways to live in a dying city. Apartment C2 is lonely and detached. C6 is aging and stuck. C8 harbors a great fear. But C4 is of particular interest.

Here live four teenagers who have recently aged out of the state foster-care system: three boys and one girl, Blandine, who The Rabbit Hutch centers around. Hauntingly beautiful and unnervingly bright, Blandine is plagued by the structures, people, and places that not only failed her but actively harmed her. Now all Blandine wants is an escape, a true bodily escape like the mystics describe in the books she reads.

Set across one week and culminating in a shocking act of violence, The Rabbit Hutch chronicles a town on the brink, desperate for rebirth. How far will its residents—especially Blandine—go to achieve it? Does one person’s gain always come at another’s expense? Tess Gunty’s The Rabbit Hutch is a gorgeous and provocative tale of loneliness and community, entrapment and freedom. It announces a major new voice in American fiction, one bristling with intelligence and vulnerability.


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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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.

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