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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When Grief Is A Threat to Mental Health
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When Grief Is A Threat to Mental Health
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When Grief Is A Threat to Mental Health
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The Second Mountain: The Quest for a Moral Life

Read: May 2019

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The Second Mountain: The Quest for a Moral Life

by David Brooks

The Second Mountain: The Quest for a Moral Life by David Brooks is a book I often recommend. Mr. Brooks writes about the first mountain that most people climb. The book challenges the reader to “live for a cause greater than themselves.”

It is about “to be a success, make your mark, experience personal happiness.” Even when they reach the top of the mountain, most people find they are unhappy. The climb to the summit has become unsatisfying.

On the second mountain, life moves from self-centered to other-centered.” Life becomes interdependent, not independent; it becomes a life of commitment, not about us.

Mr. Brooks “explores the four commitments that define a life of meaning and purpose: to a spouse and family, to a vocation, to a philosophy or faith, and to a community.

We live in a society, Brooks argues, that celebrates freedom, that tells us to be true to ourselves, at the expense of surrendering to a cause, rooting ourselves in a neighborhood, binding ourselves to others by social solidarity and love. We have taken individualism to the extreme—and in the process we have torn the social fabric in a thousand different ways.

When I read The Second Mountain, it became clear that Jan and I never even attempted to climb the first mountain. We were constantly climbing the second mountain.

We had chosen to do work that repaired the world; we both had a faith community and lived in a community.

All we were missing as far as commitments when we met was each other. Our love for each other provided the missing link and allowed us to climb to the top of the second mountain.


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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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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The Essential Hamilton: Letters & Other Writings: A Library of America Special Publication

Read: February 2019

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The Essential Hamilton: Letters & Other Writings

by Edited by Joanne B. Freeman

The Essential Hamilton: Letters & Other Writings, edited by Joanne B. Freeman, Professor of History and American Studies at Yale University, is a must-read in our times when a constitutional crisis is the watchword of our day. Compared to reading all 27 volumes of Hamilton’s writings, this book provides the essential texts that offer a clear understanding of both the revolutionary era, the debates over the constitution, Hamilton’s impact as Secretary of the Treasury, and his downfall and eventual downfall death in Weehawken.

Professor Freeman’s introductions and chronology help place the writings into a historical context.

The Essential Hamilton is one of four books that I purchased after my first One Day University class.

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Hey, Zoey

Read: June 2024

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Hey, Zoey: A Novel

by Sarah Crossan

Today, I enjoyed immersing myself in the captivating and thought-provoking world of Sarah Crossan‘s novel ‘Hey, Zoey.’ As Sarah Dunn eloquently puts it, this book is a masterful blend of brilliance and dark humor. The story revolves around Dolores O’Shea, whose life turns surprising when she discovers her husband’s AI sex doll, Zoey, in the garage.

A profound and heartfelt journey of self-discovery unfolds for Dolores as she and ‘Zoey‘ develop an unconventional bond, unearthing deeply buried emotions and memories. Dolores O’Shea, a 43-year-old woman, is a beacon of strength, juggling her job, ailing mother, and social life with remarkable efficiency.

Her marriage with an anesthesiologist, David, is in turmoil, but she’s determined to confront the issues. Her world is completely upended when she uncovers Zoey, the $8,000 AI sex doll that David had been concealing in the garage. At first, Dolores’ response to Zoey is a whirlwind of anger and confusion, throwing her meticulously organized life into chaos.

As the narrative unfolds, Dolores and Zoey embark on a series of conversations that unearth unexpected emotions and memories, profoundly influencing all of Dolores’ relationships, particularly her relationship with herself. Dolores’ journey is a rollercoaster of events and emotions that resonates with us all. ‘Hey, Zoey‘ is a novel that enthralls and challenges our perception of modern-day connections and the diverse forms that love can assume in a lifetime.

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The Morningside: A Novel

Read: March 2024

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The Morningside: A Novel

by Téa Obreht

Today, I started reading The Morningside: A Novel by Téa Obreht. The book tells the story of Silvia and her mother, who have been expelled from their home and have settled in a luxury tower called Island City, where Silvia’s aunt Ena is the superintendent. The Morningside is a place of magical possibilities, where Ena shares folktales with Silvia about her demolished homeland, a place of natural beauty and communal spirit. This starkly contrasts Silvia’s current reality, where she feels unmoored and disconnected from her past.

Silvia is fascinated by Bezi Duras, an enigmatic woman who lives in the penthouse and is shrouded in mystery. Bezi has her elevator entrance and only leaves the building at night to walk her three massive hounds, returning in the early morning. Silvia becomes obsessed with unraveling the truth about Bezi’s life and haunted past, even if it comes at a significant cost to her.

The Morningside is an inventive and moving novel that explores the power of storytelling and how we use it to make sense of our lives and the world around us.

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A Game Called Dead

Read: November 2021

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A Game Called Dead

by Michael Stephen Daigle

A Game Called Dead by Michael Stephen Daigle is the sequel to “The Swamps of Jersey,” the first Frank Nagler Mystery. Having read the fourth one – The Red Hand, I recently read the first one and thought this was an excellent time to read the second in this impressive deceptive series.

Reading the Frank Nagler Mysteries is rare when this reviewer knows the author. Mr. Daigle wrote this is the overview of A Game Called Dead.

Nagler is called to investigate the brutal attack on two women at the local college. It begins a tale of urban terror, which seems to be directed at Nagler and his associates.

The story introduces the mysterious terrorist #ARMEGEDDON, who taunted the police from cyberspace.

The story also digs deeper into Nagler’s past, especially the old Charlie Adams serial-killer case, and his relationship with Lauren Fox, who played a crucial role in exposing the political corruption in “Swamps.” She is back and steps into the front of Nagler’s life.

The story also introduced Harriet Waddley-Jones, a college dean, Nagler’s nemesis, and later ally.

Each book is a challenge to write a “better” book. In this case, I wanted tighter, faster action to develop a theme and flow to help carry the story. Sound and the description of sound are keys.

I also wanted Nagler to confront aspects of his past. Can he reconcile them, or will they always haunt him?

This reviewer’s opinion was a more substantial plot than the first book in the Frank Nagler Mysteries. Like all good mysteries, the suspense built page by page, and I figured out who the villain was late in the novel.

The one part that was difficult for me to read was the ending and the potential reigniting of the relationship with Lauren Fox. Having lost Jan, my wife, this year, I am aware of Frank Nagler’s pain in the first book about losing his wife. Ms. Fox only appeared in The Swamps of Jersey as a lost friend. I understand that some widows need to find love again to feel happy, which is not what I need or am seeking. The next book may provide some difficult moments on this topic, but I look forward to reading the next Frank Nagler Mystery.

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