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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Autocracy, Inc.: The Dictators Who Want to Run the World

Read: January 2025

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Autocracy, Inc.

by Anne Applebaum

Today, I plunged into the captivating world of “Autocracy, Inc.: The Dictators Who Want to Run the World” by Anne Applebaum. I listened to an engaging discussion between her and YIVO Institute for Jewish Research‘s Executive Director, Jonathan Brent. Their insights left me eager for more, and I couldn’t resist making this book my next read. I’m thrilled to dive deeper into her thought-provoking perspective!

This compelling New York Times bestseller by the Pulitzer Prize-winning author paints a chilling picture of how autocratic regimes join forces to erode democracy globally. Applebaum sheds light on this pressing issue and offers insights on how we can unite to fight back.

We think we know what an autocratic state looks like: An all-powerful leader is at the top. He controls the police. The police threaten the people with violence. There are evil collaborators and maybe some brave dissidents.

But in the 21st century, that bears little resemblance to reality. Nowadays, autocracies are underpinned not by one dictator but by sophisticated networks composed of kleptocratic financial structures, surveillance technologies, and professional propagandists, all of which operate across multiple regimes, from China to Russia to Iran. Corrupt companies in one country do business with corrupt companies in another. The police in one country can arm and train the police in another, and propagandists share resources and themes, pounding home the same messages about the weakness of democracy and the evil of America.

International condemnation and economic sanctions cannot move the autocrats. Even popular opposition movements, from Venezuela to Hong Kong to Moscow, don’t stand a chance. The members of Autocracy, Inc. aren’t linked by a unifying ideology, like communism, but rather by a common desire for power, wealth, and impunity. In this urgent treatise, which evokes George Kennan’s essay calling for “containment” of the Soviet Union, Anne Applebaum calls for the democracies to reorient their policies to fight a new threat fundamentally.

In the video, Jonathan Brent asks Anne Applebaum to read the last paragraph of “Autocracy, Inc.: The Dictators Who Want to Run the World.”

There is no liberal world order anymore, and the aspiration to create one no longer seems real. But there are liberal societies, open and free countries that offer a better chance for people to live useful lives than closed dictatorships do. They are hardly perfect. Those that exist have deep flaws, profound divisions, and terrible historical scars. But that’s all the more reason to defend and protect them. So few of them have existed across human history; so many have existed for a short time and then failed. They can be destroyed from the outside and from the inside, too, by division and demagogues. Or they can be saved. But only if those of us who live in them are willing to make the effort to save them.

After finishing Autocracy, Inc.: The Dictators Who Want to Run the World,” this closing paragraph should be a call to action. Failure to respond to the challenge will doom our future to an unacceptable one. I recommend this book and encourage people to read it, discuss its contents, and take action to save our collective future.

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Long Bright River

Read: December 2021

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Long Bright River

by Liz Moore

Long Bright River by Liz Moore was a 2020 NPR Books We Love Selection. It’s a contemporary novel about the opioid epidemic, it’s a novel about sisters and families, it’s a book about the police and how they fall short of the communities they serve, and it’s a well-plotted crime novel. Its main story revolves around Mickey, a patrol officer raising a young son in a working-class neighborhood in Northeast Philadelphia, and her missing sister, who’s addicted to drugs. Both women are the children of addicts, raised by a strict grandmother.

Despite Long Bright River being selected by NPR and others as one of the best books, I was not sure what to expect. My doubts evaporated on page one. Mickey’s narration, including her description of Kensignton, made this a page-turner.

Mickey and Kacey’s lives became so realistic that I could not put the book down. One night, I stayed up to finish reading for the first time in almost a decade.

As much as it focuses on the opioid epidemic and the shortcomings of policing, its proper focus is on sisters and families. My love of family has become more important to me than ever since the loss of Jan, the love of my life.

Ms. Moore brings it all together in the ending but leaves enough doubt as to the future relationship of the sisters that we can feel the harsh reality of life itself. Long Bright River is the first but not the last book by this author that I will read.

Goodreads has an overview if you need more convincing.

In a Philadelphia neighborhood rocked by the opioid crisis, two once-inseparable sisters find themselves at odds. One, Kacey, lives on the streets in the vise of addiction. The other, Mickey, walks those same blocks on her police beat. They don’t speak anymore, but Mickey never stops worrying about her sibling.

Then Kacey disappears suddenly, at the same time that a mysterious string of murders begins in Mickey’s district, and Mickey becomes dangerously obsessed with finding the culprit–and her sister–before it’s too late.

Alternating its present-day mystery with the story of the sisters’ childhood and adolescence, Long Bright River is at once heart-pounding and heart-wrenching: a gripping suspense novel that is also a moving story of sisters, addiction, and the formidable ties that persist between place, family, and fate.

I highly recommend this book.

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After Annie: A Novel

Read: February 2024

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After Annie: A Novel

by Anna Quindlen

I started reading Anna Quindlen‘s “After Annie: A Novel” today. Forty years ago, my wife Jan and I used to read Ms. Quindlen’s column “Life in the Thirties” in The New York Times, even if we didn’t have time to read anything else. We clipped and saved each column, which helped us manage getting older with children. I am reading “After Annie,” which is about how love can overcome loss.

Anna Quindlen, the #1 New York Times bestselling author of Still Life with Bread Crumbs and One True Thing, is known for her insightful wisdom on family, friendship, and the bonds that unite us. Her latest novel explores the power of love to overcome loss and adversity.

The story centers around the Brown family and their matriarch, Annie. When Annie suddenly passes away, the family is forced to navigate life without their beloved wife, mother, and friend. Bill, Annie’s husband, struggles to cope with the loss, while Annemarie, her best friend, must confront the bad habits she once overcame with Annie’s help. Ali, Annie’s eldest child, must take on new responsibilities to care for her younger brothers and father.

Although Annie is no longer physically present, her memory continues to guide and inspire those who love her. Her voice resonates in their minds, offering them comfort, wisdom, and clarity. Through the power of her love, Annie gives her family the strength they need to move on without her. They learn that even though their beloved Annie is gone, she will always be with them in spirit.

After Annie” is a poignant and touching story exploring the unanticipated ways adversity can transform our lives. With her signature style that strikes an emotional chord, Quindlen delivers a heartwarming tale about the tenacity of love and how it can triumph over even the most formidable obstacles. This story of hope is a testament to the enduring strength of the human spirit and its ability to rise above life’s challenges. It inspires us to believe in the power of love and its capacity to reshape our lives for the better.

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Thrust: A Novel

Read: August 2022

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Thrust: A Novel

by Lidia Yuknavitch

Thrust: A Novel by Lidia Yuknavitch is a book I recommend without reservations. The protagonist of Thrust is Laisve, a motherless girl from the late 21st century who is learning her power as a carrier, a person who can harness the power of meaningful objects to carry her through time. The book begins with the construction of the Statue of Liberty, and Laisve, with the gifts of a carrier, travels through water and time to rescue vulnerable figures from the margins of history.

The novel also focuses on rising waters and an encroaching police state endangering Laisve’s life and family. As a reader who likes historical fiction and time travel, Thrust: A Novel by Lidia Yuknavitch proved to be a page-turner.

The full GoodReads summary provides an overview of this book published on June 28, 2022,

Lidia Yuknavitch has an unmatched gift for capturing stories of people on the margins–vulnerable humans leading lives of challenge and transcendence. Now, Yuknavitch offers an imaginative masterpiece: the story of Laisve, a motherless girl from the late 21st century who is learning her power as a carrier, a person who can harness the power of meaningful objects to carry her through time.

Sifting through the detritus of a fallen city known as the Brook, she discovers a talisman that will mysteriously connect her with a series of characters from the past two centuries: a French sculptor, a woman of the American underworld, a dictator’s daughter, an accused murderer; and a squad of laborers at work on a national monument. Through intricately braided storylines, Laisve must dodge enforcement raids, find her way to the present day, and finally, to the early days of her poor country, to forge a connection that might save their lives–and their shared dream of freedom.

Thrust will leave no reader unchanged, a dazzling novel of body, spirit, and survival.


The Jan Lilien Education Fund sponsors ongoing sustainability and environmental awareness programs. Gifts made this month are matched dollar-for-dollar. All donations are tax-deductible.

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I Am Homeless If This Is Not My Home

Read: June 2023

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I Am Homeless If This Is Not My Home

by Lorrie Moore

Today, I started reading Lorrie Moore‘s latest novel; I Am Homeless If This Is Not My Home. It’s her first book since A Gate at the Stairs, and it’s a bold and contemplative exploration of love, death, passion, and grief. Moore examines what it means to be haunted by the past in terms of history and the human heart.

The story follows a teacher who visits his dying brother in the Bronx. A mysterious journal from the 19th century is stolen from a boarding house. There’s also a therapy clown and an assassin, who is presumed dead but may not be.

Moore’s unique wordplay, wry humor, and wisdom make for an enchanting read. She presents us with a magic box of surprises, exploring themes of love, rebirth, and the pull toward life. This novel is a poetic and imaginative portrait of lovers and siblings that questions the stories we’ve been told and whether they’re true.

With I Am Homeless If This Is Not My Home, Moore takes us on a journey to a windswept, tragic, and comic landscape. It’s unmistakably her world and a journey you won’t forget.


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 Quiet Tenant

Read: August 2023

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The Quiet Tenant

by Clémence Michallon

Today, I commenced reading The Quiet Tenant by Clémence Michallon. It is not my typical genre, as it is a pulse-pounding psychological thriller about a serial killer narrated by those closest to him: his 13-year-old daughter, his girlfriend—and the one victim he has spared.

Aidan Thomas is a hard-working family man and a somewhat beloved figure in the small upstate New York town where he lives. He’s the man who always lends a hand and has a good word for everyone. But Aidan has a dark secret he’s been keeping from everyone in town and those closest to him. He’s a kidnapper and serial killer. Aidan has murdered eight women, and there’s a ninth he has earmarked for death: Rachel, imprisoned in a backyard shed, fearing for her life.

When Aidan’s wife dies, he and his thirteen-year-old daughter Cecilia are forced to move. Aidan has no choice but to bring Rachel along, introducing her to Cecilia as a “family friend who needs a place to stay. Aidan is betting on Rachel, after five years of captivity, being too brainwashed and fearful to attempt to escape. But Rachel is a fighter and survivor and recognizes Cecilia might be the lifeline she has waited for all these years. As Rachel tests the boundaries of her new living situation, she begins to form a tenuous connection with Cecilia. And when Emily, a local restaurant owner, develops a crush on the handsome widower, she finds herself drawn into Rachel and Cecilia’s orbit, dangerously close to discovering Aidan’s secret.

Told through the perspectives of Rachel, Cecilia, and Emily, The Quiet Tenant explores the psychological impact of Aidan’s crimes on the women in his life—and the bonds between those women that give them the strength to fight back. A searing thriller and an astute study of trauma, survival, and power dynamics, The Quiet Tenant is an electrifying debut thriller by a significant talent.


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 blog.



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