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Oh dear, I'm so sorry. Since you have a conscience that I am sure will haunt you if the worst happens I think a call to APS may be in order, or perhaps ask local authorities to do a wellness check? Is there any way bad brother would see to it she goes back to hospital until this present crisis is resolved?
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tinkster, it was so good to read your earlier good report! And now this latest information...well, I also like the idea of calling APS. That should assuage your guilt. Do NOT be sucked back into a caregiving situation! Enjoy your new life. You deserve it! :-)
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Well, I called APS. It was unsatisfying. The bottom line was that she "has a right to make her own decisions, even very bad ones", and that if I don't feel she is competent, I should call her/an attorney and "let them know". The woman also said that I could call law enforcement and ask for a welfare check.

ANYTHING I do at this point -- anything at all -- will be viewed as meddling by my mom. Unwelcome attention. I'm trying to look at this through the lens of "What SHOULD I do?", and I'm really beginning to believe that what my mom wants is to simply fade away, and she is going to be angry with anyone who interferes with that process.

I'm going to be blunt here, and I hope I don't come across as horrible as I fear I will. Bad brother has always been mom's favored child for several reasons.

First reason: Because she is convinced he is the product of a short affair she had. The guy was an alcoholic. My dad was not. Plus my brother apparently looks a lot like the guy. She feels responsible for him being an alcoholic because she "created him" by sleeping with an alcoholic.

Second reason: He isn't very smart and makes incredibly bad choices. She believes there is something wrong with him (developmentally disabled in some way) and she feels responsible for that, as well. Her feeling stems from not "having him tested", which she says she avoided because she was afraid his parentage would be exposed.

Third reason: He is poor and is on disability, and she feels sorry for him. His disability is based on his ruined liver (from drinking, etc.) and how messed up his body is (from motorcycle accidents and other risky behaviors gone awry). She feels responsible for this because, well, reason #2: If she had gotten him "fixed", he wouldn't have gotten himself in this situation. [Editorial Note: No matter how broke he's ever been, he always has booze, pot, cigarettes and a state-of-the-art TV and sound system]

So there you have it. There's no way I could ever compete with that. She has actually tried shaming me in the past for being so successful and having so much while my brother "suffers". I had to crawl out of the life I was born into. No one rescued me. I feel no shame for being smart and hardworking.

As good brother has put it in the past, I'm simply just not messed up enough to be loved by her :-) He will admit that he is just enough messed up to get some love, but it's conditional. LOL!

I wonder if for some reason, aligning herself with bad brother is her way of wearing a hair shirt, for lack of a better way to put it. To pay for her "sins" related to bad brother, she needs to be with him, experience his sad life daily as a constant reminder of it all.

My brother and his wife will end up killing my mom through their stupidity. The thing is, I think that's what my mom wants. Does anyone have a right to deny her of that end?
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*****HAPPY INTERLUDE*****

The wedding was perfect! Very small: Just the two of us, the officiant, good brother and my best friend. Lovely ceremony and a fabulous dinner afterwards.

Married life is good. It still freaks me out when the phrase "my husband" pops out of my mouth, as in "My husband will be there to pick up the rental car this afternoon."

He's a good man, and I'm very lucky! And so is he. LOL!
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If APS doesn't care, then neither should you. If she wouldn't be declared incompetent, then let her do her own self-directed dangerous life. She's now with the favorite child (Bad Brother), correct? Let her bask in her closeness to her favored child (rat though he may be). 
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Tinkster, APS gave you your answer. She's allowed to make her own poor choices. Try to find some peace.
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"She has a right to make her own bad decisions..."

Sure; and nobody, least of all you, is disputing that right. You merely sent them a sit. rep. on where her bad decisions are leading her. And I think you should feel free to continue to do that; so that in the fullness of time, when she is in a situation so serious that they will have to intervene, they won't be able to claim they had no idea it was coming.

Do you think your mother might have been drinking when she was pregnant with BB? Fetal alcohol syndrome and her anxieties about his paternity would go a long way to explaining both his personality and her huge burden of guilt about him. And about you and GB too. Poor lady; if that's even partly so then I would truly pity her. But it's nothing you can remedy. And absolutely none of your doing.

My aunt adopted two boys (ectopic pregnancy in c. 1950 ruled out babies of her own). The younger one came good, more or less (a few hiccups, shall we say). The older - the boys weren't related to each other - was a gross, stupid creature; but she continued to love and help him right up until he died a very few years before she did. He stole from her, raged at her, married a woman whom he knew was pregnant by another man, emigrated (at her expense), divorced - leaving his wife and now three children behind -repatriated (at her expense), remarried, on it went. His whole life was a sixty five year long nightmare for her. And she was still heartbroken when he died. I don't think she saw him with the same eyes as the rest of the world. Or maybe a child you feel guilty about is a hundred times more compelling than one you're proud of.

Fact is, your mother is on her own when it comes to her own care, and APS should view her accordingly. If they still don't have any concerns then fine, but if that unconcern relies on BB's taking responsibility for her welfare then their assessment is based on false premises.

And what about the prescription meds, eh?

Well. They've been told.
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CTTN55 and BarbBrooklyn: THANK YOU. That is exactly how I felt about it after getting off the call. I never gave my name or anything (I was worried about it spinning out of control, if that makes sense), but I did get the APS person's name.

Whew. Frankly, after hearing her say she was down to 80-something pounds, that she'd been sick and in the hospital, and that she left the hospital against her doctor's and the hospital's wishes, I got physically ill thinking I was going to have to get sucked into that stuff again.

What do you call it when someone talks about how sick they are, how they are losing weight, have a fever and a rash, were in the hospital but left against advisement and then get mad when you act concerned about them? I mean, why not just lie and say everything is ok???
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It isn't better if they lie and say everything's ok even when asked a direct question. Then they bleed from a gastric ulcer and everyone looks at you like you made her swallow the ibuprofen yourself. Trust me. It isn't better.

She did something - well, lots of things: where do you start? - really stupid. When you asked concerned questions about it, that made it clear how stupid she'd been. She got mad because you were inadvertently making her face it.

Oh Tinkster.

Your mother is being impossible. The only way you can not worry is not to care. I not only don't know how you do that, I'm not even sure you'd want to be the sort of person who can, would you?
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Churchmouse: My great aunt and uncle had a similar outcome to their adoption. And they truly did see him with different eyes or something.

But THIS is what you said that really hit home with me: "Or maybe a child you feel guilty about is a hundred times more compelling than one you're proud of".

That is apparently the case, isn't it? And when you combine that guilt for one child with your jealousy of your daughter, I guess any hope of having a tampon commercial-type closeness with said daughter is out of the question.

It still confuses/saddens/angers me that it was jealousy that fueled my mom's hatred of me when I was growing up. At least now I understand why there was so much hate. At the time, it was just really confusing to me and caused me to assume that I was defective or something.

Mom was in a wonderful place, at her idea weight, TEACHING CLASSES, socializing, not getting UTIs... She decided to make this move, supposedly because she didn't want to spend the money (or whatever her REAL reason was). Part of me wonders if she realizes now what a big mistake this move was, and if she is telling me about her weight and being sick and stuff thinking that I will do what I did before: Rush in, roll up my sleeves and fix it all. Because she would NEVER admit to making a bad choice. Ever. Even if bad brother held a knife to her throat and they spent all her money, she wouldn't admit that moving next door to them was a mistake.

In fact, she would probably figure out a way to make it MY fault. lol

I just knew you guys would be able to talk me off the ledge today! THANK YOU!
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Yes, she wants you to rescue her. Don't do it.

If she needs rescue, APS can do that. Until it's bad enough for them to do it, she doesn't need it, she just wants it. And if you do it without her asking you, then she gets to fight and blame you too! Win win!

Don't fall for it.

Leaving that really good place was an act of stereotypical self-sabotage: "this is all going far too well. How can I f*ck it up beyond repair?"

Your mother is being a text book impossibility! You will have to do some text book detaching - "how to love the waif without rescuing her."
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Churchmouse: I've come to the conclusion that I can still care (and I do) but yet understand that it's out of my hands.

You said: "When you asked concerned questions about it, that made it clear how stupid she'd been. She got mad because you were inadvertently making her face it." This. This right here. I was asking out of concern. To her, it probably came across as "See? I told you so!" And believe me, I was being VERY careful to be detached and not judgey or anything. Just concerned for her immediate well-being.

Something else occurred to me: Though bad brother's horrid, weird wife has always had me blocked on Facebook, one of the times he beat her up (about five or six years ago) and she had him arrested, she messaged me. A lot. She was telling me how it's bad brother's demons that will kill him because he's too stupid to fight them. Stuff like that.

But another thing she said REPEATEDLY was about God "taking my Mother home" and "end her suffering". Maybe she and my mom are in cahoots to get the job done.

I'm going to be hateful and small for a moment here and tell you all that bad brother's ex looks like the little girl in the movie The Ring. She always looks like she never bathes.
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Churchmouse: I would love to be able to hang out with you in real life. Or at least have a long lunch. You are awesome! Especially THIS:

"Leaving that really good place was an act of stereotypical self-sabotage: "this is all going far too well. How can I f*ck it up beyond repair?""
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What, the Japanese version?

Makes me jump just thinking about it. That was quite seriously the last time a film made me leave my seat and scoot backwards over the sofa!
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Tinkster, your mom is mentally ill. She's not rational. You are.

You've discharged your duty about 10 times over. For whatever reason, your mom doesn't seem to believe that she deserves to be happy and healthy. That is very sad, tragic even, bit ot is NOT YOUR FAULT.
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I think the one I'm thinking about was the US version, but I'm not sure. I watched it, but all I really remember is being truly scared half to death.

https://i0.wp.com/media2.slashfilm.com/slashfilm/wp/wp-content/images/The-Ring.jpg
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So, Tinkster, while there is nothing so loyal as a mother for her damaged child, so too is how relentless is the quest for love and approval that drives the unfavored child.

This message board is littered with the ruined lives of unloved adult children who are still seeking approval from narcissistic, mentally ill or just disordered folks who never gave their kids what kids need early on-- unconditional love and attention.

You've done your best. Time to let the chips fall where mom wants them to.
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The answer to this problem is very, very simple. Based on the history you stated, and since she is/was a miserable non-cooperating person, you know what you have to do. She CANNOT LIVE WITH YOU. She has to be put somewhere where people can handle her - you and your family cannot put up with this because she will destroy what is left of all of you. Get her out of the house, at once - whether she likes it or not. She had her chances in past years and she blew them. You owe her nothing. Good luck and be strong.
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I would like to pose a question to all of the caretakers out there. WHY, WHY, WHY are you all filled with guilt if you don't give in to abuse and nastiness and all the rest that comes with it? What difference does it make if there is dementia or something else? As long as someone is acting horribly, there is NO obligation for you to put up with it. For example, a man kills someone and then claims insanity. Well the point is - he killed someone - so let the guilty pay the price. Do the crime, pay the price - regardless of why they commit the crime. I am sorry but I have lived too tough a life to put up with people like this ever again. And I never will. I learned too late in life that these people are not worth the time and effort you invest in them - let them go.
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I'm sorry for your pain, T.
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Riley, if you'd read the history you would know a) that Tinkster's mother doesn't live with her and b) that her situation is a very long way from "simple."

Why do people care about other people who do them no good and to whom they owe nothing? You will never know why they do. You just need to know that they do.
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Tink, love the happies! You deserve it, as do all the folks on this thread - with or without partners! Some people are bound and determined to go down for the 30th time, and preferably take a lifeguard with them. You grieve that your mother tried to fix your brother unsuccessfully. You can't fix your mother either. You don't want to be guardian either. If she needs a conservator, let the state do it. That is what waifs DO, they get into trouble and wait for some responsible person to rescue them. You've done yours. Go live your best life, and know that you have done what you can to help rescue someone bound and determined to implode and take you with her. Bet your happy marriage has just been the mayo on her sh*t sandwich.
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There is just one choice....she was never a loving mother and is now causing endless problems and the path of your destruction, and that of your brother, has started. Stop - take a deep breath - and put her somewhere where she will be cared for and safe. Do NOT let her destroy you any further. She apparently does not deserve your help.
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You mentioned the use of a stair lift. I can tell you some models actually have the feature of taking yourself up and down the rail. I was on one and it had the option of either the attendant operating it or you can do it yourself with just a simple button under the end of the armrest. You just need to remember to swivel your seat when you're at the top of the stairs. I myself have physical issues, and I have used stair lifts. They are very useful to those who actually need them. Are you absolutely sure this particular stair lift doesn't have the feature that allows patient independence? This may very well be the case if the stair lift is left on to allow patient independence when left on. This is usually how it is in the home, and I'm all for patient independence instead of having to ask someone to come turn the stair lift on so you can use it. If it's left on then the patient can come and go as needed as long as the chair has the feature for allowing the patient the independence of getting on and pushing a simple button to go up or down the stairs on their own. I would definitely see if the particular stair lift in question has that feature, maybe it does and maybe that's why she continues using it because the stair lift feature allows it if the stair lift is left on. As long as she remembers to swivel the chair at the top of the stairs and actually lock it into place, there's no reason why she can't use it on her own. If she's been specifically trained by a therapist if that's what she needs, then she should know what to do.

Another thing you can consider is having her use a regular elevator if the building has one. If she's in a wheelchair, then the elevator would be especially helpful and very useful to her. 

Warning:
First, let's get one thing straight. I happen to have disabilities and I also happen to be an advocate for the disabled. What I'm about to say in this warning is just a warning to not cross the line of discrimination by denying access and equipment to the disabled. 

* Don't deny access by keeping her off the stair lift if she's disabled and needs it, this will definitely land you in hot water with the law according to ADA. Denying her access to the stair lift would be denial of equipment to the disabled which could open a case with a disability lawyer, the civil rights commission and access advocates and you can bet your bottom buck you will lose in the end if you deny equipment to someone who's disabled and needs to use the equipment. Do not deny her access if she legitimately needs it because in the end you will be the one in legal trouble because you will definitely land in hot water. I'm only warning you because I myself was discriminated against at a public place, and in the end the people were caught. 

When she uses the stair lift, just make sure she swivels the chair and knows where the lever is and when the chair swivels, it should lock into place at the top of the stairs, allowing for a safe exit from the chair. Most chairs should have a seatbelt, make sure she uses it. When getting back on the chair to go downstairs, the chair will swivel back, enabling the chair to be able to engage with the power allowing it to carry the occupant down the rail. When it stops, there may not be a need to swivel chair at the bottom of the steps, just at the top. Stair lifts are very easy to use, they are very user-friendly just like elevators are.
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The ADA does not cover private residences.

https://adata.org/faq/does-ada-cover-private-apartments-and-private-homes
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I thought this was in a facility, it wasn't really specified from my understanding but you can't really deny access in a private home either.
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I read about removing the "owner" of the house into a facility. Well, I will answer it like this. Let's assume the owner is physically unable to live in the house because there are stairs, lawns need to be cut, laundry needs to be done, etc. and there is no one to do it. Well, then the owner will soon realize the only thing to do is move out of that home - or die in it. This is the situation with your mother.....she is incapable of living in HER house because of physical/mental problems so she has to leave. Get a doctor to state the same - it will help.
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Brief recap, from memory only so I hope Tinkster the OP will forgive any errors: Tinkster's mother has three children. They are Good Brother, who cared for the mother for an extended period; Bad Brother, who has a criminal record, a poor financial history and an unsympathetic wife; and Tinkster herself, who after many years' estrangement had been doing her best to keep mother's financial affairs well-regulated and sustainable.

Tinkster's mother has MS. But before it's assumed - as I did when she first consulted the forum - that the MS is the key issue - it isn't. The key issue is the mother's ?borderline personality, of the self-destructive, self-sabotaging, drama-creating kind.

The situation as is, is that Tinkster's mother has discharged herself from a facility where she was doing well, and moved in to a - I'm not sure what you call them. Sort of prefab dwelling? - anyway, a home in the same grounds as BB's house, supposedly on the basis that BB would look after her. She did this against all advice from responsible and/or professional sources. GB is no longer able to play any part, having been psychologically burnt out (to cinders) in previous years. Tinkster has already resigned POA officially and written to advise same to all concerned.

Tinkster and GB have tried. They really, really have tried. They have both sadly concluded that they need to let go to save themselves. They're not wrong.
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That's a pretty good summary, Countrymouse. :-)

The stair lift most certainly could be -- and was, unfortunately -- used by my mom independently. Mom was supposed to be supervised when she used it because of her unsteadiness and the fact that the stairs in the 100+ year old home had a mid-way landing, requiring a transfer to the second stairlift. She had access to either my brother (living with her) or me (living next door) 24/7. There was nothing critical upstairs: She had a bathroom on the main floor, etc.

The problem was that she would say "no" anytime we asked if she needed anything from upstairs or if she wanted to go upstairs. Then the second we were out of sight, she would make a beeline for the stair lift and go upstairs. Just to do it. It was an act of defiance that was, I imagine, her way of saying that no one was going to tell her what to do.

She falls a lot. We were trying to prevent her from falling down the stairs. Seems logical to me.

In your post, Dontask4handout, you often say "Make sure she...". Make sure she uses the seatbelt. Make sure she knows where the lever is. Make sure she swivels the chair. That, in addition to her unsteadiness and frequent falling, is exactly why she was told not to use the stair lift if there was no one there with her. She wouldn't use the seatbelt unless we fastened it ourselves. She wouldn't swivel the seat far enough on the landing, and struggled with finding the lever.

Anyway, it's a moot point now. She is living in a trailer in the boondocks, and is down to 85 pounds. Again. I will post an update shortly.
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So mom has been living in a trailer next door to Bad Brother for five or six months now. I call her several times a week, but she rarely answers the phone, so I leave her a voicemail. I am 100% certain she has no idea how to retrieve voicemails. One out of about 15 times, she will answer the phone.

She has called me a few times since the move in October 2016 and we have a nice conversation. Based on our conversations, I suspect her reluctance to talk to me is related to her feeling that she made a mistake in moving there. She has told me that she hates it there and hates her life, etc. etc. etc., and my response is "I'm sorry to hear that." Nothing more. 

She is terrified of storms, especially tornadoes. She and my dad and I lived in a trailer back when they were still very young and I was 4 or 5 years old. I still remember how they hated it and how scared my mom was during bad storms. After a recent day of storms/tornado watches/high winds, my mom called to tell me that she made a big mistake, moving into a trailer. She said that my brother's "plan" for what to do if the weather gets bad is to sit in his truck with his dog, crank up his stereo and wait it out. She said, "That sounds a little crazy to me." LOL! (Irony: For about 20 years I was a certified storm spotter for the National Weather Service, a ham radio operator and hobbyist storm chaser.)

She had a recent surgery for a kidney stone and weathered the procedure fine. She mentioned to me in a phone call prior to the procedure that her doctor is concerned about her weight, which has dropped to 85-ish pounds. I was pretty shocked, as that was her weight when she initially came here from Michigan after her partner died. When Mom decided to leave the ALF in October, her weight was 120+, she had made friends, and had even taught a painting class.

She tells me that now she stays in bed all day.

All of this makes me very sad, but my mom's self-determination has always been set on a path of self-destruction. Always. I know now that there is no changing her or "fixing" her. This is simply who she is. And as horrible as it probably sounds, when I get the call that she has passed away, I will primarily feel relief, knowing that she is no longer miserable and has finally gotten what she prayed for for so long. All of my grieving is already behind me: I've had to grieve for the mother/daughter relationship that I always thought was possible, but that never came to fruition.

For all of you caregivers and family members and friends who doubt the impact that this kind of stress can have on your physical health, let me tell you how I've been doing. Between the time my mom came here when her partner passed away and the time that I finally LET GO, my health had seriously declined. My COPD was one exacerbation after another. My sleep was horrible, and I never really got any good or real sleep at all. My life consisted of barely being able to make it through each day due to lack of breath and lack of sleep. I had also developed a horrible "mystery rash" on my torso and legs: I've had several biopsies and other tests to no avail. They even ultimately tested me for syphilis, as they were running out of potential diagnoses!!!

After I "let go" of the situation with my Mom and resigned as her POA, my health issues came to a head. I couldn't get a decent breath. I was worried that I would lose my job because it was taking me 60+ hours a week just to try to keep up with my duties. I couldn't think clearly, my memory was horrible and I was so tired it was ridiculous. I am lucky that I work from my home office, as I had taken to "sleeping" on the sofa, then dragging my exhausted self ten feet to my desk to work, then falling back on the sofa to try to sleep at the end of my work day. I couldn't do much of anything for myself or for my new husband.

During the most recent exacerbation of my COPD three weeks ago, I had to call my husband at work and ask him to drive me to my doctor's office. I had already decided that if I couldn't reach him, I would call 911, but he rushed home and got me to the doc. I told her that I needed a steroid injection and a steroid taper. She agreed, and added a strong antibiotic to the mix. I had also told my sleep doctor (I have sleep apnea and use a VPAP) that I was certain that my oxygen levels were still dropping at night. They sent me a recording pulse oximeter to use and send back to them for reading. Sure enough. My O2 sats were still dropping into the 60s at night. So now I'm on nighttime oxygen.

But you know what? I feel better than I have in a dozen years! And I noticed last night that the mystery rash has abated, along with the accompanying endless itching. For the first time in I don't know how long, I am LIVING MY LIFE and not waking up each day thinking it might be my last.

I had gotten to the point where my purpose in life was to make/save as much money as I could before dying so that my husband would be as well taken care of as I could manage.

I am now getting 5 - 7 hours of decent sleep at night. I feel somewhat rested when I wake. I am able to walk without feeling oxygen starved (to the degree I was before), and I am able to do things that matter to me, like load/unload the dishwasher, bake, tidy up the house, cook dinner and go shopping with my husband. I can talk much easier without the gasping for air thing. And I can eat without struggling for air. And I can play with my dogs :-)  It may sound weird that things like tidying up the house are big deals to me, but I am a neatness/clean freak, and it would make me crazy to see stuff that needed to be done and not be able to do it.

I really believe if I hadn't extricated myself from the Mom situation I might be dead by now. And that's not hyperbole.
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