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Elaine, I'm so sorry about your mom's situation. I'm sorry that there is nothing to do. (((((Hugs))))).
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Your Mom is a PhD level manipulator. She is upping her game since you’ve tried to detach a little. I’m not downplaying her mental illness or how pitiful this is but she is doing it because you’ve done so well at being strong and placing some boundaries. She wants your reaction. Stay the course, Elaine. Call APS on Monday, but stay the course.
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Golden,

I get that. I have things that I will take to my grave about my brother because he was my brother. So I totally respect your privacy.

It’s odd, isn’t it? Sometimes we are able to talk about certain things. Other times, I can’t say a thing. I am overwhelmed with memories and I am afraid to take the cork off.

That’s when I always go for a long walk or something physical. I’ve always done that. There is something to the release of endorphins. It was a Godsend for me to ride my bicycle for miles.

I was never the mom who sat on the bench at the playground with my kids. I climbed more trees, would swing next to them, went down more slides, etc.

Maybe I was still a kid at heart. Or maybe a second childhood of sorts because so much of my childhood was stolen due to my brother.

My favorite way to chill out is a nice hot bath. I’ve always found it fascinating watching documentaries about other places to live and have been so envious of people who live in areas with hot springs to relax in.

There is something about water too. I heard a psychologist say once that warm water is like a warm hug. I agree! I have always joked that in a past life I was a mermaid!

My favorite Mardi Gras costume as a kid was a Gypsy. I was a dreamer. I loved Geography in school, learning about different places and would dream of moving around like a gypsy did! Hahaha

I think all of us who were raised by perfectionist mothers have a rebellious side! Hahaha. Remember the movie, Chocolat?

Oh my gosh! I could have been the lead character in that movie. I so relate to how she lived. Who wouldn’t have fallen in love with the river rat gypsy? Johnny Depp should have had a bigger part in that movie 😊.

Enough rambling, sorry...
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((((((elaine)))))) Wow, you are being strong That's awesome. Your mum is using the breathing card again. Mother used to take a cab to the ER and complain of this or that. Sometimes they called me as I was on her records as next of kin. I told them as far as I knew she was healthy. They tested her and found everything normal. I think it was just a bid for attention . Once she wrote both my sister and myself saying her liver was failing and she didn't have long to live. In fact there was nothing wrong with her liver. Hah! She wasn't even 100 yet, They will do anything to be the centre of your universe. You are detaching well.
A quote about detaching with love from https://www.bpdcentral.com/blog/?Detaching-With-Love-from-a-Borderline-or-Narcissist-27

"Detaching with Love" is your own version of that saying. (A crisis on your part does not necessarily mean a crisis on my part.) It does the same thing: keep your own life from becoming a series of BPD-related crises. In this case it means, "I care about you, but I recognize that you must make your own choices in life. I can love you, but I can't live your life for you. I can point you in the right direction, but I can't push you down the path."

Our love and prayers are with you.

need - I have had a flood of memories this week and some tears with them. It is all part of healing.
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Elaine,

You are stronger than you think you are. All of us know that and can see it. You have dealt with so much and held up. I don’t know that I could have held it together. The hoarding would have driven me crazy. I hate clutter.

I hope that things will turn around as soon as the can. I’m so sorry that you have to put up with all that you do.
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Golden,

I cry too. It is part of healing. Well, a natural part of our emotions.
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Good Lord, sleeping on a folding chair in the bathroom? Call APS first thing Monday and I will pray that something will be done here Elaine. This is over the top. I agree with Plymouth though.......stand your ground and do not save her.....she MUST surrender now and wave the white flag.
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" I am having trouble breathing and the hospital doesn’t want me back because there is nothing they can do and they aren’t a babysitter."

I was wondering how long it would be before they would refuse to see her. The problem with this (NOT your problem) is what happens when she really does need help? One of our UK friends has a dad who uses the docs/ambulance service to elicit reaction/sympathy from his son, but I don't think your mother is doing this - for some reason she is having anxiety attacks and those CAN make it feel like you can't breathe! Problem though, in both cases, is if/when they refuse to see them - I understand it is using up their capabilities, for naught most of the time, but that time will eventually come! Did they even offer any anti-anxiety meds to your mom?

Instead of trying to talk with APS on the phone, can you set up an appt with them? In person might be a better way to approach this. Write down a list of all the issues (medical and physical), and if possible print copies of the mess, and anything else that applies, like her refusal to move to AL or have help come in, plus the comments from that person in the FD about the house, both times!

Provide the list, tell them every doctor and other medical provider says she is competent, yet now refuse to see her if she's having trouble breathing (anxiety or not.) Try to be calm while relating the details, if the list isn't sparking any interest. Don't be surprised if you don't even elicit a raised eyebrow, but if you can provide that list and try to remain composed while providing more details, they might not look at you as being the problem... Sometimes easier said than done, but at least try.

I haven't dealt with them, but I have read the ho-hum responses others have related. I suspect more than likely the "competent" is going to have a huge impact, and then their hands are tied too - they can go there, assess things, make suggestions, but if she says no, as she has to the SW and doc, they will tidy up the report and close it.

Be prepared for that - don't let their apathy or tied hands (they can't really do any more than the doc/ER) upset you. If you DO gain ground, great! You can rejoice. ALL of this just may have to wait for that inevitable fall or other medical crisis.

(To add a little more perspective:
The staff in mom's MC told me they can't force any residents to take meds, go to ER, get medical treatment, and these people DO have dementia! Even the EC atty told me we couldn't force mom to move, even though she had dementia! So, given they all say mom is competent, you are fighting a huge losing battle! This is all about an individual's "rights", competent or not. As with so many things in life, the pendulum swings completely one way and then the other, it can't find the middle ground. This leaves many of us between the proverbial rock and a hard place.)
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Thank you disgustedtoo for your thoughtful comment. I will take your advice. Thank you so much! I talked to my mother on the phone tonight and she said she called 911 AGAIN LAST NIGHT! She told them that she wasn’t going to the hospital just check her vitals. This has been 6 times this month that EMTs have come to the house. They check her vitals, tell her she if fine, and they leave. She gets a bill in the mail for $150.00 and if they take her to the hospital it costs $250.00. She just calls the number on her bill saying she can’t afford it and can’t pay it so they must write it off. She hasn’t had to pay yet! The only time she had to pay $100.00 was for the cab ride home. The hospital REFUSED to pay for her cab.
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"She just calls the number on her bill saying she can’t afford it and can’t pay it so they must write it off." Well, they say she's competent, and this would probably back that up - it's underhanded, but smart! Also convincing them to come over, not take her to hospital, also a sneaky way around her "predicament." So long as they don't "catch on" to this latest ploy, at least she would be able to get someone there in case there is a real emergency. Smart, sneaky, or whatever, it doesn't negate the fact that she needs help, but...

My mother had stopped driving at night, but when she felt she had a UTI, instead of going during the day she would call for ambulance, then much later call YB for a ride home. You know how it is in the ER, it takes time to get seen if you aren't bleeding all over the place or in cardiac arrest, so it would be in the wee hours!

This was before dementia. I tried to explain to her that this isn't an emergency and she's taking services away from someone who might need it. Her response? My insurance pays for it. AUGH!

Any thoughts or heard anything about perhaps getting her some anti-anxiety meds, if she would take them? If I recall correctly, there was something suggested for Afib, but she declined - if so, she may refuse any medications. If she's in a more lucid frame of mind, perhaps someone can explain that this could solve her "breathing" problem.
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My mother knows how to work the system and can be an evil genius at times. Every time someone comes to the house they are DIFFERENT PEOPLE!! When they get the call they all must say “ you go to her house, no I’m not going you go to her house!! They must toss a coin or pick straws. She would never take anti anxiety medication. She’s had high anxiety her whole life along with depression. The only thing she took for it briefly in the 1970’s for it was Librium.
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Elaine,

Your mom is relentless. Isn’t she? It’s emotionally exhausting to deal with all of her issues.

I am glad that you aren’t running over there every five minutes. You couldn’t survive if you did that. You would have no life of your own if you continuously catered to all of her needs.

I wish that she would surrender and accept that she truly needs to be living in a facility.
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Needhelpwithmom thank you for your encouragement. Thank good for this forum and people like you!!! If I hadn’t found this site, I would have felt guilty and I would have ran over there every day!!! I am grateful for people on here that DO understand!!
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Elaine,

It would have killed you had you continued to constantly give her all of your spare time. As it is, she causes you enough grief.

I do understand because we would like nothing more than to think the absolute best of them but when parents won’t cooperate they leave us no other choice but to set boundaries.

What always killed me was they truly can’t see that they cause their own grief. They blame everyone else. They won’t accept responsibility for their stubbornness. Some elderly people can be nonconformist.

Your number one responsibility is yourself and your own family.

I keep hoping and praying that it will turn around for you. Looks like it will take a miracle for that to happen! She is frail but tough at the same time, isn’t she? I hope I never get like that. I don’t ever want to be a burden to my kids.
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You know what is weird too, Elaine. They think high anxiety is the normal way to feel. The same with being ‘stuck’ in depression. Yes, people have anxiety for legitimate reasons or have depression for valid reasons but when it is chronic something is off.

My husband’s grandma was like that. She drove everyone nuts! I learned to tune her out. She had to have some sort of mental illness but she refused to see a psychiatrist. She would always say that she couldn’t help how she felt.

We tried to tell her that medication may help her but she was not willing to try. So, she lived her life in complete misery and drove her husband nuts. Divorce wasn’t common then. He was devout Catholic and would not get a divorce. Sad. Her famous line was that no one understood her.
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Thank you so much for your heartfelt comments Needhelpwithmom. Yes, my mother does blame everyone else except herself. My oldest son sent my mother some business cards that he had done for his job. He sent her 8 of them because that’s how many she wanted. When I went over there to her house when I got out of work Saturday morning at 4:30 am I went to her house to help her find the deed to her house. When I talked to her on Sunday, she said she couldn’t find the business cards. Oh the EMTs must have moved them when they were here Saturday night!! It’s infuriating!!! Then she obsesses about the same thing over and over. Constantly ruminating. She has done this my whole life. If the doctor gives her new medicine, she has to read the pamphlet cover to cover and reads all the side effects and then decides not to take it, such as a cream to put on her toe.
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I have another update. I just got off the phone with APS. There is nothing they can do. She has her mind. She is competent. Just because she has mental illness doesn’t mean she is incompetent. I have to let it go. I said what about if she has her mind and is bedridden or wheelchair bound? Can I get her into a facility? Technically, no. If she knows the risks and dangers about what she is doing, no. But she did tell me to call them back if this happens to her.
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Sounds like all avenues are exhausted until there is some kind of significant change or incident. Sadly, there is bound to be one at some point. I’m sorry, because I know you just want the peace of mind to know that your mom is safe and getting the help she needs. You’re just not there yet. I guess it’s good that you know where everything stands, but I imagine that is little comfort. Maintain your boundaries. From where I sit, you’ve come a long way!
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"When they get the call they all must say “you go to her house, no I’m not going you go to her house!! They must toss a coin or pick straws."

All those who want to volunteer, take one step forward (everyone but the newest and/or clueless one takes one step back....) :-P

I had to laugh when I read your comment. I could just picture them all arguing about it, no No, I went last time, it's your turn!

My daughter works dispatch in a small town. They do get 911 calls from people who aren't all "there", been kidnapped, etc, but have to go check it out. I'm sure there are attempts at coin toss, drawing straws, etc, or if she puts the call out, how many are "busy" and don't respond back, mainly for the repeat calls...
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Elaine, I remember when my mother got a bridge with a few teeth for her mouth from the dentist back in 2011. I bought her some Polident and a denture bath thingy so she could soak the appliance and clean it every night. Well, she (of course) had to read every word on the POLIDENT pamphlet and say that it could POISON her so she wasn't going to use it. In business since 1958, but she was going to be the first and only case of a person being POISONED to death from a denture cleaning product.

Anyway, I am sorry to read your update today. :( It's absolutely infuriating what's going on and I feel like screaming FOR you. I don't have any brilliant advice for you, either, because let's face it, there IS no brilliant advice! The powers that be have made their decision here and that's that. Sigh.

I have a good friend who lives in NJ. Her mother lives alone, is legally blind, can't walk, is 90% deaf and refuses hearing aids, and is now in rehab after having minor surgery. Her mother is mentally competent as well........so she's praying to God they won't release her back to her own home after rehab b/c that illusion of 'independence' is just a big fat joke. Her children are breaking their backs cleaning up all of her messes at home, including fecal incontinence, so I was talking to her today about the phrase 'unsafe discharge'. Hopefully she won't run into the same nonsense you have run into. Her mother is physically falling apart, however, unlike yours.

Something is definitely broken in our system, isn't it?
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Lealonnie,

It’s kind of a catch 22 system. A nurse told me that if they aren’t able to report improvement then insurance won’t pay for the treatment. So, this leaves people between a rock and a hard place. Very sad.
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Elaine,

You are so right. Even with all of the facts, they make crazy decisions only to be told by the ‘so called’ professionals that they are competent!
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Thank you everyone for listening to me. I went to take out her trash today and she was very chatty. She took call a bus to the grocery store, (I saw all the food) and she took the wegmans motorized scooter down the parking lot to the liquor store( I saw the bag of booze bottles) and then back to wegmans to catch call a bus. There is no stopping her or slowing her down! She hasn’t had to call 911 since last Saturday.
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NHWM: are you talking about rehab & insurance not paying for treatment if they don't improve? My father wasn't making the 'progress' that Medicare requires, so they kicked him out of rehab after about 10 days. Rehab has to send a report every couple of days to Medicare to chart the patient's progress with PT & OT, that's the rule. So the rehab wanted to KEEP my dad in their SNF section b/c he was not fit to be sent back to independent living! But hey, what about my MOTHER??? A problem, as always.......the story of my life, right?
Anyway, I managed *by the grace of God* to get both of them into an ALF nearby so they could remain together, in spite of my mother not liking him very much, HE adored HER, for some unknown reason.

I will never forget him waiting in the hallway for her in his wheelchair the day she moved into the ALF. The look on his face was like he had won the lottery. Makes me want to cry. And to this day, she won't even SPEAK of him; it's like he never existed after 68 yrs of marriage.
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Elaine,

Some of these old people should do ‘energizer bunny’ commercials! LOL
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Expected APS wouldn't be able to help.

"I said what about if she has her mind and is bedridden or wheelchair bound? Can I get her into a facility? Technically, no."

As I've noted, even WITH dementia, EC atty told us we CAN'T force mom to move (actually he said we can't "drag her out of the house", but I get the intent.)

We had all the paperwork (will, trust, POAs, etc, none of which give us the "right" to dictate what she does with her life), but in the end it is a person's RIGHTS that override (I have read that even guardianship can be limited - the courts want to ensure the person as much autonomy as they deem is possible!)

If something bad happens with your mom, they can't come back on you - she's considered "competent." Hopefully nothing bad will happen. If something were to happen to our mother, when she was living alone and we were aware of her cognitive issues, I am sure some person, APS or other, would be up our butts with a scope wanting to know why we didn't 'intervene'. Maybe because all this BS about "rights" is so out of control that we can't make a single move!

I'm not saying it should be a cake-walk, it shouldn't, but it is ridiculous when someone doesn't have enough sense to seek help or even tell us when they injure their leg, an injury which would have been life-threatening, and they say I have no right to determine where she lives? Thankfully we were able to fudge the move (facility said no to guardianship and told me just get her there, they'd do the rest.) YB was able to fool her with a fake letter from 'Elder Services'. We should NOT have to do this.

In your case, elaine, your hands are way more tied than ours were. But, she's been out and about, no calls to 911 (sign of relief from the EMTs?), sounds like she was pleasant enough.... Take the good times when you can!
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Lealonnie,

Yes, any of the treatment. Rehab and home health. That’s what the head nurse told me. It’s sad.

Indeed it was by the ‘grace of God’ that you got help for your dad. That is so sad. Clearly, he needed help! I don’t get how these things operate. It certainly gets complicated and confusing.
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Yes, it was by the grace of God b/c dad was catheterized at the time and NONE of the ALFs deal with that! All I kept hearing was No, Sorry, we can't help you. I came home one day & just broke down crying at my desk in front of the computer. Then I heard a DING, an email popped up in my window. It was from the ALF down the street 1 mile away...........they had an opening. True story. I called the intake coordinator immediately on the phone. I told her I was certain she wouldn't take dad b/c of his catheter, but she said they would take him SIGHT UNSEEN b/c my aunt & uncle had lived and died there previously, so he was considered 'family'! I thought my heart was going to leap out of my chest and I shouted a great big THANK you to all the deceased relatives I'd been praying to for help!!!
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Lealonnie,

Miracles do happen and I too believe in asking for the intercession of others when needed! I have done it many times and always will. I have seen miracles in my lifetime too.
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Thank you everyone for sharing your stories. My brother is coming in town this weekend and we are going for a tour at the assisted living that is 15,minutes from my house. No, she hasn’t agreed to it. I haven’t even told her my brother was going to be in town.We can’t tell her anything ahead of time. She would just obsess over it, ruminate over it, and not sleep at all over it. I don’t think she will leave her house on Saturday anyway because it’s only going to be 20 degrees outside. I told my brother to go inside and visit her and tell her the junk doesn’t bother you so she will welcome you in her house. My brother and I are going on Sunday to the assisted living WITHOUT my mother.
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