I am shaking, I am a mess right now. Hopefully, this can come out and make some sense. My father lives in the next town over from myself. I have 2 children and a husband. My father lives alone, has been heavily addicted to pain pills for 30 plus years. Over the past 5 years, things have gotten so much worse. The doctor he was seeing cut him off his monthly supply of morphine and liquid vicodin. He started ER jumping sometimes 3x a day to get pills. As time kept going on, I called Adult Protection Services and they went to evaluate him and told me that they feel he makes bad choices but not enough for anyone to intervene, even though there were burn marks in his carpet and recliner chair from smoking and blood on the back door. I was beyond upset. He ended up getting knee replacement, but didn't comply with the therapy afterwards and wouldn't take care of himself. Took all the pills in a matter of a few days and started ER jumping again with a newly knee that wasn't healed. He ended up with an infection. He was giving antibiotics but if it wasn't pain pills, my father wouldn't take them. He would be admitted to the hospital and they would start IV antibiotics but he would pull it all out and walk out. Finally, the infection went into his bone, they did multiple surgeries to put an antibiotic spacer in his knee and give him IV antibiotics. It didn't take care of it all, they decided to try again and cast his leg all the way up to keep him from leaving and requiring him to stay for 6 weeks more of IV antibiotics. His stomach ended up getting a perforated ulcer and he required extensive surgeries following. Long story short, his leg became priority number 2 because of it. He has currently been in a bed for 8 months, he ended up losing the leg to a above the knee amputation a month an half ago. He refuses physical therapy and since the bacteria was still showing in his blood, they kept him to continue IV antibiotics for a few more weeks to make sure they can kill off any remaining bacteria. My dad ended up leaving, took a cab home (he hasn't moved on his own at all for 8 months, not even bathroom wise). He fell and 911 was called and took him to a hospital. They were again going to try to do 2 more weeks of the antibiotics but again my dad stayed 24 hours and left again in a cab. He has fallen again but refuses transport. He told me he will not stay at any hospital or nursing home. I have again called and left a detailed message to APS again but haven't been called back and being the weekend, I doubt I will get a call back until Monday if then. I feel like no one will help me with him. That they all agree his reasoning is not good but that it isn't enough yet to require anyone to step in. I told my dad that I wont continue to help him since he isn't being compliant to his own health care needs and I am done. My kids have seen too much and dealt with this for years. I feel like no matter which way I turn, it makes matters worse. I have never taken the 'I am not helping' stance and figured it would make him stay at the hospital or nursing home to finish his treatment but with his behavior, he isn't seeming to budge. I am beyond exhausted sadly to say to continue dealing with his out of control behavior. I don't know what to do. Any advice? I have tried to explain to my father that his choices have lead him to this point and until he can make better choices he will not get better. I have also explained that the bacteria he has is serious and he has already been told this is the last antibiotic to treat it because it has become resistant to everything else (probably with his own doing of taking them and not taking them so much through the last year) and he still doesn't seem to care. Let alone, he also has sever COPD, his lung has collapsed 3x since May and he has pnemonia which they were giving him a separate antibiotic for that when he left the hospital. Now he is receiving no antibiotics at home.