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My father is a very big, proud, strong man. He was a professional athlete and likes to project a superhero persona to us all. Unfortunately, over the past year we have noticed his memory slipping: putting things away in strange places, losing things, forgetting something that happened 5 minutes ago but telling stories from his past, foggy look to his eyes, walking strangely (may just be his bad knees) We are quite certain he is diabetic- he tested his blood sugar last fall and it was very high, so he went on a crash diet and lost weight and said he cured it himself. When he did lose some weight and his sugar went down, his memory did seem a bit better. Now he is eating all the time and we are sure his sugar must be very high again. Here is the dilemma: because he is super man, her refuses to go to the dr to get things checked out. He has a dr and is on blood pressure meds; my mom told me today that he probably hasn’t been for an appointment in a couple of years. He always makes an excuse to cancel the appointment and the dr just refills his prescriptions. Complicating things are two issues: his mother had severe dementia and his sister who is a year younger is in a care home with dementia as well; getting dementia is his biggest fear. Second issue is the fact that he has one or two damaged knees from his football days that he denied there was anything wrong with and also will not have them looked at- they have gotten progressively worse to the point that he has to hold onto things to get around and has to crawl up the basement stairs. Even with this obvious decline he insists they are fine and that he goes running 2 miles a day?!?! When we have approached him to go see a dr we are often sworn at, verbally abused, told that he can still do everything better than our “fat asses”, etc. He then continues the verbal abuse on my mom when we leave. She can not be his caretaker as she is in kidney failure and has COPD herself. The verbal abuse is not helping her either. How do we help him? How can we talk about this with him when he firmly believes he is invincible and then lashes out at my mom for weeks afterward? My siblings and I are totally at a loss for how to deal with this situation. I told my mom that I would phone his dr to tell him what is going on and insist on bloodwork before refilling any prescriptions. Mom and I think he will not go to have blood work because of how poorly he walks and his high sense of pride, and will probably just quit taking his blood pressure meds too. My Mom does have a home care nurse that comes by every 2 weeks to assist with needles she has to take. Maybe the dr could tell my dad he knows the nurse goes there and she could take his blood while she is there because they don’t want extra people at the lab during COVID? Grasping for ideas. This is a very difficult spot to be in and we are looking for any advice or direction anyone can offer. Thank you.

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Yet another very challenging situation. Since your dad goes nuts when you kids tell him he should go to the doctor, maybe stop telling him. Leave it up to your mom. This situation is going to implode at some point. Sometimes you just have to let things come to a crisis, and they unfortunately will at some point. His knees are only going to get worse and his pride is going to get him hurt. I don't know what's bad about not wanting to be in pain and getting your darn knees fixed, but whatever, right?

Well, it's only whatever if you're not doing a bunch of extra work because he refuses to be realistic. Boundaries, ya know? I have backed off on doing extra for my mom cuz I was verrry tired of caring more about her well being than she does. You want to be in pain and shuffle around like you're 100 when there are soooo many things you could do to improve your situation? Well, OK, fine, but don't expect me to like it or to do more cuz you do less because of your poor decisions.

Anyways, I'd talk with your mom and have HER talk to his doc and tell him honestly what is going on and ask him to not refill his meds anymore without seeing him. He needs to be seen and obviously needs some help.

Good luck.
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FirstBorn, yes this is a difficult spot...you're not imaging it. In order to provide the most help suggestions, the forum needs to know who (if anyone) has the legal authority to make decisions in his best interests? In other words, who is his durable Power of Attorney? This authority must be assigned by him, it is not a "next of kin" or marital issue. If your dad has not assigned anyone, this will require different answers to many of your questions. If you don't know the answer to this question please ask your mom, she may know. PoA is a legal document that is filled out by the assigner (like your dad) and another original copy provided to the PoA (and he can assign more than one). This is signed in front of a notary with 2 witnesses. If no one has these documents, then probably no one is his PoA. I have these papers for my husband, and he for me. I hope you can find out. Thanks for the extra info.
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FirstBorn1971 Sep 2020
Hi- my dad has my Mom, my sister, and I named as POA with the ability for each of us to act without the others.
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You call the doc to tell them what is going on and that if he fills one more script without a full workup appointment you will report the doc to the medical licensing authority.
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Geaton777 Sep 2020
I sort of agree with this generally but maybe not a good idea in this case to alienate the doc who her dad may be most comfortable with/trust and willing to visit and knows her dad's medical history best. This discussion can be had with doc once the medical PoA/representative is established.
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