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My mom (who I live across the country from) recently went through a terrible bout of shingles, and had a lot of trouble with the pain. She was prescribed several different pain meds until she found one that really worked for her - unfortunately the side effects were really intense (confusion, brain fog, forgetfulness). She seemed like she was drunk all the time on them, and wouldn't remember things from one day to the next. I expressed my concern about her safety while she was taking them and said I didn't think she should be driving while she was taking them. I also cited a few examples of memory loss and out of character behavior that deeply concerned me, and asked her to connect with her GP or pharmacist to talk about the pills. She has a lifelong tendency to only hear the negative, so I knew she wouldn’t hear my concern and only take it as criticism, but I had to say something. But as I should have predicted, she got so upset that now she's not speaking to me. My husband tried calling her to talk about it but she froze him out too.
Rereading my favorite family dynamics book Adult Children of Emotionally Immature Parents. But would love any other words of wisdom.

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Perhaps send a text or card every month, something polite and kind.

I deal with this all the time from my late stage Demented Dad who became disoriented to person place or time, and lives about 40 minutes away with traffic it takes 2 hours away.

He ignores everyone for months or years which became a good thing with all the homeless predators out there who wait in the wings to move in on his confusion.

They have to act as a willing participant in their condition. I save my energies for the willing participants in my life.

This might sound cold but I have boundaries, and if and when the calls happen about someone's self abuse or elder abuse, I then decide who and what I will use to respond or deal with it.

I became addicted to eldercare hospice work as I get to help willing participants every day. I go to this site to gain strength or acquire more perspective on both my work and my own parent.

Currently my Dad and some homeless predator don't want to talk to me or don't remember what has happened as I hold all of us accountable with judges, APS, police, authorities. My dad does celebrate Christmas and I came to this site to figure out what to say to him in a text message.

I fear him driving anywhere as he might drive into someone or kill himself driving but he won't listen to anyone. I also fear dealing with him as he has become very paranoid and angry with everyone or he showboats in some weird pissing contest with anyone that tries to help.

All the calls from authorities I put on him has caused him to not leave his house to go get exploited by homeless predators so for now some might still have the insight to know not to awaken the hand that will eventually put everyone in their place.

Does it suck that the only responsible next of kin has to do this? Yes. Do the right to rot laws that allow people to behave like this suck? Yes.

I fired myself from enabling duties a long time ago.

I have zero tolerance for denial or enabling, as those things interfere in the grief process.

I find it cowardly and selfish on my father's part that he did not take time to commit to what his wishes looked like so that everyone could have peace.

Instead he left the gift of guessing what he wishes for in the grips of his disease on Christmas.
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Reply to PennyAmes
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Shingles certainly can be painful, but they don’t last indefinitely and the pain medication shouldn’t be strong enough to have the side effects you report. My DH had a very bad case, and treatment was nothing like this. Did you collect up the reject “several different pain meds” - and the repeat prescriptions? This could be a case of M overdosing herself to the point where “she seemed like she was drunk all the time”. Could she be addicted? That could explain why she “got so upset” when you questioned the whole thing.

It might be helpful to report this (and the driving) to her doctor. The doctor may not be able to reply, but should at least know about it - particularly if the doctor's prescriptions started the problem.
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Reply to MargaretMcKen
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MargaretMcKen Dec 24, 2024
I just asked DH, and he thought that his shingles lasted not much more than 2 weeks.
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Accept that she doesn’t want to interact with you and go about your own life. It might make for a peaceful holiday season, so enjoy! She’ll be back soon enough, and along with her will come all her problems. This is your chance to get away from all that. Happy holidays!
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kitchenwitch Dec 24, 2024
Honestly, this is really helpful to hear. I DO feel better when she is less present in my life, and I feel so guilty about that.

Thanks for your thoughts.
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You can't force an immature adult to suddenly grow up and take responsibility for herself, her actions and behaviors. Mom is obviously unwilling to hear what you have to say so she's putting her fingers in her ears and refusing to hear you. Short of taking a trip to see her, I don't know what you or anyone else can do in this situation. Oftentimes we children of such parents wind up waiting for The Phone Call we all dread.

Good luck to you.
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Reply to lealonnie1
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As you already demonstrate and admit in your note to us, this isn't unusual for your mother. If she is now living independently, and you have expressed to her what you have observed and what worries you (and rightly so, by the way) then you have done what you can.

Stop contacting her.
She is an adult and has made her own choice.
She is not your responsibility.
Send her a lovely note with ZERO discussion of all of this. Something short and sweet. Beautiful card saying:
"Dear Mom:
It's my understanding that currently you wish to be out of contact with us. That's fine if it is what you want. Know we love you and are here if you wish to make contact again".

Stop allowing her to "play you" because you aren't a fiddle.
Stop allowing her manipulation.
Make her responsible for her actions and get on with your own life, giving her as little thought as she deserves.
Just my humble opinion. But you're an adult as well, so I leave your own choices for your own life up to you.
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Reply to AlvaDeer
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Assuming you’re in the US, you can message mom’s doctor on the patient portal and state your concerns. The doctor will not be able to respond to you unless you’re listed on mom’s consent for release of info forms, but that doesn’t stop the doctor from reading what you share and being aware. If mom is perhaps at the start of cognitive decline it is not uncommon to not be able to recognize what is happening and lack insight into one’s own behaviors. No use trying to make her see what she may not be able to acknowledge. If she doesn’t come around, you may need to visit in person to more fully assess what her living situation is truly like
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Reply to Daughterof1930
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If you know her PCP, you can call him with your concerns. I am pretty sure some of these pain meds say no driving.
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Reply to JoAnn29
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When my MIL broke her back and needed to take post-op opioids, she also seemed very out of it. Come to eventually figure out that she was inadvertently overdosing herself (she was also running out of pills very quickly each month). She only lived 6 miles from us so it was easy for me to go there and count her pills every day but she could not be left alone with them.

Also come to eventually figure out that the reason she was overdosing herself was that 1) she was a total baby when it comes to pain; and 2) she was at the beginning of her short-term memory loss. She eventually was moved into AL because she could no longer take care of herself (and her husband was given a legal guardian and moved into a facility due to his advanced Parkinsons).

You will need to make the decision of whether you wish to be your Mom's manager or not. It won't be easy from so far away PLUS her being uncooperative, but it can be possible. As long as you understand the time, money and emotional commitment it will require from you. If you are not now her PoA, then it will be even more difficult. Even with PoA it is difficult to get an uncooperative adult to do something they are physically resisting.

You don't mention how old your Mom is or anything about cognitive impairment. If your Mom is now old enough to have the beginnings of dementia, then the book I would be reading should be on that topic, since dementia breaks a person's brain is such a way that the prior rules of engagement may no longer apply.

I wish you much clarity and wisdom as you ponder your next move.
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