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I am from a 2nd-gen, immigrant family from eastern Europe on one side, and on my father’s side were stable, well developed, well educated Christian Americans, who lived in a smaller town. My dad had no idea what he was getting into when he married into mom’s family.

There were four siblings in my mom’s family. Her family, and the extended family that lived around were tyrannical. The other siblings ran—and had lives; my mother was the one who “helped” her parents, also known as “looking after them” or “taking care of them.” Like it’s no big deal.

The parents were ALWAYS my mother’s number one priority. They were both in bad health, and my mother spent all her time at their home cooking and cleaning, at the hospital with her mother, mother came to live with them for a long time before it got really bad… then my mother put her mom into an apartment near their home and cared for her until my mother placed her in assisted living/NH.

This totally consumed my mothers life. Her focus was never on her marriage, or on her own children, but always on her parents— supposedly out of necessity because they were sick.

I have spent an incredible amount of time thinking about this, and what should have been different. One main conclusion I have come to is that my mother never had “decision control” in this relationship. She was always the little daughter running around behind her parents to try to make them “happy”. Her parents never thought a second about whether it was right for them to consume all of her time and energy. They even suggested at one time that my mother moved in with them, because her family was self-sufficient, and she wasn’t needed there. (!)

I had always considered this to be a cultural issue, but it may be a religious issue, and the expectations might come from there. Or maybe it is just what happens when you come from poverty.

No matter what, the mindset is very IMMATURE. It was immature and irresponsible for my grandparents to expect that from my mother, and it was immature for my mother to give that kind of over-the-top care. She destroyed herself with it, and to a great degree destroyed all her other family relationships.

My mother did not help her parents. She was their servant. Big difference.

I have several friends who have abnormally close relationships with their mothers. That is a destroyer of marriages.

The point I want to make is that I come from two generations of experience with this, and what I see is that your wife is being an immature servant to an immature mom with wrong expectations. Just like in my own family. My dad retreated into his office, but handled all the big financials and estate planning, etc. for his in-laws. and he was forced to structure his career around the care of my moms parents.

And this part is important too— my dad‘s well balanced, well, educated, highly competent parents got totally left in the dust. There was NO attention or care given to my dad‘s parents. I don’t know a lot about them, as they lived in another town, so maybe there was a tough relationship there, too. But what I know is that the people who were very good at taking care of their own needs ended up in a very bad place, with zero support from children, because it was all being poured out on my mother’s parents.

I think you both need to go into counseling, especially so that your wife learns healthy boundaries.

Short term… my mother put mother into an apartment near our home. You can hire companion care people to come in at about $30 an hour to do light housekeeping/cooking. Or, I know people who have hired a live-in. This would likely be cheaper than the kind of care center you would need.

Are there siblings? Where are they?

I am only sharing my personal story because it resulted in a total train wreck for two generations. I have thought a lot about this because I want something different for my children. I have been forced to make many very difficult decisions. It is hard, sadly.
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Beatty Mar 20, 2024
Thank you so much for your personal story. Your insight is hardwon & to be celebrated. Maybe it is now like your super power!

Many points you raise have given me much to think over.

I also know women with abnormally close relationships with their Mother who ceased to stay married.

I have also wondered over the cultural, religious or financial reasons behind this 'daughter as servant' pattern.

Yet I have seen it accross many cultural backgrounds, dfferent religions (or atheists) & different financial situations too. I've come to believe those may be factors but not THE whole driver.

A lovely women I befriended was in this daughter-servant role but blind to it. She was 'on call' for her older folks. Not religious, 5th gen so no real 'other' culture, very comfortably well off moneywise. Demanded daughter be the *help*. The cook, cleaner, chauffer. Demanded she come clean their bathroom accident on a Sunday morning. It appeared an ego booster to be able to say their 40 yo daughter still obeyed them..? The woman had been so conditioned that when I asked what would happen if she said no, she had no words. As you say, no "decision control".
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Basictakes99, there is really good advice being given on this thread and what is consistently reiterated is to make the choice to change your situation. The MIL will be in the picture a very long time so figure out what options will make you happy and make your living situation happy and give them to her.

As part of your marriage you both have to have priorities and also be spending quality time together. If she does not want the same thing as you and her priority is her mother then it’s better to divorce now even if it is costly unfortunately. You can’t put a price on happiness and every day is gift not to be wasted.

It sounds like she is controlling the situation and the marriage which is not a partnership.

she is not recognizing you or respecting you and your needs in this relationship. If that does not change then make the choice to change your situation.

there are lots of articles and books on relationships and happiness -please google if you have time.

Remember in a healthy relationship your partner should hear you out if you are upset and their goal is make changes to avoid upsetting you again in the future(find a meet in the middle solution) , not to debate whether you should be upset to begin with.

Your feelings are not up for debate.
Make choices and make change.
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WearyJanie Mar 17, 2024
Amen! Good thoughts here.
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A quick observation—you said people tell you to “remember your vows.” I am a strong Christian, and I would like to remind that your wife took vows too. “Forsaking all others…”

You need to be her priority. I am from a second-gen immigrant family. Cultural mismatch is a killer.
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If she is placed in a not-so-nice Medicaid-pay home, your wife can literally spend the day there with her if she wants, and provide the “missing pieces”—right now you guys are doing 100%. In a NH, wife could do as much as she wants to with other staff to do the rest.

everyone wants a resort hotel to retire into at the end of life. Almost none of us get it. IMO, a low-end NH would work fine if your wife is committed to providing extra support there. Really. And Medicaid would pay!! Not sure why you are even looking at self-pay places when mother is on Medicaid. Self-pay in a NH is either a short-term solution, or only for the VERY rich.

They are expensive because they are paying five trained staff people for what you and your wife are trying to do alone.
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Basictakes99 Mar 20, 2024
We talked about this, but her mindset is what is the point, if she has to spend every moment at a facility to make sure she is getting the care she needs, what exactly is the point of said facility.

To a degree their is an aspect of entitlement, she does feel her mother should have the best care, in general she feels our elderly should get the best care across the board, we have no excuse not to give them the best,

It is a long story.
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This is why when I look for my future wife, one of the requirements will be that her parents be either:

A. 100% healthy

B. Under someone else's care, whether it be another relative, hired caregivers, or a nursing home

C. Dead
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BarbBrooklyn Mar 17, 2024
People inevitably get old, ill and need care.
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If MIL can’t sleep, can she put on head phones and watch TV ? Read? How can your wife believe for one second mom is doing well if she needs to be driven around for hours to sleep? My heart goes out to you. It’s profoundly unfair and selfish to put such strain on your marriage. I know it sounds harsh but since wife refuses to compromise then she needs to assume the entire load. Whether you leave and bunk with a friend or simply detach this is not sustainable. This is killing you. It’s time to save yourself. I hope life gets better for you.
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Basictakes, just a little whisper to you.. if MIL has any NEW or WORSENING confusion, aggitation or other worrying symptoms.. and this worries you.. maybe you would consider calling a medical advice line or similar?

Where I live, an emegency service was set up yo trial during Covid - video triage attached to a major hospital. Reported to be very sucessful so now being rolled out elsewhere. Website says will triage, advise whether to call EMS for immidiate transport, family take patient direct to ER, or more minor issue to see a Doctor soon or ask a Pharmacist. Collected triage info sent direct to next service, hospital, Doctor etc to save time.

Now I would never suggest bloating up symptoms or lying to make a situation sound ER worthy. (Those health heros have lifes to save).

But I would suggest speaking up.
Your distress is real. I don't know if your wife is fine or not. If she is stressed/depressed, angry, sad or what. But if the BURDEN of care is too much - it is OK to say so. To seek help. (Start with your general Doctor for advice).

Even pleasantly confused elders get brought to ER for query UTI or stroke. Frequent fallers are brought for falls investigation.

ER is not a solution, but in a crises can give a small breathing space.
An vulnerable confused elder is better dropped off at a hospital than left to wander the streets & be hit by a car (as my neighbour was).
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Am I understanding this correctly? OP works a stressful job and is sole support of his wife and her mother? And helps out with the mother (sometimes in the middle of the night) and does housework?

I had three children under five and a full time job, but I cannot imagine the stress of this.

Does the mother have any money of her own? Social Security or pension? Inheritance? Can you hire help, either for housework or an aide? It seems very risky to me to allow anything to disturb your sleep. If your work or your health suffers, or heaven forbid you have an accident, this whole house of cards comes tumbling down.
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NeedHelpWithMom Mar 15, 2024
He should plan a long business trip! Tell his wife that he has to go away or he will be fired from his position.

Then, allow the house of cards to fall down. That’s the only way that his wife will take him seriously and learn to acknowledge that it isn’t his job to care for her mom.
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You are not alone and your feelings are valid. I just try to remind myself that these are "moments". Don't define your whole life and marriage by these moments.

I am only 6 weeks in taking care of my father and I do NOT see any end in site at this point.

Everyone has their opinions and what they would do in my situation but until you are the one in it and it is your parent you can't 100% understand.

I can only imagine how your wife is struggling with making these types of decisions. I struggle since my dad is mentally 100% and can voice all his opinions too.

I have to be able to live with all the choices we make and for me, worrying about my dad in a nursing home is at this time not something I can live with considering he was physically and mentally abused after being in rehab for 5 days.

Hang in there
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We found giving Mom 400 mg of magnesium glycinate in the evening really helped Mom fall asleep and stay asleep.

When she was sundowning we would give 200 mg at 4 pm and 200 mg at 6 pm.

Other times we gave 400 mg at 6 pm and Mom would go to bed at 8.

Make sure to use glycinate version to prevent loose stool.
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Geaton777 Mar 15, 2024
brandee, no where can I find that Magnesium glycinate helps with sleep:

"The benefits of magnesium glycinate

Magnesium glycinate has been shown to have a variety of benefits, including helping to:
 
relieve anxiety

promote bone health

manage blood sugar in people with diabetes and may lower the risk of developing type 2 diabetes

maintain regular heart rhythms

reduce symptoms of premenstrual syndrome (PMS)

amplify exercise performance

reduce pain"

Source: https://www.healthline.com/health/magnesium-glycinate#benefits

It only helps if one has an actual deficiency. What is your source that says it does anything for sleep?
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Thanks for all the replies I will be reading them throughout the night while I take care of some paperwork for work.
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Geaton777 Mar 15, 2024
Are you sure you got her on Medicaid? Maybe you mean Medicare? In most states, the Medicaid program only covers LTC medical need. This means MIL would need to basically be bed-bound or so profoundly ill that she can't care for herself and needs 24/7 medical attention. A doctor decides if she needs LTC, not your wife or anyone else. Sometimes facilities will blur that requirement but not often.)

Your MIL is a candidate for MC. As long as she is up and walking around (regardless of her cognitive state) she is MC and not LTC ready.

This is why it'd be helpful if you posted what state you are in. Some states, like Michigan, do cover some custodial care (like AL). But most do not. Until you know this, it is a waste of your wife's time to tour Medicaid facilities if she's not assessed for LTC need. Then she'd have to also qualify financially, but that part seems like she's already there.

Please consider hiring an in-home aid. Maybe the condition is that the aid comes during the day so that your wife gets a break but also gets a job to cover for this expense. Your wife can also consider a WFH job, like customer service. Maybe you need to have a financial planner crunch the numbers to show your wife that financially it is unsustainable to keep paying for your MIL's care.

Care.com, or
Check local agencies. Get referrals for agencies or caregivers on Nextdoor.com
Hiring aids privately (meaning not through an agency) often makes you an employer in the eyes of your state's Dept of Rev. You don't need this complication. Agencies also do background checks and provide subs when their employee is sick or on vacation.

In Jan 2023 I was searching for a facility for my 100-yr old Aunt who had fallen and broken her hip. She had advanced dementia as well. Even with her broken hip she was still attempting to get out of bed and walk (which is how she broke her hip in the first place) while still in the rehab. Because she was still "mobile" I was having a hard time with the placement decision and finding the "right" type of care/facility for her. Mercifully she passed in her sleep the day before she was to be interviewed by a facility rep.

If your MIL doesn't have any other health problems (like my Aunt) and only memory issues, she may not be LTC eligible for a long time. My Aunt started having noticeable dementia in her late 80's, so about 12 years before she passed. Just boring you with this story so that you understand how long this can go on for and hoping it will motive your WIFE to come to a different perspective and for you to have very clear and strong boundaries.
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I found an old thread from last summer where OP says the wife had depression and anxiety causing her to not be able to work even before the mother got sick . OP talks about therapy as well as marriage counseling that was occurring.

I wonder if this codependency now with the mother is a way for her to stay at home and not face her own issues . The thread also mentioned the wife not being able to handle the mother being on Medicaid . Poor OP is being milked supporting both of them . Unless things start changing with the mother being placed , I would not blame OP for leaving and filing for divorce.
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Basictakes99 Mar 15, 2024
Things did change, we did get her on Medicaid, just turns out Medicaid is boarder line useless when it comes to getting services. They do not want to cover the needs of my MIL because they are not considered active help or whatever they said. She does well with prompting and queuing. She cannot be left alone more so for safety reasons. It is weird.
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You haven’t told us a lot about MIL and her relationship with your wife. Her mother may be dominating your wife, threatening meltdowns, all the other nasty controlling things that get reported often on this site. You could click on ‘Care Topics’ on the top right of the screen, then on N for Narcissism, and see if any of it seems familiar to what’s going on for you and your wife.

If you think that your wife is effectively being controlled by her mother, it may be that taking her to a Counselor could help sort this out. A couple of counseling sessions are a lot cheaper than a divorce. If your marriage started off with love, it might be worth checking this option. Perhaps leaving for a week or two will help to make your wife take seriously the possibility of a divorce, and then try this option first.
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Beatty Mar 15, 2024
Good points, the Mother-Daughter bond may be influenced by anxiety or controlling behaviour.

Then again, it may be healthy close bond they share. With long held family/cultural traditions to always care for elders. The Wife may simply WANT to provide a home & care for her Mother HERSELF.

This is her choice.. based on her morals & values. Yet choices have consequences.
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It’s clear that you are totally burnt out, and it’s time for you to distance yourself from this situation in order to save your sanity. I can definitely understand why your wife is struggling with the idea of placing her mother in a facility. Since this problem is affecting your sanity, it’s time for your MIL to be placed in a facility.

Yes, indeed, private pay for some nursing homes are ridiculously expensive at about $120,000.00 a year.

When people tell you to “remember your vows”, you should let them know that when you took those vows they were meant for you and your wife and not for your MIL.

Since your wife doesn’t want to place her mother in a facility, you should step away from this situation and let your wife handle it herself. Tell your wife that this is affecting you mentally and physically and that you will not be helping her to take care of her mother if she does not place her in a facility. It will be a rude awakening for your wife and when she becomes burnt out from taking care of her mother all on her own and she will then agree with you to have her mother placed in a facility.

Wishing you peace.
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You have gotten very good advice here but I want to add that you are so distraught that you need some counseling/ therapy. You can also call the local chapter of the Alzheimer’s association and see if there is someone you can talk to or a support group. You are struggling to be too good and it is killing you with depression.
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Why do YOU have to drive your wife and MIL around because MIL can't sleep? Where are MIL's sleep meds? WTF???

Your wife is "struggling" placing her Mother? How old are you two? Do you both work full time? How did you get stuck with your MIL living with you? I would tell you to STOP holding your frustration in. You will give yourself a heart attack!

Speaking of VOWS....You must sit wife down and tell her calmly and clearly, she made marriage vows to YOU, not her Mother. That both of you are not medical professionals, that MIL needs 24/7 care that requires 3 eight hour shifts of caregivers. She is cheating her own Mother out of proper care. She made vows to you that didn't include her Mom! She may think Mom is doing great, but that won't last long at all! MIL will get worse as time passes. Wife needs to read up that Alz is a progressive and terminal disease.

You DO NOT PAY for MILs care. She can find a place that will take Medi-Cal when MIL's money rums out. You need your own money for your own care when you get older. Mom has dementia, and will not need a deluxe facility to live! As she gets worse, she won't want to bathe, for starters! Why does your wife think spending $10K.month for MIL's facility is reasonable? Are you filthy rich?

Stop the torture. Tell her to find MIL a place. Board & Care homes are cheaper and MIL gets decent care in a cozy place. Ask your wife to honor her vows she made to you, or you will have to leave her and MIL to fend for themselves. Make it clear you are serious, you are a couple, not a trio. Legally you are not required to financially support MIL. MIL was not in the vows. This isn't fair to you and you are already wearing yourself out.

DON'T BUY the "culture" excuse. You live in America, not Korea. Wife is who is not honoring vows, NOT YOU. So what that MIL is doing good? Alz is a progressive disease. Don't help her with MIL to make her think it's so easy!

See a lawyer about your state laws on alimony. Always smarter to be the Petitioner and throw the first grenade. Give a deadline, and mean it. Tell wife she made vows to YOU, if she can't keep them, you are GONE. Your are not going to pay for MIL, period. Wife is trying to make you pay, knowing you can't....so MIL stays forever. Nice try.

You could be dodging a bullet, instead of going broke for MIL. None of this is fair, period.
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Basictakes99 Mar 15, 2024
We have tried sleep meds, but they did not keep her asleep the entire night, and she would wake up extremely dizzy, so we took her off them because she nearly face planted if my wife was not around to catch her it could have been a huge hassle.

My wife's night vision is not that great so she really should not be driving at night. We cut back on the night aides because it was getting a tad expensive, so I help my wife out at night cause I do not want her to do this alone it would not be fair to her.

Call me a sucker, but I still love my wife to pieces. Granted my wife does have a point because she was transparent with me when we got together and married. I just did not think it would happen so soon, or be this bad.
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I'm so sorry and completely understand your distress. The feeling of being trapped is one miserable existence. I too have seriously considered leaving it all behind. I hope family members come to their senses and make the changes that consider your happiness too. Hugs; here's to better days.
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Sorry to hear this. This is not good.
I have a couple of comments - people are telling you " Cannot really talk to people about this because I always get reminded remember your vows.".

Well, what exactly were your vows and what is YOUR thoughts about them? It should not matter what others say. What matters is how much stress and strive do you believe you should go through to stick with your marriage. Thats up to you. As far as the law, divorce can be done for reasonable reasons and this would fit. Whether you stick a marriage out is up to you. If you do, then I agree with others, it should be with conditions. You need to decide what the conditions you will set with your wife will be. However the status quo sounds very bad.
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strugglinson Mar 14, 2024
If you think things are unsolvable and grounds for pursuing divorce, thats your choice.
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Forgive me if I ask questions you have already addressed , I don’t know your previous posts .

But have you asked your wife to go to marriage counseling ? Perhaps that would open her eyes that this is not working . It is not fair for your wife to put her mother ahead of her spouse .

Your marriage vows are for your marriage between you and your wife . Not for living with her mother . 3 people is not a marriage . Don’t listen to those ridiculous people who spew the “ do the right thing “ type of SH*T .

Stop helping . Stop driving them around. You can quit “ working” for her mother . Your wife does it all for her mother . Do your own laundry , cook your own food. Live like room mates . Detach from this situation .

Have you told your wife that this is seriously not working and killing your marriage , that you feel like running away from this situation ?

I’m so sorry . You may have to tell her you need a break and go on a vacation . Tell her you would like her to come with you , but you are going anyway .

Let your wife know that now that her mother is doing better, it is now time to turn attention back to your marriage and her mother needs to live somewhere else. Tell her that her mother can not live in your home any longer .

Tell your wife that her mother does not have to live with you for her to take care of her . She can visit her at a facility and be her advocate .

You may need to rent a room like Alva suggested to go to for your sanity . Go to the gym etc like already suggested below . Don’t be home a lot .

I’m sorry that a divorce is financially worse than staying , but it may be necessary . Did the lawyer say divorce would be different if it was mutual ?
Perhaps if you stop helping with her mother , your wife will want a divorce .
I would talk to the lawyer about what you can safely do and not do in the marriage to not hurt you in the divorce . You don’t want your wife to garner ammunition .

Do not pay for Assisted Living . You should not be using your money for her mother’s care .
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Dupedwife Mar 14, 2024
I totally agree with you.
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Whoa, someone mentioned that you are young....27 or 28 years old. This is rough.
I'd set a lot of boundaries for yourself and simply be unavailable for care. Get a second job to get away if you have to. Get some hobbies. Join a gym and go to work out. Take care of yourself. Join a sports league.

Stay busy and unavailable while you are figuring things out.

PS. I still recommend a cruise.
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I'm sorry you are going through this.

Look into 4 week cruises. Tell wife you are exhausted from caregiving and you need a break, respite and that you are going to recharge on the 4 week cruise. Invite wife to go with you.
Tell her you can put MIL in a respite facility for 4 weeks so that you all can recharge.

If your wife does not want to go on the cruise then you go solo.
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((Hugs) )Im sorry. I'm in that dark place too. I live with my 80 yr old mother with beginning stages of alzheimers, dementia. I feel like i am stuck in this ordeal and I'm all alone. Family lives in another state faaaar away. Im sick of it all. I don't want to get out of bed in the morning. I have health issues too and that makes it harder. I agree with you.. life is a sick joke!!!
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I posted earlier, just adding that your wife shouldn’t be shocked if you pack a bag to take a break elsewhere.

She’s practically holding the door wide open for you to leave, considering her behavior. She shouldn’t expect you to be driving around town with her mom because she can’t sleep due to daylight savings time.
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I so hope wife does not feel that you should be paying this 12k. If so, she needs to get a job. Why did she not drive Mom around? Why do u have to, not your mother. Since this last night upset you so much, time for ultimatum and you need to stick by it, Mom or Me. If she says Mom, its then an mutual divorce. You split up what you can weighing if its worth the fight. The more you agree to the easier the divorce. Wouldn't it be better to lose a little than put up with this.

Your wedding vows have nothing to do with caring for in-laws. Its care of each other. You need to learn the word No.

MIL should be paying for her own care. When the money is gone, then its Medicaid. You divorcing does not mean you support MIL too. You should not have to support your wife because she chooses to care for Mom. If she had a job before Mom then she needs to go back to work. There are options for Mom.
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My ex made a HUGE salary every year and we lived in a home others considered a mansion. I woke up one day and said NOT ONE MORE MOMENT OF THIS MAN WILL I TAKE, and I filed for divorce. I said I'd rather go slice cold cuts at the grocery store than live with the dysfunction any longer.

I wound up working for Home Instead for $8/hr (in 2002) and wiping elderly people's butts, having walkers thrown at me in rage, and being told my eggs weren't as good as those on the QEII ship. But I was FREE of the torturous life of luxury I was living with a mentally ill man and so were my children.

Who cares how much it may cost you to divorce? Have you actually seen a lawyer? See ANOTHER one if the first one had answers you didnt like. How much is FREEDOM worth?

Give your wife an ultimatum and a deadline. You have until June 1 to get mother placed or I'll file for divorce becuz I cannot and will not live this way any longer. Period.

And to HELL with what other people are telling you! Do what is right for YOU and stop being a doormat for HER.
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Southernwaver Mar 14, 2024
He could at least do a legal separation
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A couple of people have mentioned that you tell your wife you are going on a business trip or going camping. Yes, you need to get away from this situation, but I suggest you tell the absolute truth to your wife, that you cannot deal with the MIL living with you, that you cannot deal with the MIL being more important to your wife than you are, that you need some alone time to settle back into yourself and decide what you will do going forward. Say you will help carry out any plan that will save your sanity. Taking care of MIL does not have to mean she lives with you. It means your wife makes sure MIL is cared for. All three of you have to be okay, not just MIL. They looked at facilities. That means they know it is what is needed and just aren't there yet with making the decision. Your disappearance for a week or so may force the decision faster.
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Southernwaver Mar 14, 2024
It usually helps for the spouse to FEEL the stress by taking care of their parent alone for a time and then have the discussion. He is propping both of them up at his expense and when he stops doing that his wife might have more empathy.

That is why we say take a vacation first.
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Take a week vacation. You need it. Go somewhere calm and relaxing. Your wife needs to be left alone with her mother for like 2 weeks.

Maybe go stay in an extended stay hotel. Your mental health needs this. I give you permission to do it.

I have been where you are and it’s a lonely, soul sucking place.
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JeanLouise Mar 14, 2024
Pperfect description
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The people on here care about you. You've received some good advice.

The idea of renting a room somewhere seems like a great solution. Look around and see what you find. Remind wife that she and her mom might be attached at the hip, but you are not. She can decide if she wants to move on without you or with you. Your conditions are that you contribute no care for mom, and mom leaves your home. You don't care how. That's up to wife.

Since mom and wife are Korean, do they remain Korean citizens? If so, is there a place where mom can be cared for there? A government program, perhaps? I'm mentioning this because I knew someone from an Asian country, and though she lived in the US for many years, when it came time for her to need help in her old age, she returned to that country for care, which was due her because she was still a citizen.

I've seen lovely board and care homes where dementia patients are well cared for. My BIL is in one. Only 8 or so patients, 24/7 care, great food and loving caregivers. It's like living in a family home. There's even a baby grand piano in the living room! Not all dementia care has to be institutional.
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I'm not sure why type of facilities you are looking at (Assisted living, memory care or skilled nursing), but where I live $12,000 would be at the low end, except for a tiny AL apartment shared with someone, and it sounds like she's way past that.

If she is on Medicaid you shouldn't be paying out of your own money. Even if you have to settle for a facility that is not ideal, your wife could visit every day and help with her care. That way you could both work and sleep on a normal schedule, and take a breath.

I get that its not just that easy. Everyone on here was telling me to place my mom, who refused to go. The difference is your MIL seems to have dementia if you have to drive her around like an infant to get her to sleep. If this is correct she may not even know who you both are in a few months. And by that time your marriage will be destroyed and you will not be able to keep her safe at home.

I feel awful for your situation. I would press Medicaid HARD for more services, even if placement doesn't work out. Did she "showtime" for the person who came to assess her? If nothing else she should be getting 12/day home care.
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Consider renting yourself a room somewhere outside of the home.
Much cheaper, I am thinking, than 12,000 a month.
Then go there. Often.

Tell your wife you have reached your limitations, that you will not force her to place your mom but you will not also serve as chief cook and bottle-washer, driving them about like some sort of sad chauffeur. That you will often be gone; that she will have little help from you in this job she has chosen to take on.

When you need to retire to your own "room of one's own" then go there will a good book or a few movies to watch, go to the gym, go running in the park, take up photography or sculpture.

You have no perfect choices here. It is either leave or live with this. Life has so few perfect choices when you really look at it, right?
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