@msbellows <3 <3 <3 !!!
@grimalkina @mttaggart first, I disagree that 99% of the folks on mastodon are male. And many of the comments mirror my experience as a caregiver. Please allow me to share a little of my experience. It was 8 years with Pops, 3 part time while working, and the next 5 years full-time, just to keep my FIL in our home, where he eventually died. And several years prior discovering and dealing with the early dementia. I learned a lot in that time about caregiving, medical systems, and myself. I always went with him to all medical appointments. And I must’ve aged 20 years in that time, even with help from my spouse and his elderly wife. So I can most certainly relate. We regularly experienced Ageism (just let him go to a facility to die), to the doctors and social workers who tried to take him away from us on multiple occasions and then force us to pay $100k+ for dementia care, to being told conflicting treatments and having to correct those issues, which was very time consuming. We were interviewed for hours by multiple hospital social workers who kept Pops for days while we proved our capacity to provide the level of care that they required. I learned that most of the doctors had very little experience with dementia patients, and tried to communicate with Pops as a fully cognizant person. It was “a very long and winding road” to say the least. Thankfully, we received excellent support from the Veterans Administration and the assigned representative was an angel. (Pops was retired military). And early on I was able to take advantage of an adult day care that provided me with several hours during the daytime to care for myself. Now, years later, it’s time for Mom’s care. Her doctors all have similar recommendations, she’s old and gonna die anyway, so why make things difficult for yourself. And the current medical system has evolved to a more “team and training based” system. We don’t know who the doctor, nurses assistant, or intern will be treating Mom at the next appointment. One helpful thing I setup after caring for Pops was an extensive automation system using Home Assistant. I’ve installed sensors everywhere to monitor the doors and windows, running water and leaks, gas sensors, presence sensors, and a host of automations to help monitor and alert to mom’s activities in and around our home. It is surprising the poor decisions that a person with dementia can make that can be very damaging and outright dangerous to themselves and other occupants in a home. So, I didn’t write all of this for pity, but to let anyone who decides to take on responsibility of caregiving that it is a significant commitment: financially, physically, and emotionally. Seek help, there’s so much to learn, and understand your limits. There’s the saying that it takes a village, so go find the village or create one to be your support group, because you’re going to need one. And get very involved in their medical care, as was recommended by the OP. You will need to establish a health care proxy, so research advanced care planning now, before it’s too late. It will become extremely difficult to get that healthcare proxy established if your loved one becomes mentally impaired. Heck, do this for yourself and spouse as well. It’s time for me to seek out caregiver groups on mastodon. And remember to take care of yourself.
@grimalkina @Nicovel0 Wrapped up in this is the older generation’s natural deference to people in authority. I saw it with my own late mum, and her sisters. They were terrified of questioning anything a doctor would say, or not say.
@grimalkina
This surprises me. I am reasonably certain that at least 45% of the people I see on my Mastodon feed our female, whether natural born or trans.
@grimalkina it's far from being an age thing as well, UK NHS doctor was unwilling to do anything about the constant fatigue my < 30 yo girlfriend was reporting until the fourth visit in which I accompanied her. Devils advocate will say it's her persistence, but actually, the doctor point blank asked me if **I** have noticed her fatigue before finally giving her a referral...
@grimalkina @MostlyTato 99% male audience? That’s not been my experience
i've been dealing with my mom's medical and financial stuff for a few years now. it's insane. the US medical industry and financial institutions really do seem to want the elderly to just die but give them all their money first.
my sister and i tag team being on the phone when she's at the doctor's and we both review all visit reports and talk to the doctors and insurance as necessary.
i truly pity elderly folks that don't have someone to assist them with all this, someone fully in their corner.
@grimalkina
Have a list of your elder's questions. And carry a clipboard to write all the answers down!
@grimalkina I was 27 when this problem abruptly went away... I wish I'd been better positioned to help her more but as it is, I was already her primary caretaker and doing my best.
@gooba42 I am sure you did all that you could.
Describing the situation in one particular country in a toot in international Fediverse without ever mentioning which country's situation that toot refers to: In my experience, that's mostly done by toot authors from the USA. Here, too?
I briefly tried to determine country of origin from the various resources linked from @grimalkina 's profile, but failed. (No impressum, so she's highly unlikely to be a European author.)
I am summarizing over experiences and conversations I've had with European women in these patient communities, Canadian women, AND women in South America and US, so I felt comfortable speaking about this as a shared issue across many systems. I have family in the UK, EU, Canada, US. My main patient chat represents all those regions and 10+ countries.
Don't EVER speak about my labor on women's health in this objectifying, dismissing, asshole reply guy way again.
Thanks for making the international scope of your original toot transparent!
@grimalkina @dj3ei I'm Canadian, we have social healthcare unlike many in the US, and still I heartily endorse this message. I've also dealt with the German healthcare system (even more baffling than here).
The difficulty is not just with healthcare systems, but mysogyny, disrespect of the elderly, failure to listen, bullying ... and these can and do go on everywhere. 👍
@dj3ei Here's some research relevant to women in Germany including monitoring from your own health monitoring infrastructure:
https://academic.oup.com/eurpub/article/31/Supplement_3/ckab164.778/6405271?login=false
https://pmc.ncbi.nlm.nih.gov/articles/PMC6790957/
https://pubmed.ncbi.nlm.nih.gov/26818655/
https://www.mdpi.com/1660-4601/19/14/8277
https://pmc.ncbi.nlm.nih.gov/articles/PMC6288397/
https://pubmed.ncbi.nlm.nih.gov/19564209/
https://pmc.ncbi.nlm.nih.gov/articles/PMC8864567/
https://www.europarl.europa.eu/RegData/etudes/STUD/2025/778519/IUST_STU(2025)778519_EN.pdf
@grimalkina and don’t put that caregiving burden only on the women in the family. Often only one woman. Caregiving often kills the caregiver first.
@grimalkina My mother is 79 years old and a retired RN. She is the type of person that refuses to share any information with her children, especially medical and financial information, and she gets very defensive if you ask.
@[email protected] obviously this is something people should interpret for their own context, jesus fucking christ.
Our moms are suffering because no one cares and they aren't telling anyone. They're getting diagnoses 15 years late, they're being bullied about medications, they're silent about what they're going through.
The difference between the younger women and the older women in the patient groups I'm in is horrific. I have listened to many, many people's moms describe years of suffering that could've been prevented. I am not trying to lay on any guilt. I'm just saying a little bit could go a long way.
@grimalkina Hitting a nerve. BTDT for my mother.
It doesn't have to be this way. I have helped multiple older women argue to get past primary care and get to specialists and learn that there is better science than decades ago, that has studied more women, but there's only one of me in these chats. You can't fix the system but if you have an older woman in your life you can ask if you can research something for them, or go to an appointment and make sure they're heard, or suggest the random pains they have are a thing that needs attention.
@grimalkina my first instinct here was to yes-and a suggestion folks offer such support for younger women in their lives, too, given the differences in care I've seen when family, especially male family, just show up. Then I was suddenly hit by the realization I am old enough to be that parent of adult nerds on this very platform. Oh no.
@worldsworstgoth oh I completely I agree I just think, cynically, it's much harder to get older men to care about anything here so the selection of a set of identities was to optimize the potential for compassion and privilege to exist together there
@grimalkina Even if you are a former medic (mum was a nurse) having company for medical care is invaluable. I attended appointments with my mum when she lost some hearing at 63 (she was a teacher of the deaf at the time) and recently happened to be visiting when she got a nasty UTI.
My Dr stepdad benefitted from my mum's support when he got ill in the weeks before his sudden death. Urology said they rarely received a fully-hydrated patient after a day in A&E... Mum had bullied Stepdad to drink!
@grimalkina
Yep, good thread.
26 years ago I moved my parents from their home 200 miles away into the 'granny flat' I set for them on the ground floor of my home. I moved them while they were still well enough to make the move and resettle, and progressively provided more and more care for them over the years.
Dad died a couple of years ago, and now I am just caring for Mum.
We take her to her appointments, my wife drives, I take Mum in and sit through the consultations with her. I make sure she has meds and support, personal as well as medical.
Mum is 93 now and still going strong. We are planning a move to rural Wales and will take Mum with us. I will probably still be caring for her when I am 70.
I am also still working, employed part time, self employed, and a volunteer.
@grimalkina I'm interested in hearing what you have to say, but you have to make it clearer because this is a topic many have absolutely zero knowledge about. We need examples, steps to take, and advice. You really need to spell it out. Talking with your aging parents is not easy. Autonomy, shame and ego are all mixed up in there. There is history on top of that. So can you give us a head start? In fact, a full blog article or a video would rock. Something one could also share with relatives.
@bitecode who do you think I am, John Green?? Where am I getting the money and time to make all of that on top of all the free labor I am already doing? This is literally a call to action for other people to do more BECAUSE I am already at the absolute limits of how much I can help with this.
I don't mind respectful content requests, but telling me "you have to do x" and "you need x" is NOT it.
@grimalkina Not just moms. My wife is 71 (seven years older than me), and there's a reason she still spends all day every day in the garden doing heavy stuff, and walks for Mike's with her friend, and our love life is even better than it was when she was 40: we've both fought to get her the right medical care instead of letting them let her get "old." Hips, heart, hearing, hormones. Next up: cataracts, and then she'll see better than she did at 20!
@msbellows <3 <3 <3 !!!
@grimalkina May I ask about which country you speak?
@NatureMC no you may not. I have family in multiple countries and this is a theme across all of them. I think you are capable of generalizing from one person's narrative in a specific context and adapting it to your own.
@grimalkina I helped my mom at appointments and noticed too that I was taken much more seriously if I dressed up/ dressed professional, not casually. Annoying that it matters, but it definitely did. Also had to continually redirect the conversation back to her, so she would be taken seriously and not ignored or talked around. This takes work.