recovery Niel Flamm recovery Niel Flamm

From Carrying Groceries Home to Fighting for Independence: Watching Mom Change

I'm at the skilled nursing facility, spending a bit of time with Mom. We're outside right now, enjoying some fresh air and talking.


This morning reinforced a decision I made a long time ago: I was right not to pursue a career in healthcare. I don't think I have the personality for it.


And that's not a criticism of people who work in healthcare. Quite the opposite. Watching what the CNAs, nurses, and physical therapists do has given me a greater appreciation for the patience required to do their jobs.


Because it’s an easy patient.


She's difficult. She's demanding. And when she wants something, she makes sure everyone knows it.


I'm pretty much the opposite.


"I Want"

While talking with Mom, I noticed how often she uses those two words: "I want."


She wants to get out of the day room. She doesn't want to spend her time sitting there. She wants to go to the physical therapy gym.


I understand it.


The day room sounds like a prison to her. She's in a facility where other people have schedules, where she depends on staff to help her move around, and where she can't simply get up and do whatever she wants whenever she wants.


And when you think about it, that's a significant loss of independence.


I want things, too. We all do. The difference is that I'm generally more inclined to work around circumstances rather than keep pushing until I get what I want.


Mom has a different approach.


Sometimes I get frustrated with her demands. Then I have to remind myself that she's the one living there. She has to spend her days in that environment. What feels like another complaint to me might represent something much bigger to her.


That doesn't mean we can meet every demand immediately. The staff has other patients to care for, and practical limitations limit what can happen.


But I can understand why Mom wants more control over her day.


The Woman I Remember

What's particularly difficult is remembering the woman Mom used to be.


I remember seeing her carry groceries from Post Avenue in Westbury, New York, to our house. It was only three or four blocks, but she made that trip with the groceries she had purchased for our family.


That was the Mom I knew.


She went out, did what needed to be done, and brought the groceries home.


Today, she's in a skilled nursing facility. Her mobility is limited; she needs help, and she wants to get to the physical therapy gym to get stronger.


It's sad to see that change.


I'm not suggesting that the woman I remember has disappeared. She's still Mom. She still has opinions, preferences, and a very clear idea of what she wants.


But the circumstances of her life have changed dramatically.


The woman who once carried groceries home now has to depend on other people to help her get where she wants to go.


And I imagine that's frustrating for her in ways I can't fully appreciate.

A New Appreciation for Healthcare Workers

This is also why I know I made the right decision not to pursue a healthcare career.

I can help Mom. I can visit, advocate for her, ask questions, and try to help her figure out the next chapter of her life.

But can I handle the demands of patient care all day, every day? That's a different story.

Healthcare workers have to balance compassion with practical realities. They need patience, resilience, and the ability to deal with people who may be frightened, frustrated, demanding, or simply unhappy with their circumstances.

I don't think I could do that job well enough to make it my career.

I have limits, and recognizing them matters.

It also makes me appreciate the people who show up and do this work every day.

What Comes Next?

Mom wants to leave the skilled nursing facility and move into assisted living. I'm continuing to explore options and figure out what might work for her.

But beneath all the complaints about the day room, the food, and getting to physical therapy, I want to see past something.

Mom wants to’.

Mom wants to have some control over her life again.

I want things, too. I want her to be safe. I want her to have the opportunity to regain as much independence as possible. And I want to help her find a living situation where she can have a better quality of life.

Those goals don't always align with what she wants in the moment, and there will undoubtedly be harder conversations.

For now, we're outside together.

I'm listening, thinking, and writing.

And I'm remembering those trips from the grocery store on Post Avenue to our house in Westbury.

Life can change in ways none of us anticipate. Sometimes the hardest part isn't figuring out what to do next. It's accepting how much has changed while still trying to help someone move forward.

That's where I am today: sitting outside with Mom, remembering who she was, seeing who she is now, and hoping for what's possible next.

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family, boundaries Niel Flamm family, boundaries Niel Flamm

A Bittersweet Trip to the Eye Doctor

I’m sitting at the eye doctor’s office today—not for myself, but for my dad. He has a regularly scheduled appointment to help manage the macular degeneration in both eyes.

I drove him in his car. He can’t get into mine, a BMW X6, so he bought a Chevrolet Blazer. I’m happy to take him. He’s driven me to plenty of appointments over the years.

But today feels bittersweet.

Dad got ready on his own. He got dressed, made it down the stairs, climbed into the car, buckled his seat belt, got out at the office, and walked inside. It was good to see him manage something important to him.

And it left me thinking about what else seems important. Seeing the TV and scrolling on his phone appear to matter. But he hasn’t seen his wife since around the end of August.

He made one attempt. I didn’t take him, and I own that. But there hasn’t been another attempt since. He says he’s in too much pain to go.

Today, he made it to this appointment.

I’m not saying his pain isn’t real. I’m sitting with the contradiction, and with the sadness of watching him make the effort for one thing while the distance from his wife continues. I can’t make that choice for him.

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mom, assisted living Niel Flamm mom, assisted living Niel Flamm

A Cooler Afternoon with Mom, a Warmer Conversation, and the Ongoing Battle for Boundaries

Today, I'm sitting outside with Mom at the skilled nursing facility. It's about 20 degrees Fahrenheit cooler out here, which makes a huge difference. We're enjoying the fresh air and talking, and I'm doing what I often do: writing as life unfolds around me.


Our conversation has turned to my father, her husband, and what's going on at home.


Sometimes, the conversations you have with your mother aren't just about her recovery or what happens next. They become conversations about the life she's lived, the relationship she's in, and what's missing.


And today, that's where we are.


Another Round with Dad

Last night, my father and I got into it again.


This time, we argued about the outdoor garbage receptacles.


Yes, the garbage cans.


On Thursday, he asked if I had brought the receptacles in from the curb. I answered: Yes, they had been brought in.


Fast-forward to last night.


He asked me the same question again.


My response was straightforward: "I told you yesterday."


He came back with, "I still don't know if they were brought in."


At that point, I gave him my final answer on the subject:


"You can get up and look."


Apparently, that wasn't the response he wanted.


He then told me we needed to be civil.


My response?


"How am I not being civil?"


I'm not refusing to be civil. I'm refusing to be a servant.


There's a difference.


I'm setting boundaries, and apparently, those boundaries aren't sitting well with him.

Show My Belly? No, Just Do the Right Thing.

The conversation continued.

My father asked what he should do. Did I want him to "show his belly"?


For anyone unfamiliar with that expression, he was referring to making himself submissive to me.


My answer was simple.

"No, I want you to do the right thing and give Mom the money she earned."


That's what this is about.

My mother has spent decades working and earning money. I have Power of Attorney over her assets to help manage her finances and arrange for her care. Yet my father has voluntarily declined to share information about her employer's 401(k).


Meanwhile, I'm touring assisted living facilities, trying to figure out what Mom's next chapter might look like and how to pay for it.


This isn't about me wanting control over my father.


It's about making sure Mom's resources can be identified and used appropriately for her care.


I don't need him to be submissive to me. I need him to cooperate in doing what's right for Mom.

Those are two very different things.


Meanwhile, Back at the House...

There's another part of this situation that I can't ignore.


While all this is happening, the clutter at home keeps growing.


I'm talking about junk food, boxes, papers, old medication, and other things creeping into spaces where they don't belong.


It's becoming increasingly difficult to ignore.


I'm starting to wonder whether my father is developing hoarding behaviors. I can't diagnose him, and I don't know what's driving the accumulation, but from where I'm standing, the situation is getting out of control.


Things seem to be spreading everywhere.


And before anyone points fingers, let me acknowledge something: I don't live in the tidiest room myself. I'm not going to pretend my personal space belongs in a home organization magazine.


There's a difference, though, between having a messy room and watching clutter accumulate throughout the living space until it becomes a growing concern.


I'm not claiming to have a perfectly organized home. I'm saying that what I'm seeing is becoming a problem.


I'm planning to take some pictures to share in a future post. I want people to understand what I'm talking about, not just read my description and imagine something different.


I'll be mindful to protect personal information in any pictures I share, especially if medication labels or other private details are visible.


The clutter is another layer of stress in an already difficult situation.


I'm trying to help Mom transition to a more suitable living arrangement while navigating a strained relationship with my father. Meanwhile, the house where we both live is becoming increasingly difficult to deal with.


It's a lot.


Sitting Outside with Mom

And that brings me back to where I am today.

I'm outside with Mom, enjoying the cooler weather and talking.

She's telling me about other people at the facility.

She's noticed couples who are working together in therapy. She's seen partners visiting their loved ones. She's watching people show up for one another during a difficult chapter of life.

And I can't help but notice the contrast she's describing.

Her husband hasn't been showing up for her in that way.

At least, that's how she's experiencing it.

He's not there working alongside her in therapy. He's not visiting her or spending time with her the way she sees other partners do for their loved ones.

Instead, I'm the one making the visits, asking questions, touring facilities, and trying to figure out the next steps.

I'm not looking for a medal. I'm her son.

But I can understand why seeing those other couples might bring up some difficult feelings for her.

When recovering from a serious medical event, notice who's there for you. You notice who makes the effort. You notice the people who sit beside you, encourage you, and help you get through the day.

And sometimes, you notice who's missing.

I don't know everything that's happened throughout their 56 years of marriage. I'm not going to pretend that I do.

But I can see what's happening now, and I can hear what Mom has to say.

Boundaries Aren't the Same as Being Uncivil

My father and I are clearly not on the same page.

He wants us to be civil.

I want us to do what's necessary to help Mom.

Those goals shouldn't be incompatible.

We can disagree without being disrespectful. We can have difficult conversations without turning every question into a power struggle. We can work together on practical matters without one person expecting the other to be at their beck and call.

And we can discuss Mom's finances without turning the conversation into a debate about who is submitting to whom.

I'm not asking my father to show his belly.

I'm asking him to help resolve the financial questions standing between Mom and the care she wants.

I'm also trying to establish boundaries around what I'm willing to do, how I'm willing to be treated, and how much energy I can devote to these ongoing conflicts.

I have dialysis. I have my own health to manage. I have recovery meetings, responsibilities, and a life outside the skilled nursing facility.

I cannot spend every day fighting battles that cooperation could resolve.

And I don't want to.

What Happens Next?

For now, I'll keep moving forward.

I'll continue exploring assisted living options for Mom. I'll continue trying to understand her financial resources. I'll continue visiting her and listening to what she has to say.

And I'll continue setting boundaries when conversations with my father become unproductive.

The situation at home is another concern I'll have to address, especially as the clutter continues to spread.

I don't have all the answers.

I don't know how this will ultimately play out.

But sitting outside with Mom today, listening to her talk about the couples she sees working together, has given me something to think about.

Sometimes, support isn't complicated.

It's showing up.

It's sitting beside someone.

It's helping them take the next step, even when that step is difficult.

And sometimes, it's doing the work that needs to be done without expecting applause.

That's what I'm trying to do for Mom.

As for the garbage cans, I think we've established that my father can check them himself.

I'm her son, not his servant.

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boundaries, family Niel Flamm boundaries, family Niel Flamm

The Appointment, the Doom Scroll, and One Good Foot

I went to the podiatrist today. My foot is fine, and somehow I didn't have a copay. So I have to ask: why does seeing a doctor for one foot cost a full copay, but apparently seeing a doctor for both feet costs nothing? The healthcare system remains a mystery—at least my toes are doing well.

My father had asked me several times to make an appointment for him while I was booking mine. So I did. After the recent malay with my mom, and after he used my “deficiency” against me, I still helped. I told him the appointment time, and the doctor texted him a reminder.

When it was time to leave, he was still in his chair, doomscrolling amid the boxes, papers, and other stuff that had gathered around the place he hardly gets up from.

As I was heading out, he asked, “Did you get my message?”

“No,” I said.

“I canceled the appointment.”

“As long as you called them.”

I’m not playing messenger.

This has become a pattern. He asks for help setting up an appointment or task, then cancels when the time comes because he’s “not feeling well.” Maybe there’s more going on—perhaps even agoraphobia. But whatever the reason, the result is the same: plans get made, plans get dropped, and I’m left rearranging my day around them.

It happened with a necessary trip to Verizon to fix his cellphone. We finally went about six months after he first asked. It happened with an in-person bank deposit, at least two months after he asked me to help. There have been other examples.

I don’t mind driving him. He isn’t in shape to drive himself, and I like being behind the wheel. Honestly, the world is probably safer with him off the road.

What I do mind is changing my own plans to help—like moving a pain appointment I’d arranged for that morning in Downtown Charleston—only for him to cancel at the last minute without telling me directly.

That’s not cool.

So, lesson learned: I’m happy to drive when there’s a real plan, and he’s ready to go. But I’m not rearranging my day around appointments he may cancel from his chair.

At least one of us made it to the podiatrist. And one of us left with a good foot and no copay.

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recovery, rehab Niel Flamm recovery, rehab Niel Flamm

Mom Is Making Progress—and Apparently I’m Her Husband Now

This morning after dialysis, I went to visit Mom at the skilled nursing facility.


When I got to her room, she wasn't there.


That's actually a good thing.


She was doing rehab.


I was told that Mom is making progress, which was great to hear. She still needs someone blocking her left leg because it continues to buckle, but progress is progress.


After everything that's happened, I'll take it.


Eventually, Mom made her way back to the room.


And that's when today's visit took a turn I wasn't prepared for.


There's a New Roommate

Mom got a new roommate on Saturday.


Her previous roommate, Jenny, left last Monday. I don't know the name of the new roommate yet, but I do know that she broke her hip, had surgery, and is now there recovering.


The new roommate came into the room while I was there.


There was some banter.


I'm not particularly good at banter, but I participated.


She mentioned that she's also hard of hearing, so apparently Mom and her new roommate already have something in common.


Everything was going fine.


Normal conversation.


Normal skilled nursing facility visit.

And then she looked at us and asked a question:


“Is that your husband?”


Excuse me?


I'm sorry.


What?


GROSS!!!!


I believe there are moments in life when the human brain protects itself by temporarily refusing to process information.


This was one of those moments.


Of all the possible relationships she could have guessed...


Son?


Nephew?


Relative?


Friend?


Random bald guy who wandered into the wrong room after dialysis?


Nope.


Husband.

I guess...Good for Mom?

Once I recovered from the initial trauma, I had another thought.


I guess that's a compliment to Mom?


Maybe?

Apparently, she looks young enough to be my husband.


Good for her.

Unfortunately, that means the other half of the equation is that I apparently look old enough to be married to my mother.

Not good for me.


I'm choosing to focus on Mom's rehab progress instead.


She's working.


She's improving.

Her left leg still needs support, but she's moving in the right direction.


She has a new roommate.


And apparently, sometime between dialysis and walking into the skilled nursing facility, I aged several decades.


Anyway, I'll be back.

I need a few minutes to clean the vomit out of my mouth.

Then maybe I'll introduce myself properly to the new roommate.


“Hi. I'm Niel. Her SON.”

Let's make sure we've got that established early.

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