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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

To be Bossy About My BILs Health?

88 replies

Fucket · 29/08/2021 08:28

My BIL, lives alone has a girlfriend of sorts (he never lives with his partners, just cycles through them every 1-3 years), had a health scare 2-3 years ago. He had sores on his feet, and couldn’t walk far, was told he had an enlarged heart with fluid build up. He was also told he was pre-diabetic. This was all on private health with his employer scheme. But then he quit his job and left that scheme and has started with a different health insurance provider. I think this is relevant because I don’t think notes get shared, and I don’t believe BIL has been to see a GP.

BIL told us 2-3 years ago it was an infection with his heart that had caused it. His sores seemed to have disappeared and we assumed all was well.

Fast forward to Covid we didn’t see him in a year at least. He told my DH (his brother) that he’d got a hernia around his belly button and was seeing a consultant about operating.

BIL tells DH they won’t operate because BIL has heart failure, possible liver failure, ascites and fluid in his abdomen and around his lungs and heart. He’s going to see a heart consultant once private referral from one doctor to the other goes through. In the meantime we now see BIL in the flesh at my son’s birthday party. Whereby he is gaunt in face, and arms, but a huge belly. He looks dire. I prepare a raw salad for BIL which everyone can eat but he insists on ordering a pizza (because my son wanted takeaway pizza for his birthday). He ate a massive pizza. He’s off out to a party today with his girlfriend.

I want to call BIL tomorrow and find out exactly what steps he’s taking to protect his health. He just tells DH he knows he needs to change his diet, but will wait to see consultant first. I doubt BIL has told his girlfriend about all this because I refuse to believe any sane, caring woman will allow her boyfriend to continue drinking and partying with such serious problems.

My FIL is ill, and both he and MIL don’t know because BIL doesn’t want to worry them.

DH is telling me not to get involved. My thinking is, I don’t care if I upset BIL because he is seriously ill and might respond to someone willing to help them think about hospitals and doctors appointments.

I have done similar with my father before he got a partner, buried his head in the sand and used to ring him daily and nag him to see a GP and get him to go shopping and buy healthy food. My father was depressed, and couldn’t think for himself properly. DH thinks I’m not to try. When DH speaks to BIL he seems to dance about the issue but never really has a direct conversation about it. I don’t think DH is taking it seriously either, he wanted me to buy beer for his brother for the party and I point blank refused to.

So AIBU to ignore DH and telephone BIL?

I wanted to speak with BIL alone in person at the party but my kids wouldn’t give us any free time to do so.

BIL is 50 btw and mostly lives on takeaways and never exercises so I cannot understand how he has gone from being overweight to how he is in 18 months of not seeing him because of covid restrictions without something seriously wrong with him.

OP posts:
Palavah · 29/08/2021 09:31

@Fucket

I want him to see his GP. I think he ought to be seeking Their advice instead of paying to see consultants who won’t be trained in other aspects of medicine. It’s all well and good waiting to see a heart consultant but shouldn’t someone be thinking about getting his ascites under control especially if he has a hernia? He has no medication.
What makes you think the consultant isn't a qualified doctor? He is seeing medical professionals. He has an inoperable condition. He is an adult in full mental capacity and has a right to live his life as he chooses.

If I had a terminal illness and you'd tried to force me to eat a raw salad i didn't want when everyone else was eating pizza which I wanted to eat I'd have told you to fuck off.

Palavah · 29/08/2021 09:33

However, if you want to call one-to-one and offer support (and it has to be support, not nagging or bossing) then do so. But please stop bossing him about in front of other people.

Confusedandshaken · 29/08/2021 09:37

He is a grown man who is entitled to make his own choices about girlfriends, lifestyle, diet and healthcare. They clearly aren't the choices you would make but that's completely irrelevant. Step back from this and focus on your own life.

ittakes2 · 29/08/2021 09:37

I think being 'bossy' is a step too far but given your relationship you cna have a private chat as a friend.

Fucket · 29/08/2021 09:38

I have never bossed him around in front of people. Where did I say that? I want to call him tomorrow when he is alone and I can have 1-2-1 chat. I overhear conversations I am not part of them. I ask DH why did yiu not ask him about x,y,z? Is why i feel if he won’t ask him I will.

OP posts:
toughdaay · 29/08/2021 09:53

OP I understand how you feel. My DDad has a very similar list of ailments. He knows he has to make changes, although I suspect it's probably too late for him now. He used to run marathons but since he met his wife they eat junk and drink far too much. He has heart failure, kidney problems and diabetes now. I had to come off his Facebook because I couldn't bear watching while he was at the pub drinking every night. He had a stroke and was in hospital. While I was there visiting his wife left so she could go to the pub with her friends. He won't ever change and I have almost accepted that. I suspect it's the case for your BIL too. It's awful to watch though. Don't nag him, there's no point.

sammylady37 · 29/08/2021 10:37

@Fucket

I have never bossed him around in front of people. Where did I say that? I want to call him tomorrow when he is alone and I can have 1-2-1 chat. I overhear conversations I am not part of them. I ask DH why did yiu not ask him about x,y,z? Is why i feel if he won’t ask him I will.
Do you honestly think you are going to say anything that will be a lightbulb moment for him? Do you think the consultant(s) he has seen have not spoken to him about his condition? Do you think he’s blissfully unaware of his situation? Tbh, I think you are doing this more for you than him, so that you can tell yourself you did all you could etc.
Fucket · 29/08/2021 10:46

His consultant has told him he can’t help him as he needs to see a heart specialist. That he won’t operate on him before then. So no, I don’t think the consultant does know more than a GP will. I think a GP might say, look you have liver problems, you have heart problems, you have ascites and a hernia you need to do x, y and z. Maybe some medication for the fluid retention. Waiting for a referral and doing nothing seems like hoping it will go away.

OP posts:
PallasStrand · 29/08/2021 10:47

@Fucket

I have never bossed him around in front of people. Where did I say that? I want to call him tomorrow when he is alone and I can have 1-2-1 chat. I overhear conversations I am not part of them. I ask DH why did yiu not ask him about x,y,z? Is why i feel if he won’t ask him I will.
And you really think that a ‘bossy’ phone call from you is going to ping a lightbulb on over his head, when sores, enlarged heart, inability to walk far, and more recently, a necessary surgery had to be withdrawn because of heart and liver failure didn’t have an impact?

You also have some very peculiar ideas about GPS vs consultants.

sammylady37 · 29/08/2021 10:48

@Fucket

His consultant has told him he can’t help him as he needs to see a heart specialist. That he won’t operate on him before then. So no, I don’t think the consultant does know more than a GP will. I think a GP might say, look you have liver problems, you have heart problems, you have ascites and a hernia you need to do x, y and z. Maybe some medication for the fluid retention. Waiting for a referral and doing nothing seems like hoping it will go away.
The GP can coordinate his care, refer to each specialist etc.
TeaandHobnobs · 29/08/2021 10:52

OP I understand where you are coming from, and you want your BIL to be well, but really, this isn’t your fight.
Have a listen to the podcast series “A Thorough Examination” with the Van Tulleken twins - explores how one twin’s weight problem is also in part due to the nagging attitude of the other twin.
We have this same issue with MIL and money - more than 10 years we’ve been trying to get her to change, and we have finally realised that nothing we say is going to make a difference; it is like a brick wall. I know it hurts to see people you care about suffering and not willing to help themselves, but it is their life. (And I say this as someone whose adored DDad died from terminal cancer because he wouldn’t go to the GP earlier…)

seven201 · 29/08/2021 11:04

I don't know. My BIL died in his 40s of a heart attack and was probably morbidly obese. I wish I had talked to him. Then my sister wouldn't be a widow at 40 and his young kids might still have a father. I think you should call him but go gently.

Fucket · 29/08/2021 11:06

BIL saw a consultant without referral for a hernia. They scanned him, and found all the health issues I have stated. He has never seen his GP. He has been told to see a heart consultant. As someone has already said, if he sees a GP they will know exactly who and where to refer him to, and possibly sort something in meantime? Who knows. I don’t. The consultant did what BIL paid him to do, refused to treat him quite rightly as his heart wouldn’t stand an operation, and said he needs to be referred to a heart consultant.

OP posts:
MrsRobbieHart · 29/08/2021 11:06

Christ you sound insufferable OP.

PasstheBucket89 · 29/08/2021 11:30

trying to force him to eat a raw salad in front of everybody eating pizza, is quite cruel and humiliating,

I think he'd be very unlikely to listen to any advice after that,

Palavah · 29/08/2021 11:35

@Fucket

I have never bossed him around in front of people. Where did I say that? I want to call him tomorrow when he is alone and I can have 1-2-1 chat. I overhear conversations I am not part of them. I ask DH why did yiu not ask him about x,y,z? Is why i feel if he won’t ask him I will.
Really? If you've not already spoken to him 121 how did you communicate that you expected him to eat the salad and not the pizza?
Vallmo47 · 29/08/2021 11:44

It’s lovely of you to care OP. I think the reason people are being a bit harsh is because of your tone, which you said you’ve taken on board. Of course you should have a gentle word with your BIL, but that’s all it can be … a gentle word and a reminder you’re always here for him. I hope it’s not too late for him like it was my mum - she made a choice and she’s now gone. We did have words with her but bottom line is her health was her decision, a decision she had to pay the ultimate price for at 60. And so did we.
I completely understand wanting to speak to him. GL

Notonthestairs · 29/08/2021 11:45

Yes talk to him. No, don't be bossy. Be supportive and kind.

I'd be worried if he was a relative of mine. My mum died in her sixties and I wish that I had talked to her about the strain she was under and the impact on her body. I could see it but I didn't want to press her - I regret not having the conversation.

FleasInMyKnees · 29/08/2021 11:58

A gp will not know who and where to refer him, at best he will see a gp who will refer him for another scan and blood tests which will show he has ascites, heart failure, cirrhosis and then ask him what he would like to do.

I dont think eating a pizza will make much difference at this stage.

frumpety · 29/08/2021 11:59

The hernia is the least of his worries and yet he is concentrating on that, I suspect, because in his eyes it is something someone else can fix for him.

He sounds incredibly unwell bit of an understatement and it is slightly terrifying that he is on no medication at all ? Are you sure he isn't taking any regular medication @Fucket

ratspeaker · 29/08/2021 12:08

You really cant police another adult or nag them into leading a healthier lifestyle.
Id suspect the consulatant already gave your BIL advice and said more than that he'd need to see a heart consultant especially if he has liver cirrhosis and ascites.

A GP would be able to refer him to appropriate hospital departments.
Acites can often be drained to give less bloating and more comfort.
My dad who was an alcoholic with cirrhosis had ascites drained a few times

Motnight · 29/08/2021 12:17

Op you need to stop trying to fix people.

Offering your BIL a salad when people were eating different things was cruel.

sammylady37 · 29/08/2021 12:19

@seven201

I don't know. My BIL died in his 40s of a heart attack and was probably morbidly obese. I wish I had talked to him. Then my sister wouldn't be a widow at 40 and his young kids might still have a father. I think you should call him but go gently.
It’s incredibly arrogant to think a chat from you was all it would have taken to solve his morbid obesity and prevented his heart attack.
ThreeLittleDots · 29/08/2021 12:20

Is he an alcoholic?

Even if he isn't the usual advice still stands:-

I didn’t cause it
I can’t cure it
I can’t control it

ThreeLittleDots · 29/08/2021 12:24

I only ask about the alcoholism as what he's told you about what's going on & his contact with health professionals doesn't really add up.

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