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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:
wherethewildthingis · 29/08/2021 12:28

I am really interested in why you think it's up to women to be bossy, or be nagging men to keep themselves healthy. I don't mean that in a critical way, I just wonder where you've developed this idea from? Even your husband is telling you to butt out and that it's not up to you to solve this.
You speak about needing to do the same foe your father until he got a partner, who presumably picked up on the nagging role? So you feel able to hand this over to another woman?

knittingaddict · 29/08/2021 12:49

OP, may I strongly suggest that you have a listen to one of my favourite podcasts. It's called Maintenance Phase and it may help you develop some empathy for the overweight, unhealthy people out there. Not looking after yourself is a highly complex thing and you are seriously deluded if you think a bossy lecture from you will cause a miraculous change in your poor bil.

As for the passive aggressive raw salad? Words fail me. You see a slim person eat pizza and that's fine, but a fat person eating pizza is suddenly the spawn of the devil. If you fancy setting a good example, you eat the salad.

BuffySummersReportingforSanity · 29/08/2021 12:51

Jesus. If I knew you I would avoid you like the plague, and I'm a perfectly healthy adult who enjoys exercise and both raw salads and pizza.

It was so controlling and PA to make a raw salad "for" him and I have no doubt that you broadcast your disapproval as he dared to eat pizza. If his health is as you describe, it is well past the point of being fixed by salads. And stocking his fridge for him... Sweet Christ.

Do you really think that nobody has noticed or told him that he is unwell? Or that he has unhealthy habits? All hectoring and "nagging" generally does is drive both parties crazy and entrench the bad habits further. It's arrogant and controlling of you to think that if you just have a chat with him, he'll change the habits of a lifetime. You aren't close to him; you probably aren't even the person for an actual supportive "are you OK emotionally, can I help" conversation. And you have some seriously sexist ideas about how it's women's responsibility to manage the health of teh poor helpless menz.

Adults make positive changes for their health when they decide to, for themselves. That is the only way they are sustainable. They can't be nagged into it.

PopcornMuncher · 29/08/2021 12:54

YABU, overbearing and interfering. People IRL are probably too polite to tell you this but will roll their eyes at you thinking you are The Boss of everyone. If I were your BIL and you tried this shit I would cut you out of my life entirely and only see my DB without you

MrsRobbieHart · 29/08/2021 12:55

You see a slim person eat pizza and that's fine, but a fat person eating pizza is suddenly the spawn of the devil.

What a strange and melodramatic comment. Spawn of the devil? Confused

knittingaddict · 29/08/2021 13:05

@MrsRobbieHart

You see a slim person eat pizza and that's fine, but a fat person eating pizza is suddenly the spawn of the devil.

What a strange and melodramatic comment. Spawn of the devil? Confused

Yes it was melodramatic. Never said anything a bit hyperbolic to get your point across? In any case I'm very annyed, that's my excuse and I'm sticking with it.

And yes, a small minority people do view fat people eating normal food as somehow obscene and make moral judgements about them. I've seen enough fat shaming posts on here to realise that.

FleasInMyKnees · 29/08/2021 13:08

He is ill, he is gauht with skinny arms and a a swollen abdomen, that is not being fat and overweight, that is a medical condition, a change in diet, a salad or a pizza makes no difference at all.

seven201 · 29/08/2021 13:08

@sammylady37 I did read my post back and realise I'd missed out the crucial word 'maybe'. I thought I'd put that in. Of course I don't think that would have definitely helped, but I wished I'd spoken to him in case that had made a difference. Your reply is quite harsh. I am a human being who has lost a loved one this year and I regret not speaking to him.

MrsRobbieHart · 29/08/2021 13:13

Yes it was melodramatic. Never said anything a bit hyperbolic to get your point across? In any case I'm very annyed, that's my excuse and I'm sticking with it.

And yes, a small minority people do view fat people eating normal food as somehow obscene and make moral judgements about them. I've seen enough fat shaming posts on here to realise that.

So you do or don’t think Op think her BIL is the spawn of the devil? It’s not clear. Confused

knittingaddict · 29/08/2021 13:16

@FleasInMyKnees

He is ill, he is gauht with skinny arms and a a swollen abdomen, that is not being fat and overweight, that is a medical condition, a change in diet, a salad or a pizza makes no difference at all.
I missed that because of the rest of the op's posts about food etc and him having a huge belly and assumed he must be overweight.

I totally agree in that case that him choosing pizza over a raw salad is not going to save his life now. Obviously slim people can still be unhealthy due to diet and lack of exercise, but it sounds much less simple than that. I'm confused about what is actually going on here, but I am certain that a bossy chat from the op is not going to change anything.

Aprilx · 29/08/2021 13:17

@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.
You slapped a raw salad in front of him at a family gathering. That was bossy not supportive. Otherwise, I can’t agree with the posters that tel you to mind your own business, I think he is lucky to have you as a SIL and you never know your call might just be the thing to get through to him, so long as you do it in the right way.
knittingaddict · 29/08/2021 13:18

@MrsRobbieHart

Yes it was melodramatic. Never said anything a bit hyperbolic to get your point across? In any case I'm very annyed, that's my excuse and I'm sticking with it.

And yes, a small minority people do view fat people eating normal food as somehow obscene and make moral judgements about them. I've seen enough fat shaming posts on here to realise that.

So you do or don’t think Op think her BIL is the spawn of the devil? It’s not clear. Confused

Of course I don't. You seem to be spoiling for a fight because it was obviously not what I was saying. Are you always so literal?
chinateapot · 29/08/2021 13:18

He sounds really unwell. Offering help is appropriate and may or may not be welcomed. What he eats is neither here nor there at this point - salad possibly a worse option as he’s probably malnourished.

Aspiringmatriarch · 29/08/2021 13:21

Oh this is so sad. I know you want to help but I don't think it will do any good. Sometimes people just don't have the wherewithal to deal with complex health problems and nothing you can say will change that. Food is probably his biggest comfort so although it might be making things worse, it helps him cope in the meantime. Very difficult. By all means ask if there's anything you can do to help and try to be supportive in any practical way you can, but don't pelt the poor chap with salad and health warnings.

FleasInMyKnees · 29/08/2021 13:24

The best person to advise him about what he can safely eat would be a doctor and a dietician, he has heart failure, liver ascites, fluid around his heart and lungs. He needs specialist advice if that is what he wants. Why did you give him a salad anyway.

VeganCheesePlease · 29/08/2021 13:24

How lucky your DH's family are to have someone so caring among them. You sound very kind to be so focused on helping him.
However, just from reading your first post, to be honest your BiL sounds very ill indeed and maybe part of him is just accepting that's it now. I'm sure a GP would be great but how long would he be waiting for referrals? My FiL was waiting for gall bladder surgery and was almost rushed to intensive care before they would operate so waiting times really aren't great at the moment.
It sounds like a really difficult situation and I feel for you.

Iwonder08 · 29/08/2021 13:25

You are soooo unreasonable. What makes you think you are entitled to get involved into your BIL health situation?! He is a grown adult. Oh dear, he ate a large pizza.. Shocking.. Also his girlfriend might not be aware. He dare he is not sharing personal health details with someone he has sex with.. Are you that inappropriately interfering with everyone or is it just your BIL that is blessed with your ridiculous attention?

MrsRobbieHart · 29/08/2021 13:29

Of course I don't. You seem to be spoiling for a fight because it was obviously not what I was saying. Are you always so literal?

Spoiling for a fight!!? You really are very dramatic. I commented that your post was strange. Which you agreed it was. And then contradicted yourself. So…..

Anyway. Moving on.

SeaToSki · 29/08/2021 13:30

With that constellation of diagnoses and symptoms, he is seriously ill, and he has been for a while. You dont just change your diet and take a few medicines and come back from heart failure and ascites, they are both the end result of long term conditions. He may well have decided he just wants to live life to the full until his end (which is likely to be earlier than otherwise) and that is his choice. Maybe a gentle conversation on that front is an option and then you can support him in what he has chosen for his life and end of life.

callmeadoctor · 29/08/2021 13:30

Your DH has told you not to get involved, so don't get involved..........................................................................................................
(Interested in whether you would get involved if it was your SIL not BIL!)

knittingaddict · 29/08/2021 13:31

@MrsRobbieHart

Of course I don't. You seem to be spoiling for a fight because it was obviously not what I was saying. Are you always so literal?

Spoiling for a fight!!? You really are very dramatic. I commented that your post was strange. Which you agreed it was. And then contradicted yourself. So…..

Anyway. Moving on.

Grin
FleasInMyKnees · 29/08/2021 13:32

A Consultant is a highly qualified doctor who has received training in a wide area of medicine and surgery. They wont just prescribe a diuretic for someone this unwell, the build up of fluid doesnt just disappear with a few tablets. Does your bil want to have this investigated, he could have this investigated at by going to hospital if he wanted to.

Zombiemum1946 · 29/08/2021 13:36

The thinness with very swollen belly is how someone with ascites looks. We used to regularly have patients come in who would have the fluid drained off. Whatever the cause of his appearance, he's an adult who appears to have kept parts of his health issues private and I don't think pushing him will get you anywhere. If you feel you have to try then do so but be mindful of the potential backlash that may come from it.

sammylady37 · 29/08/2021 19:17

[quote seven201]@sammylady37 I did read my post back and realise I'd missed out the crucial word 'maybe'. I thought I'd put that in. Of course I don't think that would have definitely helped, but I wished I'd spoken to him in case that had made a difference. Your reply is quite harsh. I am a human being who has lost a loved one this year and I regret not speaking to him. [/quote]
But my point still stands that the management of morbid obesity is a highly complex area and it’s not just a case of a well-meaning relative saying the right thing that will provide the lightbulb moment. It’s either arrogant or naive or both to think that, tbh. Your BIL had a wife and children, the wish to be there to see his children grow up would have been far stronger than the wish to appease his SIL after a little chat, yet it wasn’t enough for him to make sustained lifestyle choices. That should tell you a lot. There’s no need to be beating yourself up thinking that if you’d only had a chat with him it would have made all the difference because the stark reality is that it wouldn’t have.

frumpety · 29/08/2021 22:39

But my point still stands that the management of morbid obesity is a highly complex area and it’s not just a case of a well-meaning relative saying the right thing that will provide the lightbulb moment

This is true, but people often wish they had said something prior to someone dying of something that is preventable, its the 'what if ' scenario.

The OP's BIL doesn't sound morbidly obese though, he sounds like someone with a swollen abdomen due to ascites, big belly but looks gaunt elsewhere. The prognosis for someone with Liver disease and ascites is not great to put it mildly, he is at risk of osephageal varices too, which can cause catastrophic bleeding. Add in heart failure and let's be honest his kidney function is almost certainly not the best given the pressure it will be under due to the other systems not functioning well, BIL is a seriously unwell person. A seriously unwell person who has seen a consultant about his hernia but not seen a GP and isn't apparently on any medication for any of his 'constellation' of health issues.