constance: (*plays zero-sum game*)
constance ([personal profile] constance) wrote2007-09-03 10:28 pm

Now, I'm not so self-assured.

If you were to ask me for one of the stories that define me, one of the things I'd think to tell you would be this:

I was in my early twenties, in my last year in college and my first year out, living with a roommate in a little white frame house on Lover's Lane (no kidding!), next door to two elderly men who were nice enough, kind of odd, a wee bit standoffish, and we were young and happy to leave them to their own devices, because we were, you know, young, and busy.

That street, Lover's Lane, was a little community. The sort of place that hosts block parties; the sort of place where when you drink sloe gin fizzes on a blanket under the tree in front the neighbors drop by for sips; the sort of place where when the bad hurricanes hit you hang out in your yards with the refugees who're filling your house, and with all your neighbors too, in the aftermath during the days when you're waiting for the electricity to come on, big pots of red beans and rice, haircutting sessions in lawn chairs, masking tape marks on all the windows, and suddenly the damage and worry don't seem quite so bad.

That was just to say. We were a community, and we did look after each other, but communities often fail their outsiders. Those men next door, we waved to them and cut their grass every now and then, and once we called the police for one of them because the other had gone missing (he turned out to have been sitting in the grocery parking lot because he couldn't remember how to get home, and that was the first inkling we had that they might not be so capable of taking care of themselves). And then the elder one broke his hip, but the paramedics, when they saw the house, took both of them, while we were at work, and our neighbors, when we got home, told us that the paramedics told them that the brothers couldn't come home with the house in that condition. And our neighbors offered to help clear it out, and two or three couples were going to go over and take of it over the weekend. Did we want to help? We did, and on Saturday my neighbor T. fetched the keys from the hospital and we went over to get started.

And it was indescribably awful. There was raw sewage everywhere; no running water, so they'd been going in buckets and the buckets would spill. There was about a foot of debris on the floor, everywhere. There were rat carcases. The roaches were so bad -- and so fearless -- that they just crawled over our feet and up our legs and arms when we reached down, until we sprayed ourselves down with Raid and started clearing out with shovels.

We were there for about four hours, and during that time we filled about thirty garbage bags with stuff and were barely making a dent, before one of T.'s friends who worked for the EPA came by to help, took one look, and told us that we needed special sealed suits to finish, and to get the hell out, and to throw the clothes and shoes we were wearing away, and we'd be lucky if we didn't end up with serious bacterial infections from our good intentions.

And so we went home. And methodically (and silently) stripped down and scrubbed down and threw those clothes away. And then I sat down and called my mother and cried for twenty minutes because I was a spoiled little upper-middle-class girl whose life had never really been other than clean and shining and lovely, and I honestly didn't know that people in America could live like that, on tidy Lover's Lanes full of little postwar frame houses.

The house got cleaned up, by people who knew how to do it properly. The brothers never came home, though; the one with the broken hip never fully recovered and died within a couple of months, still in the hospital, and the other wasn't fit to take care of himself and was institutionalized, and the house was closed up, and stayed empty for several years.

That's my story. That was when I realized that sometimes you could be surrounded by caring people and still be allowed to fall through the cracks. That was when I realized that safety nets don't necessarily last forever, and that not everyone gets a happy ending. Those are not lessons I ever thought needed reinforcing.

:::

Fast-forward fifteen years or thereabouts, to tonight. I was sitting on my bed writing notes for an HP story I want to write, listening to Jim Dale read about Twelve Fail-Safe Ways to Charm Witches, Leory tucked against my side and Rachel at my feet. This is what I generally do with my holidays.

The phone rang. It was Miss B., my next-door neighbor, who's been in the hospital since Saturday when she had a diabetes-related episode. She'd thought she was coming home today, but she's not going to be home until tomorrow, and could I please go over and check on her parrot and feed her? I told her no problem, and she told me where the key was -- and then my heart sank when she said, Well, I want to warn you, the house is terrible, because I've been feeling so bad, because I knew. I knew that there was a reason why she'd never invited me inside, and I knew what I would see when I walked through the door.

It was the same. Maybe worse. Everything filthy, bugs everywhere, a rancid, sewery smell, so much stuff piled on the floors and against the walls that I had to force the door to be able to cram myself in sideways. The bird was okay, and I fed and watered her. I left her there, because I know Miss B. will want her to be there when she gets home. But I wanted to take her. That environment is unhealthy for her, and it's downright dangerous for Miss B., who's diabetic, elderly, unsteady on her feet.

I know that she's getting ready to move, that her landlord gave her an eviction notice but has let her stay to arrange housing (I didn't find this out until tonight). She says she's found another apartment. She says she's moving soon. She's borrowing boxes from me to pack up some of that stuff. I don't have enough boxes. I don't know how she's going to pack, with so little space to move in, and so little space to put boxes in.

I am betting her life has been like this for a while. I'm betting she moves into a place and can't care for herself and there's too much stuff and within a year or two it all disintegrates around her until she's got to leave it, and she moves into a new place and starts over. And I am betting that what she needs is not a new apartment so much as someone to take care of her.

And God help me for the selfish twenty-first-century isolationist American that I am, I can't do it. I don't have the time or the resources (financial or mental) for that kind of maintenance, and I would be out of my depth even if it were my own mother in that house. But let's be honest here: I can't take on the responsibility, but I also don't want to, I want this to be someone else's problem, and I feel as though it should be. But there's no one else, really. She has a lawyer, I know, and otherwise it's just us, a loose collection of neighbors who've got busy and let her fall though the cracks. The way we do sometimes, in America.

I feel a terrible, racking guilt over this. I feel that no one should have to live the way Miss B.'s been living, ever, for any reason. I feel that Miss B., who clearly cannot take care of herself, is making absolutely the wrong decision by moving into another apartment where she'll be on her own again. I'm thinking that what she really needs is some sort of assisted living facility, with vans to take you to the store and nurses to help you to remember exactly how much insulin you need.

I don't know what to do, or even whether I should do anything at all. I would never have known about this if Miss B. hadn't needed me to do her a particular favor that took me inside her house, so I suspect she wouldn't want me to interfere or offer advice. But even given that, how can I just close my eyes? How can I live with myself knowing that she's condemning herself to this dangerously unsanitary life? And if I do something, I'm not sure where to start. If it were you, how would you approach this? Would you approach it at all?

Really, I just want my mommy.

[identity profile] gmth.livejournal.com 2007-09-04 02:54 am (UTC)(link)
Oh hon, what a horrible situation. Do you have any idea if this woman has children? Or siblings? Someone needs to be contacted. Maybe the landlord can give you some information on her? Or the local area agency on aging might be able to help. I'm sorry you have to deal with this. I'm going through it with my own mother, as you know, and that's bad enough, let alone with someone you can really only call an acquaintance. *hugs*

[identity profile] tofty.livejournal.com 2007-09-04 03:09 am (UTC)(link)
I don't think there's anyone at all, as far as relatives go. Her parents, husband, and foster-son, the only relatives she's ever mentioned, have been dead for years, I know. She's mentioned old acquaintances -- people she went to school with who make her glasses now, for example -- but no one else.

I like the idea of calling a council on aging to see if there's a course of action I can take. I'll try to track them down tomorrow. Thank you so much for the advice, and I wish you all the luck in the world with your mother; from my own extremely limited experience, it will come in handy. *hugs back*
thalia: photo of Chicago skyline (Default)

[personal profile] thalia 2007-09-04 02:57 am (UTC)(link)
Oh, God. I'm sorry you're in this position. Does Miss B have any relatives that you know of? Failing that, is there some kind of senior services agency in your area that you could call for advice? That's all I can think of. You're right that it doesn't sound like she should be living alone. And I can't even imagine what her landlord will do when s/he sees the house. But I suspect that if you really took responsibility for her it would consume your life, and as much as you want to fix things, you can't let that happen.

{{hugs}} I hope someone's able to help her. How awful.

[identity profile] tofty.livejournal.com 2007-09-04 03:15 am (UTC)(link)
I've wondered if the landlord did see the house, and that's why the eviction notice she didn't mention until tonight. I feel a little dirty for speculating in this way, but if I were a landlord, and I saw what I saw tonight...

I get the impression that she's outlived her relatives, and that now she relies on few neighbors, her lawyer, and a few old friends/acquaintances to lend a hand every now and then.

You're not the only one to suggest calling an agency for advice, and I think it's an excellent idea. I'll do that in the morning, and hope that they can steer me in a direction that'll help her but limit my own involvement, because yes, I'm very much afraid of this consuming my life. :/ *hugs*

[identity profile] xanthophyllippa.livejournal.com 2007-09-04 03:43 am (UTC)(link)
I think...well, I think I agree with everyone else, about calling the local council on aging. Then maybe ask her if she might like some help, and would she like you to call social services to check in on her from time to time? You could do that without her permission, but I think you run the risk of upsetting her. It's up to you to decide if you care if/when she gets upset, though; I personally would risk it, but you might have a different perspective. I do think that the key is getting involved without getting involved.

And if you DO get involved, to make sure you place direct limits on what you're willing to offer. Don't say, "Is there anything I can do?" The answer might very well be "Help me clean up." Instead, "May I offer suggestions on new apartments?" tells her exactly you are willing to do.

I'm currently in a weird situation in which I moved out of my apartment, stayed with a friend for a week, then housesat for two other friends for a total of 27 days, then signed a lease on an apartment, then moved in, then moved out three days later, and am now housesitting again until the 9th. I am, in effect, homeless, in that I do not have a place of my own in which to live. But this is a highly different situation, since I have the money and the presence of mind to find a new apartment (I just lack the time, what with classes starting tomorrow and my two course syllabi not yet finished). I also have friends who are delighted to have me as a houseguest if I do the cooking all week or trade for a couple nights' babysitting. But the similarity is that many of them have asked, "Is there anything I can do?" And it's hard for me to answer, because I need someone to fix it, and I don't know where the limits to what people are offering me - are they offering to help me look through the newspaper for an apartment, or do they really have a spare room they'd be willing to let me stay in for a few weeks?

Again, this isn't even remotely a comparable situation, but my point is that it's hard to ask for help even when people offer if you are afraid of exceeding a limit that you don't know is there. So offer her something specific that meets your time, finances, and emotional capability - not a general "if you need anything."

[identity profile] tofty.livejournal.com 2007-09-04 04:01 am (UTC)(link)
No, I know exactly what you mean. I remember reading a Miss Manners advice column years ago wherein she talked about offering help to the grieving in a very specific way: not is there anything I can do to help? but May I feed the dog for you? What would you like for dinner? Because people in crisis are, like you, tentative about encroaching, and sometimes are unable to organize their thoughts enough to make specific requests anyway. And even though she was talking about a quite different situation, people in crisis are people in crisis.

Anyway, it's valuable advice, and I shall think carefully about what, exactly, I feel comfortable offering up. Maybe house the parrot until Miss B. gets settled? Tape up the boxes for her?

I'm wishing you lots of luck (and time!) in your own housing crisis. If I were anywhere near, I would totally go hunting for you -- I love house/apartment hunting, and if I could do you a favor by going on a hunt: win-win!

[identity profile] laurelwood.livejournal.com 2007-09-04 04:00 am (UTC)(link)
Oh, pumpkin, this is so heartbreaking. I just read this to Dennis and we used it to discuss, "What would we do if this were next-door-Jan?" And it was wrenching and frightening and overwhelming even applied to that scenario, and she's someone who, after 11 years, is practically family to us.

Dennis claims there have to be resources out there, and maybe there are. Oh, I hope it's not naive to hope that there are services that are accessible and comprehensive, and that it wouldn't be upsetting to Miss B to accept this type of assistance. I know its touchy even with one's own relatives when it comes to arranging for help. My own grandparents pulled off the "We're fine, just fine!" ploy for a long time before my dad surprised them one day and found the house in shambles and discovered that they were living on Dinty Moore stew and Dreyer's ice cream. It must be so hard for people who've been independent for so many years to admit that they can't take care of themselves anymore. I think if this were me, I'd do some calling around and tell Miss B. what was out there, then follow [livejournal.com profile] xanthophyllipa's excellent advice for offering up whatever services I myself was willing and able to provide, and hope like anything that Miss B. doesn't refuse any outside help at all. Because at that point, I'd be calling my mommy (who'd feed me a nice "tough love" speech, no doubt.)

I'm so sorry you're in this position. I wish I could help.

[identity profile] tofty.livejournal.com 2007-09-04 04:29 am (UTC)(link)
I remember from my experience years ago that people who don't want you meddling in their lives (no matter that they may need meddling in) get very good at deflecting questions, and very good at knowing the right things to say when they can't deflect any more. So that it's not until you see by accident what their lives are really like that you realize that they've been misrepresenting themselves for a long time.

One of the hardest things for me in this is knowing that if it were me in that situation, I might well resist very hard, too. For people who value autonomy, allowing other people or agencies control over their lives is more than just difficult. It's unwelcome, an invasion of privacy and an indignity. And so I am really wary of overstepping my bounds -- but at the same time, I feel so, so strongly that she mustn't be allowed to go on like this indefinitely. :/

You are all helping, believe me. I wasn't kidding when I said I was panicky, and reading all this wonderful advice from my kind and wise friendslist is helping me to calm down and sort things out. THANK YOU, to both you and Dennis. If I were Jan, I wouldn't mind being aging and alone as long as you guys were around.

(My mommy is such a softie that she'd burst into tears before I did! She's not good for tough love -- that's my dad's job -- but she is amazing at empathy, thank God.)
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[identity profile] ainsley.livejournal.com 2007-09-04 04:58 am (UTC)(link)
I've never encountered anything like that in my cozy lower-middle-class existence. It breaks my heart.

I don't know anything about who to call to catch people who have fallen through the cracks. I saw your other post, mentioning nutrition, and she sounds like someone who'd benefit tremendously from Meals on Wheels. It's a person at her door bearing healthy food. The person can't talk long, and the food might not be what she'd choose, but it's two things she seems to need. If it's not run through the council on aging, they'd know who to call about it.

I don't know if it's because my grandmother lived in a very rural county, but she had some housekeeping through her council on aging. One day a week, or every other (can't remember) for dusting and vacuuming, but it's also someone in the house to talk to for a spell.

The common thread here is exactly what others have suggested--call the council on aging. If you call, you're not closing your eyes, and you'll be able to live with yourself because you'll have made someone else aware of her need, someone who has more resources and capacity to do something.

You're right that it's not your responsibility, but your concern shows that you don't want to do nothing. I don't know how much I'd do, but I'd make the call and see what they had to say.

[identity profile] tofty.livejournal.com 2007-09-04 06:08 pm (UTC)(link)
In a post a few days after the one I've linked to here, I did mention that a little detective work yielded the information that she does get Meals on Wheels. I also know, over a year later, that she doesn't let them in the house -- but at least I know she's getting nourishing food.

I'm a layperson, I know, but I do wonder if there's not some pathology at work here. She's showing signs of being a classic late-stage compulsive hoarder; and if she is one, not only is a simple cleaning regimen not going to work on her (not even if someone else is doing the cleaning), but trying to get someone in there to get started would be perceived on her part as a threat, and could do her serious damage.

Still, though, it's worth a call to the council on aging to find out if there are advocacy groups who can deal with her compulsion while allowing her to keep her dignity and autonomy. I have the number, and I'm planning to call this afternoon.
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[identity profile] ainsley.livejournal.com 2007-09-06 03:19 am (UTC)(link)
I hope the call provided some helpful information!

[identity profile] tofty.livejournal.com 2007-09-07 12:10 am (UTC)(link)
NO IT HAS NOT I HAVE CALLED ABOUT TEN TIMES IN THE LAST THREE DAYS AND EVERY TIME I CALL THE PHONE RINGS TWENTY TIMES AND NO ONE PICKS UP.

I am a little frustrated, can you tell?

[identity profile] coco-palmolive.livejournal.com 2007-09-04 10:21 am (UTC)(link)
Yes, your local council on aging is a call you should make, and a couple of questions you should ask are maybe, "Would you like me to call someone to help you clean up?" and "Have you considered moving to a retirement community?" I think she might possibly be a candidate for independent living, provided it comes with weekly housekeeping and meal preparation, though perhaps with her diabetes, light assisted living is appropriate.

There was someone whose journal I read a few months ago who had similar housekeeping issues of their own. I don't know if it was as bad as you describe, but it was bad to the point that the person wouldn't allow guests over and was only moved to take action because the landlord was planning to come over to inspect something. She ended up hiring a cleaning crew who were very thorough and very respectful and got her life back in order. I believe she made arrangements for them to come back in on a regular basis to keep things from getting out of control.

But seriously, the call to the council on aging is probably the most effective way to start the ball rolling, and you can go to sleep at night knowing that you've been the agent for real change in Miss B.'s life just by doing so. To take responsibility for this yourself would be pure madness and honestly, probably not that effective. This is a job for professionals. It would not even help if this were someone you love -- it is not a failure of love that makes this job too big to tackle. It is simply too big for one person to tackle. That's why there is a council on aging in the first place.

So make that call. That call is an act of pure generosity. That call is going to be the start of everything that needs to happen.

[identity profile] tofty.livejournal.com 2007-09-04 06:16 pm (UTC)(link)
A little over a year ago, there was a Cary Tennis letter from a man married to a compulsive hoarder, and it triggered a little spasm of interest in hoarding. I spent several days clicking from website to website, and culled a lot of information from all of them. One thing they do say is that it's an addictive behavior, and extremely difficult to treat if the sufferer doesn't acknowledge a desire to change. I haven't really heard Miss B. talking about change. She knows the way she lives in unhealthy, but she talks about "slanderers" and "busybodies" in such a way that I think that probably she resists any efforts to help her change with a great deal of energy and anger, and perceives any direct confrontations as hostile takeovers.

I suppose it's lucky for me that I was able to see her house for the first time when she wasn't around, and so I can think carefully about ways I can address her that don't sound like judgment/condemnation. I like your suggestion of asking if I can call someone to help her clean up or pack or move, very much. Thank you for weighing in, my love.

[identity profile] octoberstory.livejournal.com 2007-09-05 02:29 am (UTC)(link)
I think that everything that needs to be said or advised has already been, and much more authoritatively than I could have. So I'll just add that this upsets me, too, both for your sake and for Miss B's. And that I do hope someone is able to help her.

Sending you so much ♥.

[identity profile] tofty.livejournal.com 2007-09-07 12:05 am (UTC)(link)
I hope so, too. I really do. I'm not having much success thus far, but I'm still trying. And in the meantime, she's still in the hospital, and though I am sorry for that, since it means she's not in such good shape, I can't help but think she's better off there than in her own home.

That is a tragic sentence. :/

[identity profile] amelia-eve.livejournal.com 2007-09-06 10:25 am (UTC)(link)
You are such a tender heart and it is part of what makes you such a lovely person. I just want to appreciate you and your concern for this lady, whom you have mentioned before.

I think that the hospitalization may actually give you an introduction to the topic with her. You won't really be allowed to talk to any of her caregivers there because of confidentiality issues, but you can perhaps broach it with her as a transitional care issue. She may also have a social worker available through her hospital stay, which would be a good resource. This may help you strategize about whatever you discover through the council on aging.

Hugs.

[identity profile] tofty.livejournal.com 2007-09-07 12:09 am (UTC)(link)
Well, thank you, I guess. I do try, and it would be wrong of me not to, since I've complained before about people who aren't willing to step up when help like this is needed. :(

I've been trying to get in touch with my local council on aging for days now. No luck so far -- but I'm hoping that any day now I'll manage to catch them on like the five minutes per day when they're in the office and picking up the phone. I'm on my own till then, of course, but I think your point about the hospitalization being a good starting point is an excellent one. *hugs*