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strugglebunny Asked May 10, 2024

What to do about 92-year-old father, if anything, who is insisting on moving to the Philippines?

My Dad retired in the Philippines over 20 years ago, falling in love with the culture and climate. He can live very comfortably on his SS and small pension. He returned to the states for a year during Covid due to lockdowns there, otherwise he’s not been involved in my or my sister’s lives. He was miserable here in the US that year and made no effort to meet people in his 55+ apartment complex. As soon as restrictions lifted he zipped back to the Philippines, despite a recent fall/hip replacement and unsteady gait. He was there for a year, which did not go well and voluntarily opted to return to the US last August. I’m not sure what exactly transpired last year but between being robbed several times and scammed, he lost his life savings. A few weeks before he was due to return to the US, he was injured in the typhoon resulting in an inability to walk. He was later diagnosed with having septic hip replacement hardware. This was a logistical nightmare for me with weeks of countless dealings with the US embassy, State Department, Consular Affairs and Veterans of Foreign Wars. He was finally hospitalized at my insistence by his “caregivers” for an initial surgery and there was no choice but for me to fly to the Philippines and escort him home. No way he could make the trip himself and had no money to pay the hospital bill and was going to require two more surgeries. I was scared, exhausted and frankly livid as I had told him he was too old to live by himself on the other side of the world before he left. So 25 hrs of flight and 12 hours of layovers later, I swooped in with a suitcase of supplies and within 36 hrs did that same exhausting return trip with him in tow. Thats a story in itself but basically got him home by a miracle with him not being able to walk, incontinent, confused and with an open draining wound. Being a PT gave me the skills but wrestling and taping my last, torn condom catheter on him; cranking on 5 diapers at a time in anticipation of the next 14 hr leg flight: performing a dressing change with my “sterile field “ on the bathroom floor during an 8 hr layover in Qatar-just nothing I ever saw coming in my life. (But I am proud of myself that I did an expert job, with my fellow travelers in mind-though he did look a bit like the Michelin Man). Went straight from airport to ER and 2 surgeries and 6 weeks rehab with IV antibiotics later—he’s back at his small, independent apt in the same low cost 55+ complex—miserable again. Sorry for long story but necessary background to my quest for advice and clarity for current problem. Starting even in the hospital, he has been saying he’s going back to the Philippines, “it’s my home”. I first ignored it because I though in no way he’ll be able to physically do it. So now 8 months later, he’s doubling down and insisting he’s going back. He lives by himself, works on his book/computer and again makes no effort to make any sort of life here. He’s recovered financially with credit card and US medical bills with the exception of the $15,000 I spent on our flights/rescue/Philippine hospital bills. I am holding him accountable for this because it’s not only fair, but also a tangible reminder of what a disaster it was, despite his rosy retrospective. Even if he pays me $10/mo. I have told him if he returns to the Philippines, I will draw a strict boundary that I am out. I will no longer be his POA, his US contact/address; will not assist with banking/wires; do his taxes etc. for my own mental health. He passed all his cognitive tests in rehab and could talk for hours about astrophysics but just can’t seem to reconcile that at a frail 92, just maybe-something could go south. He won’t go to a doctor, where I could perhaps get an outside person to say this is crazy.


Not sure what my question is, maybe I just need to hear that this is a legitimate quagmire. I don’t know if I will be able to truly ignore big/dire issues that would inevitably come up if he goes

JoAnn29 May 12, 2024
Tell him the airlines will not allow him to fly at this point. They do not want the responsibility if something should happen. And, its not fair to the other passengers if plane has to be rerouted for a medical emergency.

They get old, they want but that is not always practical or doable. If you hadn't been with him the last time, he never would have gotten home on his own. I would never have done what you did.

CaregiverL May 11, 2024
Wow 😳 This could be a movie 🎥🍿. I would not allow a return trip to Philippines under any circumstance. At some point you just need to take control and put your foot down. He cannot live in his own anymore and certainly living that far away is out of the question. Bless you 🙏🏼🙏🏼

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strugglebunny May 11, 2024
“Just think what you went through on the airlines - would you really want to Put yourself through that again ? “

No, no and no! That’s the image I’ll keep in mind. Although one bright spot was during the US to Philippines trip by myself. On the 14hr leg to Qatar, already exhausted from the weeks prior- I had the wonderful thought that for the next 14 hours, no one can reach me. I sank into a deep, ugly-faced-mouth agaped slumber that must have been alarming to my fellow travelers. It was oddly blissful. I guess when a grueling long haul flight is your only respite, you know your life has gone off the tracks.
I use the rescue flight often, when Dad says any variation of “my life, my decisions”, with the response that his decisions affected me greatly. Never again.
Thanks again to all.

strugglebunny May 11, 2024
Wow. I really didn’t even have a tangible question but I have received so much advice, support and validation. I’m tearful and overwhelmed and so grateful to this stellar group of humans. Blessings to all of you. Thank you for everyone’s time with your thoughtful responses. You’ve helped me get back on solid footing and know I’m not crazy-just dealing with a crazy situation . I guess there’s so many variables with elders you can’t control, but I need to refocus on things I can control. I just have never come across a situation quite like this and have been at a loss.
He was not a bad Dad, I had a happy childhood- he just drifted off in my adult life. I know he misses the vibrancy and community of the Philippines but I think deep down what he really misses is his younger days. We’ll see where this road takes us…..
Fawnby May 11, 2024
Good thinking!
JoAnn29 May 11, 2024
Tell Dad he can go back but...he does it on his own. You will not accompany him back. To be honest, I would not have done what you did to get him back to the States.

BurntCaregiver May 11, 2024
My goodness what a story. I can't even inagine how you tranported an incontinent elder with mobility issues half way around the world with layovers. I was getting irritable on the long flight to Hawaii and we were in first class. How you managed that is incredible.

Respect.

You went far and beyond what your deadbeat dad deserves from you. So leave it there. If he wants to go back to the Phillippines, let him but don't lift a damn finger to help him get there. Do exactly what you said. You will not be his POA and emergency contact in the U.S. who puts out his fires when he gets scammed again and another crisis happens.

Your father lived there for 20 years and he never knew the Philippines is world-reknown for every kind of scam there is. It's practically a World Heritage site for scams.

The good news is he can buy himself a young wife on the cheap to run his household and take care of him. He will no doubt have to support her and her entire family, but at least he wouldn't be entirely on his own.

You did more than anyone should be asking of their adult children, so you're good. If your father finds a way back to the Philippines on his own, then good luck with him.

SnoopyLove May 11, 2024
” … otherwise he’s not been involved in my or my sister’s lives …”

“I truly want him to be happy and my sister and I have reconciled the fact long ago that he’s a distant father, so that’s not a factor …”

So has your dad always been a distant, uninvolved parent? The logistical complications of your situation are interesting and extreme, but I am wondering if you are also just desperately trying to win this man’s love and approval after years of not receiving it despite obviously being a kind, conscientious daughter worthy of being loved.

We see this ALL THE TIME on this forum.
strugglebunny May 11, 2024
Yes, I think that definitely is a factor lurking under the surface. Luckily I have a close relationship with sister, mom and step family and a close knit family of my own. I think that’s why it feels like such a kick in the gut that after all I did last year including the insane rescue mission, wasn’t “enough” to make him want to stick around. But after the rescue, I’ve been pretty emboldened to speak my mind. When he says he needs to go back because he’s lonely, no one visits him etc, I tell him it’s because he has been gone for decades, he has not invested any time/energy to get to know his grandchildren etc and I always turn it back on him that his current situation is solely the results of his life choices. He’s mostly content working on writing a book and I help with errands /grocery and go for a meal 1-2x/wk. That’s all I have in me.
Geaton777 May 11, 2024
strugglebunny, from your additional info you posted below... if you are not his legal guardian here in the US then I don't see how you could be held accountable for him in the Philipines.

When my son lived in New Zealand working there for 3 months I had to research their healthcare system and travel insurance. New Zealand has nationalized healthcare but only if you're a citizen, not a visitor/tourist. GeoBlue travel insurance may be "better" than nothing but mostly it just covers accidents, and not illnesses. Can your Dad apply to become a citizen of the Philipines? Does he already have dual citizenship? If so, then he may be covered under whatever their healthcare coverage is. How long would he need to be a citizen to receive any type of elder care there?

You are convinced he's going to go back in September. If you help him *in any way* and then also fret about him once he's gone and then insert yourself to rescue him...sorry but you will be bringing the ensuing stress upon yourself -- for a second time. Stop helping and rescuing him.

You posted: "Not sure what my question is, maybe I just need to hear that this is a legitimate quagmire. I don’t know if I will be able to truly ignore big/dire issues that would inevitably come up if he goes"

It's not a quagmire, it's a decision on your part. You are the solution to this problem.

Draw the uncrossable boundary line of no longer helping him in any way, not even discussing it with him. Chances are he won't make it past the check-in at the airport, if he gets that far. If he leaves be sure to legally resign as his PoA so that you don't have any connection anymore. Please remember the lesson you learned the first time. Do not repeat it.

Fawnby May 10, 2024
Dad has an unrealistic view of how his life is going to be, meaning that he can't think ahead to the consequences of his actions. This has probably been going on for a long time, since he's been scammed and lost his life savings. Big red flag.
He isn't thinking rationally. Red flag.
He's unhappy and wants to go "home," and that's been going on for a while because that's why he wanted to come back to the U.S. recently. Folks with dementia always want to go "home." Red flag.
He's had a scam marriage in the past. Red flag.
He's 92 years old. Red flag.
Dementia presents differently in everyone.
What concerns me is that you're dealing with him as if he doesn't have cognitive issues. You've drawn boundaries (good). You've been firm about what you will or will not do (good). But just because he can discuss physics and other complicated things doesn't mean he's okay. Dementia is more than memory loss. It's being unable to think soundly, losing the ability to comprehend reality and solve problems, and a whole lot of other important stuff. I know you know that.

So how would you feel about those boundaries and refusal to assist if you knew he had dementia? When he may not understand the implications of your bowing out? Would you handle it the same way? Would you feel okay about his getting into another marriage in the Philippines, where women are eager to find a gullible American who will give them a better life? What if he ends up stumbling around a foreign country until he dies? (I've been to the Philippines, and I wouldn't want to live there if I had dementia. For sure.)

Perhaps you could come up with a ruse to get him to the doctor, such as vaccinations he needs before traveling, or the PI won't let him in if he's not immunized, or whatever. Clue in the doctor and let doctor know that you suspect cognitive problems and wish dad wouldn't go, so doctor tells him he's ineligible to travel until _____.

I wish you luck, and I'm amazed that you've done so well with it. You truly deserve a medal!
KNance72 May 11, 2024
Big Red Flags all Over the Place .
NeedHelpWithMom May 10, 2024
Sounds like your dad flies by the seat of his pants. He likes adventure over ordinary routine for older folks.

I can see how this would cause anxiety for you. If cognitive decline or possibly dementia is thrown into the mix, then it becomes a questionable situation for a variety of reasons.

I am sorry that you are going through this situation with your dad. He is probably going to do whatever he chooses and you will have to do whatever you feel is best for you regarding this situation.

Wishing you and your father all the best.

Beatty May 10, 2024
If your Father goes back to the Phillipines to live & die, it will be as he wished it to be.

PeggySue2020 May 10, 2024
I think you did a good job in laying out your boundaries. Tell him why you’re feeling sadness and anger.

MargaretMcKen May 10, 2024
It’s interesting to hear another side of living in Asian places like Thailand and Bali. It’s fairly common for people from Australia too - especially men (and unfortunately sometimes pedophiles). They are quite happy about it, but old age is a different matter. A quick death is by far the best option, but it can be awkward to bank on it.

strugglebunny May 10, 2024
He would be mentally competent with any cognitive testing, except maybe something specific to executive functioning. He’s never been good at reading people and he entered a scam marriage 20 years ago when he first arrived there which was annulled. He never lies and is always shocked when he finds out he’s been lied to. He can tell you all about quantum physics until you beg for mercy, but making good life decisions has always been precarious. Nothing new there except added denial of his age related ability. I see that a lot in my line of business as a geriatric PT but still, there’s a lot at stake here across the globe. We always say people with sufficient cognition have the “right to fail” when they want to stay in their home, despite advice of staff and family etc. But his “right to fail” is a logistical nightmare and I just can’t go get him again. He’s planning on leaving when his lease is up in September. I know there’s a moral issue if I go no contact at that point but does anyone know if there’s a legal issue? The Embassy and the State Dept pretty much ended up saying they could only do a wellness check on him and advised me to come get him or use an international ambulance service (starting at 30k). I wonder what would’ve happened if I just had said no. I’ve looked into extended travel insurance for him but at his age, he’d never be able to afford it.
lealonnie1 May 10, 2024
If dad has issues with "executive functioning", that is dementia related! The executive brain function is like the conductor of the orchestra.....when the conductor isn't present, the rest of the orchestra cannot function! Dad can talk quantum physics all day long because that's involving his long term memory which isn't affected yet.....plus you wouldn't know if his lectures on QP were correct or incorrect ANYWAY! It was like Glen Campbell having advanced Alzheimer's and still able to sing his songs and play guitar.

So the question is, does dad have enough dementia going on, and money, to get himself back to the Philippines with no help? You have till Sept to find out and to get him *hopefully* evaluated for dementia. If he's shown to have it and you have or get POA, you can legally stop him from going to the Philippines. You'll have that right. Because YES he'll send you those frantic emails again when things go south expecting you to rescue him! It's one thing for an elder to do as they please, but another to expect their children to go broke rescuing them each time a problem crops up. That's not rational thinking at 92, sorry, and leads me to question his cognitive capacity REGARDLESS of what the doctors said, or what he TOLD you they said.

Sit down with a Certified Elder Care attorney and find out for certain what your filial responsibility is to dad should he (when he) finds himself in need of your help again in the Philippines. Get the real story so there are no surprises. Then decide what you'll do, if he even makes it to the point where he's healthy enough to attempt a flight back there in 4 months from now. 4 months, at 92, is like 2 years for the rest of us.

I'm so sorry you're faced with a father who is SO clueless about anyone else but himself, and what a huge burden his "wants" place upon YOU. His needs should obviously take precedence now. Like my cousin who moved to Hawaii but had to move back to the contiguous US due to the terrible healthcare on the big island for a 76 yo with heart issues. Needs override wants.
MargaretMcKen May 10, 2024
I’d suggest that you write a formal half-page letter addressed to ‘him and those concerned with him’. Summarise the problems – requiring support repeatedly, owes you money, has required emergency evacuation to the USA, has been scammed repeatedly, does not accept his physical limitations or health risks. Then say that after x years, you cannot assist him further, because it does not resolve any of his problems, and is not feasible for you to cope with. You hope that the remainder of his life works as well as possible.

Every time you get an approach from him or anyone else, send a copy of the letter. Read it again first to remind you what reality has been like, but do not answer any questions in the approach. Let the formal letter be the end of it.

This might be a way to help you set a boundary, and deal with it emotionally. Once you've set it all out, it will remind yourself, and explain yourself, without re-living it.
strugglebunny May 10, 2024
Thanks for that good advice. I didn’t see your response until I already posted my last entry. I think ultimately I’m going to have to have something concrete as you suggest, for him and for me
strugglinson May 10, 2024
Hmmmmm. sounds a bit like my dad. He wants to go off and do his own thing for his final years, not be safe in assisted living, and "promising" not to bug me if things go wrong. I'm not believing those promises.

On the other hand, a friend of mine - his dad chose to move to Thailand to a senior living place there, and found it quite nice and cost effective. However, that was at a much younger age and state of health when he moved. He realized medical care would not be so great over there, but decided to do that anyway. My friend said that he will not help if any problems occur. I'm not sure how things are going, I think he is still pretty healthy so no problems so far.

If you do let him go do it, then the hard part is sticking to your word of dropping off and staying off, if he starts emailing or calling again, saying "please help just this once, I'm really in trouble...."

or, you could tell him you wont have any part of it, but he can do it if some other friend or family member arranges it all, and will take care of any issues that happen....
strugglebunny May 10, 2024
I KNEW I wasn’t alone! I can’t be the only soul with a dad who thinks he can live a life of adventure abroad until the bitter end. I will look into senior homes there as an option/compromise but at the end of the day his decision. I’m not optimistic though since he looked around his 55+ apt complex and declared “there’s nothing but old people here” (where very likely he’s one of the oldest living there)
strugglebunny May 10, 2024
Thank you all for your responses. He says he has no problem dying in the Philippines and has a happy vision of a peaceful death, 10 years from now, in his sleep. No problems anticipated at all. If I thought this the likely case I would be happy to send him back with my best wishes. But the last year he was there was peppered with frantic emails starting with header “I am in serious trouble “, and I have a folder full of emergency money wires from his account here in the US. The 20 years he was there successfully, he was very generous and financially helped countless people with everything from food to school uniforms for local kids. He’s admitted he’s made financial mistakes this last go around but thinks he won’t fall prey again to scams. I highly doubt this. I truly want him to be happy and my sister and I have reconciled the fact long ago that he’s a distant father, so that’s not a factor . I just can’t go through what I did last year, cumulating in the mother-of-a trip from Hell home with him. I guess I don’t have a question after all and there’s no easy answer to this. I guess I just wanted to say out loud to this supportive group, that I will feel like a horrible daughter if I cut ties and let him fend for himself his last years. But I cannot begin to imagine me trying to oversee his care and finances, even in a foreign country care home, without losing my sanity. I will take the advice to ignore and save my energy for if/when he actually gets a ticket. He will get no help from me with this and I’ll make clear my boundaries but he has mentioned several times that “good friends” are waiting to help him and take care of him over there. With further pressing, these are good friends on Facebook that he’s never actually met. Good grief
AlvaDeer May 10, 2024
Makes all the sense with your added information, and it's looking like this really isn't an option unless he is in care, doesn't it. I think you have answered your own questions if questions you had!
I think he is perhaps lacking a diagnosis because his thinking isn't any longer all that rational. I sure wish you good luck, but honestly have no answers for you.
AlvaDeer May 10, 2024
I also am not certain what your question is.

If it is possible for your father to die (which is what he is now doing/going to do in the country he loves, then I would do all I could to keep him there.
That would include paying for in home care facility such as Board and Care there for him were I able to do so.

The honest truth is that your father is mentally acute. You really have no choice in this.
If you feel you cannot physically, mentally or emotionally deal with such a move for permanent living (and dying) in the Philippines, then tell him so, and communicate with him so well as you are able until his death.

He is old. He has had his life. He may well die due to some action of inaction of his own. But that is going to happen no matter HOW any of this is handled.

Given your position and his mentation I would leave any decision in his own hands, and let him take care of it all. The outcome would be what it would be, and I believe he fully understands that.

'Your other choice? Not pretty and very expensive and you likely would lose. Your father was scammed out of all his money. That doesn't speak well for his ability to keep himself safe. You would likely, given the history, win guardianship and get him placed in minimal care facility. Where he would die in any case, with your feeling guilty about your actions.

Not everything has an happy answer. That's for certain. And I don't see how the outcome on this one can be fully satisfying to all involved.

Geaton777 May 10, 2024
"I don’t know if I will be able to truly ignore big/dire issues that would inevitably come up if he goes"

I don't think you will, either, because you care about him and his wellbeing. It would just be a nightmare for the both of you if he somehow got back.

Do you think he can really get himself there? Buy/afford the ticket, make it to the airport on his own, find a place to live, etc. all with 0 help from you (and hopefully no one else)?

I would completely ignore his talking about going back. It is delusional, but maybe deep down he knows it won't/can't happen but it gives him something to look forward to each day?

If I were you I'd save my mental and emotional energy and change the subject every time he brings it up.

cxmoody May 10, 2024
You’re absolutely right.

You’ve drawn really great boundaries.

Stick to them.

Cheering for you! 📣

Oedgar23 May 10, 2024
I can’t imagine the hell that trip home must have been. I agree with you on giving up POA, not being his emergency contact, etc if he chooses to go back there. I’m so sorry you are dealing with this.

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