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My mother-in-law is taking care of my father-in-law. We believe that he has cancer. He’s been the type of man to never go to a doctor. He made my mother-in-law promise him that she would not call an ambulance or take him to the hospital no matter how bad it got. My poor mother-in-law is beside herself for she has been trying to do the best she can with taking care of him. He will not let anyone in the house other than her. The way that she describes the situation and him it’s horrible. He has horrible sores, he is defecating all over himself, he barely eats or drinks and we believe him to be on his deathbed. The guilt she feels for wanting to do some thing but not betraying her husband is horrible. She has begged him to let her call an ambulance or to take him to the hospital and he will not allow it. She has told her doctor about the situation because she is afraid that she is going to be charged with Neglect. She called my wife today and said that she thinks that he’s passing. His body is swollen from fluid retention and his breathing is shallow as though the fluid is going into his lungs. Scared for my mother-in-law, she’s a good woman and has been doing the best she can this past year taking care of this stubborn man.

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Poor woman. He did it all the wrong way and has traumatized her in the process. He should have requested hospice care.

Yes, call 911 for her. That way she hasn't broken her promise to him.
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Why not call 911 for that household and get things moving?
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Your MIL should call an ambulance. If your FIL wants to refuse medical advice and/or treatment he is free to do so, but he can say so to the paramedics and make it official.
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It would be cruel to your MIL not to act. Be the bad guy and call 911 and have him evaluated. Tell the medics that he’s stubborn and has been mean to his wife. She may silently be thanking you
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A couple of years back, we had a nice young man ask a similar question.

He lived with his elderly mom, she'd taken a bad fall but had forbidden him to call 911 (I think they were in the UK, actually).

Each day he'd post her worsening symptoms. We finally convinced him that he really needed to get help for her by pointing out that he was the adult in the room and that by not calling, he was actively neglecting her medical needs.

Would your MIL read the posts here?
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I agree to call 911. I doubt a neglect charge can be brought if he's never had a diagnosis of cognitive impairment, plus she has character witnesses to vouch for intentions.

FYI early dementia behavior is often mistaken for elderly stubbornness. This is why it flies under the radar undetected for so long until there's a crisis that exposes it. You don't say how old he is, so maybe this has been a possibility all along. I wish you all peace in your hearts during this distressing time.
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Neglect is not OK. When you get to the point of bed sores it is not all right to let this go NO MATTER WHAT the husband says. Adult Protective Services needs to be called now, if not by the wife, then by you. If the FIL has made out a POLST or Advanced Directive then no one will treat him. They will get hospice and comfort care. If not he will likely be treated until you and or MIL can be made POA to act to protect him from treatment and request palliative care.
It is cruel to both FIL and MIL to allow this to go on another single second. Please intervene and speak with the father. If he is uncooperative in this you may have to take the bull by the horns. He can refuse treatment at hospital, but clearly your MIL cannot continue in attempting this end of life care.
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If you call 911 instead of her, she is technically keeping her promise.

Let him tell the paramedics he's refusing to go.
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If you call 911 and he refuses to go, then there is a record of it.
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Depending on the situation, yes, she could be charged.

There will be an autopsy if no doctor is involved and depending on the medical examiners report, this could very well end badly for her.

Please call 911 and get you MIL some help. The utter selfishness of your FIL blows my mind. He obviously is only thinking about himself and it sounds like he is trying to take her with him.
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