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Managing relationships

tips on dealing with a sibling with potential aspergers in extreme times

tips on dealing with a sibling with potential aspergers in extreme times

hello Sane community!

wanted to hop on and write a bit about my week since it was quite heavy and for once in my life i think i genuinely feel physically exhausted.

earlier this week my mum had a severe shivering episode (she has cancer and the chemo has been really getting her down). i came home one night and she called me from her room to grab her another blanket which i did, but i felt really concerned since shivering and fever is a sign of infection. i felt afraid at the time to do anything else + i didn't really know what to do. i was worried so i called up 13 HEALTH for advice, and the nurse on the phone walked me through, take her temperature etc. which i did with a probe stick, but in hindsight i'm pretty sure i took her temp incorrectly. anyway it read 37.5deg which was approaching the 38deg rule that if a cancer patient is at this or over, they should go to the ER immediately. based on what my mum was saying to me at the time she said she was just cold and it should be okay. i checked on her later in the night like an hour later and she was sound asleep and not shivering so i felt a sense of relief? in the morning i briefed my brother in (he is 10 years older than me and my mum suspects aspergers since he's got quite low EQ and not so great communicating skills) i thought he should be in the loop.

he was being quite unhelpful when i briefed him in what happened the night before saying things like, we need an advanced medical directive to deal with this (but it's like well we don't, so what are we just going to let her die right now?) and other things like physically it'll be good for her to go to the hospital but spiritually it's not. i find this piece of advice extremely unhelpful in this moment as he has also said previously that he learned from a course that people who are dying will never tell you what they actually want because they don't want to be a burden and spiritually she doesn't want to bother me. i just don't understand this angle at all, like yes if we had all the checks and directives in place, i would let her do what she wants to do. but in the end we don't, so why are we throwing in the towel in the first go? he was also saying things like i should be respecting my mums decision because it's her body, which i do understand but at this point i really didn't think my mum was quite ready to go just like that.

in the end, my mums condition became a very severe emergency, the doctors confirmed sepsis (and later cold septic shock) and a bunch of other problems that were life threatening by themselves individually, and my mum happened to have all of them at the same time. as she made it to the ICU and the next day passed, she felt a tiny bit better but still extremely tired. she said to me she was extremely grateful that i made the executive decision to take her to the hospital. it made me feel appreciated for a second but i just feel like shit because i wish i didn't have to REASON with my brother to get to this point?

we're in a better position now in terms of my mums medical state and all the doctors are extremely impressed and she's really defied all odds of death. i feel so so wiped from going in and out of the hospital all week, bracing for impact (because the ER doctor in the beginning actually told us that my mum only has 2 days MAX left after reviewing her scans) and the lasting effects of dealing with my brother is so draining. i always try to take what he says at face value and not personally because i think he generally does have good intentions all the time, but the execution and way of communicating it to me really hurts sometimes.

i just hope we can work together more as a team and he understands that he can lean on me if he needs to so he doesn't need to carry every single responsibility. we are also organising all the end of life related paperwork and pall care for mum now so hopfeully i won't have to be in this difficult position unequipped again.

mum has made it out of the ICU now, fingers crossed we continue to leave the woods from here on out. a big appreciation to modern medicine and all the professionals involved.

3 replies

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In response to: tips on dealing with a sibling with potential aspergers in extreme times

Re: tips on dealing with a sibling with potential aspergers in extreme times

Hey @carmine1809

Thank you so much for sharing what sounds like an incredibly heavy and exhausting week. It is a huge relief to hear that your mum has moved out of the ICU; it's a true testament to modern medicine and your quick thinking during a crisis 💚

It is completely understandable that you feel physically and emotionally wiped. Navigating a medical emergency is hard enough, but having to "reason" your way through a sibling's rigid logic while your mum's health is on the line adds a layer of exhaustion that is hard for others to truly grasp.

When dealing with a family member who may have low emotional intelligence or difficulty with communication, these "extreme times" often highlight the gap in how you both process stress. It sounds like your brother was leaning heavily into abstract concepts (spiritual directives/philosophical "rights") because he may lack the social-emotional intuition to read the immediate physical danger. While you were focused on the "here and now" of her symptoms, he may have been stuck on the "rules" he learned from that course he did.

Also, trying to explain the urgency of a situation to someone who isn't mirroring your level of concern is incredibly isolating. It makes sense that you feel hurt by his execution, even if you know his intentions aren't malicious.

When it comes to palliative care and all the paperwork, there are a few things I'd like you to consider. For starters, since your brother seems to focus on directives and paperwork, he might be more helpful if he is given a very specific, logical task. Asking "can you help organise these files?" or something similar might work better than asking for his input on high-pressure "executive decisions."

If another emergency arises, try to use "I" statements that leave little room for debate, for example, "The medical advice is X, and I am following it. I need you to help me by doing Y." This moves the conversation away from a debate and towards action.

You mentioned wanting him to know that he can lean on you, but please make sure you are leaning on others, too! You've been the one making the tough calls; it's okay to acknowledge that you shouldn't have had to fight for the right to save her life.

Please make sure you take some time for yourself to decompress, because "bracing for impact" for a week takes a massive toll on the nervous system 💚

In response to: Re: tips on dealing with a sibling with potential aspergers in extreme times

Re: tips on dealing with a sibling with potential aspergers in extreme times

@MatchaToad thanks so much for taking the time to read this and validating my feelings. it's a real tough one trying to work with my brother, feeling like we're both on the opposite ends of the spectrum when it comes to EQ ha! my mum is doing better now, still quite tired and what not but at least my brother has proposed us to tag team visiting her instead of going together all the time. makes me feel a little better at least since right now my routine is completely out of whack and i definitely had a few thoughts the past few days that i really wanted to go back to having an actual routine. hopefully will allow myself to decompress a bit more the upcoming days! and good call, he is taking full responsibility over the pall care and other paperwork that we might be missing, i generally do take a step back on those but hopefully he feels comfortable to recruit my help if he needs to.

In response to: Re: tips on dealing with a sibling with potential aspergers in extreme times

Re: tips on dealing with a sibling with potential aspergers in extreme times

@carmine1809

That is such a positive update! It sounds like the tag team approach is exactly what you need right now. When our routine gets thrown out of whack, especially during a crisis, it can really feel like you're losing your footing, so having those designated windows to step away and decompress is so important 💚

It's also great to hear that he has taken the lead on the palliative care paperwork. Letting him handle the paperwork plays to that preference for clear rules and structures. It keeps him involved and helpful without putting him in a position where he has to navigate the high-intensity emotional moments of the hospital room alongside you.

And by stepping back from the administrative tasks, you can save your energy for being present with your mum and managing the actual care decisions, which clearly plays into your strengths.

Don't feel guilty about that desire for routine; it's your mind's way of seeking safety after a week in fight-or-flight mode. Whether it's a specific morning coffee ritual or just a few quiet hours at home, those small structures will help you process everything that has happened.

Wishing your mum a steady recovery and hoping you get some well-deserved rest 💚

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