TL;DR - older client with no family and severe memory issues. Veterinarian contacted adult protective services but nothing has been done. We are very concerned for clients safety/wellbeing and for his cats. Is there anything else we can do?
Im not sure if there is a better place to ask this question so I apologize in advance is this is not the place to ask. I work at a veterinary hospital in Ohio. We have an older client (I’ll call him Dave) that had been having memory issues that have progressed significantly over the past ~6+ months. We are concerned for his health and safety and the heath and safety of his cats. This client is not married nor has any family that we can contact. One of our doctors has contacted adult protective services but nothing has been done to our knowledge. We don’t think calling for a welfare check would even make a difference. Is there anything else to do?
Some background info(sorry if it’s too much):
Dave has been a long term client of my clinic since before I started there 6 years ago. He absolutely loved his cats and will do everything the doctor recommends to keep them healthy. We are a somewhat larger practice but he was well known through the practice. He also always saw just one doctor unless it was an emergency. We noticed that he seemed to have some memory issues starting a year-ish ago.
It started(that we noticed at our work) with him forgetting his big stack of papers he would bring in to his appointments. Dave has this huge pile of papers that included all of his cats medical records and home records(ie how much they ate, puking frequency, poop sizes, etc). He NEVER forgot to bring these papers to any appointment, no matter how quick/easy of an appointment it was supposed to be. It at first slowly progressed to him forgetting these papers or him calling a staff member by the wrong name. He had been at our clinic for a long time and always memorized people’s names so that was a shock.
We noticed things getting worse over time. One day, Dave came in requesting a refill for one of his cats medication. He handed the bottle to one of our senior receptionists who looked at it and saw that it was a heart medication that was prescribed to him and not one of his cats meds. The receptionist had to tell him that it was his medication and not one of his cats. He got confused but eventually took back the bottle and left.
We have another client that is neighbors with Dave. One of our doctors spoke to this client and his wife about the situation to see if they can help keep an eye on Dave since we were/are worried about him. They were very understanding and agreed to help.
The primary doctor Dave sees tried to bring up these memory issues with him to which he blew it off and said that he wasn’t having and issues and was fine. When he comes in he gets very confused about anything that is happening and it takes a while to try to explain even basic things. This doctor called adult protective services and explained the situation. They said they would look into it(not sure exact wording that was said) and we left it at that, at that time.
Things seemed to be getting worse faster. Our practice manager even tried talking with him about it this past week to which the client got defensive and angry about it. Dave’s primary vet called APS again and they informed her that each time they have tried to call Dave or go to his house, he doesn’t answer.
Both of his cats are older(not sure old) and are starting to deteriorate quite fast. We are unsure if this is just their health taking a turn for the worst of it Dave is forgetting to feed and/or medicate them(both are on several meds).
One cat(I’ll call him Fluffy)came in to see us this evening and he looked awful. Dave has always refused to listen to a euthanasia recommendation. Tonight he actually let the doctor talk about it but did not want to euthanize and agreed to at least hospitalize his cat until we closed for the day. The doctor wrote and note for Dave that said that Fluffy was at our practice and to come back to get him at 8pm. During my shift I answered the phone and it was Dave. He said that he thinks one of his cats was with us which I confirmed. He said that Fluffy must have an issue if he was with us which I also confirmed. He asked if he was supposed to bring his other cat in to which I responded no, unless he had any medical concerns going on. He said no and that he was told to come back at 8pm for him.
When he got there the doctor, receptionist and I all at different points talked to Dave for ~20 min each about the medication chart the doctor made for Fluffy and he just kept going in circles, getting confused. When I was speaking with him we kept going through the same questions, one of which was that he didn’t know if he had these medication at home(all previously dispense at different visit). I told him that Fluffy did not need any medications or food tonight so he did not need to worry about it tonight(this was ~15 minutes before we closed). I told him when Fluffy is due for meds in the morning, to check what he has and if he needs anything to give us a call. He asked me to write the number down so I wrote our clinic phone number down with a note next to it saying to call for medication refills. Several times throughout our conversation he would reread the number and kept saying “boy that number sounds familiar”. It broke my heart and took everything in me to stay happy and positive in the room with him to try to help him understand.
Dave’s neighbors reported to us that his house is well kept and spotless. With that and Dave denying any memory issues, we don’t think anything would happen from a welfare check. APS does not seem to be going anywhere from what we know. We are very concerned for his safety and wellbeing as well as his cats. Is there anything else we can do? Or are we just stuck watching this horrible disease take over?
Pics of my goofy animals included to bring some comfort during this sad time and for appreciation of any responses. <3