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DEAR ABBY: The other night I had to go to the ER for severe knee pain. After being seen and released, I called my son to come and pick me up. It was 11:30 at night. Neither he nor my daughter-in-law answered the phone! The next day, his wife told me they have full-time jobs. (Both work at the hospital.) My grandson said his mom isn't mad at me, but I feel so hurt. Any advice would be greatly appreciated. -- NO RESPONSE IN VIRGINIA
DEAR NO RESPONSE: This unfortunate event should be a lesson for the future. Have a talk with your son and daughter-in-law. The three of you need to come to an understanding about what should happen in the event you have a medical emergency. This includes not only who should provide transportation but also what kind of supervision you might need. You should also have an advance directive in place that includes who should be contacted -- in case you are unable to speak for yourself.
https://www.arcamax.com/healthandspirit/lifeadvice/dearabby/s-2751456?fs
DEAR NO RESPONSE: This unfortunate event should be a lesson for the future. Have a talk with your son and daughter-in-law. The three of you need to come to an understanding about what should happen in the event you have a medical emergency. This includes not only who should provide transportation but also what kind of supervision you might need. You should also have an advance directive in place that includes who should be contacted -- in case you are unable to speak for yourself.
https://www.arcamax.com/healthandspirit/lifeadvice/dearabby/s-2751456?fs

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Also, don't ask your grandchild to mediate between you and their parents.
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If they ignored the call, then LW should initiate a conversation about how they will care for one another in the event of an emergency. In most families, a ride from the hospital is not too much to ask. I will add that LW should have informed her son that she was going to the hospital once she could reasonably do so and should not have surprised him when she was ready to be picked up, if that is indeed what she did. This letter reads like it has been aggressively edited, so I find it hard to tell.
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When my sleep schedule was less predictable, I figured out some Advanced Tricks (with IFTTT and later Tasker) and set my Android up such that a single missed call from a certain set of contacts will unmute the phone; therefore the second call (if there is one) will actually ring. This would let my contacts try calling me at hours they thought were reasonable without immediately disturbing me, but also let them get through to me if it was urgent. (Unfortunately if a call comes from an unblessed contact after the unmuting, that will also ring.)
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I don't think it's awful to bring up that possibility -- I've heard of not a few people who've had to deal with relatives like this.
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I do have certain people on Emergency Bypass (iPhone allows those calls to ring through even if it's in Do Not Disturb mode), but my mother isn't one of them ;P
But, yes -- LW is holding onto offense and hurt feelings when the answer may just have been that her son/DIL were *asleep*.
As others have said, it would also change the calculation to know whether or not LW called to let them know she was going TO the hospital, and ASKING for a ride home, rather than expecting them to drop everything on zero notice, late at night, when the emergency was dealt with and she just needed a ride back home.
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It isn't your kids' job to be on call *for anyone* at all hours, unless they are also parents. Remember before everyone had cell phones? You would go shopping or something and be out of reach for awhile? People are still allowed to do that.
(I don't set my cell phone DND, but at night there's an even chance it's on silent, the battery is dead, or it's in another room. We still have a landline so people who really need us know they can call the landline...but we don't pick that up unless we hear you telling the answering machine why it's important.)