A former Stanley woman has gained a new perspective on the importance
of medical directives after spending more than a year under
guardianships that she says worsened her health.
Kathy Miller, now of Wisconsin, said she
prepared power of attorney documents, but failure to secure those
documents in event of emergency triggered a series of events that she
looks back on now as a tragedy.
Her ex-husband, Paul Miller of Billings, Mont., said the family’s
lack of legal knowledge about guardianships contributed to the missteps
that put Kathy in an unfortunate position.
“If I had to do it over again, I would have consulted a lawyer,” he said. “There are things I could have done.”
Kathy Miller, who has multiple sclerosis, said she was hospitalized
in March 2015 in Stanley after a fall. She also was found to be
seriously ill with an infection. A friend inquired with the local social
services agency about obtaining guardianship.
Paul Miller, who then was separated but not divorced from Kathy, said
he objected to the friend having guardianship but asked social services
to locate a nurse to care for Kathy once released from the hospital.
The county social service director at the time, Bryan Quigley, obtained
guardianship on March 5, 2015, from the court, which had received input
from him, from Kathy’s friend and from Kathy’s mother.
Because of medical and other privacy issues, people and facilities
associated with Kathy’s guardianship and care weren’t able to publicly
comment. However, court records show the emergency, 60-day guardianship
allowed Quigley to terminate Kathy’s financial accounts, evict people
from her property and restrict her contact with other people, if deemed
necessary.
Kathy Miller said she had paperwork giving a friend – not the friend
who sought guardianship – durable power of attorney. However, he was
unable to locate his document for several months and was barred from
entering her home to obtain her copy.
Paul Miller said the family trusted the guardian and believed it was
in Kathy’s best interest when her guardian moved her for a short time
into a nursing home and then into an assisted-living apartment with a
caregiver. Last month, the caregiver received a jail sentence for
possession of drug paraphernalia and was ordered to undergo a chemical
dependency evaluation. While she had been under his care, Kathy Miller
said, a blood test showed methamphetamine in her system, although she
says she has never used the drug.
Miller was sent to the State Hospital in Jamestown. The doctor gave
her medicine for a bipolar mental illness, a diagnosis Kathy insists was
inaccurate. Her stay was limited by the court to 45 days, so upon her
release, she was placed in a nursing home in that part of the state.
“There was no therapy. I was in a locked ward, and I was allowed out for meals,”
she said. Phone calls to and from family, including her son and
daughter, were restricted. Paul Miller said when his phone calls were
allowed, they were restricted to 15 minutes once a week.
“One of the reasons why I was not allowed to
talk to her more is I was ‘interfering with her rehabilitation,’ which
basically, from what I understand, was nonexistent,” Paul Miller said.
Miller said he began to develop concerns about Kathy’s care in September 2015. He said Kathy’s situation wasn’t the “least restrictive”
environment required by law, and a judge directed Kathy be removed from
the locked ward as soon as possible. Although the family had vehemently
opposed Quigley’s continuation as guardian at the September hearing,
the judge ruled in December to continue the guardianship.
Paul Miller said Quigley had offered to step down and allow him to
assume guardianship. However, he was unfamiliar with what needed to be
done before he went into court in September, and the arrangement he
proposed was rejected as unsuitable.
Initially, the family was unaware that Kathy could ask for a review to have guardianship removed.
“Quigley and the judge never made Kathy
aware of that option and we were told in court on September 22 that it
could not be reviewed for one year and Quigley had the control,”
Paul Miller said. The attorney hired by the family fought a good fight
in court but declined to fight further once the judge made his decision,
Miller said.
“I begged for us to put in for a change, and everyone acted as though it could not be done,” he said.
Objecting to the rules and medical decisions, Kathy Miller admits she
wasn’t a compliant nursing home resident, but she can’t say for sure
what prompted her guardian to return her to the State Hospital last
February.
That also was about the time that Paul Miller’s research of
guardianship law and investigation of Kathy’s case discovered an error
that he believes should have disqualified the guardianship. From June
through December 2015, decisions about Kathy’s care had been made
despite a fictitious “Joe Schmow” listed
as the dependent in the paperwork. Some decisions also were being made
on Kathy’s behalf during a period in which the guardianship had lapsed
and not yet been renewed, Paul Miller said.
Last February, a relative in Wisconsin stepped forward to offer to
assume guardianship and provide care. Eager to release Kathy from her
existing guardianship, the family agreed to the plan, which was approved
by the court last April.
Kathy said the arrangement in Wisconsin proved to be ill-advised.
Conditions and care were such that she was hospitalized about six weeks
later with e coli, life-threatening blood clots and other ailments.
Hospital medical staff declined to recognize the guardianship, citing
technical issues with the filing in Wisconsin, and turned medical
decisions over to Kathy’s son.
A competency test was conducted that found her to be neither bipolar
nor requiring guardianship, Kathy Miller said. She now lives in a
Wisconsin apartment with full-time caregivers.
Her health has declined since 2015, though.
“My MS has gotten really, really aggressive,” she said.
Also due to costs associated with the past year and a half of medical
care, she lost her house in Stanley and saw her financial accounts
drained. Paul Miller said his health insurance would have covered some
of her care had it been tapped. An application was made to cover her
second stay in the State Hospital but it was denied as medically
unnecessary, he said.
The Millers believe their trials of the past year were unnecessary
and might never have happened had they better educated themselves about
their options early on.
“She was competent the entire time and never should have been placed in guardianship,” Paul Miller said. “All that was ever really needed was for me to have a power of attorney when we were married.”
Full Article & Source:
Missteps mar family’s guardianship experience
It's a crying shame what happened in this family and all so unnecessary. The truth be told, though, the end result might have been the same no matter what.
ReplyDelete