Hi Jennifer.

I had responded earlier and lost my post.

Most hospitals will not accept admissions, even when primary care doctors want their patient admitted these days. In addition, insurers also deny admission.

Regardless of the situation, as long as not immediately critical, age is a factor. So even though your brother sounds like he is in rough shape, an elderly person with the exact same medical picture will more likely be admitted, when someone younger is not as likely to be admitted.

(I have been told this by my own doctors. I have also dealt with this myself one year when I had to go to the ER 12 times, 6 times by ambulance.Severe difficulties with asthma after having had the flu. My PCP had wanted me admitted in order to get things under control. The hospital told him "no." If I was older, they would have admitted me.)

When anyone has a home and family to care for them, it is less likely s/he will be admitted..

Sometimes it can help to let the doctor know if family is getting tired or otherwise cannot fulfill the role of caretaker.

If your brother cannot care fro himself, it is possible he might be accepted/admitted to a psych unit. I don't know if this is appropriate or not.

I am sorry there is not a better system in place.

I am concerned about you. I hope your visit with your therapist has been helpful.

I am here for you. You know where to find me.

Much Lo0ve