Hi Witsend,
There was a time that my uNPD BIL had shared custody of young children but was unfit to parent. He's an alcoholic and has a host of untreated medical issues (obesity, hypertension, diabetes, gout, failing kidneys) that severely impair his daily functioning. He was falling asleep all the time (e.g. he needed to nap on the side of the road when making an hour-long trip; he slept most days during visitation). He had several car accidents and near-misses, and he'd get lost on familiar routes (e.g. driving the kids home from school). His car was perennially banged up. His eyesight was failing, and he had episodes of brain fog--evidenced by incoherent texts and email messages. He can't walk or stand without support (a cane or wheelchair). Plus his house is a mess, and he wasn't able to put his kids' interests first. Needless to say, he's long-term unemployed, a total train wreck.
The kids report that during a recent visitation, he had bandages on his wrist and elbow, which sounds to me like dialysis. That would mean later-stage kidney failure. I saw him briefly last month, from a distance, and he looked horrible. I'd say he has only a couple of years left in him, maybe a little longer because he's not even 60 yet. In my humble opinion, all of this was self-induced from excessive drinking and eating junk food, combined with the NPD attitude of I-can-do-whatever-I-want-because-I'm-special. He thinks his body is special and that his ailments were caused by outside forces. For example, he told his kids that his recent weeks-long hospital stay happened because he took too much ibuprofen one day for joint pain (probably caused by gout). Yeah right, as if his kidneys suddenly failed because he popped a pill or two. He denies a drinking problem, but he hasn't been able to comply with court-ordered breathalyzer tests. He regularly skips the tests, when skipping counts as a fail. He always blames the fails on the testing system, his lack of phone coverage, difficulties paying for the breathalyzer service, the loss of the equipment, the absurdity of the test, the unfairness of his ex to insist he's alcohol-free during visitation, etc. Does the blaming and refusal to take responsibility sound familiar? Classic NPD/BPD.
Anyway, like you, my sister feared for her kids' safety, and she hired a PI. In parallel, when her ex was examined by CPS, there was a thorough review of public records on him. If your ex is anything like the pwNPD in my life, there is a substantial public file. The local police had had several interactions with him, some involving driving, others involving unsafe/belligerent/questionable behavior. Also, because he refused ordinary medical treatment but was ailing, he regularly utilized the local Urgent Care system. My sister was able to obtain multiple medical records by approaching all the Urgent Care facilities within a certain radius of his home. The records there helped substantiate a pattern of alarming and ongoing, untreated health issues, as well as a pattern of not following doctors' orders and "shopping" for pain meds. Basically, my sister was able to establish that he was too sick to care for young children, as he couldn't even take care of himself, and he was too impaired to drive the kids around. Yes it was very expensive, but she feared for her kids' lives. Though the court system was slow to act, ultimtely she got a safer, more manageable visitation regime for the kids, including a prohibition against him driving them. Now Grandma does the driving. And she's something like 90, but way safer than dad.



