I was thinking the same thing about your Pastor. And you go to the bible study group, don't you? Would you feel comfortable standing up and telling them you need help?
He might not be their favorite person, but would Gabe make a quick phone call or email your cousins and tell them that you need a hand, that you feel let down?
I remember this time in my own relationship with my mom - it is a hard thing to go though. Glad to know that you have hospice there.
