Samantha Kortenhoeven cries while smoking a cigarette Friday, Oct. 25, 2024, on her back porch in Lawrenceburg, Kentucky. “I can't even say how many times I'm ready to be done and then I've got this overwhelming, gut-wrenching feeling of just as soon as I leave, she's not going to care, and she's just going to fade,” Kortenhoeven said, referring to her mother’s health when she moves out.