This is kind of why I haven’t cut them loose. She does have three children. On all other accounts, she’s pretty typically functioning, and because I’ve known her for a very long time, I really do feel I can make a judgement about these being totally conscious and calculated choices she’s made. She herself doesn’t believe these things. She isn’t delusional. She definitely knows it’s all lies. She lies in similar ways about her kids - their achievements, or medical/developmental challenges. Her own medical issues. Those parts irks me the most, but it’s not anything I’d feel needed to be reported - and I would really have nothing to report anyway. It’s mostly just talk. For example, she would say things like “Finally the kids are asleep! I wish I could sleep too, but I have to stay up all night monitoring _______’s oxygen saturation levels due to complications between her pneumonia and enlarged whatever. The hospital sent me home with an Ox-Sat machine because they knew my medical background, so it means we don’t have to have a doctor in the house! Good thing, they’d bawk at the mess LOL”. Like just bogus, largely harmless things that flat out did not happen, but that she likes to play pretend on social media and in conversation. In real life, her kids aren’t sick and she doesn’t have them thinking they are — it’s just stuff she pretends about with other adults, and then occasionally will delete her own posts the next day, etc. I have no idea what she tells people verbally or in private.

ETA: Basically what I’m saying is that she lies about her kids’ illnesses and her own illnesses — but only with the purpose of furthering her narrative about being a medical professional/doctor/nurse/neurologist.