The relationship between Speaker Emerita Nancy Pelosi and the Biden family is so strained that the outgoing president and his wife did not check in on her after she broke her hip last month, enraging Pelosi’s family.

Since breaking her hip in Europe last month, former Speaker Nancy Pelosi has been deluged with messages, flowers and calls of concern from heads of state, colleagues in both parties and even royalty, most notably Luxembourg’s Grand Duke Henri, who was hosting her when she fell and has been solicitous through her recovery.