Tuesday, April 24, 2012
Alison's brother and his wife arrived in Lincoln this afternoon to find Alison full of life and emotion. She was very alert and laughing a lot. : ) She was even vocalizing quite a bit too. I have a feeling reducing those meds the other day was a good move - she seems to be quite a bit more alert in the last few days than she had been. We did hear from the insurance that it's time to move out of LTACH. There's no real medical need to keep her at that hospital level of care, so it makes sense. And although it'd be great if she were engaged enough in her therapy sessions to go to acute rehab, she's not quite ready for that. From LTACH, we'll transfer to a skilled nursing level of care within the same hospital. They call it the Transitional Care Unit (TCU). But there aren't currently any openings in TCU, so Alison will physically stay in LTACH until there's an opening. But this is where it gets interesting. We only have 60 days of skilled nursing per year on our insurance plan. So when we begin nearing that deadline, we'll need to start thinking about the next stage. We're hopeful that while Alison's in skilled nursing, she'll make enough progress to transfer into acute rehab. That would be ideal. But she sounds like she had a really good afternoon, and good therapy sessions too. And last I heard she was resting well tonight. Please continue to send positive thoughts and prayers for our wisdom in making the best decisions on Alison's behalf, and that Alison would continue to recover and show some solid functional gains in the next month or so. Thanks again for your continued support.