The day started out pretty good. Terry slept well and things seemed to be progressing for a smooth transition to the Rehab unit on Wednesday. Terry even got up and took 3 steps, although she was still pretty worn out from all of the excitement on Monday. I won't go into the food as all 3 meals were the usual dregs, sop and gruel.
At 5 PM the day started to crash. I received a call from the Rehab unit that they would not be accepting Terry as a patient. It appears that under Medicare SOPs, if she was admitted then the Home would receive a fixed reimbursement. In turn the Rehab unit would be liable for all medical costs that Terry carries. That means they would have to pay for Terry's radiation treatment which is more expensive than the entire Rehab stay. They would lose a lot of money by admitting her. I was told that she could not be admitted to any Rehab unit. Also, because of Medicare rules she cannot be admitted to a hospital. To be admitted to a hospital requires that she is able to do 30 minutes of continuous PT a day. I was thrilled when she took 3 steps today. 30 minutes is out of the question.
I spoke with her oncologist and she has to have the radiation as that is the only thing working against her cancer at this time.
Hopefully tomorrow will bring some sort of solution. Tonight I will pray to God for guidance, but I might yell at Him in frustration.
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