Therapy is working with us, and they agree Butch is strong enough to leave - is up (for meals, walks, etc.) 6 hours a day - the requirement is - up 4 to 6 a day - in order to be discharged to go home with 24 hour a day assistance. Antibiotics will be finished at the end of the week - Friday, I believe. We have met all other functional goals, I believe - however, the case manager wants him to stay until the 1st - she gave me some crap about Medicare wanting him to stay until then, and I think she said something about we might have to pay if we don't stay that long (she kind of mumbled it, and I gave her a hard look!). She claims that - because of the wound vac - we can't leave before that, but we were told before that we can get a small portable one and be gone from here when everything else is ready. I will be speaking to the Doctor today - remember he said 5 or 6 days originally? She says the wound is healing and the wound vac could come off next week and we could leave w/o having to worry about it - but that doesn't explain the remaining time until the 1st. Then we need to stay here - at Family House - until the appointment with Dr. Gamblin - I HOPE a week. I don't mind staying if it is necessary for Butch's recovery, BUT - I don't want to stay so that Select Specialty can maximize their Medicare reimbursement! Men - ready your weapons!
We are getting a walker today - we don't need the wheelchair anymore - yesterday, Butch pushed it to the elevator and down to the solarium, carrying the wound vac in it!
We need to ask the Doctor if the glucose readings - which have been going higher and higher - are permanent or not. They told us the shots were temporary, but the numbers keep climbing - we will find out. His lab work shows he is still anemic, although better than he was. The electrolytes are better now - fluctuating slightly, but no real problems. He is taking zinc to aid with the healing process, and the Doctor wisely ordered him an anti-depressant, which I think is helping. I don't know how he got through this far w/o one - he kept insisting he didn't need it. I attribute my getting through this whole mess to #1 - prayer, #2 - support from family and friends, #3 - good food, and #4 - medication! Anyway, his lab results also indicate a continued problem with the bile ducts (we know he still has the sclerosing cholingitis - it didn't go away, as it was in the bile ducts outside the area that was removed) , and the GI Doctors say he is going to have that j-pouch for a long, long time - we need to know what that means, but I don't think they are sure - months, probably. It is filling up - a 3 mm pouch - twice a day, so - it is draining properly, but - it is a pain in the neck (abdomen, actually). It would have been better if they could have put the stents in, but, as Butch says - it is a small price to pay. Liver and kidney functions are still very good - the Doctors think he is doing very, very well. I told the Doctor that I have always referred to him as "the wellest unwell person I know"! Basically, he agreed - or - agreed that he is getting back to that place.