In late 2009, the complications re-occurred like the persistent cough and neuropathy. He was readmitted at Kibuli Hospital where he was at the same time diagnosed with TB. Posiano developed difficulty in breathing but later discharged. On his third encounter to the hospital, he was diagnosed with pneumonia. With all these conditions he also got paraplegia, with severe bilateral oedema in the lower limbs chest pain, insomnia and abdominal distention. All these affected his occupational performance in that he was unable to preach the gospel on Sundays as he used to, and mobility became so hard for him, he was in severe pain but this became history when he was referred to Hospice for pain management and symptom control.

Later on with help from different professions at HAU, Posiano