Monday, 24 August 2009

A peaceful night. Isobel got up at about 7.45am; breakfasted and bathed without any problems. Departure for the hospice was delayed as I had to make two trips to the chemist's to sort out one of Isobel's tablets; but we finally delivered her there at about a quarter to eleven.

Iona and Jon came over in the morning to finalise the preparations for Iona's departure for a weeks holiday on Corfu with her friend April. Jon has drawn the short straw of looking after Iona's dog. Iona and Jon picked Isobel up from the hospice at 3pm. Isobel had been very unsteady on her feet during the day. Iona and Jon left at 4pm.

A little later in the afternoon Dr Andrew Williams from the Ellenor Trust arrived to examine Isobel. He questioned her in detail for over an hour; and Isobel behaved in a normal way and did not minimise her symptoms. After the first couple of minutes she was not able to sustain continuous intelligable speech and Dr Williams probably got a fair picture of her condition. He knows Dr Sadler and will discuss Isobel with her. We discussed the mismatch of scan evidence and symptoms. I gave Dr Williams an account of the meeting with Professor Hawkes and showed him the report of that meeting. Dr Williams was inclined to feel that as a scan is due next month we will end up waiting to see the outcome of that before getting a better idea of what is going on. In the meantime he will discuss possible variation of steroid levels with Dr Sadler. We agreed that, as there were no dramatic ill effects during the four days when Isobel refused to take her medication, there was now possibly scope to decrease the steroid dose as an experiment. Dr Williams will also talk to Sue Lock about our meeting today.

Isobel had steak, chips and peas for dinner, followed by chocolate pudding. She fell asleep at about 11pm. Iona 'phoned shortly afterwards to say that she was spending the night in the Gatwick Hilton as the plane had broken down.

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