I went in to visit Isobel just before 5pm. I found her with an amusing bag containing a scarf and some toiletries which had been left by Miranda when she visited the previous evening. I spoke to Miranda by 'phone later in the evening; the intense pressure which she has been under at her school has eased and she is beginning to behave like a normal human being again. Miranda had found Isobel in a happy and chatty mood, although she sometimes had difficulty following Isobel's conversation. She was heartened by seeing "flashes of the old Isobel".

I spoke to the staff concerning Isobel's fall from bed on Wednesday morning. There have been no further incidents. Isobel was examined by a doctor today and no after effects could be found. I expressed the view that this fall was probably similar to the incidents which had happened very often at home, Isobel drops her legs over the side of the bed and then sort of slides out of the bed. This is not a free fall and makes no noise. The bed is always kept at its lowest setting unless someone is with her during the day, the addition of the air mattress does make the distance from the ground a few inches higher. My own opinion is that further incidents of this sort may well occur. I spoke to Isobel about the incident, she does not seem to have any real memory of it. It does not seem to have caused her any distress, either now or at the time it happened.

Isobel was again in a good mood, relaxed and chatty. Her speech was moderately good, although needing frequent clarification. After I had been in almost half an hour her tea arrived. This was tomato soup, egg salad and peaches with ice cream. As usual the food was dispatched within a few minutes, washed down by a mug of tea. We continued to chat and watched a couple of quiz programmes on television. Isobel decided she wanted a couple of biscuits, but finished off the tin brought in by her TAs - about twenty biscuits, almost a meal on their own. Although we spent a lot of time talking, the quality of Isobel's speech did not seem to change today - perhaps I am overdoing my efforts to find a pattern. Isobel was interested in my progress with the Christmas cards and had mentioned this to Miranda the previous day. I left Isobel watching the snooker on television when I went home soon after 7pm.