I spoke by phone to June who said that her visit on Friday had been rather brief as she was running behind schedule an appointment in Dartford. She found Isobel very deeply asleep and knowing that it would take ten to fifteen minuted to rouse her, let her sleep on. She had noticed the swollen right hand.

I went in today to see Isobel just before 1pm. She was awake and had just finished her dinner. We sat and chatted for a while, she was in good humour and said that she had no pain. Her right arm was still rather swollen. It appeared as if she had little control over it and was not able to lift it when asked. There is full free movement at the shoulder and elbow. Isobel has some movement of the wrist but it is painful if flexed either forwards or backwards by a significant mount. There is free movement of the thumb, third and little fingers; and some movement of the index finger. very little movement of the second finger is possible without causing Isobel pain. These range of movements were tested by providing the force to lift or flex Isobel's fingers and arm, she was not able to make any of these movements herself. The neck swelling has decreased but is still present. She can turn her head on the left hand side herself. With assistance her head can be turned partly to the right without causing her discomfort. The range of head movement possible is greater than for most of last week, but is still well short of a normal range.

I spent a long time reading to Isobel from Jessica's book, "I capture the castle" by Dodie Smith. Isobel seemed to follow the reading and made appropriate comments relating to the text when prompted. We read until just after half past two.

I spent about a quarter of an hour watering plants and reorganising things in the room, Isobel stayed awake during this time. I appear to have left behind the time expired bananas and grapes I intended to take home. Isobel ate a huge number of grapes.

By ten past three Isobel was tired and slipped into a light sleep. I woke her at about 3.25 for a mug of tea and two slices of cake. As I was waking her, Iona arrived from her hospital appointment, she has her twelve week scan tomorrow. We sat and chatted for a while and I checked Isobel's neck and arm movement again. Iona and I left a couple of minutes before four o'clock, Isobel was still awake and alert.