Iona and I went in to see Isobel at twenty to four. It seemed to me that her condition was much worse. Iona said that this was how Isobel had been at the weekend, and yesterday had been unusually good.

Isobel had no ability to move her right arm at all. It was swollen like a balloon. I massaged the arm and held it up for a long time. The nurses confirmed that the doctor believes the problems are a result of tumour growth (not surprising) and that the swelling is a result of immobility. Isobel's neck was about the same as yesterday. Her speech was much reduced from yesterday, usually one or two words, rarely short sentences. She is having, I think, difficulty producing audible speech. Much of what she says is very quiet, but if asked to speak louder she is able to make the effort to do so. The doctor will see her again later today.

Iona cut her mother's fingernails and did other manicure operations. During this Isobel was unusually passive. After, Isobel ate half a dozen chocolates but did not fancy any fruit. I remembered to take the old fruit away today. She drank half a beaker of elderflower drink, I believe she is also starting to find sucking through a straw difficult.

I read a couple more pages of her book to her, she paid some attention but said little.

We sat and talked for a while before leaving at twenty to five.