A meeting with Isobel's doctor was scheduled for today, both the children wanted to be present. I took Euan in at twenty five past one and Iona arrived a few minutes later when she finished work. Isobel was very soundly asleep when we arrived. She had eaten part of her breakfast and had a pot of balanced supplement mid-morning but had missed her lunch completely as the carers had been unable to wake her. We let her sleep on. The children had brought food and drink for themselves and it was like a picnic for the next hour.

Iona had brought in the moving light projector she had bought for Isobel. She set it up and the children admired the display while I said it reminded me of the 1960s. The doctor failed to appear - he is usually in the Centre from about 2pm but reaches Isobel at about 3pm. Eventually, well after 3pm, we got the message that he was not coming today - it had been assumed by the staff that he was on the site but held up in the care home on the other side of the site; a message had been sent to the care home but not passed onto the Centre. The doctor will come tomorrow at the usual time. Isobel woke up and Iona showed her the lights, Isobel seemed to appreciate them. Isobel was able to confirm that she was not in any pain.

As Isobel had not had a drink since she was awake mid-morning I helped her drink a beaker of blackcurrant squash. Iona took Euan home. Isobel then ate a pot of balanced supplement but fell asleep as soon as she had finished it, at about twenty past four. I looked at her right arm, it looked better than it had been for ages, I decided it did not need any massaging today.

Isobel slept deeply until tea arrived at about a quarter past five. She was slow to wake up fully but ate the main course without any major difficulty although she was very slow with the last three mouthfuls and clearly already tired. We started on her yogurt dessert but she fell asleep after a couple of spoonfuls. Isobel did not drink any of her beaker of tea - when thickened it is not an appealing prospect and thickened squash seems much nicer.

After about a quarter of an hour I woke Isobel up. She finished her dessert but was very slowly and had much more difficulty with it than she usually does. I was going to prepare a beaker of orange squash but Isobel fell deeply asleep again. Soon after this Pat Ball and Dennis her husband arrived. We did not wake Isobel - I suspect this would have been difficult. Pat and Den thought Isobel looked better than on their previous two visits, Den thought the colour and texture of her skin had improved. We chatted for about twenty minutes before the staff arrived to change Isobel's pad. After this Pat and Den said goodbye to Isobel who was still half asleep. We had a succession of staff coming to admire the moving lights, everyone seems to like them.

I woke Isobel fully over the course of ten minutes or so. She made very heavy weather of drinking a beaker of orange squash and I did not proceed as I had planned, onto another pot of balanced supplement. Although Isobel has been very tired today, being deeply asleep for much of this long visit, she seemed reasonably alert when awake and was able to respond to a few questions. She was not as good as during the two previous days but was better than she had been before that. I waited about ten minutes to ensure Isobel was stable after the drink and then half lowered the head of her bed; Isobel was already fully asleep. As I prepared to leave, a nurse arrived to feed her the last pot of balanced supplement; after hearing my report she left this for an hour or so. I went home at twenty to eight.