I went in to see Isobel at a quarter past five. Isobel ate breakfast and two pots of balanced supplement but barely touched her lunch as she could not be fully woken. She was asleep when I arrived but woke very easily. She was again able to give a few yes/no answers and at one time said "I know" in response to one of my comments.

I fed Isobel her main course, alternating with a beaker of high energy drink. It was apparent that it was taking her a long time to clear each mouthful from her mouth. As the main course included scrambled egg it was easy to see that when Isobel opened her mouth for another mouthful that some food still remained in her mouth. We talked about the need to clear the mouth and use the tongue to get food out of the cheeks and Isobel followed this advice. After finishing the main course, Isobel ate all her strawberry mousse and finished the drink. Her eating was very slow, but there were only a couple of minor splutters. Altogether the meal took two hours, including an interval of twenty minutes while a nurse gave her medication.

Isobel was very tired towards the end of the meal and fell asleep soon after she had finished. I went home at a quarter to eight.