I forgot to mention yesterday that Isobel had a shower in the morning, it did not cause the usual problems of exhaustion and vomiting.

I went in to see Isobel at twenty five past five. Luisa, Pam and Sue from Hook Lane School visited yesterday teatime but I have not spoken to them. Isobel had not had the best of days today. She ate half her breakfast but was sick afterwards. Later she had two pots of balanced supplement but could not be woken for lunch.

I was late arriving and a carer had already got her to eat the whole of the main course. I suspect she had eaten it so quickly because she was hungry. After a brief rest we moved on to the high energy drink which was also despatched quickly. We moved on to the yogurt, and Isobel started off at the same rapid pace. After the few few mouthfuls she slowed somewhat but was still faster than normal. The whole meal was eaten in a time not bettered for months; it seems a long time since she was demolishing meals in five minutes before Christmas. I massaged and manipulated Isobel's arms although both looked OK. The chiropodist looked at her feet today - there had been some dead skin on the feet. Isobel had her eyes open more than usual and was apparently looking at objects for a few seconds at a time and focusing on them. After Isobel had finished eating I talked to her for a while but she could not reply, although looking more alert than in the past few days.

I read to Isobel from her book for almost half an hour before she fell asleep. I did some rearrangements in the room before leaving at twenty to eight.