I went in to see Isobel just after 5pm. Keith and Liz were already with her, she had been asleep since they arrived. Isobel had eaten Wheetabix for breakfast and had a pot of balanced supplement after. She ate half of her main course for lunch and a quarter of her semolina dessert. She had drunk well during the day.

Isobel's tea arrived a few minutes after me. I spent ten minutes failing to wake Isobel up in order to eat it; then Keith and Liz left. I had begun to think that I would not be able to wake Isobel at all, but soon after, Isobel woke sufficiently for us to make a start eating the main course. This was eventually finished but Isobel repeatedly had difficulty unclenching her teeth. By the time she finished she was exhausted and fell deeply asleep without starting her yogurt dessert or drink.

I let Isobel sleep until a quarter to eight. It took an hour and a quarter of desperate efforts to get her to drink a beaker of blackcurrant squash and to finish her yogurt dessert. Once again she was often unable to part her teeth. It is the opinion of the Speech & language Therapist that when this happens, Isobel is trying to open her mouth - it is different to her conscious resistance to opening her mouth at all when she has not finished swallowing the previous mouthful. I washed her face and went home at a quarter past nine.