I went in to see Isobel just after 5pm. She was very soundly asleep when I arrived. She had eaten breakfast and a pot of balanced supplement after. She had also eaten lunch and drunk well.

Tea was rather late arriving, about twenty five to six. I had a lot of trouble waking Isobel beforehand and she was still nowhere near fully awake when the meal arrived. It took fifty minutes of non-stop effort to feed her the main course. Isobel had a lot of trouble opening her mouth and teeth were often tightly clenched. We moved on to try a beaker of high energy drink, Isobel finished this after a lot of trouble, taking forty minutes. She was very tired indeed, able to do very little for herself and with limited control of her eating and drinking. Isobel fell fast asleep. I left the yogurt dessert uneaten, washed her face and left at ten past seven as I had a teaching appointment. This was a very difficult visit, a complete contrast to yesterday.