I went in to visit Isobel at a quarter past five today. Keith and Liz visited earlier but I have not yet spoken to them. Isobel had not had a very good day. She had only ate half her breakfast and part of a pot of balanced supplement afterwards. Later in the morning she had just a few spoonfuls from another pot of supplement. She could not be woken at all for lunch. She drank modestly today, compared to a very large fluid intake yesterday.

Isobel was asleep when I arrived but woke easily when her tea arrived a few minutes later. She must have been very soundly asleep earlier as the nurses had doubts that she would wake at tea time. Isobel ate all the main course. She took a long time, as it was sometimes taking several minutes to clear each mouthful by multiple swallowings. There were a number of coughs and splutterings while she was eating, but virtually no food re-appeared. Isobel needed to take mouthfuls of drink alternately during the latter part of the meal in order to help her clear her mouth. She finished the beaker of high energy juice after, then ate a pot of yogurt more quickly.

Isobel was again not able to speak today. She indicated that she would like her book read to her; I did this for about twenty minutes until she fell fast asleep. I came home at just after half eight.