Isobel had a fairly good day today, although the evening was difficult. I went in just after 5pm after dropping some shopping off at Iona's. Isobel ate her breakfast and a pot of balanced supplement after. She also ate her lunch, and then had another pot of balanced supplement. She drank very well in the first part of the day up to half past three in the afternoon.

It was extremely difficult to feed her the main course of tea, as her teeth were tightly clenched together for long periods. This obviously makes it impossible to feed her. The Speech and Language Therapist believes that sometimes a shut mouth is a signal that Isobel is still clearing her mouth from an earlier mouthful but that teeth are clenched when Isobel is actually trying but failing to open her mouth. It is certainly the case that clenched teeth are much more likely when Isobel seems to be unusually tired. During this long struggle today there were several periods when Isobel ate five or six mouthfuls normally but then clenched her teeth for ten minutes or more. She did eventually finish the main course. I then fed Isobel her yogurt dessert. This was eaten quickly and easily apart from a brief clenching of teeth in the middle. Isobel then struggled for over half an hour to drink a beaker of blackcurrant squash. She was exhausted and fell soundly asleep almost at once. I sat with her until half eight before coming home.