This was not a good day for Isobel.

She ate part of her breakfast but was very sick afterwards. She ate a pot of balanced supplement but could not be induced to eat any lunch or anything during the afternoon.

Iona and I went in a few minutes after 5pm and were intercepted by the charge nurse who explained the problem they were have with teeth clenched firmly shut. Tea arrived a minute later and Iona and I tried to feed Isobel. For most of the time her teeth were clenched tightly shut. Over a period of about twenty minutes I was able to slide a small amount of her main course (<5%) into her mouth. I failed to get her to take any drink. She was then repeatedly sick and over ten minutes everything that she had eaten reappeared; she was very sick indeed. After the nurses had cleaned her up we reconsidered the situation. There seemed no prospect of getting food or drink into her in the near future. The nurses will try again very late this evening (about 10.30pm or later has been successful in the past). Iona and I sat with her for a while before leaving just before half six - Isobel was asleep.

As well as the deficient food intake, Isobel has not drunk a large amount today. She may well be better tomorrow; if not we are heading for a serious situation within a couple of days.