Euan and I went into see Isobel at half four; having spoken twice by telephone to the charge nurse, Edmund, regarding her deteriorating condition. Iona arrived a few minutes later.
Isobel was unresponsive and breathing erratically. She had not been able to take her medication earlier in the day and had just received some emergency injections pending the setting up of a syringe driver. Shortly afterwards a syringe driver was installed to deliver a cocktail of medication including morphine, as it is no longer possible to be certain that she is not in pain, and pain is very common in the final stages of glioblastoma. Her breathing became much more regular and relaxed in less than an hour. Jon arrived later in the evening and took Iona and Euan back to our house in order to collect some bits and pieces for me. Iona and Jon dropped them off to me and I stayed overnight with Isobel. For most of the time she was relaxed and breathing steadily with no sign of discomfort. At 2.30am she brought up some phlegm, and again at 5am; this did not appear to discomfort her.
Iona, Euan and Jon came in at about 8.15am (Jon's shift does not start until 10am today). I went home at 8.30. Isobel remains as comfortable as she can be.
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