I went in to see Isobel at 2pm. Iona had arrived a minute earlier. Today Isobel had eaten only a quarter of a pot of balanced supplement. She had drunk a moderate amount. Isobel was asleep when we arrived. Isobel was breathing noisily, with her mouth open, very unusual.

Bev, the Ellenor nurse, appeared and did not know about the planned visit from Dawn Dark (who is in effect her senior). Bev commented that the noisy breathing sounded like a chest infection and asked us to point this out to dawn for checking if she had not returned when Dawn arrived.

Pat Ball (Chris' mum) called to see Isobel. We chatted for a while, then Bev reappeared. She said there had been a mix up and Dawn would not see Isobel today - she was on leave this week. However the doctor would be with her in a few minutes and would check Isobel's lungs. The doctor arrived and confirmed that she thought Isobel had an infection in one lung. She would prescribe antibiotics for this. This lung infection is undoubtedly caused by some food or drink finding its way down the wrong tube, I feel that Isobel is very lucky to have escaped this so far, bearing in mind the swallowing difficulties she has had for a while. We discussed various other problems Isobel has. The phenytoin assay results are not yet to hand. We agreed that it would in any case be difficult to match the medication to the varying need as the tumour caused more and more damage. Nothing else discussed was a surprise to us, nothing but further difficulties lie ahead.

After Pat left, Iona and I did not stay long as Isobel was fast asleep. She had half woken a couple of times during the visit and doctor's examination. Several times she produced a short sound, almost a yelp. The doctor attributed this to the breathing difficulty caused by the lung infection. Iona and I left at half past three.