I went in to see Isobel at 5.20pm today. She had only eaten a pot of yogurt since last night. She had drunk a number of small drinks, so the danger of dehydration is relieved. She had taken her phenytoin medication orally today. There had been no more major fits but minor trembling of the left arm and leg continues. The results of her blood tests will be available tomorrow and the phenytoin level will if required be adjusted. All of the phenytoin is being given orally in the morning now - the advantage of having two doses to even up the level in her body over the whole day is outweighed by the difficulty (or impossibility) of getting Isobel to take the evening dose. Dawn Dark from the Ellenor trust will visit Isobel after 2pm tomorrow afternoon, Iona and I will also be there.

Isobel was asleep when I arrived today. I managed to feed Isobel about eight teaspoonfuls of scrambled egg and tomatoes. After this she ate a whole pot of yogurt very slowly. Isobel was sometimes able to swallow on request; at other times she cleared her mouth by repeated weak swallows over a period of time. Isobel had a small amount of blackcurrant squash, but soon became very tired and unable to swallow, retaining the drink in her mouth. Her eyes were a little better, but still not right. Her hands were both clenched into claws, the arms were not significantly swollen. Isobel had no control over either arm (although partial control of the left arm may return). Isobel fell fast asleep, I cleaned her face and mouth, checking that very little drink had been retained in the mouth. I went home at twenty past seven.