I went in to see Isobel at mid-day. She had eaten a pot of balanced supplement as well as having more to drink in the early hours of the morning. She ate most of her breakfast and another pot of balanced supplement this morning. Isobel was showered this morning without problems. She was asleep when I arrived but woke easily.

Lunch arrived rather late, just after half twelve. Isobel managed to eat all of her first course although it was a rather slow business. She very nearly finished a beaker of high energy juice but fell irrevocably asleep with just two teaspoonfuls left. Isobel was relaxed and comfortable, although there was some coughing and spluttering while eating. Her right arm was much better, not nearly as swollen and no sign of pressure points.

We are now at a stage where Isobel is constantly on the edge of not eating or drinking enough. The eating is not a serious problem, Isobel could miss food entirely for several days without causing any real difficulties. The drinking is usually easier to manage but potentially more serious if she does not drink at all for a couple of days. She is much sleepier, in the sense that she sleeps more deeply. The proportion of the day apparently asleep has probably decreased over the past couple of months, but for much of the time her eyes are open she is unresponsive and not really awake. The sleepyness makes eating and drinking very slow. I left the Centre just before half past two.