September 18, 2015 3:00 p.m.

Dear Janet, Alex, and Peter,

At 7 p.m. last evening, when I last changed Margaret, the incipient 
ulceration of her buttocks seemed to be stable or slightly improved. 
I could not inspect the 3.5 x 2 cm pressure sore over her sacrum, 
because that lesion was covered with a semipermanent colloid dressing, 
not yet to be removed. The fleece boots had protected her ankles and 
heels against breakdown.

She went to sleep shortly after 7 p.m. and has since been asleep soundly,
for about 19 hours, motionless in bed without moaning or any other 
expression of discomfort. She has been breathing normally.  I have not
attempted to wake her.

Love, Jochen