You did your best for her Tom, and that is all anyone can ask of you. I've seen (and smelt - the first time i was nearly sick) tissue damage and know what it can do to a person. I just hope, like you say, the stroke left her incapable of realising what was wrong with her. It shouldn't happen but it does... you can't save everyone no matter how hard you try. I'm a new reader by the way, and i love your blog. My sister (a nurse) told me to read your book and it has taught me more about working with patients than the longest shift in the care home/hospital. Keep up the good work Tom. Helen x