D visited Rachael. C was not able to come due to illness. However, her colleague called in on her way to somewhere else. She said to Rachael that as C was not available she expected that Rachael would like to rearrange the meeting. Rachael agreed to this.
D asked Rachael if her NIV has been ok since she had adjusted it. Rachael said that it has been fine but that the Cough Assist was still causing the same problems of stomach pain, trapped wind and bloating.
D phoned the Physiotherapist at Wy Hospital and then she adjusted the Cough Assist according to his recommendations.
D said that any sleep Rachael has whilst she is using the NIV will be restful sleep because the NIV is helping the breathing and allowing relaxation.D said that she would arrange another meeting for herself and C as soon as possible.