This is one of cousin Esther's step-grandchildren, don't ask why I am meandering, I haven't even finished her children yet, so why am I looking at her sister-wives? I give up on myself Anyway, I am trying to understand cause of death, what I have is: ? resulting from multiple trophic lesions, due to pressure over bony prominences, and imperfect resistance of tissues. Contributory: Paralytic amentia dating from about first year (which is a polite way of saying he is severely intellectually challenged I think, as well as paralysed) I do actually think the first word could be Asthenic, which means weak, but I can't work out what the whole sentence means in terms of what could be wrong with him. Does it mean bedsores?