Her pneumonia seems better and I was reassured that as she is not showing any symptoms regards the 2.1 block that she can attend as an outpatient to have a temporary monitor fitted for couple of days to see if she needs a pacemaker. However on reading her discharge notes I noticed that her 2.1 block is of a mobitz ll type that "mandates hospital monitoring and a pacemaker" according to a web page about this condition can lead to a total block. She is still coughing and now realise that she has been sent home with the threat of suddenly dying when this could have been prevented with a PM. She hated the hospital so much that at the moment says that she does not trust anyone cutting her up but she really does not comprehend that she could otherwise die. I promised never to lie to her about her condition even if it is unpleasant but now she does not trust me nor believe how dangerous her condition is and should she start to die I will forever have that look on her face that I have seen before that says that I lied to her. This is something that I will not be able to live with. I also believe that she may not tolerate having a pacemaker as so far she has ripped off her cannula 3 times and blood pressure bands numerous times because "they hurt". So you can see what state I am in. I can't eat or sleep with worry and there is also the threat that this will also affect my sister who had a subarrachnoid haemorrhage some years ago with a shunt fitted and now has a fistula on the brain and will not live through another stroke or aneurism. I have no other family.