Francisco declined hospital treatment on 3 April 1919, and died at home the next day. In an attempt to save her life, which she insisted was futile, Jacinta was moved to Ourém Hospital; her condition steadily worsened and, in a successful attempt to transfer her to the children's hospital in Lisbon, Queen Stephanie's Hospital (which at the time only allowed for children from the city to be treated there), she was moved first to the care of the small Orphanage of Our Lady of Miracles, in the Lisbon neighbourhood of Estrela. She developed purulent pleurisy and endured an operation in which two of her ribs were removed. Because of the condition of her heart, she could not be fully anesthetized, and suffered terrible pain, which she said would help to convert many sinners. On 19 February 1920, Jacinta asked the hospital chaplain who heard her confession to bring her Holy Communion and administer Extreme Unction because she was going to die "the next night". He told her that her condition was not that serious and that he would return the next day. The next day Jacinta was dead; she had died, as she had often said she would, alone.