What could have been the misgivings of Jane?

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What could have been the misgivings of Jane?

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    While on a trip to Switzerland, Hawking contracted pneumonia and was left on a life-support system. The doctors treating him suggested a tracheotomy operation which would remove his windpipe. It might save his life but he would never again be able to speak or make a vocal sound. Jane thought her husband might die with this operation. That is why she said, The future looks very bleak.’ Hawking would no longer breathe through his mouth and nose but through a permanent hole made in his throat.