The article highlights the tragic case of Pamela Dimitrova, a two-year-old girl who died while awaiting a heart transplant at the Monaldi hospital in Italy, a facility previously associated with severe medical neglect. Her mother, Rumyana Dimitrova, shares heartbreakingly about the distressing circumstances surrounding Pamela’s prolonged stay in the hospital, where she suffered from multiple infections, including a lethal strain of Escherichia coli, which was allegedly contracted due to inadequate sanitation of medical devices used in her care. The discussion extends to a broader concern about the management and safety protocols in the pediatric transplant unit, especially given the historical context provided by another devastating year in 2014, where all nine child transplant patients at the hospital died. Rumyana expresses frustration and fear regarding the lack of attention towards hospital hygiene, which she believes directly contributed to her daughter's severe infections during the wait for a life-saving organ. This emotional narrative not only serves to amplify a single family’s tragedy but also raises critical questions about hospital accountability and patient safety in Italy’s healthcare system, particularly for vulnerable populations like children awaiting organ transplants. Rumyana’s account may ignite public outrage and demand for structural reforms to improve standards and prevent future fatalities.