I think Pema already knows, she's not getting better. It might be a stretch to say Pema's body should be checked over to see if there's any clue or trace as to how she got so sick, but someone's body should surely be brought to some special hospital. I think Pema wants to just leave without regrets but to also leave those she loves, with some kind of comfort if possible. As long as you don't make Mako an ass or Tenzin a total stick in the mood, I won't complain lol And I doubt that'll happen with us.