He's got to deal with it on his own if you are going to make a clean break from the relationship. (in a hospital or not) You've been with this person a long time and he probably sees you as his best friend and doesn't want to have to be with out you. He's said mean things... trying to make you feel bad about yourself, probably as bad as he feels because he lost you.
If you aren't happy, and you can't see yourself with this person in your future, then IMO you are doing the right thing by breaking up right now and not when you've been married or have kids.




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