Credit: Bravo Photo: Teresa Giudice Wears a White Communion Dress!

There's no doubt that there is a lot of petty family drama on the

Real Housewives of New Jersey, but this is serious stuff. In a new sneak peek from Bravo, Teresa Giudice reveals to her daughters that their Nonno — the Italian word for grandfather — is going to be sporting a pacemaker.

The girls are making homemade cards for Nonno while Teresa explains exactly what a pacemaker is. As she describes the mechanics of the operation, she says, "So God forbid his heart stops beating...," to which Milania pipes up, "He dies!"

Teresa is left momentarily stunned and Gia warns her sister to never say that again.

To the cameras, Teresa sighs, "It is hard seeing your parents go through health issues and it would be a lot easier if my brother was around more."

Do you think it's time for this family to come together? Check out the first few minutes of Sunday’s episode below and tell us your thoughts.