Alana ‘Honey Boo Boo’ Thompson’s ‘Fears’ Get Realized When Sister Anna’s Cancer Gets ‘Bad’ (Exclusive) [Video]

One of Alana “Honey Boo Boo” Thompson‘s biggest fears is becoming a reality as her sister Anna “Chickadee” Cardwell‘s condition deteriorates.

In PEOPLE’s exclusive first look at Friday, June 28 episode of Mama June: Family Crisis, Lauryn “Pumpkin” Efird calls Alana with bad news while she’s away in college. As she prepares for her final exams at school, Pumpkin reveals that Anna’s cancer has taken a turn for the worst and she’s now in hospice care.

“Anna’s really not looking all that well,” she says solemnly. “She has now decided that she’s done with radiation, and then she’s also now on hospice because that’s what she asked [Mama June Shannon for].”

“She’s really that bad? Why didn’t someone call me before now?” Alana asks on the phone.

When Pumpkin admits that the family decided to keep her in the dark so she could focus on her …