According to This Article,

Josef Fritzl planned to release his daughter from captivity this summer because she was losing her looks, just like her mother.

Fritzl was also tired of feeding and clothing his captives, but Elisabeth beat him to the punch thanks to the note she wrote and put in her sick daughter's clothing.

Here is what the note said:

"Wednesday, I gave her aspirin and cough medicine for the condition. Thursday, the cough worsened. Friday, the coughing gets even worse.

"She has been biting her lip as well as her tongue. Please, please help her!

"Kerstin is really terrified of other people, she was never in a hospital.

"If there are any problems please ask my father for help, he is the only person that she knows. Kerstin - please stay strong, until we see each other again! We will come back to you soon!"

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