So Malfoy has been in pain and trapped in a semi-conscious wakefulness for over four days – delirious more often than not, and unable to keep down any food more challenging than broth. Unfortunately, none of those things are conducive to healing, and so he hasn't been doing as well as Hermione had hoped. His recovery is glacial, and it feels like rather like their roles have flipped entirely. Hermione was the one to hurt him. He is the weak one. She has to take care of him. She is the monster and he is the victim, and any lingering fear she had of him is gone now, erased from existence by what has transpired.