I am a PGY2 here with a question for our panel. I recall a patient on Medicine wards with a prognosis of less than a year who was admitted for an acute exacerbation of her underlying lung disease. During the admission it became clear that she was suffering from depression and I felt slightly uneasy when asking about code status because when she asked to be DNR I thought it was reasonable given her disease, but then wondered if her depression was treated if she would give a different answer. FYI she had no desire to even talk about her depressive symptoms and this also happened to be at 3am. Any guidance?
Jason Kirk, MD