75 y/o male w/ hx HTN, HLD, tobacco use (3 PPD), CAD c/b prior MI s/p CABG (2016), DM 2 (A1C 15), ESRD on HD M/W/F, gluten allergy, COPD on home O2, fibromyalgia, hypothyroidism, prior CVA x2, AF w/ RVR on AC, admitted for pneumonia c/b resp failure s/p intubation and prolonged ICU stay now with acute GIB c/b hemorrhagic shock s/p MTP on 3 pressors... 75 y/o male w/ extensive PMH and complicated hospital course...