Mr. A passed away on Sunday. I heard from a colleague.

And now, half-way oncall in the MICU. Sick sick sick. A lady just passed away 5 minutes ago. Family finally withdrew care. 60 year old lady with cholangiocarcinoma, duodenal-vena caval fistula (holy crap, how is that possible??), with an enteric gram-negative bacteremia. Can you get any sicker than that?

And just now, I just had another patient, right upper lung non-small cell carcinoma with liver mets, admitted for spontaneous bacterial peritonitis and multiorgan failure.

April is gonna be a looooonng month.