patient is fully vaccinated. covid + 1/23/2022 on admission to hospital. 94y.o. male with a pmhx of copd, infiltrative lung disease, hypertension, diabetes and diverticulosis who presents with a complaint of covid pneumonia. sob; he was initially on nonrebreather and then required bipap. he remains tachypneic with respiratory rate anywhere between the 40s and 60s. he is in acute distress. cxr: severe chronic lung disease with honeycombing suggestive of usual interstitial pneumonia/idiopathic pulmonary fibrosis. in addition, there are scattered bilateral infiltrates which should be correlated for a superimposed infectious etiology. decadron, remdesivir, baricitinib, prophylactic lovenox ordered. mild troponin elevation. pancytopenia-wbc 1.7, hemoglobin 9.0, platelets 72pt does not want intubation or cpr. dnr comfort. patient expired