Adriano Sanjuan; Daniel S Brenner; Heather Andrade; Alyson Bundy; Philip Clapham; Nathan Markus; Irina K Hariri; Edwin Jackson – We present a case of a 68-year-old African American man with a history of housing insecurity, chronic obstructive pulmonary disease, chronic hypoxic respiratory failure, heart failure with mildly reduced ejection fraction, chronic kidney disease, hypertension, opioid use disorder, schizophrenia, and mild mitral, tricuspid, and aortic valve insufficiency.