Case Presentation: An 89-year-old female with a history of heart failure with reduced ejection fraction (HFrEF), atrial fibrillation, and prior left atrial appendage occlusion (Watchman) presented with altered mental status and generalized weakness. On admission, she required intensive care unit (ICU) support, including vasopressors and BiPAP for acute respiratory failure and septic shock. She briefly [...]