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JANUARY 3, 2024

Necessary but Not Sufficient

Delirium Is Not the Only Indication for Psychiatric Consultation in Surgery

By Michael J. Asken, MA, PhD; William Childers, DO; Kevin Taylor Spence, MD; and Aditya Joshi, MD

At a recent surgical morbidity and mortality conference, a case was presented of a female patient in her 70s whose course extended for weeks. Admission was for a chronic enterocutaneous fistula and failure to thrive. After unsuccessful conservative management, she underwent a series of operative procedures.

Notable in the presentation was the context of the case,