BJ Miller would not medicate delirium unless a patient explicitly requested it, preferring to discuss medication options for sleep versus allowing potential expression or communication.

“I I increasingly would not medicate a delirium unless I had a conversation. If you were my patient I'd say Peter hey you know there might be moments where you can get a little confused etc. And if that happens would you rather you know maybe there's an opportunity for me to ask you would you like us to kind of heir on the side of medicating that and help you sleep through it? you know, or talk to family about that.”