Effects of Repeated Decision Making Among Surrogates of Seriously Ill Patients

Inclusion Criteria: * Patients must have one of the following diagnoses: aplastic anemia, multiple myeloma, myelodysplastic syndrome, acute myeloid leukemia, stage IIIB or IV lung cancer, mesothelioma and/or stage IIIB or IV gastrointestinal cancer (pancreatic, biliary, esophageal, gastric, hepatocellular, colon), stage IV melanoma. * Patients must have at least one surrogate at their clinic visit who is willing to enroll with them as a pair to be included. * Surrogates are eligible if an eligible patient identifies them as as a surrogate and both consent for the study. * All participants must be over the age 18 * All participants must be fluent in English Exclusion Criteria: * Patients and surrogates will be excluded if they are illiterate or have a medical condition known to alter Stroop performance. These include individuals who are visually impaired such that they cannot read a computer screen, blind or colorblind, patients given sedating medications during their appointment and individuals with past medical history of cerebrovascular accident, transient ischemic attack (TIA), seizure disorder, dementia or traumatic head injury with loss of consciousness. * Patients will be ineligible if they have either tracheostomy or are currently on hemodialysis as these would significantly alter responses to the mechanical ventilation hypothetical scenario and the hypothetical life sustaining therapy question. * Surrogates and patients are ineligible if their paired participant is…