Abstract
[This is an excerpt.] Only a few weeks into the Delta surge at our county hospital, I had descended into a state of abject hopelessness. Wave upon wave of patients with COVID-19 again flooded our hospital, most of them having declined a vaccine that might have made this particular surge preventable. Defeated and overworked, I headed toward the room of a patient whose oxygen saturation had dropped on the ventilator. The respiratory therapist had increased the fraction of inspired oxygen on the ventilator to 100%, and the patient was not recovering; her saturation hovered around 84%. [To read more, click View Resource.]