We seem to be living in the midst of a recurring nightmare.  We’re told one minute that the states are opening back up and that restrictions are easing and that elective surgeries are once again being allowed.  The next minute we’re told some states are experiencing the highest incidence of COVID on record. Hospital administrators must remain circumspect, retaining all their options, realizing that past assumptions and recent projections may not be reliable.  Should elective surgeries continue on their ramp-up schedule?  Should the supply of personal protective equipment (PPE) and ventilators be beefed up or reordered?  What about workforce numbers?