Thirty years of experience in the ophthalmology field, accepting and progressing through the changes in technology, billing requirements, and surgical procedures (remember RK, radial keratotomy?) did little to prepare me for March of 2020! As an assistant administrator at the Wilmer Eye Institute at The Johns Hopkins Hospital with oversight of ten specialty clinics, I was asked to develop and initiate a plan to “close business to all patients, except those with urgency!”—then calmly share that plan with each of my ten managers.