Colleagues, All indications are that we will be heading into a strengthening storm following the Thanksgiving holiday. Tennessee’s COVID metrics are getting worse as the U.S. is now approaching 200,000 new cases each day. Tragically, more than 255,000 Americans have died since the pandemic began. Consistent with rising infection rates across the nation, over the past week we have experienced a surge in the number of COVID-19 patients now in our care.