It is only Saturday afternoon and our emergency department has already seen the fourth patient with Covid-19 from one of the local nursing homes this weekend. She was fine just a few days ago; now she is disoriented and can’t catch her breath. At age 75 and with other chronic conditions, should we put her on an experimental therapy?

A few hours later, an ambulance brings a patient from a different nursing home, one that already has 21 residents with Covid-19 cases, three of whom died in the past week. He is 87 years old, has severe heart disease, is unresponsive, and no family member is reachable. He needs to be placed on a ventilator in order to survive, but once on the machine, his chance

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