Dr. Kusum Mathews is a pulmonary and critical care physician and researcher at Mt. Sinai in NYC. She staffed the first week of her hospital’s COVID ICU. The week started off with only a few COVID-19 positive patients and escalated to having patients spilling over into multiple ICU areas by the end of the week. Dr. Mathews discusses her experiences with vent management, the ethics of vent distribution, and coping mechanisms in the stressful and challenging working environment caring for critically ill patients with COVID-19.