Nicholas Ruthmann, MD, FACC, a staff cardiologist at the Cleveland Clinic and #ACCEarlyCareer member describes promising news out of Ohio, noting that the state and clinic have been well ahead of the COVID-19 curve. Dr. Ruthmann noted collaboration among all the major hospital systems in Ohio. His concerns revolve around the general unknowns including when and if the next surge will take place and ventilator availability, especially as clinics look to re-open other services. He also worries about the general condition of his heart patients, noting that virtual care has not been seamless. For more resources visit https://www.ACC.org/COVID19.