It has become my custom as Editor-in-Chief to publish in July, at the start of the new academic year, an essay of past reflection and journal plans for the upcoming year. Astute readers will note this is not July. Last year’s message reflected on the COVID-19 pandemic of 2019 to ???, with no knowledge of when it would end. For this July, with implementation of the swiftly developed and extremely efficacious vaccines and innovative patient management and therapeutic strategies, there was optimistic hope to close out the story as the pandemic of 2019 to 2021. However, with some early signals of resurgence due to the highly contagious delta variant, publication of this editorial was paused, hoping that the signal was just transitory and victory could be announced and celebrated, along with some return to normalcy among critical...

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