I am a neurotologist, but in April 2020, I worked as a medicine attending physician, staffing an inpatient coronavirus disease 2019 (COVID-19) ward in New York City. As with all hospitals in the US epicenter, Mount Sinai Health System experienced a surge of COVID-19–positive patients; during the peak, there were more than 10 consecutive days with more than 2000 COVID-19–positive inpatients across our 8-hospital health system (with a pre–COVID-19 inpatient capacity of 3184, not accounting for surge beds created during the peak). Charting unprecedented waters, our otolaryngology department responded in a variety of ways, including running a temporary intensive care unit at Elmhurst Hospital, a difficult-airway response team, and an otolaryngologist-run inpatient COVID-19 medicine unit for patients with mild to moderate disease.