the routine they had both counted on was withdrawn. It was devastating. The entire clinical staff, the patients, and their families all felt the pain, the loss, and the consequences of this shifting landscape. This result necessitated us to broaden our capabilities to maintain these relationships, from phone calls to virtual meetings.Then last week, as a nurse held a phone to his ear for his daily call with his wife, he uttered, clear as day, "I love you, I miss you." We all stopped in our tracks. Having been involved in thousands of previous interactions with him, we were thoroughly unprepared for this. I took the phone, expressing my amazement for what I just heard. His wife, matter-of-factly, replied on the other end of the line, "Good morning, Dr. Ruopp, how's he doing today?"For his wife and so many others, the tragedy of not being with loved ones who are suffering is palpable. We know how important their support is in recovery; its absence requires us all to step in to fill the void by developing dedicated and innovative outreach methods to inform and to connect our patients with their families. It requires available technology for virtual visitation to decrease isolation and reinforce family presence. It necessitates increased access to activities for stimulation previously provided by families and may also require increased staffing to accomplish these tasks.Despite these novel challenges surrounding us, we know there is incredible power in maintaining relationships, whether in person or remotely, even when we are social distancing. As my valued patient illustrated, we must take time to provide resources for our patients to dampen isolation, and remind families and each other that we "love them and miss them."