Cover Page -- Title Page -- Copyright Page -- Contents -- Foreword -- Preface -- Acknowledgments -- Part 1. Background -- 1. Rural Medicine Retrospective: An Overview of the Challenges Rural Hospitals Faced Prepandemic -- 2. Good Hygiene in Bad Times -- 3. The Perfect Storm, the Perfect Solution?: COVID-19 and Telehealth -- 4. Bracing Early for a Delayed Impact: How Appalachia's COVID-19 Timelines Affected Health System Bottom Lines -- Part 2. Stories -- 5. Passover -- 6. Working in the Hospital in the Early Days of the Pandemic -- 7. Shadrach, Sparrows, and Me -- 8. I Am Responsible for the People Who Are Responsible -- 9. Isolation, Denial, and Appalachia's Greatest Public Threat -- 10. The Mask Makers: How Women in Appalachia Were Empowered through Sewing during the COVID-19 Response -- 11. We Already Knew We Were Mortal: Cancer Patients in the Pandemic -- 12. Nursing While Black -- 13. Trust Comes Late -- Part 3. Impact -- 14. The Two-Sided Pandemic: Mental Health and Racism before and during COVID-19 -- 15. COVID-19's Enduring Impact on Medical Education: An Appalachian Case Study -- 16. COVID-19 and Type 2 Diabetes: A Seesaw of Reckoning -- 17. Substance Use Disorder during COVID -- 18. The Race to Vaccinate -- 19. Variants, Vaccines, and Vacations -- Contributors -- Index.