Registered nurse Shelly Girardin, left, is illuminated by the glow of a computer monitor as Dr. Shane Wilson examines COVID-19 patient Neva Azinger inside Scotland County Hospital on Tuesday, Nov. 24, 2020, in Memphis, Mo. The coronavirus pandemic largely hit urban areas first, but the autumn surge is now ravaging rural America, stressing the staffs of tiny hospitals like the one in Scotland County. (AP Photo/Jeff Roberson)