New Westminster Record: In February, when celebrating her 100th birthday with her family, my patient, Helen (not her real name) continued to thrive while managing her chronic health conditions. The pandemic changed all that. She wasn’t infected with COVID-19. Her assisted living facility made every effort to protect its residents. However, this meant an end to all social activities and visitors. By June, I learned of Helen’s profound functional decline. She had lost weight, fell frequently and was no longer able to stand on her own. Her daughter, an experienced nurse recognized that she was in a potentially irreversible decline.