This was a picture I took in May of my 93-year-old mother-in-law who (along with all other long-term care residents) had been confined to her group home due to Covid-19. We could only visit her through the bars on her front door. We were not permitted entry and she was not allowed to come out to touch us or get a hug from us. She did not understand why this was happening or when it would end. The unhappy expression on her face speaks to the plight of these vulnerable elderly residents during Covid 19. It highlights the psychological impact Covid-19 has on older adults confined to long term care facilities. As a Geriatrician, this scene was heartbreaking and yet an honest depiction of what has been happening to these older adults.