A 76 year old male patient presented with his wife for altered mental status and lethargy. The patient's wife stated that for the last three days the patient ``had not seemed himself''. She described some confusion at home and decreased interaction. She reported the patient had not had fevers at home or dry cough, however she had recently experienced a dry cough. The couple spent the previous weekend at a nearby casino after taking public transit. The patient and wife had no recent long distance of international travel and no known sick contacts or known exposure to COVID-19 + patients. The patient had no known history of pulmonary disease.