The scale of the pandemic is straining health care systems in Wisconsin so badly that even large hospitals like UW Health University Hospital in Madison are nearly full, said Jeff Pothof, a physician and chief quality officer at UW Health … “Early on, we managed the surge, we had contingency plans, we were keeping up,” said Pothof. “But now we’re getting towards the end of that book. If we get there, we don’t have anything magic. We don’t have anything else left up our sleeve.”