When Terry Scoggin left work at Titus Regional Medical Center in Mount Pleasant on Tuesday evening, there were five patients at the facility being treated for COVID. Overnight, six more people suffering severe coronavirus infections were admitted to the rural Northeast Texas hospital â pushing the facility to its capacity limit and putting Scoggin, the hospitalâs chief executive, on high alert for what heâs calling âa fourth surge.â âWeâre at it again,â Scoggin said. That same night, hospitalizations in Bexar County rose by nearly 8%. Almost 100 people were admitted with severe COVID to local facilities on Tuesday alone, Bexar County officials said on Wednesday.