Currently, two broad questions are driving observational and theoretical studies of the low-redshift intergalactic medium: (1) Are the missing baryons located in the "warm-hot" intergalactic medium (WHIM) at the present epoch? Hydrodynamic cosmological simulations predict that as the universe evolves and large-scale structures grow, intergalactic gas accretes into increasingly deeper potential wells, and a substantial amount of intergalactic material is shock heated. By z = 0, the simulations predict that 20 - 50% of the baryons are shock heated to temperatures of 1e5 - 1e7 K, the so-called WHIM. This is purported to be a robust prediction from these popular simulations, but is there any *observational* evidence of the WHIM? (2) How do galaxies affect their surroundings, and how do surroundings affect their galaxies? Processes grouped under the rubric of "feedback" (e.g., supernova- or AGN-driven outflows) are often invoked to solve problems in galaxy evolution, but observational constraints on feedback are still quite limited. Conversely, theorists have suggested that gas accretion is more complex than previously thought and occurs in "cold" and "hot" flavors. To provide observational constraints relevant to these topics, we have been conducting a high-resolution spectroscopic study of the low-redshift IGM using QSO absorption lines. This talk will summarize several new results from this survey, with a focus on QSO absorption systems detected in the O VI doublet. The O VI doublet is frequently detected in low-z QSO spectra, but it will be shown that the absorbers have some surprising properties, e.g., the gas is often cooler than expected (T << 1.0e5 K), sometimes quite enriched with metals (in some cases approaching solar metallicity), and rather far from luminous galaxies. The speaker will wave his hands furiously to deal with these findings but will conclude by demanding much more telescope time to really understand the role played by the IGM in galaxy evolution.