Still working on a video demo, but here are the steps to get a sulfur double-bonded with two oxygens, as discussed above.
It's easiest to work in the selection interface. I use Ligand Specific coloring and Cartoon Ligand view.
Select the ligand (segment 199) and click on the Design Ligand (L) tool. The ligand gets deselected easily, so you'll most likely need to repeat this step several times. The instructions below assume you're in ligand design mode.
The starting structure has three carbons, with a red oxygen attached to the middle carbon.
Click on one of the white hydrogens attached to one of the carbons on the end. The click on N for nitrogen. The hydrogen is replaced by a blue nitrogen with three attached hydrogens.
Click on one of the hydrogens attached to the nitrogen you just added. Click on C for carbon. You'll get a new carbon, again with three hydrogens.
Click on one of the new hydrogens and click on O for oxygen. Do the same for one of the other new hydrogens.
You'll now have a carbon that's bonded to the nitrogen you added, plus two oxygens and hydrogen.
Click on the carbon and then click S for sulfur. The carbon is replaced by a yellow sulfur, but everything else stays the same.
Click on the sulfur, then on one of the attached oxygen atoms. The click on the double bond button. The oxygen bond is now double-bonded to the sulfur. Repeat this for the other oxygen atom.
When you're done, you'll have a sulfur bonded to the nitrogen, and double-bonded to two oxygen atoms. There's also an extra hydrogen attached to the sulfur, which allows you to continue the molecule.
It's easy to select the wrong atom. You can click an atom again to deselect, or use the "clear selection" broom icon to clear all selected atoms.
Unlike other types of selection, right-clicking, control-clicking and shift-clicking have no effect. It's a simple (left) click to select and deselect atoms in ligand design mode.
You can also get to the same configuration without going through adding a carbon. Just add the sulfur. You'll get a sulfur with one hydrogen. Change the hydrogen to oxygen. The oxygen is now double-bonded to the sulfur, and there's another hydrogen. Change the second hydrogen to oxygen, then convert to a double bond. You'll end up with the two double-bonded oxygens and an available hydrogen for expansion.
One other source of confusion is "show bondable atoms". This gives you spheres around the oxygens and nitrogens that resemble the selection sphere in ligand design mode. Turn off show bonds and show bondable atoms while you're designing your ligand.