So far, environmental transmission of prion disease has not been documented in humans. However, there is no a priori reason to believe that a novel (and nearly indestructible) human prion transmitted through environmental contact could not emerge. Perhaps it would be zoonotic. Perhaps a newly misfolded human protein developed by chance in one of us. If this misfolded protein was able to transmit disease through environmental contact, we would be as defenseless as deer are to chronic wasting disease and sheep are to scrapie. What then?

The Anesthesiologist Database on Death by Suicide, or ADDS, is a worthwhile, dynamic initiative that will further characterize factors that contribute to death by suicide for years to come. It is endorsed by ASA leaders. Much like the Closed Claims Database, data derived from the collection of additional information about anesthesiologist suicides in a confidential, secure manner can be used to educate the anesthesiology community about the risk factors and early warning signs of death by suicide. The survey is now being shared with the general ASA membership.

Perioperative medicine has evolved over the past 20 years alongside the specialty of anesthesiology. Great progress has been made on a wide swath of challenging issues. But critical challenges remain – and we must do more. ASA’s Center for Perioperative Medicine is designed to accelerate the adoption of perioperative medicine as a distinct aspect of anesthesiology and the adoption of clinical approaches that influence care delivery in the perioperative continuum. It will address the needs of hospital and health system policies and programs, locate synergies between diverse stakeholders, and find alignment on a variety of valuable initiatives.

Running for office and serving in elected office is a great way to gain a better understanding of how government works and help your community grow and prosper. Physicians add a great deal of knowledge and practical experience to the pool of knowledge in legislative chambers. Anesthesiologists are particularly adept at dismissing excess noise in the room, focusing on the task at hand, and then leading a team through complex tasks. Jump in as a candidate for office and help your community make better decisions!