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ASA NEWSLETTER
 
 
February 2003
Volume 67
Number 2

Doctors Day and Research — Something to Brag About

R. Lawrence Sullivan, Jr., M.D., Chair
Committee on Communications



As this issue of the ASA NEWSLETTER was being prepared and contributions from the Society’s members were being received and edited, a favorite American pastime was slowly unfolding — the National Football League playoffs leading to the Super Bowl. Football enthusiasts root for their favorite team (my team is the San Francisco 49ers), but only that American city whose team wins the Super Bowl will have bragging rights for the rest of the year. I know that feeling from previous Super Bowls, and it’s a great one!

Doctors Day
Each year at this time, another tradition unfolds as ASA and its member anesthesiologists look back in time with enviable pride. The contributions of anesthesia to modern health care, which were first appreciated in 1842 with the discovery of ether as a genuine anesthetic, cannot be ignored. The names of Crawford W. Long, M.D., Horace Wells, and William T. G. Morton, remain vividly etched in the minds of all anesthesiologists. Their initial experimentations with ether that led to the ability to create a controlled and reliable state of surgical anesthesia was revolutionary and, at the same time, unique because of its American origins. Yet it was only the beginning. In the 161 years since Dr. Long’s historic use of ether on his patient, James Venable, the evolution of the science of anesthesiology has radically changed the surgical treatment of disease and trauma. The historic significance of the emergence of physician-driven, modern anesthesia practice to ensure a safe operative experience for the surgical patient stands on a par with the discovery of antibiotics, the development of vaccines against contagious diseases and the successful treatment of heart disease, hypertension and diabetes.

In 1958, Congress agreed that March 30 was a special day to be observed — that day in 1842 on which Dr. Crawford Long first used ether on a patient. While perhaps Congress should have declared that date “Anesthesia Day,” it did proclaim that March 30 would henceforth be known as “Doctors Day,” an annual national observance to honor all physicians in the United States. Although the significance of this date may seem to have been misdirected, March 30 is still a day on which the historic achievements in anesthesia are celebrated. As anesthesiologists, we too have bragging rights, and it is a great feeling!

Research Theme
This year the members of the ASA Committee on Communications have recommended that research should be the theme for Doctors Day. For more than 100 years, research in anesthetics, related pharmacology, life-support systems and pain control have become the cornerstones of the specialty. Following Morton’s public demonstration of ether as an anesthetic at Harvard in 1846, the English physician, John Snow, M.D., conducted research and wrote extensively on the use of ether and chloroform for surgery and childbirth.

In the United States during the late 19th and early 20th centuries, the initial forays into understanding the utility of inhalation and local anesthetics were by surgeons. The names of George Crile, M.D., Harvey Cushing, M.D., and William Halstead, M.D., are legendary in surgical lore, but they also were responsible for helping to understand and define the appropriate use of anesthetics to facilitate operative remedies. In fact, Dr. Halstead and his colleague, Richard Hall, M.D., became addicts in their attempts to map the sensory distribution of the peripheral nervous system on themselves through their use of the quintessential local anesthetic of the time — cocaine.

The establishment of the first training program for physician anesthetists (anesthesiologists) under Ralph M. Waters, M.D., at the University of Wisconsin was pivotal as it provided not only postgraduate teaching in anesthesia for physicians, but it created an academic environment for the scientific investigation of anesthetic agents and their physiologic consequences. From this milieu came many of the legendary pioneers in American anesthesiology such as Emery A. Rovenstine, M.D., Arthur E. Guedel, M.D., John S. Lundy, M.D., Stuart C. Cullen, M.D., Robert D. Dripps, M.D., and Virginia Apgar, M.D. The recruitment of these pioneers by other academic institutions across the country created the groundwork for education and research in what would become the medical specialty of anesthesiology. The introduction of intravenous hypnotics, analgesics and muscle relaxants as well as the development of chemically engineered, stable, nonflammable inhalation agents radically reconfigured and expanded the anesthesia armamentarium, thus making the delivery of anesthesia far safer than ever before. The specialty also can be proud of its investigations and trailblazing innovations in critical care medicine, life-support and monitoring systems, neonatal respiratory care, obstetric analgesia and chronic pain management. The list is long and distinguished. It is to this research legacy that ASA pays tribute this year on Doctors Day. Yes, we really do have a lot to brag about!

ASA Communications
The ASA Committee on Communications oversees the activities surrounding the Doctors Day celebration. With research in anesthesia as a theme, relevant media materials will be prepared. ASA members who are graduates of the various media spokesperson training programs (the “Media Response Network”) will be sent media kits with sample messages for dissemination to broadcast and print media. For the fourth consecutive year, a video news release will be produced with a pertinent public interest message. A large poster featuring ASA’s popular bear theme will be distributed to all ASA members for display in their hospitals and offices.

In addition to Doctors Day, the Committee on Communications is responsible for a variety of other outreach activities that are designed to convey relevant and timely information. Having a communications team and a communications strategy is not unique for any corporate entity or professional organization such as ASA. The ability to communicate internally with members and staff as well as externally with various audiences — other physicians, patients, legislators and the media — is essential.

As part of this issue of the NEWSLETTER, other Committee on Communication members have written about some of the many diverse activities. We urge readers to learn about: Specialty Society Exhibits (David J. Birnbach, M.D., and Rebecca M. Welch, M.D.); the Leadership Spokesperson Training Program, the Regional Spokesperson Training Program and the Annual Meeting Workshop on Communications (Jeffrey B. Glaser, M.D., Lawrence S. Berman, M.D., and Johnna Matthews); Mini-internships (Norman Levin, M.D.); and Patient Education Resources – Brochures, Slide Shows, CDs and the Patient Education Videotape Project (Michael H. Entrup, M.D.).

Happy Doctors Day!!!







   
R. Lawrence Sullivan, Jr., M.D., is staff anesthesiologist at O’Connor Hospital, San Jose, California.
R. Lawrence Sullivan, Jr., M.D.

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