This discussion covers many topics including; preoperative medicine and its evolution, frailty in various age groups, brain health and anesthesia in older adults, cognitive decline and executive function testing. It is presented by Desiree Chappell and Guy Ludbrook with their guest, BobbieJean Sweitzer, Systems Director, Preoperative Medicine, Inova Health, Falls Church, Virginia, and Professor of Medical Education, University of Virginia and the author and editor of 'Preoperative Assessment and Management' (currently 3rd edition). -- Originally streamed live as part of our coverage of Anesthesiology 2023; the annual meeting of the American Society of Anesthesiologists, the largest and most important gathering of anesthesiologists in the world. We're your free front row seat. For more on the ASA go here: https://www.asahq.org/ Check out our YouTube page for a record of the live stream video of this podcast: https://www.youtube.com/@topmedtalk7687/streams