Disappearing Docs

Doctor and Patient – Where Have All the Doctors Gone? – NYTimes.com

When I learned the tools of the trade last century, I was taught to be highly suspicious of applicants for life insurance who claimed not to have a family medicine/primary care MD.  I also know that if evidence presents itself to change an opinion or belief, you should do so.

The numbers are staggering and I no longer view applicants without a PCP as suspiciously as I once did.

Less suspicious does not mean the absence of suspicion.  After all, a suspicious underwriter is a good underwriter.

CKD Risk and High HgbA1c

Arch Intern Med — Abstract: Poor Glycemic Control in Diabetes and the Risk of Incident Chronic Kidney Disease Even in the Absence of Albuminuria and Retinopathy: Atherosclerosis Risk in Communities (ARIC) Study, Dec 8/22, 2008, Bash et al. 168 (22): 2440

The more we know, the less we know.  The study population is small, but the findings merit our collective attention.  Think about these things the next time you are considering credits for the absence of retinopathy and/or albuminuria in a diabetic applicant.

Vitamin D and All-Cause Mortality

Follow this link to The American Academy of Dermatology homepage to download a PDF version of the AAD’s position statement on Vitamin D.  We are seeing a lot more older age applicants and it is critical for underwriters to factor in low Vitamin D levels when assessing such risks.

Very few foods in nature contain Vitamin D (but you already knew that, didn’t you?). 

Low levels of Vitamin D have a higher risk of all-cause mortality.

Click this link to access a good article on Vitamin D deficiency and higher all-cause mortality. 

Primary Care Metabolic Group – Vitamin D Deficiency

May I recommend a couple of glasses of soymilk daily?

Watch, Listen, and Learn – Ablation

Ablation for WPW, Afl, and SVT

A while back I asked this question in a post:  How much medical information is enough for the underwriter?  When I first pondered this question I thought underwriters needed to know as much as a family care MD/DO.  Having come to a better understanding of what medical students need to know, I’ve changed my tune.  Underwriters don’t have to be doctors.

Underwriters still need to know what kills people.  But we don’t have to know as much as a doctor.  More knowledge is better than less knowledge and experience remains the ultimate teacher.  I’m still working on the answer.

But in the meantime, keep learning.  I love short videos like this one.  Like Yogi says, you can observe a lot by just watching.