Housecalls: An Introduction
June  2014

​​​​​​​​​​​​One of my favorite aspects of being a Medical Director is that we are frequently presented with medical cases having conditions that are rare or unique and which, therefore, rarely pass over a medical director’s desk. Such cases allow us to research and apply the art of insurance medicine: taking the scientific research and clinical experience and applying it to a novel situation. Whenever possible, we like to share the results of this research with our colleagues in the underwriting profession.

Our case studies derive from actual cases that are forwarded to us for opinion through the facultative process, with slight modifications to protect confidentiality. And we appreciate the opportunity to quote on the unique cases presented. While the conditions we discuss may be rare or unusual, they do not necessarily represent adverse mortality outcomes. Some conditions “sound bad” but can have an excellent long-term prognosis. In addition to cases we also see a number of ECG abnormalities. To improve everyone’s ECG skills, Dr. Rooney devised the ECG Puzzler, which was so popular internally that we thought our client underwriters might enjoy them as well.

Our marketing department once asked, “Will you ever run out of cases and topics to write about?” With hundreds of thousands of medical research articles published each year, new diseases (MERS), and new molecular causes for existing disease being discovered constantly, I am confident that we will have plenty of case material. We hope that you find this issue interesting, and as always we welcome your feedback.