Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.Warfield, Louis M. (Louis Marshall)
Science
Arteriosclerosis and Hypertension, with Chapters on Blood Pressure: 3rd Edition.
Warfield, Louis M. (Louis Marshall)
Arteries -- Diseases; Blood pressure
When the peripheral arteries are palpable they are not always sclerosed.
The radial artery, the one usually palpated, may lie very close to the
bone in a thin person. Under these conditions the artery can be easily
felt. It is better then to palpate for the brachial as it lies beneath
the inner edge of the biceps muscle. Should this artery be felt then
very probably sclerosis is present. Opinion as to whether or not
sclerosis is present, when it is slight, may differ. It is difficult at
times to say definitely. Should such be the case the applicant should be
most carefully questioned as to his family and past history, the heart
should be carefully outlined by percussion and the blood pressure should
be taken, both the systolic and diastolic pressures. The urine should be
examined with particular care. I am aware that the average examination
for life insurance is not made with the care which is bestowed upon a
patient. Yet I see no reason why the same attention to detail should
not be given in one as in the other. The examination of the great
majority of applicants can he made in a short time, as there is no
question of latent chronic disease. When the exception turns up he
should be given a searching examination and a full report should be sent
to the Medical Director. Only in this way will it be possible to weed
out the undesirable risks.
On the surface it does not seem to require any great diagnostic acumen
to be a life insurance examiner. In the old days of many of the
companies there were no examiners. The applicant was brought before the
president or other appointed official and he was passed or rejected on
his general appearance. This has changed, and now the medical department
with its scores of examiners in the field is a well organized
department.
It seems to me that the examiner should be an exceedingly able
diagnostician and prognosticator. There is no telling when he may be
called upon to pass judgment on a borderline case. From personal
experience I know how difficult it is to make a decision in some cases.
These suspicious cases after a careful examination had better be passed
by the examiner and a supplementary report sent to the medical director
containing unbiased details. But no applicant with readily palpable
arteries, even though the blood pressure be normal, should be considered
a first class insurance risk.
Public-domain text, read in full here on John Shaqi.
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