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The Fat Emperor Podcast

John Schoonbee of Swiss Re on Coronary Calcification CAC - and Staying Alive!

The Fat Emperor Podcast

ivor cummins

Health & Fitness

4.8 β€’ 766 Ratings

πŸ—“οΈ 23 June 2019

⏱️ 9 minutes

🧾️ Download transcript

Summary

John Schoonbee, MD of Swiss Re is Chief Medical Officer for the Life and Health Division of Swiss Re, the world's largest Re-Insurer.  Re-Insurers "underwrite" big risks for the countless insurance companies around the world - so they have to know what they're doing!  

Which brings us to Coronary Calcification and the CAC Score - which will become the new standard for identifying heart disease risk in high-value clients (as the stress test etc. have been shown to be very inadequate for the purpose.)

This one is short and sweet - and gets to the heart of the matter!

INDEX/CONTENTS:

 00:24 Meet the Hundred-Million-Dollar Men (and Women!)

 02:04 New ACC/AHA Guidelines lead the way - replacing Stress Tests with Real Tests

 05:14 Money talks in the Insurance industry:  β€œA calcium score of zero would play a huge role for me.”

 07:03 From saving people through to doing great business – CAC is on the way! 


Transcript

Click on a timestamp to play from that location

0:00.0

And a calcium score of zero would play a huge role, absolutely usual for me.

0:07.1

Welcome to the Fat Emperor podcast. I'm your host, Ivor Cummins. We're supported by the Irish

0:13.0

Heart Disease Awareness charity, which advocates a simple CT scan to reveal your CAC score. So,

0:19.4

know your score and take action to prevent that premature heart attack.

0:23.6

I'm here in Burgund, Switzerland at the Keto Live conference

0:27.6

and I've caught up again with Dr. John Schoenby.

0:30.6

Hi, Iva.

0:32.6

And you are medical director for Swiss R.E, which is the first or possibly second biggest reinsurer

0:39.5

organisation worldwide. That's right. I'm the chief medical officer for the life and health

0:44.6

division of Swiss Re. Right. So you have a huge incentive of you and all your teams and your

0:50.3

organization in very accurately getting life expectancy for high value clients?

0:55.5

Yep, absolutely. So our biggest liability is in life insurance. So it relies on the longevity

1:03.0

of the applicants that we reinsure. And by far the biggest risk that we have is that people

1:10.0

live, are more unhealthy and live shorter

1:14.4

than we expect them to.

1:16.4

Right.

1:17.4

And then you described to me actually surprisingly high value clients where, I mean, what

1:21.6

are the higher level sums that people insure themselves for?

1:26.8

Quite shocking numbers actually. We see cases between $50 and $100 million, not infrequently.

1:33.3

Okay, so if you add those up and then the 10 million ones and all, it adds up to a huge sum.

1:38.3

It's big, it's very, very big.

1:40.3

And then you described as well in your talk, I really enjoyed your talk, but you described how a lot of people get lumped into one broad category of risk, but then higher risk people get separated out, but they're particularly high risk usually.

...

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