Best Teacher Series

I am very proud to announce that my lecture on physical examination in patients with heart failure has been released as an e-learning content of the Best Teacher Series by the Japanese Circulation Society.

I hope that more and more physicians and medical staff involved in the treatment of heart failure will become interested in the physical assessment of jugular venous pulsation and heart sounds.

P.S. I have been suffering from nasal discharge due to cold since the beginning of December, so my tone seems to be nasal.

Double wins

The Hanshin Tigers won the Japanese Baseball Championship. In addition, Sota Fujii, a professional shogi player, achieved the complete victory in the eight titles.

The last time the Hanshin Tigers won the championship was in 1985, when I was a senior in high school. Yoshiharu Habu, a shogi legend and the current CEO of the Shogi Association, won all seven titles in 1996, when I was about to finish my first internship as a doctor. It was a long time ago, but I still remember both of them.

I can't say that I am an avid Hanshin fan (although I do like shogi), but these two events are an incredibly great moments for me. I won't forget them.

I look forward to experiencing more of these great events in the future.

Mom discharged home

It was the 1st of July when my mother had an attack of sabarachnoid hemorrhage. The grade on admision was V on a scale of I to V, with V being the most severe. Statistically, the survival rate was extremely low (4 out of 36 patients with this condition).

I could not decide whether she should undergo emergency surgery, but my father decided that she should. It was enough for her to have a successful result, although it took three months to complete rehabilitation.

She seems to have mild dementia, but it couldn't be better because she has no difficulty walking and eating.

Mom, your new stage has just begun. Have fun with Dad. I would love to support you both.

Pokemon Go

To tell the truth, I have been into Pokemon Go.

It was two years ago, in September 2021, that my young son, Kosuke, advised me to join the free game. I started playing Pokemon Go on my smartphone without thinking too much about it. The funny thing is that he got tired of the game more than a year ago.

I am an early riser, waking up at around 5 a.m. and leaving home at 5:20 a.m. to catch the first train at the station in my residential area. It would take me 10 minutes to change my clothes, wash my face, brush my teeth, and shave my face. After that, I spend the remaining 10 minutes of the precious 20 early minutes playing Pokemon Go without drinking coffee or eating breakfast. Can you believe that?

My ultimate goal is to get to level 50. I am not sure how long it would take to reach to the final stage, but I'd like to achieve my dream of becoming the master of Pokemon Go, no matter how hard it would be.

E Nngl J Med

The New England Journal of Medicine stands as one of the most prestigious medical journals globally and has served as an invaluable resource for physicians worldwide, akin to a comprehensive textbook. I take great pride in our three previous publications within the Journal, each falling under the category of Images in Clinical Medicine.

Presently, I have submitted three new articles, spanning the categories of Images in Clinical Medicine, Correspondence, and Clinical Problem-Solving.

Of the three, the one I thought might be accepted the most was the last to be returned with a rejection decision next day. As expected, the correspondence was also rejected for publication a week later.

To my surprise, the image case has been on the submission site for almost a month. I am an optimist, but as far as this journal is concerned, I think there is a 10% chance of acceptance. I look forward to hearing the final decision of the journal.

Dear Mom

It was early in the morning on Saturday, July 1st, while I was creating content for my homepages, when my cell phone unexpectedly started ringing. It was Dad, saying that Mom suddenly had a headache. I heard her groaning from behind the phone. I asked Dad to call an ambulance, and he did.

Mom was diagnosed with a Grade 5 subarachnoid hemorrhage and underwent emergency surgery via catheter after a discussion between me and an on-call neurosurgeon while I was driving at an alarming speed on the highway to get to the hospital.

We are really happy to say that the surgery was successful and she is in an acceptable condition considering her poor condition before the surgery. I really hope that with rehabilitation she will recover to the near level she was at before this the accident.

This month went by faster than ever. I took a day off several times and went back to my hometown to help Dad once or twice a week. I also gave 5 lectures at scientific meetings on weekends this month, although I cannot remember much about them.

So far, everything is going better than I expected. Thank you all and thank you God. We are looking forward to Mom's return home.

A quarrel

My wife and I had a terrible fight last week, which I thought was the first time in the 24 years we have been married. I took a day off that day and the fight developed in the morning after our daughter and son left home for school. I was not sure what caused it, but I bet it was something trivial. I was worried about something that had never bothered me before.

After she left home for her part-time job, I hung around Osaka without a plan. On my way to the Shiba Ryotarou Museum, I received a message from Junko. By exchanging some opinions, we resolved our misunderstanding.

On my way home, it started pouring rain, so I decided to have dinner at a small restaurant or Izakaya. When I left the bar, my feeling returned to the previous one, that she is the most wonderful and respectful lady in the world.

Get together!

Now that COVID-19 is under control, there are increasing opportunities for everyone to gather.

The celebration for Dr. Ishii's promotion, the barbecue at the Yodo River with my colleagues and their families, and the high school reunion... all of these events took place for the first time in over three years due to the corona pandemic.

At this point, we are not sure if this stable condition will persist, but it is delightful to be able to have such a good time. I do not like having a hangover the next day, though.

Leaving the nest

My oldest son, Yuto, has left home since this spring to start a new chapter in his life in Kasihara, Nara.

His mother, sister and brother helped him move even though I could not go with them because of my business.

I am really proud of him for getting a national license as a clinical engineer and a job at Nara University Hospital. I know it is not easy to make a living on your own, but I believe you can, my son.

If you have a problem that you cannot solve on your own, we are ready to help you, no matter how difficult it is.

A trip to Taiwan

My daughter Aya and I took a 3 day trip to Taipei. Why Taiwan is one of her favorite Youtubers visited Taipei and Aya was so impressed by the video.

One of the things that impressed me during our trip was the Taiwanese shampoo. It had a unique scent and made my hair feel really clean and smooth.

I noticed that there were a lot of convenience stores in Taipei. Also, to our surprise, there were almost as many motorcycles running on the streets as cars, which made the city very noisy.

During our trip, we also visited Jiufen, a small town on the northeast coast of Taiwan. The town was charming with its old buildings and narrow streets. We enjoyed walking around and trying different foods, such as the local specialty of taro balls.

Overall, our trip to Taipei was a great experience. We got to see and experience a lot of things that were different from what we are used to at home.

I hope we can come back in the future and explore more of Taiwan.

My Mentor Recovery

A few days ago, a meeting was held in a hotel in Kyoto to encourage a doctor.

It was a mentor that I have looked up to for many years, more than three decades. He was diagnosed with a serious disease last year and underwent surgery. He is still undergoing chemotherapy, but his condition has stabilized. What a relief. His supervisor, thus, planned this meeting.

My mentor seemed to be in better health than I had expected. However, his voice was a little hoarse and he had lost weight. He had always been a wine lover, but he only sipped the champagne toast, the white wine served in the first half, and a few sips of the red wine served in the second half.

His closing remarks were impressive. It seems that he will be hosting a meeting in a few years when he is fully recovered. I look forward to attending the celebration and drinking a lot of wine together!

Guest of Honor

Recently, I attended a New Year's party of a medical association near the hospital where I work. It was to be held at the OSAKA Imperial Hotel, and I was to attend as the director of the hospital's Patient Support Coordination Center.

I was asked to give a speech as the guest of honor, and I lightheartedly agreed. I did not prepare a speech, thinking that I would speak as I felt on the spot.

However, on the day of the event, I woke up about an hour earlier than usual for no reason. So I decided to think about the content of my speech, in which I would address the importance of this year for cardiology. I believed that I prepared a good story although I did not think one hour was enough.

At the party, I was surprised to see the guests of honor addressing the audience. They were all very important people and I was very low-ranking; one of them from the House of Representatives was a vice minister of the Ministry of Health, Labor, and Welfare.

I was a little nervous on the stage, but my speech went well...I think. To my surprise, I found how well the politicians delivered their speeches. They spoke like a comedian in a good way. I have learned a lot about how to make a speech in public although it is the contents that matter.