civilian hospital in shimonoseki Clinic-Hospital association meeting

we have meeting for civilian hospital Clinic-Hospital association meeting.
Lecture from Dr. Shun-ichiro Ohta in Rheumatology.
They opened Rheum-musculoskeletal center,where multiple specialists can do the clinical works.

Hospital-clinics association open type beds were open. we can enter the hospital to see patients. I already researved one for my patients.
many thanks,

the 27th meeting for Japanese Rheumatology in Chu-Shikoku in Tokushima

The 28th meeting for Japanese Rheumatologists in Chu-Shikoku.

Tokushima is very enjoyable,famous for dancing.
I could not wait to see it.

Catching up Giant cell arteritisーACR

During the Meeting I thought about Giant cell arteritis.
I preffered to have vasculitis sessions.

Giant cell arteritis affects older adults, and treated by steroids, 60mg/day.
because of side effects of Steroids, vasculitis, and old aged people,recurrences of the diseases, it causes terrible results.

Here comes Tocilizmab,we can expect steroid sparing effects.

Kawata @ jk-clinic,
"Among the 30 patients, we have 3 patients who could not treated by PSL 15mg/day. Should they take temporal artery biopsy?"
Prof. Matteson @ mayo clinic
"you gotta Echo, PET-CT or MRAngiography before biopsy."


Dr. Mark H. Wiener told about Autoantibody with Prof. Mimori in Kyoto Univ.

But I slept over......

American college of Rheumatology in San Diego.

American College of Rheumatology 2017 was held in San Diego.

About San Diego, very calm weather, no effort, close to Mexico.
Not for studying. Looked good in Beach.

26th meeting for Japanese practical rheumatologist

We had 26th meeting for practical rheumatologists in Matsuyama,Ehime Prep hosted by Dr. Atsuko Imai in Matsuyama-Ichibancho-clinic.
A lot of Rheumatologists were there.

Special lecture was “obsessive-compulsive disorders” by Dr. Harai practicing in Nagoya.

Next is in Sendai. So excited.

the 20th aniversary of Connective tissure diseases in Kaikyo messe

Today, Dr. Susumu, Nishiyama told about "Sjogren's syndrome"

Very powerful talking, native intelligence, nad light bright attitude toward us, very nice speech.

the 26th Medical meeting in Wester Yamaguchi special Lecture

Today縲{ur special lecture was "treatment for Lung cancer" by Prof. Tanaka in the university of Occupatinal enviromental health from Kyoto.
He said the Lung cancer was miserable prognosis, but the treatment is progressive.
small invasive operation for patient with early stage, endoscopic operatin. perationwith cardiac surgery and orthopediacs, radiation, and immuno-peptide therapy. the check point therapy "opsivo"

Here is my Q.
"why smoking people do not take CT scan regularly?"

Dr. Tanaka
"yes, they should. It's all about cost. but, it's true."

the 26th Medical meeting in Wester Yamaguchi

Because of the Lady Gaga, Fibromyalgis became famous nowadays.
During the 9 years followng, I represented 109 cases of Fibromyalgis in my Rheumatology clinic.
Thie time I was very enjoying presentation with audiences.

Dr. Kanehara" Why Fibromyalga was established when the Vaccination of Cervical cancer Vacctine was shot in Girls?"

Me"Well, I think they are 13-15y.o. and very active in Immune systems and Vaccine contained Alminium, which was high antigenicity."

The ninth meeting of Fibromyalgia in Janan

The ninth meeting of Fibromyalgia was held in Osaka.

My costume appealed well because of the treatment for Fibromyalgia(Yoga, chinese medicine, chinese boxing , and moxa cautery).