Academic Visit Program Report, 10th-14th of December 2012
Monday,
10th of December 2012
Place/Departments:
Director Office Room and Dept. of Laboratory Science.
Today activity
was started with introduction and
asking for permission from the Director
of Gunma University Hospital, Prof. Nojima. The delegations think that he was really friendly and give
us some message to enjoy this program as good as we can. Then, we discussed about Japan’s health
problem. In fact, the patient that come to the hospital mostly because of eye
problem, especially degeneration induced-eye problem.
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He
also recommended us to visit to Dept. of Radiooncology so that we can get the
explanation more about the heavy ion method that used for cancer treatment,the
third in the world. After that, we taking a picture together before leaving, and say our
gratitude of to him.
Then, the first department visit was in Dept. of Clinical Laboratory . We visited the
outpatient and inpatient clinic. In the inpatient clinic, we saw some nurses and laborarian was doing phlebotomy
to the patients to get the blood sample, then after that we saw the
transportation system machine with it’s own tract in the ceiling and that’s all done automatically. It
went to the laboratory from procedural room and vice versa.
Then we went to the laboratory that divided to 6 division ; the
hematological division, microbiological division, hormone test division, etcetera. After the specimen
arrive at each division, the laborarian then take it and place the speciemn in
the machine, then the machine do the test. For the double checking, the
laborarian also done the test manually to confirm. Then the data admit to the
computer and server, and may be check by all of the computer in the hospital.
For the specimen, each slide have it’s own barcode, so the specimen would not
be replaced with
other specimen. For the maintenance of the machine, once every months the
technician check it. How great regulation system!
Then the head
of Anesthesiology
Department, Prof.Saito, took us to visit Pocari Sweat
Factory. Actually, Prof Saito planned to taking us to the Defibrillator Factory
that Gunma Prefecture famous for. But because of some reasons, we might not visit the factory. So
then he took us to The Pocari Sweat Factory. We get the explanation about the process of making the
products and the benefit of the products. We also entered their museum to see
their period to period of Pocari Sweat production in several countries,
including Indonesia. After that, the academic visit for the first day is over and
at 18.30 we start the welcoming party.
Tuesday, 11th
of December 2012
Place/Departments:
Dept.
of Internal Medicine, Dept. of Anatomy.
In Department of Internal Medicine, we met Prof.Kurabayashi, the head of
the department from the Cardiology division. At first, we introduce ourselves
and told prof Kurabayashi about the meaning of our name. Then we get lecture
from Prof.Kurabayashi
about ECG. The teaching method is attractive and focusing on the understanding
of the main basic concept. Involving students to also think and participate,
and the professor really apreciate the students thought. Never pointing and
told the students wrong, but teach wisely and the students realise by themself
of their mistake and knowing the truth nicely.
Then we visited inpatient ward, where the
professor gave us several quiz and explanation. After that we visited the examination room, we
saw the ECG, Automatic Blood Pressure etcetera. Then after that, the visit is done,
we also gave the professor souvenir, Gambang and then we took picture.
Then,
in The Department of Anatomy, we accompanied by assistant professor,
Murakami-sensei. In the laboratory, we
saw each group of students that consist of 4 students are learn from one cadaver
that use for 3 months of anatomy class. Each cadaver have been scanned by CT
Scan, and the information have been added to the server. Each group given one
iPad. The group may access the CT Scan of their cadaver from the iPad, that
with some application, they may saw the 3 dimensional picture of the cadaver
from the skin, fascia, muscle, bone, even the vascularization, innervation and lymphatics.
Then they compare it with the real body of the cadaver. The departement combine
the conventional methods and the modern method.
After 3 months
of anatomy class. Then the cadaver is cremated and buried. The funeral were
held by the university and all students that attend the anatomy class also
attend the funeral. The education process to implement the value of
appreciation and reciprocation. Then after finish the visit, we giving the
souvenir for the departement and not to forget taking picture together.
Wednesday,
12th of December 2012
Place/Departments:
Gunma Prefectural Office, The Retirement Home
After we visited Gunma
Prefectural Office and had a lunch with Prof. Koyama, we continued our activity to visit the Retirement Home which belongs to doctor Takao Nakura. The place has some buildings.
The biggest one has 3 floors. The place was built 15 years ago. It has
inpatient service and outpatient service. In Japan, which has high life
expectancy, the number of elderly population is high. Unfortunately, because
the children have to work, so the children cannot attend the whole time for
look after their parents. The position of the every person is much respected in
Japan. Every person respected well even though they have different in come or
salary. So, there is no servant in Japan.
This kind of retirements home helped the children very much. Doctor Nakura organized his retirement home
with “Homely Environment” Principe. It is aimed for the elderly feel this kind
of place is like their home. This retirement home never drives out for the
family who couldn’t pay. It is because it has been the social norm of this
retirement for taking care the elderly even though the family couldn’t pay. The
service of the retirement was done by the modern way but still using happy
method with the well skilled nurses. The fee is about 110.000-120.000 yen per
month.
Our
activities in the retirement home were very commotion and inspiring. The
elderly was very spirit and happy for welcoming us. Even the elderly studied
and prepared some of the words and sentences in Bahasa (Indonesian language)
for greeting us. They presented a song for welcoming us. We also presented a
song for them. Doraemon song in Bahasa. We also tasted some of the food
which made by them. It was nice food. They also made some of the handmade
souvenirs for us. It was very touching moment. We were directly remembered to
our grandmothers and grandfathers. Some of the elderly cried and smile happily.
We did it too.
Place/Departments:
Dept. of Physiology, Student Presentation
Our activity
began in Department of Physiology at
9 a.m. We had an honor to get explanation about tsunami issue and its impact to
health from Prof. Koibuchi. It was so interesting topic for us because one of
city in Indonesia also was destroyed by tsunami in 2006, and ,of course,
diseases including PTSD, came out because of natural disaster. We were
surprised that the city in Japan which susceptible for earthquake is nuclear
center. Because of that, when there was earthquake, the impact was huge, such
as increased endocrine disease and the risk of cancer. Besides, the foods from
there was contaminated, so the economic development was interfered.
After the
lecture, we went to another rooms to saw activity of this department. There was
dr. Roni, our senior, guided us and explain the research activity in this
department. We saw rats which will be research
subjects, and, of course, sophisticated microscope, centrifuge machine etcetera.
In the afternoon, we had
discussion time which was started at 16.00. Gunma delegates explained us about
health issue in Japan and education program in Medical Faculty of Gundai. The
presentation gave us a lot of information, such as the serious health problem
in Japan, cancer and aging. Infectious diseases is not a problem, not like in
Indonesia, because the people do aware about hygiene and can prevent
transmission. After that, it’s time for our turn to give explanation about
health issue of Indonesia, and national insurance system.
Although there weren’t so many
students who came to the discussion, because they had to prepare for exam in
the next day, we were still enthusiastic to promote Indonesia through the video
we presented. Issue about insurance system that will be held in Indonesia in
2014 was interesting too, because in Japan actually the system is similar.
Precentage of the coverage is 70%, and the citizen need to pay 30% of the cost
if they got sick.
After that, in the afternoon we
had a farewell party with professors,
lecturers and students in student centre of Gunma University.
Friday, 14th
of December 2012
Place/Departments:
Dept. of Neurosurgery and Dept. of Radiooncology
The Department of Neurosurgery allowed
us to visit the surgery room. After we changed our surgery dressing, we went
upstairs to the surgery room and met doctor Hirato and Tosaka. The neurosurgery
team were doing decompression surgery of a man that has a neuropathy because of
the compression of the cervical vertebrae. The surgery has proceed about 2
hours and expected to finished about 3 hours later. They were opening slice by
slice of the patient’s tissue to reach the compressed vertebrae, after they
shifted laterally the esophagus, trachea and other vital artery, nerve and
vein. Everyone just so interested and amazed with the neurosurgery team.
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Beside that, we allowed to show the
other room that were doing surgery for a man that has an occlution of the
basillary artery. We used protection vest also for prevent the radiation. We
saw how they enter the surgery kit to the artery from monitor of operation
room, it was exploded so that the vessel can be opened and blood flow well
again.
The last
department was The Department of
Radiooncology. This department provide the sophisticated medicine
technology for cancer treatment with the best precision nowaday, that mostly
use particle carbon. Before we
allowed to sightseeing around the facilities of this department, we got a
lecture about radiology principle and method from Prof. Ken Ando. We also get a
lecture about the comparison between heavy ion with another cancer treatment
method such as using proton.
After
lecture, we walked around to see the facilities for radiological examination,
from X-Ray, CT Scan, MRI, until finally we saw Heavy Ion machine itself that in
research progress to developed so that it can treat cancer slice per slice as scanning
movement. How amazed we are!
The
department visit was over today. And in the afternoon we had a pasta party with
Department of Public Health as a farewell party also because today was our last
day in Gunma Prefecture on that time.
It was really unforgettable moment. We hope we may see each other again, may destiny meet us all. And, the last but not least,
C'est la vie ! :)
