CDIM
~ Prologue ~
I planned "CDI Medical Supporter series" so that everyone can feel CDI Medical's "corporate climate / corporate culture". It is a series of talks with us inviting those who are receiving support from us on a daily basis.
The first guest was an external officer of the Japanese Cancer Society of Japan, Rakuten Bank etc who was experienced six times cancer surgery and cardiac bypass surgery (public goods), and our advisor, Takeo Sekihara, I will talk to them on the theme of "patient cancer-related disease".
【Mr. Takeo Sekihara】
He graduated from Kyoto University in the faculty of law in 1969.
After serving as director of the Corporate Planning Department of the Japan Industrial Bank, Ltd., vice president of Mizuho Trust & Banking Co., Ltd. Officer. He has held many current medical-related public positions, such as the Cancer Control Promotion Council member, the Chuikyo public interest member, and the advanced medical technology evaluation member.
Documented as a documentary drama as "Fight against cancer six times in life" in 2001 and publication in 2009 as "NHK Specialized Working Cancer".
[Takatomo Ajima Profile]
He graduated from Hitotsubashi University in the faculty of sociology in 1984.
After participating in Bain & Company. (American business strategy consulting · farm) in 1989, participated in Corporate Directions Inc. (CDI) , currently a CDI director partner and CEO of CDI Medical. Consulting activities span more than 30 years. Medical institution, university medical school · affiliated hospital, nursing care insurance facility, pharmaceutical / medical equipment maker, bio venture, clinical trial consignment company (CRO, SMO), nonclinical testing consignment company, hospital feeding company, health insurance association, financial institution based on consulting activities such as institutional finance projects, we are making proposals to the medical industry based on a multifaceted perspective.
Components
(1) ~ Activity at cancer association ~
(2) ~ Towards Improvement of Visit Rate of Cancer Screening ~
(3)~ As a cancer patient · Hint of life ~
~ Activity at cancer association ~
Ajima: What kind of purpose group is the Japan Cancer Society?
Sekihara: The Cancer Society says that cancer patients who are seeking help from themselves by Dr. Toshio Kurokawa (former Tohoku University chief, cancer guidance hospital director) of gastroenterologist in 505 years ago in the past 50 years ago have subjective symptoms Because it is only too late patients, it was established through strong thoughts that we want to find cancer and save it early, before noticing the symptoms.
Ajima: Specifically, how was it established?
Sekihara: Professor Kurokawa finished studying abroad in the USA, a prominent journalist Shintaro Kasa met on a return ship
(Prime Minister of Asahi Shimbun) tells us that the strong feelings for those patients and the concern that future cancer patients are going to increase more rapidly, Shinoda Kasa was informed of the 70th anniversary of Asahi Shimbun's founding It was decided to cooperate as a pillar. At that time, the legal infectious disease tuberculosis clinic, which was established in all prefectures as a measure against the "tuberculosis" who was the largest disease of the citizen, the death rate of NO1 after the war, also became to be completely cured by tuberculosis Because it was a time when it was necessary to reduce the facility, it is the background of the cancer association to start using the facility for screening and prevention of cancer.
Ajima: Shintaro Ryu, I often read in college days.
Sekihara: Japan at the time was still poor, it was a difficult era when the patient went to the doctor. In addition, more than half of the cancer at the time was gastric cancer, Mr. Kurokawa's poor medical resources in the local Tohoku were poor, and there were many patients with stomach cancer due to hyper saline diet. We developed a donation car named "Hitachi" in collaboration with Hitachi, received donations, visited rural areas and towns and began medical examination by the cancer association. Well, the predecessors think that there were a lot of wonderful people.
Ajima: Professors Kurokawa and the Asahi Shimbun, Inc. were founded and established.
Sekihara: In addition, it was made possible by the Asahi Shimbun's encouragement to agree with the Japanese medical community and the economic circle centered on Keidanren. It is also a public benefit foundation, and besides that I am donating from companies and the general public, and I think that the respectable upbringing will be a drama.
Ajima: Is there also in the United States?
Sekihara: There is a similar organization in the United States (the American Cancer Society), and Mr. Kurokawa is a strong background behind a strong feeling that this existence was noticed while studying abroad. The American Cancer Society furthermore has a long history, and in the place where citizens such as government offices and stations gather from that time, it seems that a poster was put on PR activities to promote cancer activities and associations, and 90% of American citizens perceived it , And has grown into a worldwide social activity organization with a popularity of college students ranking 10th.
Ajima: Does America have similar activities to Japan?
Sekihara: There are major differences. Even worldwide, developed countries, including the United States, are acting extensively on a large scale and active activities compared with Japan, but there is no organizations doing screen checks themselves at the cancer association as in Japan. They believe that medical examination is a medical practice and medical institution's work. What is the best thing to do is to encourage medical checkups and cancer awareness activities and support activities for cancer patients and their families. I think that this is due to differences in medical resources, medical insurance system, social climate, culture and religion as well. There are also such differences, but Japanese society is also progressing with aging of the birthrate and aging of the baby and a big transformation of the family and social structure, so Japan's cancer care activity also became Western in the form of breast cancer pink ribbon activity and relay for life activities I think that I will go.
Ajima: In the world, doing the educational activities such as the early detection of cancer is the first thing.
Sekihara: Another is to provide cancer information. When I get cancer, I am worried that my patient is no longer good,
Family members also become very uneasy. We also prepare booklets to alleviate the burden on these patients and their families as much as possible, and are also planning to enhance information provision utilizing telephone consultation and IT.
Also, after all, cancer does not cure without good medicine and medical technology. Rare research funds from universities and research institutions are tough, and through research activities such as Pink Ribbon and Relay for Life, we are seeking donations from cancer patients and their families, and also from the public widely, to conduct research activities on such universities and research institutes We support research such as subsidizing expenses, supporting doctor and researcher's study abroad fee.
That is why the cancer association requires funds for activities, but some benefits are also needed for patients and people who make donations. If the cancer information is substantial, cancer patients understand their own cancer firmly, talk to the doctor and convince them to treat and treat patients with good medicine and medical technology development I appeal that the merit of the company is also great and are collecting money.
Ajima: Are you providing such information on HP?
Sekihara: In addition to HP, we have established a call center, individual consultation by doctors and professional staffConsultation by doctor interview is also accepted.Unlike knowing and understanding through brochures, books, and the net,After speaking with the experts as well, understanding progresses, there are also aspects where feelings are relieved.Everyone's insurance, there is also a high medical treatment expenses system, treatment is not that much money,Responding to doctors, consultation with family and relationshipsProfessional counselor and doctor are responding directly by phone,It is useful for patients and is responsible for the mission of doing social activities.
~ Toward Improvement of Visit Rate of Cancer Check -
Ajima: From Mr. Sekihara, you tell me that it is about prevention and examination because you are an amateur, but the examination rate in Japan is still low.
Sekihara: Since medical examination is not the subject of the medical insurance system in the first place,It is difficult to understand without accurate data.Municipal medical checkups with public subsidies can see the examination rate,The exact numerical value of the screening conducted at the company and the examinations received by the individual is unknown,It is still a situation that examines specific areas and estimates the whole with that.However, since cancer registration was also legislated in the future, data development will also proceed.
Ajima: Is the examination rate in Europe and the United States higher?
Sekihara: It's much higher in terms of numbers.For example, in the case of female breast cancer and uterus cancer,The screening examination rate is about 80%, and medical examination is natural.
Ajima: That's expensive! why?
Sekihara: There are ways of school education and enlightenment,Insurance money will not be paid unless the US private insurance receives proper medical examination,There is also the condition that it is like a kind of candy and whip.In the UK, when a doctor recommends and makes a medical examination,There are also economic benefits for doctors,In the end there are incentives for doctors and patients to undergo medical examinations.In the case of the United States, on the contrary, with the disadvantage,If you do not accept it, there is a penalty.
Ajima: I think that is the case in Japan as well ....Is that taboo a taboo?
Sekihara: It's not taboo ... though.There is insurance in Japan, and everyone insures that the insurance is unfairIs not it blessed?Because people who are firmly taking preventive measures as well as those who are intolerant are treated the same.Because medical expenses are cheap and a doctor can be easily examinedThe prevention for myself is weak for the Japanese, it is a kind of amenity.I just caught a cold so I went to the hospital,It is an unlikely story from a global perspective.
Ajima: Perhaps the public has fully penetrated insurance.Should it be better to make it a bit stricter?
Sekihara: Citizen's cancer insurance is also aimed at smoking cessation and preventionPeople who are undergoing periodic cancer checkups are probably cheap.I had the opportunity to exchange opinions with insurance companies before,In the end, the products are side by side, it is not possible to start only one company anywhereIt seems to be difficult.In addition, cancer insurance in Japan is also a foreign exclusive estate.
~ As a cancer patient · Hint of life ~
Ajima: When I become cancer, I think that I can not hold back the impatient feeling, how do you spend it?
Sekihara: Cancer is the most vulnerable disease that newly affects 850,000 people annually.And more than 40% of patients lose their lives when they are affectedIt is not educated that it is the most terrible disease, and it is another person's affair after all when it is healthy.If I understand it, I think that I am going to stop smoking and go check up.It may be a citizen with weak autonomy, self-management, self-determination.
Ajima: When I realized I was on cancer,I heard that I listed the things I have to do in the rest of my life ....
Sekihara: I received a cancer declaration in the US in my place of work.I was terribly worried about receiving surgery in the United States or receiving it in Japan,Colorectal cancer is the most common cancer in the United States (stomach cancer in Japan),The operation was comparable to that of Japan, and I received it in the United States.The story of listing is after surgery is over.As a result of pathological examination, there are many metastasis in lymph nodes,The risk of recurrence is high, after 5 years survival rate is announced 20%.At that time, friends who are fighting with cancer again in New YorkTo Atsuko Chiba (Japanese journalist, non-fiction writer)It was the chance I was told.She herself said, "If you can live for a year, if you live for two years this way,We are listing what we have to do. "She told me so.
Ajima: When I read the book by Atsuko Chiba, I think I can understand what I did.But is such thing easy to do?
Sekihara: It's not easy to design like that,After all, I think that it depends on what kind of life you have been to until then.It is a disease that makes you conscious of death,There are a lot of people who do such designs,However, there may be many people who treat themselves as girls every day.I feel that it is quite different depending on how I spent my life until then.
Ajima: Is it wrong?
Sekihara: I think that's different. By people.
Ajima: Is that so?
Sekihara: In my case I got a tough announcement in the USA ....In those days at that time, I did not usually make such an announcement.Even now, anticancer drug treatment accompanied by severe side effectsWill continue to communicate correctly when continuing long-term treatment.In case of rescuing cancer and using anti-cancer drug as an adjunct for just in case,There is no need to tell "Your remaining life"There is no way to announce it in the first place.
In the United States, doctors firmly notify for risk hedging in particular.Because you may be sued without telling the other way.Autonomy and independence are educated as important,Therefore, "It is natural that you will be announced correctly about cancer related to your life"I think the national character and the view of religion are different from Japan.
Ajima: When I get cancer, I ask for a second opinion,Is it better to consult with various people?
Sekihara: Which hospital should consider diagnosis and treatment as the top priority.To the diagnosis of Cancer Ariake Hospital and National Cancer Center at the forefront of cancer medical treatment,Even if you asked for a second opinion,As a matter of fact, reversing such diagnostic results and treatment policies at the forefrontI think that it is impossible for medical reasons.Standard therapy has been established for most cancers of the nuclear plant and it is OK if it is a leading hospital, but if there is a possibility of refractory cancer or advanced cancer,It is important to choose the facility to go first.If that is solid, neither the second nor the third is necessary.
The value of the second opinion comes out in the case of metastatic cancer, etc., in which there are several options, but it may be effective to ask the second opinion to consent and receive treatment Let's see.
Ajima: When you get cancer, you first decide the hospital.Hospitals that are easy to hospitalize near my home.
Sekihara: Even if I made a mistake, because I was near my house it was that I went to this hospital ...It is different.
Ajima: Is not it near home?
Sekihara: In the first place, cancer is not a disease that contends for one second at all,Heart diseases and diseases of the brain are different.I will stay in the hospital for a year, so I will not be hospitalized for two years.This is the only development of transportation network,Hospitals that have as good a treatment outcome as possibleYou can accept it in experienced places.
There is not much difference between hospitals if you have an early cancer or a cancer with a high cure rate,For advanced cancer with a high degree of difficulty,There are places where you can do well and places that is not so.A mistake in liver cancer surgery at a certain university hospital which is reported every day is an extreme example.It is important to have a firm hospital selection so that you do not regret later.
We should recognize that cancer is a very severe disease that more than 40% of patients die,It is not a problem that having a transportation fee, such as a bit far.Today, under the guidance of the country, each prefecture is designated a hospital or a hospital,A consultation window is also set up in such facilities,You can hear stories about cancer.We can also consult with the consultation counter of the cancer cancer association,You should not regret it later.
Ajima: Does that mean that there are more people who regret later?
Sekihara: Most of the people who regret at first went to the hospital there,Because I do not want to bother my family, I made it near my house,There are many easy reasons such as being a designated hospital at work place.For another reason, the university from the clinic teacher who went first,I was introduced to a hospital who worked before, and that's why ....Because cancer care is progressing rapidly,My doctor has not kept pace with that latest cancer careThere is no opportunity for reeducation as a problem on a certain aspect.Even so, at the end, the patient has to decide on its own.
Ajima: When you ask about it concretely, I certainly do not think you have examined it in detail.
Sekihara: This information is full of information, the patient association has been enriched for each type of cancer,Even with cancer-specific cancer,If it is said that home doctors are hard to hear,Rather than asking the doctor poorly, such a patient association,Is it good for the reputation and information where the hospitals and teachers are good? Anyway, there is only one life, so I want you to think carefully carefully.
Ajima: Although cancer does not contend for a moment, in fact it is impatient.I also remembered my talk when my father caught on cancer,After all it has been decided there because my father is good near my house.I would like to ask you one more thing,For example, when listening to a story that an acquaintance has taken cancer,I am at a loss as to how to contact him / her.It is difficult to listen to questions about disease directly,On the contrary it is strange not to contact.I would like to help something, but what should I do in practice?
Sekihara: In that case, I think that you should send a letter."I heard the story that you are suffering.Medicine is also progressing. I think that worrying is useless as it is about you,If you find something useful for yourself please contact me anytime "It is good if it is transmitted.Even though Japanese feel compassion for people,It is a bad idea to express that feeling frankly, as a character.
The point is that I Love you can say it,Even if you do not actually know what you can do,For me, there are friends who care about themselvesIt will be a big support if you know that.
Even if I made a mistake, it would be good if he did not feel like chewing cigarettes or whether he was only intrigued, if he did not feel like damaging his chest. Well, I often say something like that to Uga, but because it is more healthy than others, I will treat you gently if you should get sick. (Haha)
Uga: (Haha)
Sekihara: A letter and a postcard are acceptable, but Japanese can not do this.
Ajima: I can not do that.
Sekihara: I can not.
Ajima: Last but not least, what do you think of terminal care?
Sekihara: Most elderly people, in particular elderly people, have more than pain relief, or better QOL improvementYou do not want it.I am also thinking of that.There are also very difficult parts concerning life extension, there are various personal ways of thinking.
I am writing my way of thinking about my life extension in my house and hand it over. If you do not clarify the Living will, you do not know when and what will happen, so it is necessary for the leftover people as well.
(End)