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It is the authorized acquisition fifth year of the hospital usability test mechanism with an early thing in January, 2013. I performed duties kickoff for the update next year at an in-hospital meeting on November 2 to receive update examination in version6 in about October. These duties rearranging may be useful this year as I acquired International Organization for Standardization 9001. I estimate these acquisition maintenance purposes as the standardization of duties, and which becomes at increased risk of unreasonableness, an irregularity, waste, and the accomplishment of by reflection, improvement namely the duties (standard of the sonotokidokino staff) in the self-standard prevents one becoming toilsome in the meaning that the next generation is various as reckoning after all. I supplement the staff and activate an office work section and want to work on introduction of the aim management particularly personnel evaluation and ability for individual staff development next year. I pray the knob for a patient and the staff that this chose our House or our corporation and supplier with the business including it, and there being a benefit in all.

My specialized subject is digestive organ surgery, digestive organ disease, a digestive organ endoscope. However, it becomes the general medical treatment to treat diseases various kinds of than longtime treatment, medical treatment experience in 13 years in succession to a hospital of father. In other words, it is enough interviews and can suppose a disease, and I do an overhaul depending on a condition, and these are treated. In a senior, the same period, I cure in consultation with the doctor of the younger student if I judge that I need the treatment of the specialist more. Of course the person who wants to move should have it, but there is few it.

I visit a ward after a filing on the early morning of October 1. I participate in the meeting for the study of the lifestyle-related disease in new Takanawa of Tokyo from the evening. Because the high blood pressure of the elderly person is salt-dependent, I need sodium restriction particularly (to 6 g a day). The dyslipidemia requires attention for food intake restrictions of oxidized form LDL cholesterol. Specifically, the change of color part of the deep water of the margarine, the 2 degrees advance of the oil thing are not good. Leave Haneda the next day at 7:35; and is arrival at Wakayama at 9:30. I observe the athletic meet of the son until 11:00. I come back to the hospital and make receipt comment afterwards. I visit it early in the morning today, and 1 daytime examines an outpatient. I make the remainder of the receipt comment from now on and am with duty after dinner. It is too fulfilling three days. However, there is physically totally no problem.

I performed six operations on schedule today from morning to the evening. As lunch was 16:00, I was able to reduce the weight to 65, 9 kg. However, the thing that has the same it if I drink wine and beer for dinner. I write a medical certificate asked for as usual and prepare for the tomorrow's loanword from now on. I am sorry that return cannot bathe a little daughter today for 20:00 either.