Sunday

When I woke up this morning, it was already around 8 o'clock. As it is very cold recently, it gets difficult to go out of bed. I felt sleepy, but I know it is waste of time, I went to my hospital and went the round. I decided to have a running today I ran from my house to Akasaka and came back again. It took only 50 min but it was tough because recently I have ditched running recently. I felt guilty for that, so it was releasing and refreshing for me. When I went home, it was already around 10:50.

I went to lunch,today was Chi-ran , whose tan-tan-men was marvelous.

After lunch I went to Shibuya. Shibuya has big parking area for bike. It was helpful for me. And I bought boots and shoes. My sneaker was so dirty that I can't go to good restaurants with this shoes. They totally cost about 300$ but reasonable.

After that I rode to Roppongi and study marketing. Today I did finish only 1.5 chapters. It was disappointing. But anyway I got forward.

Now I'm in night shift.

Also I want to read the marketing book and Cardiac Surgery .
I HAVE TO WORK HARD

TRY HARD !!!

Today's achievement

Marketing by Cotler 8and9 chapter

finish the pension report

made referral form

homework cardiac surgery and marketing book and issue analysis

Saturday

Yesterday morning I woke up late, around 9 o'clock. As soon as I woke up ,I went to hospital and went the round. I did surgery yesterday ,and the patient was fine. urine output was enough and she felt nauseous , so I administered metoclopramide to suppress the symptom. It was successful. It helped her so much. Otherwise every patients are in good condition.

After the round, I went to lunch with my intern. He is patient enough. He did anything I told him. But he has only some problems. First he isn't interested in surgery. Another thing is that he doesn't do anything on his own initiative. I'm wondering that I should tell him that. It is partly my fault. I do everything by myself. It's big problem for him.

Anyway I had lunch with him at Ryukotei. I like Chinese of Ryukotei. I had beef lunch.

After lunch I went to Ropongi hills to study marketing. First I read the problem solving paper written by Dr. Yoko Ishikura. It was a little difficult to understand. Because there are some technical terms like 5 powers of competition.

I understand MECE because I use this all the daily life. But as for Issue analysis, I couldn't even understand the contents. It said it is useful skill. So I try to obtain this technique.

When I left roppongi , it was around 23 o'clock . I read comics and watched TV as always and went to bed.

The future

Yesterday we discuss about the future of the world . Masaru told that there will be international recruit. We will have to go abroad to get good jobs. The power of BRICS is getting stronger, as the industries there grow rapidly. Annual growth of GDP of China was about 8% ,which is double of Japan. In the next year China will overcome Japanese economy. This　doesn't mean exactly what it is, but that the world gets flat.

To adjust this change, we have to learn more other countries' languages , of course including English.

I made a presentation about the future of medicine. I proposed main theme ' we will overcome the all the diseases' and 3 reason for that. I called it ' DIG' project

At first we have gene therapy. Columbia group take it in practice two years ago. They inject some virus including treatment gene. By doing so we can change the gene. I am afraid I gave them misunderstanding but not far in the future it will get major.

Second we have iPS. The teacher asked me the meaning of iPS(induced pluripotent stem cell)

I couldn't answer it. iPS can get anything in your body(pluripotent) we can make it from skin.

third drug evolution . clinical trial get easy because of the communicaiton tools.As years go by,there are many evolutions.Twenty years ago we can't even imagine we can treat the

vaccination of flu

The vaccine of flu has been approved finally.

I was so surprised at this fact because other countries deal with this problem more early than Japan. And also the peak of flu has gone.

Why did this happen?

The Japanese government has to change their attitude, it is too difficult to use new medication in Japan although there are so many clinical experiences and the examination was done. This cause drug lag and the we Japanese can't enjoy benefit of medicine for it.

We have to 'treat' this problem ASAP...

have a drink with my friiend

I had a drink with my friend last night . I've been along with him for 8years since I went to prep school. He is smart and active, that is why I like him.

He took me あそこ in Azabujuban ,which I didn't know, very good bar. His girlfriend also came, and we talk about many things, such as parents, work , and dream.

As for parents, he experienced interesting event. He sent his mother Louis Vuitton Bag which costs 1000 $ and send his message . His mother cry for his kindness. I was moved a lot, such a great experience. He is a very kind guy.

My mother is very different from other mothers. She is very active , always hysteric, but very kind to me. I realize I didn't do anything for my mother. In my childhood I gave my mother a present like massage ticket or something, but never bought anything for my mother except for flower.I regret not to give her any presents and decided to send her something on next her birthday ...

His girlfriend works the same office as his. She grew up in Ohio state. So she is very good English speaker. She is so cute like Ayako Nishikawa and very kind girl.

I had a very enjoyable time.