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Posted by Kinakinw | --:-- | Comment [0] | TrackBack [0] | スポンサー広告

15 2010

How to Choose Clinic

When Formula One Bahrain GP program was going on last night, I found there was something wrong with left side of my throat. By looking in a mirror I saw swelling of the throat. I had no pain, but it was considerably swollen. I’m 155 cm tall and weigh 46 kg, but only left side of my face line looked like Ms. Susan Boyle. I abandoned watching Schumacher and got into bed with a feeling of anxiety.

I went to a clinic nearby first thing in the morning. Now I know I have salivary gland swelling. An old woman doctor said she couldn’t identify the cause from my symptoms: no pain, no fever, no cough, no irritation above the larynx, and just an enlarged salivary gland. She also said it might not be a critical illness needs medical attention.

The sign of the clinic says “internal medicine, dermatology, pediatrics, and otolaryngology”. I chose the clinic because I used to go there in my childhood and know there is the ear, nose and throat specialist (I was glad she’s looking well). The other doctor covers rest of the departments, but if I need to see a dermatologist, I wouldn’t go there.

In Japan, when a doctor starts a clinic (doesn’t have a hospital bed) he or she can put any treatment departments on the door as he or she likes. Many doctors add unprofessional departments (e.g. internal medicine and dermatology) to their menus to get patients widely.

I always infer a doctor’s profession from his or her list based on what I hard form my physician friend. In many cases, doctors put their specialized areas on the first line. If you see “internal medicine and dermatology”, the doctor should be an internal medicine specialist. If they are in a reverse order, the doctor should be a dermatologist. However there are exceptions. If you see “internal medicine, cerebral surgery, and surgery” or “internal medicine, orthopedics, and surgery”, the doctor must be a brain surgeon or bone specialist.

Even a clinic, which has multiple departments like described above, a doctor in general practice can examine conventional diseases and often be a nice family doctor. Undesirable case is a jumble of unrelated departments, for example, “orthopedics, surgery, internal medicine, dermatology, plastic surgery, and pediatrics”. In this case, I have to think of the doctor is an irresponsible bone specialist. Don’t bring your children to this kind of clinic.


I was shocked yesterday.
The swelling is going down with luck, but still my face is puffy.

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Posted by Kinakinw | 21:51 | Comment [0] | TrackBack [0] | Tokyo Life

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