FC2ブログ
研修医日記/医療法人社団 札幌皮膚病理診断科
Sapporo Dermatopathology Institute
201811<<12345678910111213141516171819202122232425262728293031>>201901
スポンサーサイト
上記の広告は1ヶ月以上更新のないブログに表示されています。
新しい記事を書く事で広告が消せます。
東野俊英/研修医日記
昨年10月から半年間、研修させて頂いた、東野俊英と申します。
私は現在、卒後6年目で、これまで転勤が多かったこともあり、皮膚病理に関しては、勤務先だけでなく、カンファランス等に参加した、近傍の大学や病院の様々な先生方から教えて頂きました。また、初期研修医のときに札幌皮膚病理のセミナーを受講し、そのときのメモや記憶を基に勉強することで、非常に効率良く技量の向上に臨めたと思います。
こちらでは、最初は木村先生と一緒に出来るだけ多くの標本を見る中で所見の取り方などの基本を習い、2か月目からは実際に標本を見て診断し、木村先生の診断と自分の診断を照合する研修に移行しました。これまで1か月で診ていた量の症例を1日で消化するので、実際は同じでも自分には違うように見えていたもの、あるいは違っても同じように見えていたものを、それぞれ正しく、しかも素早く認識できるようになりました。最後の一か月は診断書を作成させて頂きましたが、その際には背景として膨大な知識が必要なことを実感し、皮膚科診断学の神髄である皮膚病理の面白さを理解できたと思います。
4月から再び皮膚科日常診療の場に戻り、また近々、大学院に入学し基礎医学の研究が主体の生活に移行する予定です。札幌皮膚病理診断科では平成26年3月をもって研修医の受け入れを終了し、私達が最後の研修医となりましたが、皮膚病理の勉強はこれからもサブスペシャリティとして合間をみて続けていきたいと思います。皮膚科医としては、まずは皮膚科専門医を取得しなければなりませんが、その後は国際皮膚病理専門医の取得を目指そうと考えています。
最後に、木村先生は3月で常勤から退かれますが、これからは世界を舞台に、あるいは通信教育などでご活動されると伺っており、益々のご活躍を祈念しております。
Gayle Opada/November diary
11 months have passed since I first arrived in Japan. My journey here did not just made me a better medical doctor but made me a better person in general. Aside from learning DERMATOPATHOLOGY, which is the major reason why I’m here, I have learned a lot... from handling my finances to dealing with other people’s cultural differences. 

Dermatopathology and Japan. It’s a dream come true for me. But it’s not all sushi and shu creams. I had my share of disappointments and frustrations as well. My major frustration is the language barrier. I should have learned more if I understood all those conferences and CPC that I have attended. Although I have studied “nihongo” before I came here, it was not enough. I also do not understand some people’s attitudes. Again, it could be cultural differences. I have learned to be more understanding and be more patient. Patient enough not to do or say something that might ruin a good relationship. Patient enough to survive my stay here in Japan. Living out of my comfort zone is a big challenge. I have to adjust with everything, the weather included. I have to familiarize myself with the new surroundings, the foreign language, the unique culture and the new people I met. 

But of course, it’s not just all frustrations and disappointments. There are actually a lot of things to thank for. I’m so glad and honored to be a trainee of Sapporo Dermatopathology Institute (SDPI). After almost a year of training, I could finally say that I’m confident enough to practice on my own when I go back to my country, my beloved Philippines. When I left my country, I still do not know how to diagnose some of the inflammatory diseases and tumors. I don’t even know what Spiradenoma is. I can not differentiate Follicular cyst, Infundibular type from the Isthmus type and Dilated pore (Winer). Desmoplastic trichoepithelioma from Syringoma. Trichoblastoma from BCC. Eccrine mixed tumor of the skin from apocrine mixed tumor of the skin. My training here exposed me to a lot of common cases and rare cases as well. I couldn’t believe how much knowledge I’ve gained in just one year. I will be going back with confidence that I can now diagnose on my own. Although one year is not enough to learn everything in Dermatopathology, continued learning can still be achieved with the help of SDPI’s virtual slides. 

I also greatly appreciate those people who in some way helped me translate the words that I couldn’t understand so I may understand. I know that’s it’s very hard for all of us to speak in english since it is not our native language but at least we all tried. 

I would like to thank Kimura sensei for allowing me to train in SDPI. It is a great honor and privilege to be trained under his guidance. And thank you for all the sponsors who gave financial assistance for my fellowship training. It is greatly appreciated. I also would like to thank Fukumoto sensei and Anan sensei. Despite them very busy, they still find time to teach us and give us interesting and challenging cases. I always look forward to our afternoon session of “snap-shot diagnosis” with Fukumoto sensei. It helped me with my diagnosing skills as well as introduce me to new cases I have never seen before. And to the staff, you have all been very nice and helpful. Some would really go out of their way to help me. Thank you all very much. 

131103-11039935-untitled shoot-050

131103-11030018-untitled shoot-007

Gayle Opada/October Diary
It’s been 10 months, or let me say, it’s JUST 10 months since I arrived here in Sapporo. I may not learn EVERYTHING but I am trying my best to learn as much as I can to equip myself with knowledge that I may be able to use and share when I go back to the Philippines.


This month, I started writing a case report entitled “Viral Verruca with large atypical CD30 - positive lymphoid cells”. I presented this case last August 31 during the 93rd Hokkaido Medical Congress, in english. 


I have also encountered some new and interesting cases in the institute which I have never seen before and have only read on textbooks. One of it is Pacinian Perineural Cell Fibroma (PPCF) also known as Sclerosing or Fibrous Perineuroma. Sclerosing Perineuroma if it is located in the subcutaneous tissue and Fibrous Perineuroma if it is located in the dermis. It is EMA (Epithelial Membrane Antigen) positive. 

CollageImage.jpeg


Daily living:

I have a new housemate and friend, Yoko Momose, who is also a trainee of SIDP. I enjoyed Japan more and learned more of the cultures when she arrived. We cook together  our food for dinner which is mostly japanese foods. I even learned how to set the table and  which side should I place the soup and the rice.


Both of us are Macbook users and we are so amazed by the screensaver that featured the Blue pond. So, we decided to visit the Blue pond in Biei.  And made a screensaver of our own.


131026-10269684-untitled shoot-090

131026-10269593-untitled shoot-024
Gayle Opada / September diary
Learning experience:

My first time to see a GLUMERULOID HEMANGIOMA. It could be part of POEMS syndrome which is an acronym for Polyneuropathy, Organomegaly, Endocrinopathy/Edema, Monoclonal protein and Skin abnormalities. Glumeroloid hemangioma is believed to be a reactive process rather than a neoplastic process. Small capillaries protrude into a dilated vascular space resembling a “glomerulus” with plump endothelial cells having PAS-positive hyaline globules containing immunoglobulins.

Glumeruloid hemangioma (PAS postive)
Desktop.jpg


Daily living:

This month is my birthday month. I celebrated it with friends. 
Autumn has started and the temperature is also starting to drop. A little difficult for me to move now. Sapporo celebrated the start of autumn with “autumn festival” in Odori Park where different kinds of ramen were served. Perfect for the cool weather.

Autumn Fest
130922-09228500-untitled shoot-120

Miso-based Ramen
2013-09-29.jpg
Gayle Opada / August Diary
A challenging month. I was busy preparing my case presentation entitled, “Viral Verruca with CD30-positive Lymphoid cells” for the whole month of August and finally presented it last August 31, 2013 during the 93rd Hokkaido Medical Congress in Sapporo University. The feeling was liberating. I can now breathe. :-)

August is the last month of Yo Kaku as a trainee in Sapporo Dermatopathology Institute so we had a farewell party for him at the Sapporo Beer Garden. As always, the lamb taste so good. Oishi.


case pres

120827-7894-untitled shoot-021

copyright © 2018 Powered By FC2ブログ allrights reserved.
上記広告は1ヶ月以上更新のないブログに表示されています。新しい記事を書くことで広告を消せます。