Message from chief

Masayasu Yoneda

Lecturer,Endocrinology and Diabetic Medicine Masayasu Yoneda

We aim to be adepartmen of internal medicine in the true sense that faces up to the life of each patient

We need to treat the patient in 10 years' time,
not just monitoring the blood glucose level in front of our eyes.

Generally our group has two major area “diabetes” and “endocrinology”. In the meantime overviewed number of outpatients, we have been taking care of tremendously number of diabetes patients.

Speaking with regard to diabetes, we have to treat and care patients thinking about patients’ will and environmental factor decades or more longer. This means we provide and build up the patient’s lifestyle together. For example, there are often cases involving elderly patients where there are differences in ways of thinking between the ideas of the doctor, the patient and the family around them when it comes to the question of how rigorously to control blood glucose level. For example, is it possible to self-inject insulin uniformly 4 times a day? This is not possible for people with physical problems due to old age. So, what should we do? The question of whether that person will be living vigorously in 10 or 15 years' time in view of their lifestyle habits and background is important.

In other words, you could say that we have to make an effort so that we can see that person's future image rather than it just being about the current condition of things like blood glucose levels and insulin dose. One specialist can see their own world’s aspect, but physician like us need to include patients’ hidden background. We treat patients over the long span of 5 or 10 years.

With regard to endocrine disease, it was thought that the number of patients with that disease itself was very small, but it now appears that there are actually a few more of them. We are also striving energetically focused on diagnosis of prediction and treatment on early phase. That appears to be the trend for the diseases that we handle. We believe our continuous effort not only conquer disease but also contribute other unknown disease prediction and treatment.

More than 30 years of surveys of Japanese-Americans
These are True Mine of Our Research and now is the time dive in new research area
that armed new technology that we did not ever met.

We have conducted the “Medical Survey of Japanese-Americans in Hawaii and Los Angeles” from the perspective of searching for risk factors for lifestyle-related diseases for more than 30 years now as the central pillar of our research work. Many people have relocated from Hiroshima to Hawaii and Los Angeles since several decades ago. The lifestyle-related diseases of those people and their descendants are believed to have been westernized more quickly and to a higher degree in comparison to Japanese people. Consequently, we are surveying what kinds of lifestyle-related diseases are currently occurring. We have discovered several risk factors related to diabetes in this medical survey of Japanese-Americans. Based on this research already, we would like to carry out more precise comparisons of Japanese-Americans and Japanese people than have been carried out to this point and further improve the quality of research. Furthermore, in near future, we would also like to launch new basic research using generated cells and experimental animals models in order to clarify the diabetes mechanisms.

We think that now is a new starting point.
We plan to rapidly incorporate new research and tests.

Interestingly, our area is that it is one where we can face the lives of our patients. There are times when the patients who I saw when I was doing practical training as a student and when I was a trainee doctor have now become, after 10 years or more has passed, my patients. The patients have remembered me too. This is an area where it is possible for long associations to take place between one person and another. I think that this is an area where it is possible to become a doctor of internal medicine in the true sense.

There have been some young doctors recently with strong intentions to become specialists and there is always the danger that the quality of their treatment level will fall when they face patients having diseases out of their areas of speciality. Because of that, I have young doctors aim to become doctors with wide-ranging knowledge of internal medicine overall and to become able to respond to the various complaints of patients at their training facilities. Because of that, I encourage young doctor who wants to be armed wide-range knowledge of internal medicine join our group.

Furthermore, I also think that making alliances between the university hospital and other research institutions and local medical facilities, and the creation of medical infrastructure are my job. I would like to produce results with research that has not been done elsewhere, including new basic and clinical research, and joint research with other doctors. I would like to make a group so that I am told in 5 years' time even if not right away “You groups are doing really interesting activities!”