Dr. Yen Ta Huang, M.D., M.S, Ph.D.
2014年11月17日 Mon 〜 2015年5月16日 Sat
Attending Physician in Surgical Intensive Care Unit, Buddhist Tzu Chi General Hospital, Hualien, Taiwan
Assistant Professor in Department of Pharmacology, Tzu Chi University, Hualien, Taiwan
Huang先生は，台湾のBuddhist Tzu Chi General Hospitalより2014年11月17日より６ヶ月間，共同研究と国際診療強力のために名古屋大学大学院医学系研究科 救急・集中治療医学分野に留学されました。2015年6月27日の台湾のテーマパークでの粉塵爆発事故で500名を超える熱傷事故が起きました。この際には，Huang先生と連動し，日本医師会国際支援JMATとして台湾で熱傷支援を行いました。 教授 松田直之
Join to nurture a so beautiful dream and ambition in Acute & Emergency Medicine.
MEIDAI Emergency & Critical Care Medicine
National Taiwan University
2015年1月26日 Mon 〜 2月6日 Fri
Emergency & Critical Care Department in Nagoya University Hospital
In 2015 winter, I enter the Emergency department of Nagoya University Hospital as an observer. The reasons why I choose this department are the great experience from the senior students form NTU and my interest in emergency department and critical care. In these two weeks, I learn a lot from the medical system and patient-caring.
In the Intense Care Unit, there is a combined meeting in every morning. Something impressed me most is that the meeting adopts open-discussion. Every doctor working in ICU, including the doctor in charge, would attend this meeting. Besides discussion about the treatment plan of each patient, they would make decision immediately after discussion. It is more efficient and every doctor would easily understand the situation of the patient. Furthermore, the doctor-patient ratio is much higher than hospitals in Taiwan. For patients, they would get more medical resource; for doctors, they could easily focus on the patients they care. In the aspect of technique, aseptic procedures and real-time sonography are prominent in Japan. With those concepts, I believe that procedure would be safer to patients. Eventually, in the aspect of patient-caring, there are two unusual cases when I learn in ICU. One is the case of thrombolytic thrombocytopenic pupura. The other one is the case of myasthenic crisis. From the process of diagnosis to treatment plan, I learn a lot and I believe that I would not forget anymore in the future.
In the emergency department, the number of doctor is less than in ICU. Certainly, the patients are relatively less than in Taiwan. I think this phenomenon is attributed to well referral system and proper concept to use medical resource. The most impressive thing to me in ER is a CPAOA patient. At first, I feel confused that CPR was not performed actively and Bosmin was not given to this patient, either. After declaration of death, the ER doctor told me that we do not do anything due to lack of bystander CPR and delay to discover. And then doctors arrange CT scan for this patient in order to find the cause of death. The action should be encouraged because with the result, doctors would know what problem they omit and do better next time.
Emergency room and ICU are good places to learn for young doctors. There are full of challenge. I enjoy learning under this kind of environment. With the experience here, I hope I will be a better doctor in the future.
to be continued
2015年9月30日 Wed 〜 2015年10月23日 Fri
みなさん、はじめまして！クリストファーです。I’m an exchange student from Vienna, Austria. I arrived in Japan on September 25th. Actually, it’s not my first time in Japan, as I’ve been here two times before, for travelling and taking a language course to learn a little bit of Japanese. I really enjoyed those trips, so I was very excited to come here again, and it’s my first time in Nagoya.
Japan’s culture is very interesting for me, maybe because it’s so different from Europe. But I also find it very fascinating, how old and new elements come together, how there are some old traditions on one hand and high technology and skyscrapers on the other hand. To me, Japan feels like a country full of contrasts.
So after arriving in Japan and having some introductions by NUPACE office, I finally started my clinical rotation on October 1st at Emergency department, together with a second student from Vienna. It was a very good choice to start, as we were welcomed really kindly by Professor Matsuda and his team. On the first morning, Dr. Hinoshita, who has since become a great adviser for us, introduced us to the team and gave us a quick welcome tour through the hospital and the Intensive Care Unit, where we spent most of our time.
For me it was the first time at an Emergency department and I really enjoyed this new experience. There were many kind doctors who translated some conferences to English for us or who gave us short lectures. Furthermore, there were a lot of interesting cases at ICU. Altogether, I would say that the hospital is not very different from Austrian hospitals, as is the treatment of the patients, even though I learned about some differences in medication or in the names of some diseases.
At the end of our four weeks at the department of Emergency Medicine, we got the great opportunity to accompany some doctors of the department to Tokyo, to attend the 43rd Annual Meeting of the Japanese Society for Acute Medicine in the Tokyo International Forum. In the mornings we visited the exhibition, where we could see some new technologies of emergency medicine and also had the chance to try out some of them, like a sonography simulator. In addition, we also listened to some of the presentations of Professor Matsuda and Dr. Hinoshita, like one about the accident in a water park in Taiwan, where a dust explosion happened and Professor Matsuda and some other doctors went there for support.
On the afternoons, we could spend some time for sightseeing in Tokyo, which I also really enjoyed. On the last evening, we were even invited to a conference boat trip around Tokyo Bay, which was a great pleasure.
All in all, I had a great and interesting time at the Emergency department, learning new things and making new experiences. どうもありがとうごさいました！
2015年9月30日 Wed 〜 2015年10月23日 Fri
Before going to Japan, I didn’t really have a lot of time to think about my choice. But I also didn’t really have to, because I have always been convinced, that this would be a very good decision.
I think the first impression sometimes is what really matters and I have had quite an interesting first impression of this fascinating country. As probably most people’s imagination, mine was also full of clichés and big expectations. Those expectations have been fully met and even overtopped during my first weeks here – in a very positive way.
My first department to visit at Nagoya University was the department of Emergency Medicine, led by Prof. Matsuda. Professor Matsuda – who was about to go to Berlin for a conference – and his team, welcomed Christopher, the other exchange student from Austria, and me very friendly and nicely when we first arrived to Nagoya’s University hospital. When we first entered the doors of Emergency and Medical Intensive Care Units, we were received by Dr. Hinoshita, who from that moment has been very nice to us and showed us around many places during our whole stay in Japan. Dr. Hinoshita introduced us to the rest of Prof. Matsuda’s team, all of whom were very nice to us and always tried to guide us and explain the patient cases to us.
Regarding the medical treatment at Nagoya University’s EMICU, we had the possibility to see a very modern and well run intensive care unit applying the current state of scientific evidence-based treatment. As the department is part of a university hospital, we came to see many interesting patients, such as some patients admitted at Nagoya’s highly specialized pediatric hematology department, managed in cooperation both by the pediatricians and emergency specialists. Nagoya’s EMICU, with Prof. Matsuda being a very internationally orientated person, also commits to scientific research and is involved in some international multi-center projects, with the most memorable for me being the “stop Sepsis, save lives” project, involving dozens of hospitals all over the world and trying to implement a strict, evidence-based and fast Sepsis management as well as preventive measures.
Though the entire stay at EMICU was very interesting, the highlight of our stay probably was Prof. Matsuda’s invitation to join the 43rd Annual Meeting of the Japanese Society for Acute Medicine held at Tokyo International Forum. So, we informed ourselves about connections to Tokyo and hotels, organized everything, and parted for a 4 day trip to Tokyo with a lot of interesting impressions. With the hotel being only a 15 minute walk from the venue, we could go there in the morning and see newly developed technologies for intensive care management, such as respirators, cooling packs, heart assisting devices etc. at the adjacent expo. They even had an almost fully functional ultrasound simulator for pathologies to train the FAST protocol using different clinical cases and which we could use for some time. Apart from the expo we met Dr. Hinoshita, Prof. Matsuda and other doctors of the team several times and joined them at lectures, such as Prof. Matsuda’s talk about the medical assistance given to Taiwan after a dust explosion at a festival. At that time Prof. Matsuda and some other doctors from Nagoya University flew to Taiwan to help the local doctors with the management of a big quantity of burn patients and – for what we have heard and seen in pictures – did a really good job and could help many patients. After the assistance, Japan and Taiwan even signed a treaty for giving medical assistance to each other in case of emergency for the future. I think that’s a very good example of international cooperation and development and puts emphasis on the importance of exchange of ideas and knowledge.
Overall I am very happy that I chose Japan and Nagoya University as a destination for my studies, because I met a lot of nice people, got an insight into Japan’s interesting culture, and was able to build up a lot of professional knowledge about some common and some rare diseases.