Category 病院 (Hospital)
今日は神経科の定期検診。道中の車の中では、音楽に合わせて、Leoがマイクを持って熱唱！ちなみに彼のお気に入りはミュージックステーションで見たAKBとモー娘です。既にオタク？(^^)
We went to see Leo's neurologist today as a regular 4 months follow-up. Leo was singing a song on the radio on the way. He likes music especially the Japanese girls groups on TV. Already OTAKU?
先生と話すのは4ヶ月ぶり。色々話した。やっぱり左足がドンドンつっぱってきた。右足も何だか最近固い。その他近況報告して、とりあえず今のLeucovorinを一日5mgの継続と、一応ドーパミンの薬の処方箋をもらってきた。もしかしたら少し改善するかもという淡い期待を込めて。
We talked a lot about his symptoms. His left leg is getting tighter and the right one is also a little bit too. We decided to continue the current Leucovorin medication 5mg/day and got a prescription for L-dopa, the precursor of dopamine, hoping it helps ease his symptoms.
あと、前にやったミトコンドリア病のDNA検査はミトコンドリア内のDNA検査で陰性だったけど、やはり進行性なので、今度は細胞核のDNA検査(ポリメラーゼ•ガンマ(POLG))をしてみることに。
And he ordered another DNT sequencing test called Polymerase gamma (POLD) and see if any mutations not in the mitochondria but in the actual nucleus. The previous DNT test was that of the former.
しかしいつものように、そこはアメリカ。保険会社から認証されるまで数週間。検査して結果は数ヶ月後。医療技術は世界一かも知れないけど、保険のシステムは先進国最低かな。よく言われるように。
But this is U.S. The approval from the insurance company takes a few weeks and another few months of waiting for the results. As is often said, medical skills and equipment in the States is probably No. 1 in the world, but the health insurance system seems the worst in the industrialized countries.
この間、Leoが日本で一週間の検査入院中には12個のDNA検査を一度にして、結果は2週間後にサクリと。
When Leo stayed at a hospital in Japan, he took 12 DNT sequencing tests all at once with a tiny cost and waited for a few weeks for the results.
その話をしたら、先生は「我々医者もそうしたいけど、この国の医療は保険会社に牛耳られてるから、歯がゆい」とのこと。
When I talked about it, the doctor said "of course, doctors here want to do the same thing but the system is governed by the insurance companies, so I am frustrated ...".
アメリカではまさに「健康」まで「買う」もの。正直、健康ではないひとにはタフな社会です。TPPで日本の宝である皆保険制度が守られることを願うばかりです。
In the States, health is also one of the many things you "buy" and it is a tough society if you are not healthy. I am hoping that Japan protects the national health insurance system the treasure of the country even after the start of TPP.
We went to see Leo's neurologist today as a regular 4 months follow-up. Leo was singing a song on the radio on the way. He likes music especially the Japanese girls groups on TV. Already OTAKU?
先生と話すのは4ヶ月ぶり。色々話した。やっぱり左足がドンドンつっぱってきた。右足も何だか最近固い。その他近況報告して、とりあえず今のLeucovorinを一日5mgの継続と、一応ドーパミンの薬の処方箋をもらってきた。もしかしたら少し改善するかもという淡い期待を込めて。
We talked a lot about his symptoms. His left leg is getting tighter and the right one is also a little bit too. We decided to continue the current Leucovorin medication 5mg/day and got a prescription for L-dopa, the precursor of dopamine, hoping it helps ease his symptoms.
あと、前にやったミトコンドリア病のDNA検査はミトコンドリア内のDNA検査で陰性だったけど、やはり進行性なので、今度は細胞核のDNA検査(ポリメラーゼ•ガンマ(POLG))をしてみることに。
And he ordered another DNT sequencing test called Polymerase gamma (POLD) and see if any mutations not in the mitochondria but in the actual nucleus. The previous DNT test was that of the former.
しかしいつものように、そこはアメリカ。保険会社から認証されるまで数週間。検査して結果は数ヶ月後。医療技術は世界一かも知れないけど、保険のシステムは先進国最低かな。よく言われるように。
But this is U.S. The approval from the insurance company takes a few weeks and another few months of waiting for the results. As is often said, medical skills and equipment in the States is probably No. 1 in the world, but the health insurance system seems the worst in the industrialized countries.
この間、Leoが日本で一週間の検査入院中には12個のDNA検査を一度にして、結果は2週間後にサクリと。
When Leo stayed at a hospital in Japan, he took 12 DNT sequencing tests all at once with a tiny cost and waited for a few weeks for the results.
その話をしたら、先生は「我々医者もそうしたいけど、この国の医療は保険会社に牛耳られてるから、歯がゆい」とのこと。
When I talked about it, the doctor said "of course, doctors here want to do the same thing but the system is governed by the insurance companies, so I am frustrated ...".
アメリカではまさに「健康」まで「買う」もの。正直、健康ではないひとにはタフな社会です。TPPで日本の宝である皆保険制度が守られることを願うばかりです。
In the States, health is also one of the many things you "buy" and it is a tough society if you are not healthy. I am hoping that Japan protects the national health insurance system the treasure of the country even after the start of TPP.
