Wonderful experience in Japan

● 黎 汝楣さん(汕頭大学)

saita01.jpg In lucky July, we three were busy packing, checking travel tips, and asking about study matters with a senior, already unable to bear the excitement. From Jieyang to Shanghai, Shanghai to Osaka, although the voyage was short, we arrived at Kansai Airport with a tired body. Thankfully, the outdoor temperature was 28 ℃, without domestic hot sweat. At the airport restaurant, we had ramen for lunch, where Japanese courtesy definitely made us flattered. And the taxi driver treated us friendly, teaching us a variety of Japanese greetings. The first day we were impressed by the enthusiasm of the Japanese.

The first trouble we met was waste classification, although we have done some research in China. Waste classification in Japan absolutely made you mad. For example, 1000ml box for milk, first you have to finish it, or drained, then ripped, rinse, dry, every Wednesday you could throw in constant garbage bags. I could only use sticky notes attached to the surface of the garbage bag, reminding myself when I could throw any garbage daily. Secondly, Japan is a country of shame culture, especially not to disturb others; so be sure not to speak loudly and remain modest and polite, especially in public places, In tram there was little noisy, mostly reading or sleeping themselves. Moreover, every morning, in my way to hospital, people would nod, smile at each other, at the hospital we would say "Good morning" to anyone we met, which was to start the day in a good mood. What’s more, in Japan, the sense of security was really strong. Umbrella, hat, and mug could be put in the basket directly without being afraid that someone would take them away. Cycling on the road, everyone was nice. There was very little food preservatives, so the shelf life was very short. Everything was so orderly that people here lived a decent life.

kanemoto02.jpg Around 4 weeks in Japan, I spent 2 weeks in biochemistry laboratories, 2 weeks at the Digestive Surgery. I am glad that I have chosen a foundation department and a clinical department, because to those who want to go to graduate school, it’s a better choice to have experience both in laboratory and hospital. In biochemistry, my teacher was Associate Professor Fujiwara, who was a very lovely woman. Her husband is Chinese, so she has been to many places in China (such as Beijing, Shanghai, Guangzhou, Fuzhou, Inner Mongolia). There were all carriages in the street, no toilets in rural areas, many animals in Guangzhou market and so on. Obviously, China left her under a bad impression. She said she liked Chinese yogurt and grunt meat, did not like Chinese rice. The first time we met she affectionately called me "Ru-mei", in the laboratory, many times saying "This is for you", which moved me very much. Every day we do some basic experiments (such as configuration buffers, cell culture, protein staining, western blot, etc.), before the experiment the teacher would give me a copy of the English version of the protocol, I would study by myself, and then asked when I couldn’t understand, then followed the steps to do the experiment. Fujiwara teacher was very attentive that printed copies of her nearly three years’ articles to me, and usually I was in the study of her articles. More than experiment, every day we are discussing China with Japan, countless jokes, numerous surprises, we were just like two kids. I am a student who likes to ask questions, but she always tried to answer. I like the atmosphere of mutual learning. Associate Professor Fujiwara said that she was also learning every day. I am quite happy that the last day on the farewell party she gave me high marks, "she is hard-working, and she wants to know everything."

saita01.jpgThe second department is the digestive surgery. Finally it was time to be in clinical department. Professor Sasako told me that it is a small department with two female doctors and five male doctors. The patients are usually 15 or so, basically all patients with esophageal cancer or gastric cancer. In the wards, patients are independent of each interval, a curtain ring up and have their own TV sets, range is relatively small, only a small bedside stool, I did not see their families during the morning rounds. Postoperative patient also with a variety of tubes will be dressing during rounds, the patient seemed not to feel pain, nor sickly. Besides, it would go to the consultation rounds to check patients (patients living in other subjects and found with gastric cancer). Outpatients would not be many, but also one by one, from morning till 4-5 pm with 10-minute lunch time only. Most are gastric cancer patients after surgery, the doctor will make an appointment at a good time of the next visit, including checking project, so the patient came to hospital first for blood, film and other related examination, so everything is in order, not crowded. I was impressed by the hard-working of the doctors who would work late till even 10-11pm every day.

saita01.jpgOperating room was clean, orderly, where open surgery is also facing surgery vision lens, so students can stand beside the wall to watch, read a book and discuss. I like this approach to learning, so no wonder that morning professor Sasako let me go back to take the book over, "it's not for examination." In addition, with a variety of automatic retainer, the operative field is better. Hospital regulations, students are not allowed direct contact with the patient, I am more like a trainee in the hospital. But last week they are very careful that let me help dressing. At the end of my clerkship, professor Sasako told me "You are excellent." I do not know where I performed well, but I am very pleased that we got along very enjoyable.

In Japan, weekend is our travel time. We three have been to Kyoto, Osaka and Nara. Osaka is a modern city with a variety of high-rise buildings, a variety of dishes and a variety of street full of Japanese style, which is simply a shopping paradise. Kyoto and Nara are ancient cities with full history of precipitation. Wearing kimono we strolled around Kyoto, a variety of candy, biscuits, Uji green tea ice cream, all were in great flavor while Nara is a city full of deer, more quiet and elegant.

This time, Japan's short-term study, I think I learned a lot, especially in terms of ideology. Firstly, I cultivated a good experimental thinking and practices, which deepened the understanding of the laboratory and laid the foundation for my graduate study. Secondly, experiencing different medical environment and doctor-patient relationship, it strengthened my belief in being a doctor in the future. Of course, in my free time I had a handful of fun to see the best of the Kansai scenery, enjoying a variety of Japanese cuisine. What’s more, there were people who helped us along the way, such as the teacher at the international exchange center, the Japanese students, all sections of the teachers and the doctors, and even the strangers. You had kind smile, enthusiasm which deeply moved me. Thank you very much for giving me such opportunity. The clerkship and various experiences piled up in Japan certainly became big nourishment in my life.

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