We also have lived in such a rotten barrel society in Japan

We also have lived in such a rotten barrel society in Japan, although good persons have NEVER been aware of it and won't be for life.



You Might Be Dead and Not Know It
by Baye McNei

Police and Other Public Agencies Overlooked the Incidents as Someone Else's Problem

My family are placed in a similarly difficult situation where Jodie Foster as Kyle Pratt faced in "Flightplan"(2005) movie, 

although my family member was killed, while her daughter was not.

Inconvenient truth is covered up by upstairs stalking family and data fabrication scandal-ridden Kobe Steel affiliated Shinko Hospital's doctors, social workers, and others. 

But the local police department and the Kobe District Public Prosecutors Office overlooked it. 

Kobe Steel-affiliated Shinko Hospital covers up the cover-ups of the murder case, as the resentment.

First, see Tuesday, June 28, 2016

My father Died of his Doctor's Ignorance and Arrogance

Since 2010 when my mother was hospitalized for excising the aneurism, or the swollen artery, I found there was an extremely sad situation about the no-smoking rule inside the hospital site. While one of the two deputy hospital director  was doing the smoking cessation program, smoking areas were openly created around both the front and back gates. And I took pictures of the actual condition as evidence to report the city and post it on the blog. Under the universal healthcare system, the offending hospital must pay back the treatment fees paid to it by the Health Ministry.

Since Dec. 14 2015, when my father was hospitalized for acute urinary infection,  most nurses and doctors had been found absurdly careless about hygiene on the 7th East Ward. Some were going to treat my father with medical gloves which they dropped on the floor in the room before me. They left  an intravenous drip leaking, making a puddle on the bed for a few hours, causing his calf inflammatory. In mid winter, they opened the windows for 15 minutes to ventilate the room before I visited.

As Fukiai Police advised, I submitted the written inquiry about such absurdities to the hospital director through the medical office, but I got threatened by my father's doctor, the head nurse, and two senior male medical security officers, "Your father doesn't have to be in such a filthy place! You can take him to any hospitals in Osaka or Okayama(outside Kobe City)!"

Following it, Fukiai Police never helped, just saying, "You should consult a lawyer." Some senior male medical security officers were presumably former police officers. After all I was ordered to keep off the hospital finally to suffer my father' s death with his medical information not to any other hospital to be transferred or visiting physicians by the evil medical security officer named Kazuhiro Taue. 

The Hospital site was Kobe Steel's enamel plant. During  Kobe Steel's early days when it started its enamel plant the senior inpatient was a person in enamel sales at a trading company. 

August last year, Matsuda, female, one of the medical security officers was arrested for stealing a total of  ¥1.4million by six time from a senior female inpatient at the same period as my father's hospitalization. 

My father Died of his Doctor's Ignorance and Arrogance

My father needed an appropriate dysphagia treatment, 

but his ignorant  respiratory doctor Koji Tamai in Kobe Steel affiliated Shinko Hospital, Kobe city, western part of Japan, 

forced him to remain untreated 

with only peripheral intravenous fluids for 2 months(Jan 10-Mar 25)

till he died of pseudomonas aeruginosa pneumonia 

due to frequent antibiotic abuses of over two weeks.

Though ENT doc Suzuyo Kurakawa tested him  he couldn't swallow jelly and stopped it  between 

passageways for food and air soon after his urinary infection hospitalization, 

he was able to swallow saliva without frogging nor choking over afterwards. 

But his ignorant and arrogant respiratory doc   refused his dysphagia therapy.

Elderly Survivors of Kobe Great Earthquake are Suffering

Kobe city-based Yotsubashi-gumi,


a Japanese contractor don't understand its corporate social responsibility(CSR).

 

 

 

 

 

 

 

 

 

 

The Kobe city-engaged construction firm is

 

 doing repair work in a residential building where bedridden or chronically ill 70s and 80s people live.

 

They are survivors of the 1995 Kobe Great Earthquake.

 

The 100 year old building contractor has put up the more-than-minimum scaffolding,

so that the senior dwellers cannot get any rays of sunlight anywhere and anytime even in the daytime.

with Kobe City's connivance.

The scaffolding is to be left till next March.


The elderly people need the daylight for prevention of  poor sleeping and senile dementia.



The workers don't seem to use the scaffolds but the elevators for tiny repairs


and what is worse

they have taken advantages of the dwellers' weakness 

such as 

coating the front doors and walls with uneven rust preventing paint.

It is one of the terminal symptoms of construction firms in its death throes.

Memary ,meantine-related case reports

Inappropriate Drugs in Elderly Patients with Severe Cognitive Impairment: Results from the Shelter Study

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463565/

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3463565/pdf/pone.0046669.pdf


 Lipid-lowering drugs and antiplatelet agents (but not ASA)

followed by

anti-dementia drugs (acetylcholinesterase inhibitors and

memantine ) were the most frequently

inappropriate drugs used,....



Treatments for Depression in Older Persons with Dementia

PMCID: PMC3147175
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147175/
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3147175/pdf/nihms203041.pdf

PHARMACOLOGICAL TREATMENT OF DEPRESSION IN DEMENTIA
Therefore,

drug interactions and polypharmacy may help provoke BPSD

in some patients with dementia,...

Given their physical and cognitive frailty,

 persons with dementia may also be particularly

 susceptible to adverse effects.

Since dementia patients may be less able to communicate, clinicians and caretakers must carefully observe patent’s behavior for evidence of adverse events when new medications are introduced.

Prescription of new medications intended to treat depression or other BPSD in dementia patients should always be made using the familiar adage originated for dosing the elderly,

“Start low and go slow”

Memantine
Memantine, ... Glutamate signaling is important for learning and memory,...

A recent review and meta-analysis

of the research on memantine for the treatment of psychological symptoms of dementia showed
 
small...


In summary, a variety of pharmacological treatments have some efficacy in the treatment of depression in dementia,

but care must be exercised in their use with this population of generally frail older persons to avoid adverse effects.

Efficacy of memantine on behavioral and psychological symptoms related to dementia: a systematic meta-analysis.
http://www.ncbi.nlm.nih.gov/pubmed/18056833

CONCLUSIONS:

However, there are a number of limitations with the current data;
 
the effect size was relatively small

 and whether memantine produces significant clinical benefit is


not clear.







 

Memary (memantine)20mg without BPSD

Without“behavioral and psychological symptoms of dementia”(BPSD), he is found to have got a medication of Memary (memantine) 20mg for Alzheimer's every morning since February.

Risperidone-Induced Dysphagia?

I read your case report's abstract, Risperidone-Induced Balbar Palsy-like Synd
 rome, PMID:20922432.

My family member, 97, has had difficulty swallowing
  since the next day after admission to the Kobe Red Cross Hospital(May 18, 201
 2)due to cerebellar infarction.He got diapered and strapped to the bed for the
  first time. He surely had psychological trauma. The cerebellar infarction res ulted diagnosedly from March 12 falling resulting in facial contusion and internal bleeding. Since then till October 31, he had been given risperidone throu gh three hospitals. I asked the director of the third hospital to stop risperi done due to its side effects. And then, risperidone  was completely withdrawn.

According to pharmacists' association, sudden drug withdrawal might result in adverse effect, or retroaction.They recommended dose reduction after long-term medication. Amoban has still been given to him. The doctors here said dysphagia is due chiefly  to blood clot and age, and he won't get better. But at the third and fourth hospitals,  he takes foods for dysphagia  by mouth.

His symptons before admission are as follows:

 Aug.2010 one-eye cataract operation, Since then, unable to walk without a sti
 ck. neurologically nothing abnormal detected.

Aug. 2011 the other eye cataract operation, still unable to walk without a sti
 ck.

Apr.26 2012 instead of a few years long steroid external medication by a town
 doctor, resulting in internal bleeding and scrabbling,  Yokukansan and Alrock
 administered as a drink. after that, feeling sluggish.

May 9 tooth extraction
 May 11  enema at the trauma department in hospital due to no effect of 30 year
  every third day medication of sennoside by his town doctor
 May 14  enema again there because of neglecting another prescription
 of every after meal medication of a purgative by the surgeon after that, he fo
 llowed the surgeon.

May 15  defecation since that night unable to lift himself and deliria

Uphill

Antipsychotic-Induced Dysphagia

Risperidone-Induced Bulbar Palsy-like Syndrome

Department of Neurology, Yale University School of  Medicine,

PMID: 20922432


Risperidone-Induced Tardive Pharyngeal Dystonia Presenting with Persistent Dysphagia

PMID: PMC 2292443


Neuroleptic-Induced Dysphagia

Service of Speech Pathology, Rehabilitation Institute of Toronto, Canada

PMID: 9294935


Dysphagia Due to Olanzepine, an Antipsychotic Medication

PMID: 15778537


Sudden Dysphagia with Uvular Enlargement Following the Initiation of  Risperidone Which Responded to Benztropine: Was This an Extrapyramidal Side Effect?

PMID: 11569473

Only the Excuse of Staff Shortage Blocks Japan's Therapy to a Cerebellar Stroke.

According to the Health imformation offered by JFK Medical Center,

The cerebellum is located in the lower part of the brain, towards the back. It plays a role in body movement, eye movement, and balance.

The stroke harms these roles.

Except difficulty walking, including problems with balance  as symptoms of a cerebellar stroke indicated by most doctors in Japan,

some notable ones, whcih Japanese doctors hardly touch on, ALSO  include:

　　　　Speech problems (eg, slurred speech) and difficulty swallowing

          Problems sensing pain and temperature

          Difficulty hearing

　　　　
　　　　Problems with eyes (eg, small pupil, droopy eyelid)

And they are promoting  awareness like this:

"If you or someone you know has any of these symptoms, call 911 right away. A stroke needs to be treated as soon as possible. Brain tissue dies quickly."

It means these symptoms should  BE CONSIDERED SERIOUS.

Of course, these applies to my senior family member, but  he is thought to have senile dementia only because he slurs, and is hard of hearing and speaks louder. 

Unfortunately, a local Red Cross Hospital in Kobe City, as well as others in Japan  wouldn't offer senior patients and their families such rehabilitation programs

 only due to shortage of staff(in fact, due to too many staff members' sluggishness):

        Speech therapy—to improve swallowing and speech challenges

        Psychological therapy—to improve mood and decrease depression


They just need more downsizing and more study.

Difficulty Swallowing after Stroke

A family member of mine suddenly began to feel it difficult to stand and walk on May 15th, and finally on May 17th I took him to a local Red Cross hospital. He was diagnosed as stroke or lood clot in the cerebellum.

 Come to think of it, on March 12 he slipped on a wet iron gutter cover in front of a nearby small hospital offering Saturday consultation time, fell down, and hit the right side of his face with swelling and internal bleeding. The Red Cross neurosurgical doctor said in a month after such a hit a brain could often suffer a blood clot. The doctor also said the disease in the cerebellum caused him lose their sense of balance and prevented him from standing and walking. But he is a post-stroke patient, not couldn't get treatment.  He said we should see how it would work, and we came home on May 17th.

On May 18th morning, I saw he suffered an attack of delirium and got placed in the Red Cross hospital. On May 19th the day after hospitalization, he obviously suffered difficulty swallowing.
So, he had been taken food  with thickness by mouth, but he disked it.


 Since May 23 he has been fed by a tube. 

So,  NOT to PULL the TUBE,  he is forced to wear mittens and tied to the bed frames when his family are not with him.   Isn't it an abusive treatment ?



The doctor has never offered direct or EVEN INDIRECT trainings for improving his ability to swallow because he worries about aspiration pneumonitis.

According to the Internet, Brain stroke is often associated with dysphagia or difficulty swallowing.  Especially a blood clot in the cerebellum causes severe dysphagia.  In Japan, methods for the effective treatment of patients with difficulty swallowing have never become popular yet.

Bay area

summer

from a hospital at the foot of a moutain

summer

Snow-crested mountain and condos

Winter

Radiation Detection Hardware Network in Japan

Katsunobu Sakurai, the 2011 TIME 100

Japan's nuclear impact map - Interactive - Al Jazeera English

Japan's nuclear impact map - Interactive - Al Jazeera English

Hamaoka, another dangerous nuke in Japan

Hamaoka,