Reading Time: <1 minutehttps://prtimes.jp/main/html/rd/p/000000002.000135024.html On April 4st (Sunday), a commemorative lecture will be held to commemorate the inauguration of the Japanese Society of Aesthetic Internal Medicine, of which I am the director. https://jaim2023.com/ Each director will give a talk session, and I am planning to talk about neuromodulation, or Vagal Treatment, as a next-generation medical treatment. Stimulation of the vagus nerve, which is the human operating system.This control is essential care for internal beauty and anti-aging. In the world, research on vagus nerve stimulation therapy, especially transcutaneous vagus nerve stimulation Yanagi method, is progressing, many papers have been released, and evidence is being established. Regenerative medicine has great potential and can become a big business, but it is still in its development stage. Transcutaneous Vagus Nerve Stimulation TVNS is an anti-aging medical treatment recognized by researchers around the world. Regarding Vagal Treatment, I am the representative director and president of the company, which conducts research and development. https://human-techno.jp/

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Reading Time: <1 minuteAs the weather gradually gets warmer, we are receiving more and more inquiries about armpit gas and hyperhidrosis. At our hospital, he uses the EL method, which is the least risky, painless and reliable method to treat armpit irritation and hyperhidrosis. As the director, I have performed over 1,500 cases of underarm bloating and hyperhidrosis in my 35 years of experience in cosmetic surgery. I think we are among the top in Japan in terms of the number of cases. Recently, non-surgical, non-invasive treatments such as MiraDry and BeauHot have become popular, but their effectiveness and reality are unclear. At our hospital, we use the EL method, which is technically extremely difficult, but we have already received his MiraDry and ViewHot treatments because they are overwhelmingly more effective, have fewer risks, and require less downtime than his MiraDry and ViewHot treatments. More than half of first-time patients undergo re-treatment because they are not satisfied with the results. People come from all over the country to receive treatment. The re-treatment of miraDry treatment is particularly noticeable.It is completely different from the flashy advertising, and the disadvantages of miraDry treatment are noticeable. Best of all, unlike the EL method, where there is no pain at all after the treatment, miraDry causes strong pain that often lasts for a long time after the treatment, and it also causes severe swelling as it causes skin burns. In most cases, MiraDry treatment is performed by nurses, and I have to say that it is inferior in all aspects compared to his EL method, which is performed by a specialist. Gray zone treatment is carried out as a medical treatment in which a doctor who has never performed surgery for armpit bloating or hyperhidrosis installs only her MiraDry device at the director's medical institution and a nurse performs the treatment according to her manual. There is a current situation where this is the case. Nurses have little knowledge of armpit hyperhidrosis, nor do they have anatomical knowledge or the ability to care for or respond to thermal invasion of the skin. Only a doctor can perform treatment. Are the treatments provided by nurses really effective? Can we really say that the treatment provided by nurses is without risk? Unlike hair removal, treating armpits and hyperhidrosis requires advanced knowledge and experience. I can assure you that nurses cannot treat underarm bloating and hyperhidrosis at a solid medical level. If you are a doctor at a medical institution where a nurse administers MiraDry and have any objections to my claims, I would appreciate it if you could contact our hospital directly. I believe that it is the role of cosmetic surgeons to help make medical care more transparent, as the gray areas of cosmetic medicine are being highlighted and issues are being reported in the media. I believe that nurse treatment should be avoided at all costs. The doctor who first examined and explained the treatment should take responsibility for treating armpit bloating and hyperhidrosis by guaranteeing its safety and effectiveness. As the director of our hospital, I am responsible for all explanations, examinations, and treatments, so please feel free to consult with me.

Reading Time: <1 minuteMultiple papers have shown that vagus nerve stimulation therapy is effective in treating autism. https://scholar.google.co.jp/scholar?hl=ja&as_sdt=0%2C5&q=autism+tvns&btnG=#d=gs_qabs&t=1712236897111&u=%23p%3DVrVSGAPM554J Effectiveness of transcutaneous vagus nerve stimulation therapy or neuromodulation I've been reading a lot of research papers on sex. However, the dark side of cosmetic surgery also exists in the field of developmental disorders. The existence of cosmetic surgery clinics that exploit high treatment costs for magnetic stimulation therapy called TMS for children with developmental disorders, which is not recognized by psychiatrists or academic societies related to developmental disorders. https://nordot.app/1109751738862666186?c=899922300288598016&fbclid=IwAR1mXo8Inc_KlcgYEGQ19pbxj9kQbfZF1F-WqVEZDjr3gG9AGfWeOuFZw1Q_aem_ATao8PBWopwHVYKg7XCmYfWl_rex9oTgp4X4gr0kHp8fQRU2hUwH4pX6WDUk4FHC-whH-e3JEw5WSqWRnvLhF_TE エビデンスも安全性も全くわかっていない美容外科クリニックでのエクソソーム療法と全く同じ。素晴らしい美容医療にダークの烙印押されそうです。 美容外科クリニックの多くで実施されていますエクソソーム療法も発達障害児童へ行うTMSもエビデンスも無ければリスクもわかっていません。   つまり試薬や実験レベルの治療を高額な治療費を患者へ要求して実施する　怪しい　治療と医学界では考えられているのです。（高額な治療費で医療機関の収益は大です。） 派手な広告で集客して収益を上げる。本来の病気で悩まれる患者様を救う医療とはかけ離れた医療行為です。ヘルスケアは営利を優先すれば必ずトラブルが生じます。 小林製薬事件も全く教訓になる　ヘルスケア事件です。 当院は、営利を優先せず患者様の満足度や結果を最優先する医療機関であることをスタッフ一同お約束いたします。

Reading Time: <1 minuteMy art was selected for the poster and pamphlet designs for the general meeting of the Japanese Society of Aesthetic Internal Medicine, which will be held on December 1, 2020. Beauty from within leads to the universe. Next-generation art created using cutting-edge technology and optical technology. The appointment was made based on the recommendation of Dr. Akira Aoki, chairman of the Japanese Society of Aesthetic Internal Medicine. I feel honored. We will continue to work hard every day so that we can release it to the world. Thank you.

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The health hazards caused by Kobayashi Pharmaceutical's products are increasing.

Since it is causing the worst outcome of death, a thorough investigation of the cause and countermeasures must be taken.

This is a major incident rarely seen in history, with its repercussions spreading overseas and threatening to shake trust in Japan's health industry.

As our company's core business is healthcare, we are also paying close attention to this incident.

Supplements are basically nutritional supplements and cannot be expected to have the same effect as a drug on their own. With the advent of a product called FOSHU, we can now claim its effectiveness to some extent, but I don't think there is any evidence.

It does not require as rigorous clinical trials or evidence as it does for drugs. As for side effects, they have not been confirmed in clinical trials, so it is unclear what risks there are, and in a sense, there may be more risk in taking it than in taking the drug.

Medications are necessary for disease treatment, so if the benefits outweigh the side effects, they must be taken.

Most of the time, supplements are taken by ordinary people who have no medical knowledge and do not consider the risks.

It is not prescribed based on the advice or examination of a doctor.

In other words, it is a product that you take every day for a long period of time, completely trusting the manufacturer's advertising.

The components of the supplement are

・Thickener

·lubricant

・Base material

・Coloring agent

・Fragrance

·Preservative

Many people do not know that the majority of the weight of supplements is made up of ingredients that normally do not need to be ingested.

Naturally, over time, these ingredients oxidize and deteriorate.

I think this incident should sound the alarm about the people's delusional use of supplements.

We pray for the repose of the souls of those who lost their lives in this incident. We pray for the speedy recovery of those suffering from health problems.

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tps://www3.nhk.or.jp/news/html/20240327/k10014403771000.html

There have been many health problems caused by supplements in the past.

However, accidents of this scale and resulting in fatalities involving domestic products are rare.

Kobayashi Pharmaceutical's announcements and reports on the damage situation were delayed, and the damage spread.

Healthy foods are safe!

Many people believe this and take it every day.

However, clinical trials have not been conducted and safety is only confirmed by each manufacturer, and there is no rigorous clinical data like for drugs.

In addition to the necessary ingredients, supplements also contain many unnecessary ingredients such as preservatives, lubricants, colorants, thickeners, base materials, etc.

Even if the main ingredient is safe, it does not mean that the other ingredients are safe.

I am in charge of a lecture on Alternative Medicine and Ethics at Juntendo University School of Medicine Graduate School of Hospital Management, where I explain the risks of supplements and how to approach them.

This time, there was a big problem with the risk management of a huge company like Kobayashi Pharmaceutical.

Reporting is also a problem due to delays.

This company is attracting attention by releasing extremely innovative products. Although there are many wonderful products, there is one called [Kizdry] that has been criticized as a product that abuses children.

Disinfectants are sold. Disinfecting wounds was a medical practice in the Showa era. Currently, in principle, wounds are washed with tap water and the wound is not disinfected directly.

In current medicine, a moist environment is common knowledge for wound healing. Drying out not only delays healing but also increases the risk of infection.

This is a problematic product that uses the image of drying old wounds.

Is it because of the corporate culture that the company continues to sell this product even though many doctors have complained about it? I am concerned that this product may be delaying the healing of many children's wounds.

I pray that the causative agent and mechanism of this incident, which caused major health damage, will be identified as soon as possible, and that this will be helpful in the treatment of the patients affected.

Reading Time: <1 minuteRecently, we have seen an increase in the number of cases in which patients visiting our hospital are being examined by a person called a counselor who is not a doctor, making a diagnosis, and forcing them to undergo surgery. Examination and diagnosis by anyone other than a doctor is a violation of the Medical Practitioners Act. Of course, the reception staff may explain precautions and outline the treatment, but examinations and diagnoses are different. Only doctors can perform medical procedures. Is there no doctor at the clinic advertised in TV commercials? It seems that legitimate medical treatment is not being performed. Not only does it give a bad image to aesthetic medicine, but it is a criminal act. The exosome problem is also a big problem, but consultations performed by counselors other than doctors are completely out of the question. She hopes that the government will take strict measures against clinics like this to prevent victims from becoming victims.

Reading Time: <1 minuteI started my career as a professional artist about 10 years ago. Cosmetic surgeons are the ultimate artists. Including his experience as a cosmetic surgeon and artist, he has over 33 years of experience. In both art and cosmetic surgery, it is possible to visually create beauty simply by expressing color and shape. The world's only cosmetic surgeon, scientist, and artist. The art we create using precise techniques, science, and technology is highly regarded as the next generation of art. Creating art will further improve your sense as a cosmetic surgeon. The clinic has a gallery displaying his own artwork to provide a relaxing space for patients. I would appreciate it if you could take a look.

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Reading Time: <1 minuteExosome drip is a hot topic in aesthetic medicine.At many beauty clinics, you'll see advertisements that list the highest quality, safest, effective against cancer, effective for rejuvenation, and other wonderful effects. Even on You Tube, you can see many doctors promoting the effectiveness of exosome infusion without disclosing any risks. There is no clear definition of exosome therapy. There is no evidence either. It is also not a drug approved by the Ministry of Health, Labor and Welfare. It's also not standardized. No clinical trials with a high level of evidence, such as double-blind trials, have been conducted. There is also no standardization or administration protocol for exosome preparations. There are many companies that sell exosomes, and they promote themselves by saying that their quality is the best. There are various origins such as deciduous dental pulp, fat cells, umbilical cord, and placenta. Recently, intravenous injections of exosomes have been administered to top athletes to help them recover from damage caused by competition.You Tube videos and press releases about the continuous administration of exosomes have been promoting the athlete in a big way. Isn't this considered doping? In conclusion, I think that intravenous administration of reagents that are not approved under the Pharmaceutical and Medical Devices Act to improve physical performance can be considered an act of doping. It's out according to NPB standards, and it's out even under the standards proposed by JBC. Intravenous administration of less than 100 ml within 12 hours is not doping, but continuous intravenous administration of unapproved reagents to improve physical performance is ethically and common sense as a doctor's no-no before doping. At this point, we believe that exosome therapy that prioritizes profit and uses athletes as promotional materials is a problem. The JBC states: ``Boxers participating in matches held under the jurisdiction of the JBC must not ingest or apply to their body any narcotic, drug, or drug that enhances or diminishes their performance in the ring. ”(https://www.jbc.or.jp/info/jbc_rulebook_excerpt.pdf） <sup>2</sup>　https://www.jbc.or.jp/rls/2021/0520.pdf <sup>3</sup>　https://boxingnews.jp/news/83424/ https://www.sponichi.co.jp/battle/news/2021/05/19/kiji/20210519s00021000415000c.html　etc. is proposed. https://npb.jp/anti-doping/foryourdailylife_1.html Section M2.2 of the World Anti-Doping Agency (WADA) Prohibited List states: ``Intravenous infusions and/or intravenous injections exceeding a total of 12 mL per 100 hours are prohibited. ``This excludes cases where it is legitimately received in each process of clinical testing.'' The NPB Medical Committee considers those that meet the following two points to be "legitimately received intravenous infusions."

1. There is a medical record by the doctor, which clearly states the diagnosis name, basis of diagnosis, drug name, amount used, and method of use.
2. This is a treatment using a drug approved under the Pharmaceutical Affairs Law, and is used within an indication.

Even if they are not prohibited doping substances, injections and infusions that are not legitimately received during medical examinations (including all procedures during emergency transport, surgery, outpatient treatment, and hospitalization) or during clinical examinations are anti-doping drugs.・It would be a violation of the doping regulations. In any case, he can say that exosome infusion and intravenous administration should not be carried out, as the protocol and reagents to use are completely unknown at this point. If you are an athlete, please be careful not to fall into the trap of using exosome drips.