Dentists in Chiba were prescribing too many antibiotics
Hello
This is Harada from Harada Dental Clinic in Chiba City.
There are only 10 days left in October, but the temperature continues to exceed 25 degrees.
We removed the air conditioner early from one room due to clinic renovation,
but we are managing to beat the heat with an electric fan.
About 20 years ago, many doctors prescribed antibiotics when you had a cold.
Some patients actually actively requested that they be prescribed antibiotics.
In fact, several doctors appeared on a TV program and said that it was meaningful to prescribe antibiotics when you had a cold.
The reason was to prevent pneumonia after catching a cold! ?
I saw their expressions, and I thought they were making a pretty lame excuse.
At the ENT clinic that I sometimes visit now, there is a sign in the waiting room that says, “We do not prescribe antibiotics for colds.”
Antibiotics are effective when you have an infection.
However, prescribing antibiotics unnecessarily is a problem because it can lead to resistance, meaning they no longer work when needed.
In fact, doctors aren’t the only ones prescribing antibiotics unnecessarily.
Dentists used to prescribe antibiotics quite unnecessarily as well.
It has been common practice to prescribe antibiotics even for a minor tooth extraction.
About 20 years ago, I had the opportunity to listen to a lecture by a famous dentist who studied abroad in Sweden.
He said that at the University of Gothenburg in Sweden (the world’s leading university for periodontology),
they do not prescribe antibiotics even for removing sideways wisdom teeth,
because it is much more important to thoroughly clean the inside of the mouth before surgery and disinfect the area around the mouth to reduce the number of bacteria.
This is a natural thing to do.
For example, if you eat with your bare hands after using the toilet, you would normally wash your hands after using the toilet.
You would not normally take an antibiotic with dirty hands to prevent stomach pain caused by infection and then stuff your cheeks with rice balls by hand.
However, it has been common practice for dentists to prescribe a set of antibiotics, painkillers, and stomach medicines after a tooth extraction.
With the recent medicine shortage, one pharmacy has in fact been receiving a large number of penicillin prescriptions from dentists,
and there are reports that some penicillin preparations have run out of stock.
If dentists do prescribe antibiotics, they will only do so to people with diabetes or other conditions that are vulnerable to infection.
Also, unlike painkillers, antibiotics cannot be taken only when you are in pain.
The correct way to take medicine is to finish it off as prescribed.
Are Chiba dentists introducing automatic reception to reduce staff?
Hello
This is Harada from Harada Dental Clinic in Chiba City.
On Friday, October 4th, the temperature exceeded 30 degrees, and I was surprised at what was going to happen, but it finally feels like autumn.
The clinic is currently being renovated, and construction is progressing every day with the aim of reopening in August 2025.
In fact, we are planning to install automatic reception.
Returning patients check in by holding their smartphone app over the machine, and the payment after treatment is also settled by credit card on their own smartphone app.
When I mentioned this to an American teacher in an English conversation lesson the other day, he asked me if the purpose was to reduce staff. I thought that it was a typical American perspective that focuses on money.
Recently, family restaurants such as Gusto and Saizeriya have been implementing automatic payment.
When paying, instead of a staff member, you hold a barcode over the machine and select your payment method from credit card, cash, QR payment, SUICA, etc.
At Gusto, orders are placed through a touch panel, the food is served by a robot, and customers place the food brought by the robot on their table themselves.
Ordering through a touch panel has become the norm even at conveyor-belt sushi restaurants.
I imagine restaurants are also struggling with a labor shortage.
The restaurant itself is busy with families and groups.
However, he lamented that Choshimaru near Chiba Station is different and more like a library.
Most of the customers are on business, or come alone.
They order on the touch panel in front of them, and when the food arrives, they eat in silence, pay, and leave.
Not a word is spoken during this time.
His ideal restaurant might be a typical American restaurant, where a waiter comes to take the order, asks about the food, and when the food arrives, the customer chats with his companions, sometimes with the customer at the next table, and jokes with the waiter when paying.
I’ve made a long introduction, but the reason our clinic has automated reception is not to reduce staff.
The purpose is to reduce the waiting time at reception and the waiting time after treatment to pay.
The idea is to have machines do things that don’t need to be handled by humans.
We use that freed time to explain things to patients and follow up with them.
Reception staff will assist first-time patients.
We use a variety of digital systems for treatment and regular management.
A digital scanner is used to take impressions for mouthpiece orthodontics,
and the Swiss company EMS’ Airflow, which cleans the inside of the mouth, is operated with a cordless foot pedal using Bluetooth, so there is less unnecessary wiring.
The reservation system is linked to electronic medical records, X-ray images, and intraoral photographs.
However, it is humans who perform the treatment and surgery, and it is humans, not robots, who explain things until the patient is satisfied.
This will never be replaced by robots.
In conclusion, we will introduce an automatic reception desk and increase the number of staff.
This will have benefits for both patients and employees.
The benefit for patients is that, as mentioned earlier, waiting times will be shortened.
In fact, on the day I am writing this, eight staff members are on paid leave, and one left early before noon due to a sudden illness in his child. Even so, the number of patients exceeds 120, and the clinic is operating normally.
This is something that would not be possible in a clinic with only 10 staff members.
A big benefit for working people is that you can take paid leave almost as often as you request, and even if you have to take time off suddenly for some reason you don’t have to cause any more trouble to other staff than necessary.
To get more specific, there’s also a rule that says you don’t have to buy souvenirs for staff if you use paid leave to go on a trip.
In fact, many staff members say that the thought of buying souvenirs for 40 people irritates them.
However, at our clinic, such consideration is absolutely unnecessary.
Our stance is that you should enjoy your own time on time off, and that there is no need to be overly considerate of others, so the office doesn’t end up overflowing with souvenirs from local areas.
Some staff members even avoid sugar, wheat, and vegetable oils.
This is how we enjoy providing medical care every day.
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Les dentistes de Chiba introduisent-ils une réception automatique pour réduire le personnel ?
Bonjour
Je suis Harada de la clinique dentaire Harada de la ville de Chiba.
Le vendredi 4 octobre, la température a dépassé les 30 degrés et j’ai été surpris de ce qui allait se passer, mais on a enfin l’impression que c’est l’automne.
La clinique est actuellement en cours de rénovation et les travaux progressent chaque jour dans le but de rouvrir en août 2025.
En fait, nous prévoyons d’installer une réception automatique.
Les patients qui reviennent s’enregistrent en tenant leur application pour smartphone au-dessus de la machine, et le paiement après le traitement est également réglé par carte de crédit sur leur propre application pour smartphone.
Lorsque j’en ai parlé à un professeur américain lors d’un cours de conversation en anglais l’autre jour, il m’a demandé si le but était de réduire le personnel. J’ai pensé que c’était une perspective américaine typique qui se concentre sur l’argent.
Récemment, des restaurants familiaux tels que Gusto et Saizeriya ont mis en place le paiement automatique.
Au moment de payer, au lieu d’un membre du personnel, vous tenez un code-barres au-dessus de la machine et sélectionnez votre mode de paiement parmi carte de crédit, espèces, paiement par QR code, SUICA, etc.
Chez Gusto, les commandes sont passées via un écran tactile, la nourriture est servie par un robot et les clients placent eux-mêmes la nourriture apportée par le robot sur leur table.
La commande via un écran tactile est devenue la norme, même dans les restaurants de sushis à tapis roulant.
J’imagine que les restaurants sont également aux prises avec une pénurie de main-d’œuvre.
Le restaurant lui-même est très fréquenté par les familles et les groupes.
Cependant, il a déploré que Choshimaru, près de la gare de Chiba, soit différent et ressemble davantage à une bibliothèque.
La plupart des clients sont en déplacement professionnel ou viennent seuls.
Ils commandent sur l’écran tactile devant eux et lorsque la nourriture arrive, ils mangent en silence, paient et partent.
Pas un mot n’est prononcé pendant ce temps.
Son restaurant idéal pourrait être un restaurant américain typique, où un serveur vient prendre la commande, pose des questions sur la nourriture et lorsque la nourriture arrive, le client discute avec ses compagnons, parfois avec le client de la table voisine, et plaisante avec le serveur au moment de payer.
J’ai fait une longue présentation, mais la raison pour laquelle notre clinique a automatisé la réception n’est pas de réduire le personnel.
Le but est de réduire le temps d’attente à la réception et le temps d’attente après le traitement pour payer.
L’idée est de faire en sorte que les machines fassent des choses qui n’ont pas besoin d’être effectuées par des humains.
Nous utilisons ce temps libéré pour expliquer les choses aux patients et assurer le suivi avec eux.
Le personnel de la réception aidera les nouveaux patients.
Nous utilisons différents systèmes numériques pour le traitement et la gestion courante.
Un scanner numérique est utilisé pour prendre les empreintes pour l’orthodontie buccale,
et le Airflow de la société suisse EMS, qui nettoie l’intérieur de la bouche, fonctionne avec une pédale sans fil via Bluetooth, ce qui réduit les câbles inutiles.
Le système de réservation est lié aux dossiers médicaux électroniques, aux images radiographiques et aux photographies intrabuccales.
Cependant, ce sont des humains qui effectuent le traitement et l’opération, et ce sont des humains, et non des robots, qui expliquent les choses jusqu’à ce que le patient soit satisfait.
Ce système ne sera jamais remplacé par des robots.
En conclusion, nous allons mettre en place un bureau d’accueil automatique et augmenter le nombre de personnel.
Cela aura des avantages pour les patients et les employés.
L’avantage pour les patients est que, comme mentionné précédemment, les temps d’attente seront réduits.
En fait, le jour où j’écris ces lignes, huit membres du personnel sont en congé payé et un est parti tôt avant midi en raison d’une maladie soudaine de son enfant. Malgré cela, le nombre de patients dépasse 120 et la clinique fonctionne normalement.
Ce serait impossible dans une clinique avec seulement 10 employés.
Un grand avantage pour les travailleurs est que vous pouvez prendre des congés payés presque aussi souvent que vous le souhaitez, et même si vous devez prendre un congé soudainement pour une raison quelconque, vous n’avez pas à causer plus de problèmes aux autres employés que nécessaire.
Pour être plus précis, il existe également une règle qui stipule que vous n’êtes pas obligé d’acheter des souvenirs pour le personnel si vous utilisez vos congés payés pour partir en voyage.
En fait, de nombreux membres du personnel disent que l’idée d’acheter des souvenirs pour 40 personnes les irrite.
Cependant, dans notre clinique, une telle considération est absolument inutile.
Nous pensons que vous devez profiter de votre temps libre et qu’il n’est pas nécessaire d’être trop prévenant envers les autres, afin que le bureau ne finisse pas par déborder de souvenirs des environs.
Certains membres du personnel évitent même le sucre, le blé et les huiles végétales.
C’est ainsi que nous aimons prodiguer des soins médicaux au quotidien.
The story of pressing the emergency button in the toilet of a dentist in Chiba
Hello
This is Harada from Harada Dental Clinic in Chiba City.
It’s March. It’s getting warmer little by little.
The staff is preparing for the end of the fiscal year and for the training of new staff who will join from April.
Have you ever been to a communist country?
Is China a communist country that is close and relatively easy to get to?
There are far fewer communist countries now, but before the fall of the Berlin Wall in 1989, there were many communist countries in Europe.
I have been to the Soviet Union and East Germany during the communist era.
At that time, Germany was divided into East and West, and different currencies were used.
The capital of West Germany is Bonn, and the capital of East Germany is Berlin.
And Berlin itself was divided into East Berlin and West Berlin.
Germany is famous for its beer, but the beer I drank in East Berlin was, at best, simple, or in other words, it was like water.
And one thing I still remember clearly is the disco that was in front of a certain station.
As it is a communist country, there are no private companies or shops; everything is state-owned.
In other words, this disco is also state-owned.
I didn’t go inside, but I saw it from the outside and immediately felt it.
In a country where there is no freedom in anything, not to mention criticizing the government, this discotheque, with its refreshing appearance, was created to encourage young people to let off steam and say, “You guys can dance here.”
I realized that I really don’t like communism.
I was surprised when I boarded the train to West Berlin after a day of sightseeing in East Berlin.
A number of soldiers with machine guns were keeping watch in the attic of the East Berlin train station.
I was stunned because I saw a scene I had only seen in war movies. Of course you can’t point the camera at it.
Once the train leaves East Berlin, it runs through a buffer zone for a while.
This is a plain of empty dirt as far as the eye can see.
There are no trees or even grass growing.
There are watchtowers to watch over it.
In other words, I thought that anyone who tried to go from East Berlin to West Berlin was almost certain to be detected and sometimes shot.
When I arrived in West Berlin, freedom was as common as in other European cities.
It was full of energy.
At that time, there were many stories about how terrible bureaucracy was in communism.
One such incident occurred at a hotel in Poland.
A traveler accidentally pulled the emergency contact cord in the bathroom of the hotel he was staying in in Warsaw.
Since he doesn’t speak Polish, he expected the hotel staff to come right away, but they didn’t come until the next morning.
There were many stories like this that would be unthinkable in Japan or Western countries.
However, some of these vestiges remain even after these countries democratized.
When I went to a state-owned bank in the Czech Republic to exchange old banknotes for new banknotes, the first staff member who answered the call and the staff member who exchanged the banknotes were the exact opposite of hospitality, treating the customer as if they were the enemy. They glared at me and told me to leave as soon as I finished my business, reminding me of the evil customs officials when I entered the Soviet Union in the past.
The truth is that many dentists in Chiba are closing down.
Hello
This is Harada from Harada Dental Clinic in Chiba City.
I would like to tell you a story that actually happened the other day. Actually, I have had the same experience several times.
This is a patient who lives in Chiba city and visited me the other day.
He was an orthodontist near a certain station who was doing Invisalign and mouthpiece correction.
The patient had his two upper teeth removed and was undergoing treatment with 99 aligners, but he came to our office to check to see if he had cavities.
When I looked inside his mouth, his teeth were moving properly.
The reason the patient went to his current orthodontic clinic was because it was a new clinic and it was clean.
However, I was told that the clinic there would be closing in about a month, so I would have to continue my treatment at a branch clinic 20 minutes away by train. However, she said that because she has a small child, it is difficult for her to go to the hospital.
I mentioned earlier that I have had the same experience several times, but I have experienced several times where patients who are currently attending the hospital have come to our clinic because their previous clinic has closed.
Additionally, there are many clinics that have closed down even though their dentists have a good level of skill.
In fact, more than 10 dental clinics near the station near our clinic have closed over the past 20 years, including just the dentists I know.
According to some statistics, there are at most 20 dental clinic bankruptcies in Japan. However, even if it does not go to bankruptcy
Many hospitals close their doors before they go bankrupt because they can see that if they continue to operate as they are, they will not be able to make ends meet.
The dentist at this clinic is also a specialist, so his technical level must be above a certain level, but he installed an expensive scanner for mouthpiece correction in a tenant near a rapid train station where rents are high and there is a lot of competition. Have you done proper market research? I highly doubt it.
In fact, there are many clinics that are suffering from only one digit number of patients per day.
In comparison, I have nothing but gratitude to the staff at Harada Dental Clinic, who work at a clinic that sees about 100 visitors.
The clinic there had a nice homepage.
We hope you find this helpful as a reference when choosing a hospital.
A dentist in Chiba received a phone call from JAL, which criticized the in-flight toothbrushes.
Hello
This is Harada from Harada Dental Clinic in Chiba City.
It’s completely cool now.
Actually, I received a call from JAL the other day.
This call is about my YouTube, not about booking a flight.
I will explain in chronological order.
When I went to Europe in JAL’s business class in July 2023, the toothbrush that was included in the amenities was so disappointing that I uploaded a video about it to YouTube and included this in a post-boarding survey. I pasted the video URL and suggested improvements.
Later, in September 2023, I boarded a business class flight on the same route and found that the toothbrush had been improved, so I was so impressed that I uploaded a new video.
Shortly after returning to Japan, I received an email from JAL requesting a survey, so I immediately sent a message of thanks.
About a week later, I received a phone call from a JAL representative thanking me.
I thought it was great that they read the contents of the questionnaire carefully and responded positively.
I suggested that they sell toothbrushes with the JAL logo on them (which I would definitely buy if it were me), but they said that would be difficult because they would not be able to hire more flight attendants if they increased the number of items.
It certainly feels like they don’t put much effort into in-flight sales even now.
At my clinic, we recommend toothbrushes made in Sweden and Switzerland, but since JAL is a Japanese airline, I wish they would carry high-quality domestic toothbrushes that could be sold on-board.
Dentist in Chiba completely denies NHK English conversation! ?
hello
This is Harada from Harada Dental Clinic in Chiba City.
It’s the season of beautiful autumn leaves.
I went to Hokkaido for business, but I was able to meet autumn leaves by chance.
It was a little different from the reddish autumn leaves in Kanto and Kyoto, and the autumn leaves were mixed with green and yellow, and this was beautiful.
I have been going to an English conversation school for many years because I like myself as a necessity at work.
The principal is an American born in California.
Before starting his own English conversation school, he was a teacher at NOVA, which became famous for station-front English conversation.
What I felt there was that Japanese people could not speak English properly with conventional English conversation education.
One of the most impressive things he affirmed was that NHK’s English Conversation, what they teach there, is not actually used in the United States.
The original English conversation is mostly done with simple English words learned by junior high school.
Of course, each specialized field, such as medicine, law, economics, and philosophy, has its own jargon, but ordinary words are sufficient when speaking to ordinary people.
I am a dentist, so in the world of dentistry, the English word for extracting a tooth is extract.
Ordinary people usually say “pull out” when they pull out a tooth.
Both pull and out are words that every junior high school student in Japan knows.
The ultimate is business English. According to the principal, there is no such thing as business English in the first place!
It’s convincing when a native speaker says so.
A long time ago, I used to study English conversation and business English courses on NHK Radio every month using textbooks and cassette tapes.
I once listened to a business English course in the car on my way to work, but I clearly remember quitting because it was so painful.
It wasn’t just because I came across words and expressions I didn’t know, but I felt that the overall rhythm, or rather the vibrations, didn’t suit my body.
In this case, it was easier to get into my body listening to French or Spanish, which I didn’t understand at all.
Why did you make such a course when Westerners are also involved in production? You can’t enjoy learning that way.
Certainly, the English used by businessmen in business situations can be sufficiently communicated using simple words, aside from technical terms.
This actually happened.
In NHK’s English Conversation, I was taught that a business card is a name card.
It was an ironic dialogue about Japanese people exchanging business cards a lot, and the last sentence was
They will exchange their name cards.
So in the 1990s, at a dental convention held in a certain city in the United States, I used my name card when I asked the sales person at the booth for my business card, but the other person was gibberish.
Of course, the business card is a business card, but I was surprised that he taught Japanese English like this without hesitation.
From 2023, I will participate in dental conferences held overseas, even online.
It is insane for a dentist in Chiba to write a letter of introduction to a hospital
hello
This is Mikio Harada from Harada Dental Clinic in Chiba City.
This year’s professional baseball Japan series was exciting with a series of good games.
I’m looking forward to seeing how new players join each team next year.
The other day, I was told something unexpected during a group lesson at an English conversation school.
It just so happened that the Harada Dental Clinic became a hot topic, and the letter of introduction used when referring patients to other medical institutions became a hot topic.
Since it was an English conversation lesson, of course I spoke in English.
Refer a tooth that faces sideways and is difficult to extract to an oral surgery specialist, or ask a doctor in charge of a medical department whether it is permissible to perform surgical procedures such as tooth extraction for a patient who is taking blood-thinning medicine. If you ask, we will issue a document called a medical information report.
In the old days, we wrote it on a copy paper, put one in an envelope and handed it to the patient, and kept the other in the chart.
Recently, medical records have been digitized, so I enter the medical information form on a computer, save it, and give the patient a printed copy.
However, from the students and teachers who were in the English conversation lesson, they still do that nowadays! ? I was surprised.
Certainly, it is a story that can be sent by e-mail to the referral destination and the medical institution of the inquiry destination.
There is a risk of loss if you print it out and give it to the patient to take to another medical institution.
If the patient goes to the doctor’s office for treatment, it would be fine, but it would be particularly bad for the patient, especially the disabled leg, to simply take the referral report (return) to the referral source (who will not necessarily receive treatment here). This increases the burden of time and transportation costs.
I thought that what was taken for granted by medical institutions was an example of insaneness in the world, and I reflected on it.
A dentist in Chiba talks about home visits with a Lamborghini
hello
This is Harada from Harada Dental Clinic in Chiba City.
In October, professional baseball is finally heading to the final stage of CS and the Japan Series.
I can’t wait to see what the results will be.
It is now widely known that dentists visit patients’ homes to provide home-visit dental care.
Of course, the content of dental treatment that can be done is limited compared to when the patient actually comes to the dental clinic, but we do what we can, such as repairing dentures, sometimes creating dentures, and treating simple cavities. .
I heard an interesting story from a dentist friend of mine the other day.
It is said that sports cars are recognized as medical expenses in certain prefectures.
I’m not like that, but many dentists like cars.
A car that goes to a home visit is recognized as an expense for a clinic, but a sports car can’t carry so much luggage, so it won’t be an expense for a clinic.
However, I was surprised to hear that a certain dentist in a certain prefecture claimed to be able to arrive at the destination quickly, and that Lamborghini was recognized as an expense.
Are you really visiting and treating with Lamborghini?
If a Lamborghini can come to a visit, wouldn’t the patient be surprised?
In the first place, when you drive a large car like a Lamborghini on narrow roads in Japan, you have to stop frequently when you pass an oncoming car, not to mention arriving early.
There are quite a few such unique people among dentists.
If you don’t have good teeth alignment at a Chiba dentist, you’ll get tongue cancer?
hello
This is Harada from Harada Dental Clinic.
It’s early and it’s been about 3 months this year.
We have delicious pears.
There was a shocking lecture at the academic conference of the Japan Anti-Aging Dental Society held in Hiroshima.
Oral cancer cases are increasing all over the world.
Oral cancer is not necessarily a high proportion of all cancers.
However, if it progresses and surgery is required, it may be necessary to remove part of the face and tongue, and it is difficult to restore the shape and function of the chest muscles.
When I visited the oral surgery ward before, I saw a patient who had a part of his face removed, and I felt very sorry for him.
Chiemi Hori had part of her tongue removed due to tongue cancer, and although she continues rehabilitation, it is extremely difficult to return to her original state.
Why do we get oral cancer?
In the past, oral cancer was thought to be caused by alcohol and tobacco.
Until the 1980s, it was said that men over the age of 50 who had been drinking and smoking for many years were most likely to develop oral cancer.
However, it is not uncommon for women to get oral cancer these days.
Furthermore, not only middle-aged and elderly people, but also people in their 20s and 30s, and some people in their teens.
Moreover, people who do not drink or smoke at all suffer from oral cancer.
Then, what are the causes other than alcohol and tobacco?
At the Hiroshima Scientific Meeting of the Japan Anti-Aging Dental Society, Professor Shibahara of Tokyo Dental University Oral Surgery said, Is abnormal dentition the cause? I’m saying.
The theory is that cancer develops because the teeth continue to hit the mucous membranes of the tongue and cheeks when the teeth overlap.
It has been known for a long time that if you continue to use ill-fitting dentures and leave the sharp points of the dentures in contact with the mucous membrane in your mouth and leave the wounds, cancer may develop.
If the teeth are in a strange position, they will continue to give bad stimulation to the mucous membranes in the mouth.
Oral cancer is cancer that occurs in the mouth.
There may be many people who think that since it can be found in the mouth, it can be detected immediately → it can be treated immediately → it is easy to heal.
However, in reality, the progress after surgery is not necessarily better than other cancers.
Therefore prevention is important.
Straightening your teeth isn’t just about improving your appearance.
If you can prevent oral cancer, the technology of orthodontic treatment is advancing now, so why not try it?
Depending on the state of your mouth, removable mouthpiece correction (such as Invisalign) is also possible.
We also offer free consultations.
Would you like to come to Harada Dental Clinic in Chiba City once?
