健康カプセル！ゲンキの時間 2025年1月19日 病に悩む患者の「最後の砦」 最新スーパードクターファイル2
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00:00Kouwa presents
00:09There is a super doctor who can't find a cure for a long-standing disease.
00:20Super Doctor File No.1
00:24I've seen a lot of cases.
00:26I've seen a lot of cases.
00:29I don't think there is a doctor who sees 100 patients a day for 3 or 4 days.
00:37There are more than 100 patients a day with shoulder or elbow diseases.
00:44More than 12,000 patients come in a year.
00:49In addition, many first-class athletes trust him and visit him.
01:00There are many requests from all over Japan.
01:03Mr. Sugaya Hiroyuki, a plastic surgeon at the last station of the shoulder-elbow treatment.
01:11Super Doctor File No.2
01:16This is the first time in the world that a strong patient's eyeball has deformed.
01:24The observation of the patient's eyeball is not a small disease.
01:31I've seen thousands of people, so I can tell at a glance.
01:39The first Japanese to win the prestigious award that only one person in a year can choose from the world's eye.
01:47The world's most popular gold medalist.
01:52Mr. Kyoko Ono, a surgeon with a miraculous observation of the last station of the shoulder-elbow treatment.
01:59Super Doctor File No.2
02:02As the last station of the field, he continues to save patients who are in trouble.
02:09It is closely related to the world's most popular technique.
02:16Healthy Capsule.
02:18Genki no Jikan.
02:21Good morning.
02:23The theme this morning is the last station of the field for patients who are in trouble.
02:27This is the latest Super Doctor File No.2.
02:31It looks amazing this time as well.
02:33From the opening, it looks like a VTR.
02:36It's cool to have a story in the first place.
02:40Mr. Kote, you came as a guest at the last Super Doctor File.
02:44I'm looking forward to seeing what kind of amazing techniques I can see this time.
02:48The Super Doctor we will introduce this time will appear in the studio after this.
02:54I'm looking forward to it.
02:56You can ask him directly what you are interested in by watching the VTR.
03:02Please look forward to it.
03:04So, here are the ingredients of today's Healthy Capsule.
03:07Open.
03:09Solve 10 years of trouble in just 4 minutes.
03:13What is the amazing technique of examination and surgery?
03:17Super Doctor File No.1
03:20A request from all over Japan.
03:22The last station of the shoulder-elbow treatment.
03:26In this clinic in Tokyo,
03:28patients who have suffered from shoulder and elbow diseases for many years are gathered from all over Japan.
03:34It's in Tokyo.
03:37If you want to learn the technology that is highly evaluated worldwide,
03:41there is no end to the will to visit from overseas.
03:46Dr. Hiroyuki Sugaya, a plastic surgeon, is in charge of the clinic here.
03:53I was able to see the examination scene of more than 100 patients a day.
04:03This woman is Mr. Miyakawa, who has been suffering from right shoulder stiffness for more than 10 years.
04:11She came here because she didn't know the cause of the problem in any hospital.
04:20In the examination room, there are two staff members who are not nurses but doctors.
04:27Let's start the examination.
04:30A, B, C, D, E, F, G, H, I, J, K, L, M, N, O, P.
04:37Let's check the range of motion of the shoulder and elbow quickly with a familiar hand.
04:46Then the staff started writing a chart.
04:50Dr. Sugaya is entrusting the chart input to a professional staff,
04:54so that he can see more patients.
04:57The teacher noticed the hardness of the right shoulder joint with stiff shoulders.
05:04It's softer than this.
05:07It's a little hard.
05:09It's not going.
05:11It's not going.
05:14It is true that the right side is harder than the left side.
05:20Furthermore
05:23Hold your stomach with this hand.
05:28It's hard, isn't it?
05:30Hold your stomach with this hand.
05:36It's not hard at all.
05:38It's not normal to have this.
05:42What was the cause of stiff shoulders?
05:45I put the shoulder joint back in place.
05:50It's soft.
05:52It's amazing.
05:54It's hard, isn't it?
05:59I put the shoulder joint back in place.
06:03It's hard, isn't it?
06:05I put the shoulder joint back in place.
06:08It's a little easier.
06:12It's a lot easier.
06:15It's about 4 minutes.
06:17We can see the cause of stiff shoulders that we didn't know until now.
06:22It's the shift in shoulder joints.
06:28In the first place, the shoulder joints are not fixed with bones, but with swords and muscles.
06:33It is easily shifted due to the influence of bad posture.
06:39I can't show my original strength.
06:43As a result, it is covered with other muscles, and symptoms such as stiff shoulders appear.
06:52In other words, by returning the shoulder joints to the correct position, the original strength can be exerted, and the improvement of stiff shoulders can be expected.
07:01It's soft.
07:03It's hard, isn't it?
07:05It's amazing.
07:08But why didn't we know the cause in other hospitals?
07:14If you're not an expert, it's hard to talk about it.
07:17It's hard to talk about difficult things.
07:20It's a specialty like me.
07:22Specialty?
07:23Specialty.
07:24Specialty.
07:25I'm a specialist.
07:26I'm a specialist idiot.
07:32Sugaya-sensei, who is trusted by many top athletes.
07:37His heart and bones are in surgery.
07:41What will be done on this day?
07:45It's a surgery to stop the human body called the joint.
07:47Stop it?
07:48It's a surgery to stop the human body called the joint.
07:54The patient is a judo player.
07:57During practice, his shoulder was dislocated, and the human body supporting the joint was loosened.
08:04He is undergoing a repair surgery to restore this looseness.
08:09Sugaya-sensei says he will do this at an amazing speed.
08:14What he uses is this joint mirror.
08:17A thin, long, and special small camera about 2 to 4 mm thick.
08:23It's black.
08:25This is inserted from a hole of about 5 mm.
08:28Surgery is performed while looking inside the joint.
08:32Since the wound is small and does not damage the muscles,
08:35the greatest advantage is that there is less burden on the body.
08:40However, due to the limited field of view,
08:43a highly skilled technician is required.
08:46Sugaya-sensei is the top runner in Japan who performs this surgery more than 700 times a year.
08:55He asks the doctors who have seen the surgery up close.
09:01It is difficult to bring things to the position I aim for.
09:07That's my freedom.
09:09There is no hesitation.
09:11First of all, I have never made a mistake.
09:14I've been doing this for four years.
09:17It's actually difficult to move my hands as I want.
09:22After this, the speed of the threat.
09:24He is committed to the world's highest joint mirror surgery.
09:30Genki-no-Jikan is provided by HOA, which supports your health.
09:35Genki-no-Jikan is provided by HOA, which supports your health.
09:42Joint mirror surgery using a hole of about 5 mm.
09:47Sugaya-sensei performs it at an amazing speed.
09:53This time, the patient was playing table tennis during judo practice,
09:57and his body was loosened.
10:01Then, how to fix it?
10:06First, put an anchor in the bone.
10:10Use the string that extends from there to fix the bone and the human body in several places.
10:18If it is not fixed evenly, it will not return to the state before the injury,
10:22so accuracy is required.
10:28The performance after the surgery does not fall.
10:30That's why many athletes trust it.
10:36This surgery, which usually takes about an hour and a half, is only 50 minutes.
10:45The speed of the surgery is to reduce the burden on the patient
10:49in order to reduce the amount of anesthesia and bleeding,
10:52or to increase the number of surgeries, so there are two benefits.
10:58What was he doing in his free time until the next surgery?
11:04This is where I write my career record.
11:09It's been 10 or 20 years since I started drawing,
11:11so when I look at it, I remember it.
11:15He has a huge amount of data and experience that he accumulates every day.
11:19It seems that it is no doubt that it supports Sugaya-sensei's excellent technology.
11:29How is it?
11:32First of all, I was surprised at the speed.
11:35It was so quick.
11:37The first 30-year-old woman only had a straight body.
11:41It's true.
11:42I was surprised that the joint was out of alignment.
11:46I was really worried about my tennis elbow.
11:49I was going to put a blanket on it when I went to bed,
11:51but my elbow hurts with this movement.
11:54Really, really.
11:55In the studio, we have a super doctor who treats shoulder and elbow joints,
12:00Sugaya-sensei.
12:02Nice to meet you.
12:05I'm going to clap without thinking.
12:08Sugaya-sensei, when you treat a disease,
12:11you focus on examination and surgery, right?
12:16That's rehabilitation.
12:19Rehabilitation?
12:20After the surgery?
12:21Yes, after the surgery, but also before the surgery.
12:24There are many cases that can be treated only by rehabilitation without surgery.
12:28For example, the female patient in the VTR earlier
12:31knew the cause by examination,
12:34but it's not guaranteed that it will get better forever with that little operation.
12:40So it's the role of rehabilitation to keep it in good condition and treat it properly.
12:47I see.
12:49After this, if you take a look at Mr. Sakashita's tennis elbow,
12:54in just a few minutes...
12:56Wow!
12:59It's getting better, right?
13:05The cause is clear.
13:09Super doctor Sugaya-sensei, who treats shoulder and elbow joints,
13:12checks Mr. Sakashita's tennis elbow.
13:17Where does it hurt?
13:19Here.
13:20Here?
13:21Yes.
13:22Here?
13:23Yes.
13:24Does this hurt?
13:25No, it doesn't.
13:26It doesn't?
13:27Yes.
13:28Can you lie down?
13:29Yes.
13:30Put your head here.
13:31I think you've been looking at your elbow a lot,
13:36but you need to look at your shoulder, too.
13:38Actually, there are other causes.
13:40Yes.
13:41This is soft.
13:42Yes.
13:43It's soft.
13:44Look, it's hard.
13:48It's clear that the right shoulder joint, where the elbow hurts, is hard.
13:52Furthermore...
13:54Let's see how the force enters.
13:56Yes.
13:57In the same way.
13:58Press down on your stomach.
13:59Press down on my stomach?
14:00Yes.
14:01You can feel the force, right?
14:02Press down on this side.
14:03Ready, go.
14:04I'm scared!
14:05Not at all.
14:06Ready, go.
14:07Look.
14:08I'm scared!
14:09It's not weak at all, is it?
14:10Huh?
14:11It's similar to the previous woman.
14:12So, the shoulder is not in a good position,
14:15and the inner muscle, which is an important muscle, is not working properly,
14:19and the outer muscle is getting stiff.
14:22Then, the position of the shoulder becomes strange.
14:26As a result, if you do tennis, your elbow will hurt.
14:29Let's fix it a little.
14:31Let's fix it.
14:32Let's fix it.
14:33I'll put this back a little.
14:35Yes.
14:36Then...
14:37Look.
14:38Huh?
14:39Wow!
14:40Huh?
14:41Press down on my stomach.
14:42You can feel the force, right?
14:43Wow!
14:44Huh?
14:45I don't want to do anything!
14:47Huh?
14:48Huh?
14:49Doctor!
14:50Huh?
14:51Huh?
14:52You feel better, right?
14:53Huh?
14:54Huh?
14:55Huh?
14:56Huh?
14:57Huh?
14:58Huh?
14:59Huh?
15:00Huh?
15:01Huh?
15:02Huh?
15:03Huh?
15:04Huh?
15:05Huh?
15:06Huh?
15:07Huh?
15:08Huh?
15:10This is the result.
15:11It's not the cause.
15:13Mr. Sugaya, please tell us your future goals.
15:16In fact, from this January,
15:18we have created a new facility in Shibuya
15:21with operating room and hospital bed.
15:23The operation has begun.
15:26Mr. Sugaya will open a new facility this year
15:29to treat more patients.
15:32For more information, please check the website.
15:36Next...
15:38From all over the world,
15:40he is the first Japanese to receive
15:42the prestigious award
15:43that only one person can receive in a year.
15:46He is the world-famous
15:47Queen of Cancer.
15:51In the last fort of cancer treatment,
15:54Dr. Kyouko Ohno,
15:56who has a miraculous view of cancer.
16:00Dr. Ohno,
16:01I've never heard of cancer.
16:04What kind of disease is it?
16:06The degree of cancer is strong.
16:10The degree of cancer is stronger than
16:12the degree of minus 6 Geoctree
16:14in the degree of glasses and contact lenses.
16:16Roughly speaking,
16:18it is a strong cancer that
16:20you have to bring your finger
16:22in front of your eyes
16:24and the fingerprints will not be clear
16:26unless it is less than 11 cm.
16:29It looks like a cancer.
16:31It looks like a cancer.
16:33It looks like a cancer.
16:36I see.
16:37Do you know the reason why
16:39the degree of cancer is so strong?
16:41Yes.
16:42I think there are many genetic factors.
16:44And the eyeball itself
16:46originally has a round shape,
16:48but it becomes longer in front and back
16:50and stretches like a rugby ball.
16:52This is a severe cancer.
16:54The eyes of normal people
16:56are about 24 mm long,
16:59but people with severe cancer
17:01are more than 27 mm long.
17:04If it is so long,
17:06it will be difficult to focus on the retina,
17:08so the image will be blurred.
17:11In fact, Mr. Ono is the first person
17:13in the world to show the transformation
17:15of the eyeball of a severe cancer patient.
17:21It's a big discovery.
17:24So, here are the ingredients
17:26of the next health capsule.
17:29The risk of death of severe cancer.
17:32A miraculous observation that does not overlook
17:34the slightest discomfort.
17:37Mr. Ono works in
17:39the Tokyo University Hospital,
17:41which is the only hospital
17:43specializing in severe cancer in Japan.
17:46It has a 50-year history
17:48and has more than 6,000 registered patients.
17:54Mr. Ono's greatest weapon
17:56is a sharp observation eye
17:58that does not overlook small diseases.
18:02I think this is pretty life-threatening.
18:04People with severe cancer
18:06have a lot of optic nerve injuries,
18:08so I'm betting on this
18:10that I won't overlook it.
18:12That's why your technology
18:14makes a difference.
18:16That's right. Especially with this smaller lens,
18:18I can see the optic nerve in three dimensions.
18:20It's not like I'm risking my life,
18:22but I'm putting my energy into it.
18:24I've seen thousands of people
18:26with this lens,
18:28so I can tell at a glance.
18:30That's amazing.
18:34We took a look at his
18:36extraordinary technology.
18:40Mr. Mori, a severe cancer patient,
18:42was diagnosed with pulmonary encephalitis
18:44at a local ophthalmologist
18:46and underwent surgery,
18:48but he had a conscious symptom
18:50and was not sure
18:52if he really needed surgery,
18:54so he went to the ophthalmologist.
18:58When he looked at Mr. Mori
19:00with a lens that said
19:02this was his life,
19:04it was right in front of him.
19:08It was a surprising illness.
19:12Well, pulmonary encephalitis
19:14isn't that bad.
19:16There's pulmonary encephalitis.
19:18On the right side,
19:20there might be a pulmonary encephalitis.
19:22A pulmonary encephalitis?
19:24Yes. I think it's early on,
19:26so I'm going to measure
19:28the thickness of the nerves
19:30and evaluate them.
19:34In the first place,
19:36normal eyeballs are round,
19:38and on the back,
19:40there is a membrane that acts
19:42as a screen.
19:44This membrane is divided into layers
19:46like a milfille,
19:48and sometimes
19:50the membrane is separated.
19:52This is exactly it.
19:54In this part,
19:56there is an entrance
19:58of the optic nerve
20:00that delivers the image to the brain,
20:02so there may be
20:04a pulmonary encephalitis.
20:06The bottom is the state
20:08of the back of Mr. Mori's right eye.
20:10Compared to normal eyeballs,
20:12you can see that
20:14the membrane is slightly separated.
20:16According to Dr. Ohno's examination,
20:18pulmonary encephalitis surgery
20:20is not necessary yet,
20:22and there is a suspicion of pulmonary encephalitis,
20:24so additional tests will be carried out.
20:26I didn't see it from the front.
20:28I'm more afraid of pulmonary encephalitis
20:30than pulmonary encephalitis,
20:32so I'm glad I came here.
20:36Pulmonary encephalitis can be delayed
20:38by early detection.
20:40It is a miracle that
20:42a small disease that was not pointed out
20:44can be detected.
20:46This is the reason
20:48why Dr. Ohno is a super doctor.
20:54The reason why Dr. Ohno
20:56is received worldwide
20:58is the revolutionary surgery
21:00proposed by Dr. Ohno's group.
21:04To learn the technology,
21:06medical students from overseas
21:08came to visit on this day.
21:10Pulmonary encephalitis surgery
21:12is not well known
21:14in Western countries,
21:16so there are a lot of people
21:18who are interested in pulmonary encephalitis.
21:22After this,
21:24the world will pay attention
21:26to the revolutionary surgery
21:28that overturned common sense.
21:32The world will pay attention
21:34to the revolutionary surgery
21:36that overturned common sense.
21:38This is the state
21:40of pulmonary encephalitis in this patient.
21:42How to cure pulmonary encephalitis?
21:44How to cure pulmonary encephalitis?
21:46How to cure pulmonary encephalitis?
21:48It is to remove the extremely thin membrane
21:50of about 0.07 mm
21:52that pulls the pulmonary encephalitis
21:54and causes pulmonary encephalitis.
21:58By doing so,
22:00the pulmonary encephalitis
22:02will return to normal.
22:04However,
22:06in conventional surgery,
22:08when the membrane is removed,
22:10the central part of the pulmonary encephalitis
22:12is damaged,
22:14and pulmonary encephalitis
22:16with reduced vision
22:18is about 15% likely to occur.
22:20So the doctors
22:22thought about
22:24leaving only the pulmonary encephalitis part
22:26and removing the surrounding part
22:28like a donut.
22:30As a result,
22:32it was an unexpected idea
22:34at the time.
22:36The surgery was
22:38to remove the pulmonary encephalitis,
22:40so I couldn't think of
22:42leaving it.
22:44I didn't know
22:46it was okay to leave it.
22:50This surgery
22:52has become the common knowledge of the world.
22:54The group of doctors
22:56from Imada Ohno
22:58is the world's top class.
23:02Dr. Ohno
23:04has an important philosophy.
23:08My father-in-law
23:10used to say
23:12to me,
23:14get used to being too good.
23:16The purpose of research
23:18and treatment
23:20is to save patients.
23:22So I always think
23:24I have to get into
23:26a place where I can't
23:28save patients
23:30and save patients.
23:34She is the Queen of Gold.
23:36In fact,
23:38she hasn't shaken yet.
23:42Dr. Ohno
23:44can see
23:46only from the front.
23:48It's amazing.
23:50Yes.
23:52It looks three-dimensional,
23:54so I can see the shadow
23:56of the pulmonary encephalitis.
23:58I can see the pulmonary encephalitis.
24:02It's so thin.
24:04It's so thin
24:06that I can't breathe
24:08when I look at it.
24:10It's so thin
24:12that I can't breathe
24:14when I look at it.
24:18Are there many cases of pulmonary encephalitis?
24:20Yes, there are many.
24:22You need to be careful.
24:24The risk of pulmonary encephalitis
24:26is low,
24:28but many patients
24:30think it's hard to see
24:32because it's prohibited.
24:34So you need to be careful
24:36about pulmonary encephalitis.
24:38Dr. Ohno,
24:40what is your future goal?
24:42I want to make
24:44the number of patients
24:46with pulmonary encephalitis
24:48zero.
24:50It's difficult
24:52after the disease.
24:55It looks itchy.
24:57Next episode,
24:59skin trouble in winter.
25:01A doctor is on a business trip
25:03to a shopping district.
25:05She solves her problems one by one.
25:07I think I can do it.
25:09How to apply
25:11the right moisturizing cream.
25:13It's here.
25:15See you next week
25:17with healthy and wonderful
25:19everyday life.
25:21This program is brought to you
25:23by KOWA,
25:25supporting your health.