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Guidance from clinic about the new coronavirus

Notice of shortening time due to the national emergency

From April 20th, we are changing the treatment time while the national emergency declaration.

Weekdays: AM 9: 30-12: 30, PM 3: 00-5: 30  Saturday: AM Only

Clinic will open at 9:20 in the morning. Please note that you will not be able to enter the clinic if you arrive before that time.
The pediatrics will be closed on April 25th and May 2nd. We apologize for the inconvenience, and thank you for your understanding.

>>Japanese page

When visiting our clinic, please measure your body temperature at home.

When visiting the clinic for regular visits, out-of-reservation visits, rehabilitation, vaccination, etc., please measure your body temperature before your visit. If you have a body temperature of 37.5 degrees or higher, please contact us by phone before your visit in any case.
We will check the symptoms and provide necessary explanations and guidance. We would like to ask for your cooperation in the preventive measures for the new coronavirus infection.

 


We thoroughly implement infection prevention measures.

We constantly ventilate the room so that the air in clinic will not be stagnant. In addition, we thoroughly disinfect alcohol in each part of clinic, and regarding the seats in the waiting room, we post a "social distance" so patients can sit at intervals. Please be sure to keep a distance with other patients. If you have a cold-like illness, please fill out the questionnaire at the entrance. If necessary, a non-contact thermometer is used to perform a body temperature test at the reception desk. We appreciate your understanding and cooperation.

Alcohol for hand disinfection is installed in various places in clinic.

The main causes of new coronavirus infections are "contact-infection", "droplets-infection" and "aerosol-infection". The main cause of contact-infection is that the virus that adhered to fingers and hands adheres to the mucous membranes of the nose and mouth. In order to prevent infection from this, alcohol for hand disinfection is installed in various places in clinic, so please use it as necessary and disinfect your fingers and hands.
When disinfecting, be sure to take the disinfectant solution in a dry hand, rub the fingertips and nails alternately with the palm, then rub the palms of both hands, the backs of both hands, and then the fingers of both hands. Rub your parents' fingers with the other hand as you twist, and finally spread solution over your both wrists. Disinfection is completed when the alcohol disinfectant is completely dry. Viruses and bacteria may remain before the disinfectant solution dries, so please dry it thoroughly.

We discontinue use of hand dryers in the bathroom/toilet.

We have stopped using the hand dryer that we have been using until now from the standpoint of infection prevention. Please bring clean handkerchief or towel with you when visiting clinic.

We are introducing the latest information on the waiting room monitor screen on the 1st floor.

The latest information on new coronavirus, correct infection prevention measures, and how-tos are being broadcast.
We are introducing new coronavirus information in the waiting room on the 1st floor so that correct information can be delivered, while various information is complicated on the Internet and SNS. We have created and updating the video so that you can understand the situation correctly and use it as a tool for you to practice correct infection prevention without being misled by false information due to hoax or speculation. , Please use it for your daily life.

 


 

Please check Instagram and Facebook for the latest information. 

Instagram in English
https://www.instagram.com/meguroyuai_spinecenter/
Facebook in English
https://m.facebook.com/MeguroYuaiClinicPLDD/


 

All the Covid-19 Symptoms You Didn’t Know About
And some you might be aware of.

As the pandemic spreads around the world, doctors are beginning to scope the coronavirus’s damage. Seen initially as a cause of viral pneumonia during the chaos of an explosion of cases in China, it’s now emerging as an enigmatic pathogen capable of harming the body in a myriad of unexpected, and sometimes lethal, ways. Clinical manifestations range from common cold-like symptoms and bronchitis to more severe disease such as pneumonia, severe acute respiratory distress syndrome, multi-organ failure and even death. The illness may occur as a direct result of viral infection, as well as the body’s response to it. Here’s a snapshot of some of the symptoms Covid-19 causes, including some you might not have heard about.

Blood
— fever and inflammation may disrupt blood vessels, rendering blood cells more prone to clumping while interfering with the body’s ability to dissolve clots. That may trigger a clotting cascade that can lead to blood-vessel blockages in tissues and organs throughout the body. Life-threatening clots in the arteries of the lung, known as pulmonary emboli, may occur even after symptoms of the infection have resolved. Damaged blood vessels may become leaky and prone to bleeding. In children, inflammation of veins and arteries triggered by excessive immune activation may cause an illness similar to Kawasaki disease, an inflammatory disorder.

Brain
— dysfunction in the lining of blood vessels and associated bleeding and clotting disorders may cause strokes and bleeding in the brain. Patients may also experience headache, dizziness, confusion, impaired consciousness, poor motor control, delirium and hallucinations.

Eyes
— red, puffy eyes, sometimes referred to as pink eye, may result from infection in the conjunctiva, the tissue that lines the inside of the eyelids and covers the white part of the eye.

Gastrointestinal tract
— infection of cells lining the digestive tract may cause diarrhea, nausea, vomiting and abdominal pain. Blood-vessel blockages caused by abnormal clotting have been found to damage the bowel, requiring emergency surgery and resection.

Hands
— prickling or burning sensation in the hands and limbs may indicate Guillain-Barré syndrome, a rare nervous-system disorder that may be triggered by aberrant immune responses to viral infection. Other symptoms of the syndrome include poor coordination, muscle weakness and temporary paralysis.

Heart
— cardiac injury, sometimes leading to irregular heartbeat, heart failure, and cardiac arrest, may occur as a result of excess strain, inflammation of the heart muscle and coronary artery, blood clots, and overwhelming multi-organ illness. Infection, fever, and inflammation in people with existing heart-vessel blockages may cause their fatty plaques to break off, blocking or stopping blood flow in organs and tissues.

Limbs
— obstructions in large blood vessels may cause insufficient flow, or acute ischemia, in the limbs. Severe vascular complications can be lethal. At least one reported cases resulted in lower limb amputation.

Liver
— liver dysfunction may occur as a direct result of the viral infection, or more likely because of immune-mediated, systemic inflammation and circulatory blockages cutting blood flow to the organ.

Lungs
— the virus targets the epithelial cells that line and protect the respiratory tract as well as the walls of the tiny grape-like air sacs, or alveoli, through which gas exchange occurs to oxygenate the blood. Damage to alveoli and inflammation in the lungs can cause pneumonia, characterized by chest pain and shortness of breath. In severe cases, the lack of oxygen can trigger acute respiratory distress syndrome, leading to multi-organ-system failure.

Kidneys
— acute kidney injury may result from clots and impaired blood supply, or as a direct result of infection.

Nose and tongue
— while the virus can cause the sneezing and runny nose typical of a common cold, it can also disrupt the olfactory system, causing an abrupt full or partial loss of the sense of smell known as anosmia. Taste may also become distorted in a condition known as dyguesia.

Skin
— hive-like rashes, small red dots and purplish discolorations on the legs and abdomen are part of a complex category of so-called paraviral dermatoses that may result from the body’s immune response to the virus or from benign, superficial blood-vessel damage beneath the skin.

Toes
— purple rashes that resemble chickenpox, measles or chilblains may appear on the feet, especially of children and younger adults.


>>From Bloomberg article

May 13, 2020


 

Should not use masks on children under the age 2.

1. For infants, masks can make it difficult to breathe, which can be a strain on your breathing and heart.
2. It's increased risk of asphyxiation from masks and vomiting.
3. Masks make heat up and increase the risk of heat stroke.
4. It makes you difficult to notice abnormal physical conditions such as your baby's complexion, lip color and facial expression.

Avoid using masks on children under the age 2.

CDC Guidance
While people who are sick or know that they have COVID-19 should isolate at home, COVID-19 can be spread by people who do not have symptoms and do not know that they are infected. That’s why it’s important for everyone to practice social distancing (staying at least 6 feet away from other people) and wear cloth face coverings in public settings. Cloth face coverings provide an extra layer to help prevent the respiratory droplets from traveling in the air and onto other people.

Who should wear
People older than 2 years of age in public settings where other social distancing measures are difficult to maintain
Who should not wear
Children under age 2
Anyone who has trouble breathing, or is unconscious, incapacitated or otherwise unable to remove the mask without assistance

CDC >>About Cloth Face Coverings

May 26, 2020


 

Disinfect

Recommend use of EPA-registered household disinfectant
Follow the instructions on the label to ensure safe and effective use of the product. Read EPA’s infographic on how to use these disinfectant products safely and effectively.

Many products recommend:
1. Keeping surface wet for a period of time (see product label)
2. Precautions such as wearing gloves and making sure you have good ventilation during use of the product

Diluted household bleach solutions may also be used if appropriate for the surface.
1. Check the label to see if your bleach is intended for disinfection, and ensure the product is not past its expiration date. Some bleaches, such as those designed for safe use on colored clothing or for whitening may not be suitable for disinfection.
2. Unexpired household bleach will be effective against coronaviruses when properly diluted.
Follow manufacturer’s instructions for application and proper ventilation. Never mix household bleach with ammonia or any other cleanser.
Leave solution on the surface for at least 1 minute.

To make a bleach solution, mix:
(a) 5 tablespoons (1/3rd cup) bleach per gallon of water OR 4 teaspoons bleach per quart of water
(b) Bleach solutions will be effective for disinfection up to 24 hours.
(c) Alcohol solutions with at least 70% alcohol may also be used.


More info >>CDC "Cleaning And Disinfecting Your Home"

May 26, 2020


 

Mink infected two humans with coronavirus: Dutch government

Mink with the coronavirus have infected two people in the Netherlands in what are probably the first such cases of transmission during the epidemic, government and health authorities said on Monday.

On three of the four infected mink farms, the source of infection has been shown to be a sick human, while the fourth is still under investigation, the minister said.

The Netherlands’ Institute for Health’s (RIVM) director said that, while a few cats and other animals had been infected with COVID-19 by humans, the Dutch mink-to-human transmissions were practically unique.

So far, new coronavirus infections have been observed in cats and dogs. Animals-to-Human infections are rare, but pets should only be in contact with their families, and have appropriate social distances between other animals or between other people.


More info >>Reuters

May 26, 2020


 

 

Be careful even at quarantine "Let's know the urgent symptoms"

At present, we are requesting medical treatment for patients with mild illness at the accommodation facility, but there may be cases which needs to be at home due to family circumstances.
It may also suddenly develop symptoms without realizing that patient is asymptomatic.
In such a case, it's important to know in advance what kind of symptom is the warning signal.
Keep these symptoms in mind so that you can respond quickly and calmly to sudden changes in patient's condition.

The characteristic one is;

1. feeling difficult to breathe, 2. A Unresponding, unconsciousness, 3. The complexion is obviously strange

These 3 things.

If patient's self or anyone around, family, etc. see these changes, call 119 (Japan) immediately to call an ambulance.

May 2, 2020


 

Serious damage to lung function too early after the symptom occurred (3D CT image of lungs)

This video was released by Dr. Keith Mortman, who is in charge of thoracic surgery at George Washington University Hospital, and this 59-year-old male patient who was asymptomatic just a few days ago, he got a severe damage of lung function within a few days, the lungs were no longer working. He had no major underlying illness except for high blood pressure.

The video shows a rapidly spreading infection and inflammatory condition in both lungs in yellow, showing that severe damage covers both lungs.

Nowadays, this patient needs a device that circulates blood and delivers oxygen.

Dr. Mortman in charge said, "I want you to see this and understand what it will be like" "All of people needs to take the situation seriously ", Dr.advises to keep a distance from other people, and strongly urgeingto all of people to follow the precautions.

>>Footage(CNN)   >>George Washington University Hospital

 

Lung damage that does not recover even asymptomatic (Xray image of lungs)

Frank Hartich, a senior doctor at Innsbruck University Hospital in Austria, examined the lungs on a CT scan during post-recovery follow-up of 6 active divers. And the findings are;

1. The lungs of 2 patiens out of 6 patients have a large decline in function, and immediately when the load was applied, oxygen in the blood begin to decline.
2. Some symptoms as seen in asthmatics were also observed
3. Lung changes were also seen in the remaining 4 patients

All 6 were asymptomatic or mildly ill and judged to have no need for treatment at the hospital. After several weeks of self-isolation, they all recovered, and after recovery they were basically in good health. "I was wondering if I had misplaced the results of the CT scan," said Dr. Hartich. "I'm shocked and I can't understand what's going on. They can't do diving anymore. I lost words when I saw a young man's lungs in this state."
He strongly cautions that "people who have recovered from COVID-19 should refrain from sports training etc. until the degree of lung damage becomes clear." The cause of severe lung damage in people whose symptoms were so mild that it was diagnosed that hospitalization was unnecessary is unknown.

>>En24 news   >>Innsbruck University Hospital

April 27, 2020


 

Let's stay home with Tasty Takeout Foods at Gakugeidaigaku and Yutenji area!

Emergency Declaration due to #newcoronavirus COVID-19 every people needs to refrain from going out, but Gakugeidaigaku and Yutenji area has Many Delicious restaurants, dining and cafes, and they are ready to takeout now.

As we mentioned once, it's very likely that asymptomatic people or "immediately before the onset" people are spreading the coronavirus mainly. Under this situation, it's really great that the delis, dinings, restoulants and cafes are responsing with the takeout services
In particular, if you make a reservation by phone in advance, there are many places where you can hand it over without waiting, so you can avoid crowds or 3Cs (Closed spaces with poor ventilation, Crowded places with many people nearby, Close-contact setting such as close-range conversations) in front of those.

We would like to introduce “Gakugeidai Web Magazine - I LOVE Gakudai (学芸大学のウェブマガジン I LOVE 学大)” which allows you to check many such stores at once.

Website >>http://ilovegakudai.com     Instagram >>@gakudai 

People who are having trouble with daily menu at home, people who feel so tired and want to be relaxed and change their mood, take out the authenticdishes of the famous local restaurant and enjoy the wonderful home-meal. 
We think nutrition will reach your not only body but also heart with those tasty foods.

We really appreciate the many shops and stores also introduction websites that support our food.

Eat well, be positive, maintain good health , and do not reduce your immune system. Also, when using takeout or shopping for necessary items such as groceries, please go out with minimum number of people, and keep social distancing, 3steps apart (2 meters/6 feet) with other people, and prepare some notes of shoppinglists so that you can finish it in the shortest possible time.

April 28, 2020


 

Basic rules etiquette for pets in a pandemic situation
Several cases of animal infections have been reported around the world regarding the new coronavirus, but at present, it is expected that animal-to-human transmission will not occur epidemiologically. However, in order to protect your pet, our important family member, owners should take proper precautions to prevent the infection of pets until the end of the pandemic.
1. Keep your pet out of contact with other people and other animals, and only communicate with your family.
2. Cats should be kept indoors. Let's prevent infection and virus carry-in when cats act freely outside.
3. Keep your dog at least 2 meters away from other animals and others as the social distancing. If your dog meets friends on the way, take a lead and be sure to take a walk while keeping the space.

Anicom Pets Insurance <#StayAnicom Project>

If you’re affected the corona virus, and you live with dog and/or cats, you can ask to keep taking care your pets to Anicom Pet Insurance company with free charge during your hospitalization or self-isolation. Anicom provides their facilities for your pets, vets and the other staffs take care your pets safely.
At first, please confirm the details of this information to Anicom, and fill in the application form.
Please make sure about it at Twitter or Facebook or Instagram of Anicom.

Anicom Pets Insurance  >>Twitter   >>Instagram   >>Facebook   >>Application Form

To protect our family "PETS" from the new corona virus!

By April 7, the Tokyo Metropolitan Veterinary Medical Association has posted on its homepage about a notice "when dog and cat are left at pet hotels or trusted people if the owner is infected with the coronavirus".

It's recommended that dogs and cats should be transported to people who has non-close contacts with their infected owners, also, the dogs and cats need to be washed and remove any virus that has adhered to the body surface.
Although, several reports of pet infections were reported at overseas, but NIH and CDC of U.S. said "From an epidemiological point of view, there is no evidence that pets are a source of infection in the home and there is no justification for taking steps that compromise the welfare of companion animals". The Metropolitan Veterinary Association recommends that pets should be kept isolating for 14 days just in case.
If the owner is infected but cannot find any #pethotel or people who can take care about pets, the owner is required to wear a mask and glove to take care them.

>>Tokyo Metropolitan Veterinary Medical Association

April 26, 2020


 

Comparative verification of viral amount between COVID-19 and SARS

(From The New England Journal of Medicine)

Regarding the virus amount and survival rate of the new coronavirus and SARS virus, a comparative analysis was conducted to find out how different there are between aerosol. copper. cardboard, steel, stainless and plastic. It was found that in corrugated cardboard and steel / stainless, the amount of new coronavirus is high and the survival rate is high. Also on the surface of plastics has many virus. These are materials that we often touch in our daily lives.For shopping and homedelivery and when putting these materials inside from outside,

1. Wash your hands thoroughly after touching
2. If it can be stored at room temperature, leave it on a veranda or garage for a few days.
3. For immediate use, disinfect with alcohol (wipe off, etc.)

these are desirable.
If possible, it's also a good idea to open the cardboard boxes at outside and take only contents or items, and keep the cardboard boxes outside.

At present, the key to preventing the spread of infection is how to tackle "not getting infected / not transmitting the infection". Take correct precautions to prevent yourself, your loved ones, and someonen's loved ones from getting infected!

April 22, 2020


 

"The elderly immediately before the onset of the disease or asymptomatic people have the highest amount of virus."

Compiling the research and reports so far, comprehensively evaluating age, symptoms, various factors and results obtained so far, especially virus possession amount, the spread and transmission of the corona virus generally occurs during the affected with COVID-19 person doesn't notice it. 

"Assuming you are infected!"

The important thing is to always think that you may be infected or that you may be transferred the virus to someone. As a result, it protects you and others.

based on these,

1. Always wear a mask when you are with other people or have some actions (such as a chatting with others face to face)
2. About 2 meters (=3 steps) apart from others
3. Do not eat with others as much as possible

Let's do these thoroughly!

April 22, 2020


 

The importance of Social distancing and No-3Cs / Wearing mask to prevent infection

No-3Cs : Closed places with poor ventilation, Crowded places with many people nearby, Close-contact settings

In the current situation where new coronavirus infectious diseases continue to spread, it's essential to thoroughly implement “Do not go out”, “No-3Cs” and “Social distancing”.
The rate of increase in infected people after one month is too different when this is done and when it is not done.

In a study by the Finnish Meteorological Institute, the University of Helsinki, and the University of Aalto, how supercomputers were used to determine how droplets and aerosol particles exhaled from the throat of an infected person in the corridor between store shelves. According to the analyzing whether it travels in the air and visualizing it three-dimensionally, an aerosol "cloud" spreads to the top of the display shelf within 1 to 2 minutes after coughing, and reach to the person in the next passage. From this, it is clear how important it is to wear a mask and avoid the No-3Cs.

Please refrain from going out unnecessarily. And when you go to buy the necessary items, please ask the minimum number of people to go out. Your life and health are in someone's hands, and someone's life and health is in your hands.

The fight against viral infections does not end with protecting only yourself or rely on someone in the absence of effective remedies and vaccines. Let's thoroughly prevent infection by all of us to protect our lives and health!

 


 

If you are infected with an infectious disease such as a new coronavirus or you have a family member who is infected, when you dispose of garbage such as masks or tissues with runny nose etc. Therefore, "don't touch the garbage directly", "close the garbage bag tightly" and "wash your hands after throwing away the garbage".
By following the “Rules of Garbage Disposal”, we can protect not only families but also municipal staff and waste disposal companies who handle the garbage generated from infectious diseases such as new coronavirus and influenza virus. Please follow the rules of the local government when disposing of garbage. When disposing of used masks and other garbage, follow "How to dispose of garbage", "Do not touch the garbage directly," "Keep the garbage bag tightly sealed", "After discarding the garbage" and "Remember to wash your hands."

 


 

 
 

How long the virus can be existed?

According to the recent studies, the virus is lasting...

In the air : 2-3 hours
In the box : 24 hours
On the plastic or steel : 2-3 days.
So we recommend to wipe these things with a paper towel or spray with 70% ethanol, or leave these at the outside for 2-3 days.

Shopping of groceries and Disinfection

About vegetables and fruits, please wash with running water very enough before putting in the refrigerator.


 

 

Correct use of mask

When wearing a mask

(1) Make a crease in the middle of the mask (wire of the nose) and then spread it up and down
(2) Put the rubber on your ears, align your nose, cheeks, and chin, and cover your nose and mouth securely.
(3) Press the part of nose to fit it, adjust the mask so that no gap is made and check.

If you make a gap, it will be easier for fine particles to enter, and the splashes that come out when you sneeze etc. will scatter around, so try to eliminate the gap. While wearing a mask, try to avoid touching the filter as much as possible, and wash your hands immediately if you do.

When removing the mask

(1) Hold the rubber part and remove it from your ears. Do not touch the filter part and throw it away to road etc.
(2) Wash your hands immediately

The mask may be dirty when you were wearing it after use. Be careful about the part you touch when removing it, and be sure to wash and disinfect it after removing it.

The Tokyo Metropolitan Comprehensive Consumer Center offers consultation services in English, Chinese, and Korean.

Please feel free to contact us if you are a non-Japanese resident experiencing problems with a purchase you have made or an agreement you have entered, etc. as a consumer in Tokyo.

<These services are provided for persons living in, employed in,or studying in Tokyo>

The further information about COVID-19 from Tokyo >>Link

The number of people infected with the new coronavirus in Tokyo continues to grow. We give top priority to the health of children, and unfortunately, we extend school holidays until May 31 (Sunday).


Support for elementary and junior high schools
We set the "contact date" about once a week, children / students (accompanied by a guardian or a guardian's agent), please come to school individually. This is to check the status of the lives of children / students who are on leave, and to understand their health status or to submit home study materials etc. For details, please see the website of each school.

Support for kindergartens and children's schools
We set a "contact day" for infants and parents to come to the garden about once every two weeks. This is for checking the status of your child's life during the holidays and check the health condition.

About the entrance ceremony for junior high school
Due to the national emergency declaration, the entrance ceremony for junior high school, which was on Tuesday, May 12 was postponed and the date and time will be decided at a later date.

Kindergarten / Children's entrance and opening ceremony
The entrance ceremony on Friday, May 8 and the opening ceremony on Thursday, May 7 were postponed and the date and time will be decided at a later date.

Shorter summer holidays at elementary and junior high schools
The class day in July was until July 20th (Monday), but it's changed until July 31st (Friday), the summer holidays will be from August 1st (Saturday) to August 24th (Monday) .

Classes in elementary and junior high schools
Saturday classes are held once or twice a month. Also, the school class will be held on the "Tokyo Residents Day (Tomin no hi)" and the "Meguro Residents Day (Kumin no hi)".


 

Extension of daycare closure until June 30
The nursery school will be closed as follows to prevent the spread of new coronavirus infection.

Refraining from entering the park: From March 10th to April 7th
Usage restrictions: From April 8 to April 21
Preschool closed: from April 22 to June 30

In addition, if there is a new response from the national government or the Tokyo Metropolitan Government, such as the declaration of an emergency being canceled during the holiday period, we will determine the response as necessary.

Special childcare
If all guardians, such as medical staff, government offices, logistics staff, and transportation staff, are absent from home due to work, special childcare will be provided at each enrolled garden.

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