FAQ

Scope of Medical Practice and Specialties

What kind of diseases do you treat?

Our clinic handles a wide range of conditions, from common ailments like colds, fevers, headaches, and allergies such as hay fever, to chronic diseases like hypertension, asthma, and dyslipidemia. We also provide preventive care like exercise classes, vaccinations, and health check-ups.

Can we request you to be our primary care physician?

Yes. Please consider us as the primary care physicians for your entire family.

What kind of community healthcare are you aiming for?

Our doctors live in the community and aim to provide healthcare that can be implemented through building trusting relationships with local residents. Not only our professional skills but also medical care that suits the lifestyles of people in the community will be provided.

Do you make house calls?

Yes, we make emergency home visits and also plan regular home visit consultations. We also provide end-of-life care at home.

Do you offer vaccinations and health check-ups?

Our clinic is able to accommodate vaccinations. We can administer most types of vaccines, regardless of age except for newborns. However, we may not have some specialized vaccines needed before traveling abroad in stock. Please inquire for more details.

Do you conduct health examinations?

Yes, we can provide specific health check-ups and workplace health examinations. We may also visit companies as occupational physicians for inspections.

Do you treat hay fever?

Yes, we provide treatment for hay fever.

Can you treat hypertension and asthma?

Yes, we can treat hypertension and asthma. We are a comprehensive community healthcare provider.

What kind of vaccinations do you offer at the clinic?

At our clinic, we offer a variety of vaccinations, such as influenza, the new coronavirus, child vaccinations (measles-mumps-rubella, chickenpox, Hib, pneumococcal, Japanese encephalitis, HPV, etc.), and pneumococcal vaccines for the elderly.

What are the procedures for visiting a fever outpatient clinic?

If you have a fever and need to visit the clinic, please make a phone reservation in advance. After arrival, please wait in the parking lot, where the examination will be conducted. Communication will be made via mobile phone.

What measures are being taken against the new coronavirus at the clinic?

As a measure against the new coronavirus, patients with fever will first undergo a rapid coronavirus test in the parking lot, and only those who test negative will be allowed into the waiting room. Thus, you don't have to worry about sitting in the waiting room with patients who have the new coronavirus. We've also removed items like books, toys, and newspapers from the waiting room. Alcohol for hand disinfection is available, so please sanitize your hands at the entrance.

Do you test for the new coronavirus infection?

Our clinic also tests for the new coronavirus infection. Antigen tests, antibody tests, and various other methods are available. Please consult with us by phone in advance and confirm the procedure before visiting.

Consultation Hours and Access

What are the consultation hours?

Our consultation hours are from 8:30 AM to 11:00 AM and from 4:00 PM to 6:00 PM from Monday to Friday. On Saturdays, we are open from 8:30 AM to 11:00 AM. We are out on house calls thereafter. We are closed on Sundays and public holidays. Appointments are necessary, except for emergencies. Please note that fever clinics or influenza vaccination clinics may be incorporated at certain times, changing the consultation hours. In such cases, please check online or call the reception in advance.

What are the morning and evening consultation hours?

Morning consultations begin at 8:30 AM after the completion of examinations such as endoscopy, ultrasound, etc. Evening consultations begin at 4:00 PM. As we operate on an appointment basis, please make a reservation in advance by phone or online.

Is it possible to get help after hours or at night?

Although there are limits as we have only one doctor, we aim to respond as much as possible even outside of hours and at night. First, please contact us by phone (0901-2185-1964). However, after 11 PM, I will be enjoying a drink and won't be able to drive a car. My apologies for any inconvenience.

How do you respond in emergencies?

Emergency house calls are possible, but there may be cases where an ambulance is faster and more appropriate. Even in such cases, we can directly request the referred hospital from our clinic, so please call us first. I can check the medical records on my smartphone and provide appropriate instructions.

Is there a parking lot?

Yes, our clinic has a parking lot that can accommodate about 12 cars.

Is the clinic entrance always open?

The door opens at 8 AM in the morning. After the morning consultations are finished, the door will be temporarily closed. For evening consultations, the door opens at 3:30 PM.

Is there anything I should be aware of when using the clinic on Tuesdays?

On Tuesdays, there is a circulating shuttle bus in Takasu town and a gymnastics class, so the number of patients tends to increase. We may adjust the order of consultations to ensure that patients can catch the shuttle bus home. We recommend that those who visit regularly avoid Tuesdays.

How can I use the shuttle service?

We provide a circulating shuttle bus service on Tuesday mornings. It's free, and anyone can use it. Please request in advance at the reception or contact Takasu Town Taxi.

What are the features of the consultation room?

In the consultation room, there is only the doctor who doesn't wear a white coat. A large TV monitor is installed on the doctor's wall, which is used to display photos such as X-rays and endoscopies, or show examination graphs for explanation. Usually, it displays beautiful scenery to make you feel relaxed. Other equipment includes an ultrasonic diagnostic device and an electric examination bed.

Booking and Consultation Method

Is it necessary to make an appointment for a consultation?

We operate on an appointment basis every day, except for emergencies. Please give us a call.

How can I make an appointment?

You can make an appointment online, including cancellations, 24 hours a day. Please enter the reservation from the upper right guide on the homepage. You can also make a reservation by phone directly, but only during consultation hours.

How do I book a flu shot?

You can book a flu vaccination online from two weeks in advance. Including cancellations, 24-hour response is possible. You can also make a reservation by phone directly, but only during consultation hours.

What do I need at the clinic reception?

Please present your medical card and health insurance card at the reception. If you are a first-time patient, please bring the results of your specific health checkup if possible. If you have a previous doctor, it would be helpful if you could bring your medication notebook and a copy of your test data.

Is the prescription inside or outside the clinic?

With the opening of a dispensing pharmacy near the clinic in June 2024, we have transitioned to outside prescription. The pharmacy accepts prescriptions during our consultation hours, so you can feel at ease.

How do I request an online consultation?

Only patients who are currently visiting our clinic can use it. You can have a consultation on your smartphone. Please make the payment when you visit the clinic next time.

Do you have a smoking cessation clinic?

Unfortunately, we are currently suspending our smoking cessation clinic as Chantix is difficult to obtain.

Can I exercise in rehabilitation?

Under the doctor's exercise prescription, you can use the walking machine and air bike that are installed. We host a gymnastics class every Tuesday, inviting an instructor from Gifu City. Participation is free, but the doctor's instructions are necessary.

Do doctors contact patients?

We may contact you by short message if abnormal values are found in the test. Please don't be surprised by the sudden message.

What should I do if I want to consult with a doctor as a patient?

In case of emergency, please call 090-2185-1964. Patients who are currently visiting us can also consult via email.

I heard that you prefer to consult by email rather than by voice call.

Yes, that's correct. With voice calls, I have to interrupt my conversation with the patient in front of me, but with emails, I can check them during breaks in the consultation. In case of emergency, please call by voice.

Can I send an ECG taken with an Apple Watch to the doctor by email?

Of course, that's perfectly fine. Several patients are already using this service. I will reply with the diagnosis result promptly.

Examinations

What types of examinations can I undergo?

At our clinic, you can undergo various tests including blood and urine tests (urgent if necessary), ultrasonographic examinations (for abdomen, heart, vessels, thyroid, etc.), gastroscopy, radiographic examinations, vascular age measurement, electrocardiogram (with possible Holter 24-hour ECG analysis), non-mydriatic fundus camera test, simple sleep apnea test, tests for new coronavirus infection, and more.

Can urgent blood tests be conducted?

Yes, urgent blood tests can be conducted. It takes about 40 minutes for the test results to come out, so if you wish to have this test, please come as early as possible. It takes about 15 minutes for diabetes tests, and about 40 minutes for liver and kidney tests.

Do you have CT or MRI scanners?

No, we do not. If necessary, we will refer you to hospitals in Shiratori Town and others.

Can I undergo a gastroscopy?

We do perform gastroscopy as a medical procedure at our clinic, but we do not conduct gastroscopy screenings. We perform gastroscopy for those who have symptoms or have been pointed out abnormalities during a gastric checkup.

How do you use the portable ultrasound for home visits?

As we cannot perform ECGs and uterine blood tests at the visiting location, the portable ultrasound becomes very handy. It's useful in various aspects, such as diagnosing myocardial infarction and heart failure, confirming pleural effusion and ascites, diagnosing cholecystitis due to gallstones, and evaluating dehydration.

How is the examination data provided?

We explain the progression of the test data and the explanation of the disease and treatment on the TV monitor in the consultation room. The examination data is provided in print as a rule.

Payment Methods and Insurance

What payment methods do you accept?

Our clinic accepts cash and credit card payments. Please ask the reception desk for details. We are planning to accept electronic money in the future.

What types of insurance apply?

At our clinic, National Health Insurance, Social Insurance, Workers' Compensation Insurance, etc., are applicable. Please ask the reception desk for details.

Others

How many staff members do you have, including part-time?

We have one doctor, three receptionists, and three nurses.

Can you provide referral letters to other hospitals?

Yes, please request anytime. If it's hard to talk directly to the doctor, feel free to tell the receptionist or nurses.

Which medical institutions are you collaborating with?

Our clinic collaborates with various medical institutions including departments of internal medicine, surgery, orthopedics, ophthalmology, otolaryngology, dermatology, and pediatrics. We frequently refer patients to Washimi Hospital, Shiratori Hospital, and Gujo City Hospital among others. For specialized treatment, we have partnerships with distant hospitals like Gifu Heart Center and Chubu International Medical Center, and also refer patients to Nakanoju Kosei Hospital, Prefectural General Medical Center, and Gifu University Hospital. We also collaborate with dental clinics.

Should I bring test results from other medical institutions?

Yes, bringing test results from other hospitals can be helpful in diagnosing and avoiding unnecessary examinations. Please don't forget your medication booklet as well.

How do you collaborate with local administrative and welfare services?

Our clinic collaborates with local administrative and welfare services such as day services, helpers, and home-visit nursing care. If you have any requests or concerns, please feel free to talk to us. We can contact the person in charge. We also provide physician's opinion documents for long-term care insurance and certification documents for disability certificates.

Do you have support for elderly people who have difficulty visiting the clinic?

Yes, our clinic can provide home visits and online consultations for the elderly. We also provide support for requests and instructions for home-visit nursing care. In collaboration with local welfare services, we also support arrangements for day services and helpers.

Approximately how long is the consultation time per person?

The consultation time, including changing clothes and writing in the medical record, is about 15 minutes per person. However, this may vary depending on the condition.

Do you visit elderly welfare facilities?

We visit the Ohisama no Daichi in Washimi Ueno area of Takasu Town and Korogaru Rakuen in Yamato Town for medical consultations.

Do you also make home visits outside of Takasu Town?

We will go anywhere in case of emergencies, but for regular home visits, we often ask medical institutions near the patient's home. This is because it's more than 10km one-way to go outside the town.

I heard that you recommend smartphone email for the elderly.

As the number of elderly people living alone increases, I recommend owning a smartphone as a means of communication for emergencies. It allows you to keep in touch with family and friends who are far away or difficult to get out and see. You can even consult with the doctor by email. Many elderly people are hesitant to use smartphones, but I really hope they do.

Where did the doctor graduate from?

The doctor graduated from the Faculty of Medicine, Jichi Medical University, in 1982. Jichi Medical University is a university established with the cooperation of all prefectures, and 2-3 people from each prefecture enter every year. The tuition is fully borne by the student's home prefecture, which also pays for some of the student's living expenses. Dr. Tsuruda is from Aichi Prefecture.

What qualifications does the doctor have?

Dr. tsuruda holds various certifications including Japanese Society of Internal Medicine Certified Specialist, Japanese Society of Internal Medicine Certified Physician, Japan Medical Association Certified Occupational Physician, Certified Physician of the Japanese Primary Care Association, Japan Medical Association Certified Health Sports Physician, Japan Ski Association Certified Doctor Patrol, Certified Long-term Care Support Specialist, Japan Physical Education Association Certified Sports Doctor, Japan Medical Association ACLS (Advanced Cardiovascular Life Support) trained, among others. However, he no longer maintains qualifications unnecessary for rural medical practice or those requiring participation in urban conferences. His primary current qualifications are as a comprehensive internal medicine specialist and occupational physician that can contribute to the local community.

When was the tsuruda Clinic established?

The tsuruda Clinic was established in 2007. The medical corporation Takasu-kai was founded in the previous year.

What is the doctor's career background?

After graduating from Jichi Medical University, the doctor served his mandatory years in hospitals and clinics in the Mikawa region of Aichi Prefecture. Meanwhile, he also served as a lecturer at the Department of Community Medicine at Jichi Medical University. In addition, he established the medical corporation Takasu-kai and serves as its chairman.

Where is the doctor from?

The doctor was born in Kochi Prefecture and lived in Yamagata and Sendai before moving to Nagoya in the fifth grade of elementary school. His family register is in Kumamoto Prefecture.

Which high school did the doctor graduate from?

The doctor graduated from Aichi Prefectural Asahigaoka High School.

What medical institutions has the doctor worked at?

The doctor has worked at various institutions including Jichi Medical University Hospital, National Health Insurance Toei Hospital in Aichi Prefecture, National Health Insurance Sakutei Village Clinic, National Sanatorium Chubu Hospital, Nukata Town Miyazaki Clinic, National Health Insurance Takasu Village Clinic, Gujo City National Health Insurance Takasu Clinic, and Shomi Hospital of the specific medical corporation Hakuhokai.

What role did the doctor play at the Department of Community Medicine at Jichi Medical University?

The doctor was dispatched from the Department of Community Medicine at Jichi Medical University, later worked as an assistant, and eventually served as a full-time lecturer. However, he has since retired.

Why do the staff, including the doctor, wear white earphones?

They use the walkie-talkie feature on the Apple Watch to communicate with each other.

Can any pharmacy be used for dispensing prescriptions?

Yes, any pharmacy can be used. There is a V Drug pharmacy near our clinic. For home-bound patients, Hakuyudo Pharmacy in Shiratori Town provides delivery and medication guidance.

Can foreign languages be used?

The doctor can only speak a little English, so we use smartphone translation features for conversation. Our upcoming online consultation system will support multiple languages including English, Chinese, and Indonesian, so entering information in advance can help us provide a smoother consultation.

Is there an online consultation system at the clinic?

We're currently creating one. It will allow you to input information at the time of booking or when you visit the clinic using a smartphone or tablet. We plan to use AI to make it user-friendly even for the elderly and to support multiple languages including English, Chinese, and Indonesian.