Other concerns I have include symptoms reported by general patients, such as persistent asthma and sinusitis. The patients show notable improvement once they move away.
I also observe high occurrences of rheumatic polymyalgia characterized by complaints such as "difficulty turning over," "inability to dress and undress," and "inability to stand up" among my middle-aged and older patients. Could these be the same symptoms of muscle rheumatism that were recorded in Chernobyl?
Changes are also noticeable in the manifestation of contagious diseases such as influenza, hand-foot-and-mouth disease and shingles.
Many patients report experiencing unfamiliar symptoms or sensing unusual changes in their bodies. Perhaps they feel comfortable speaking to me, knowing that my clinic posted signs informing of possible radiation-related symptoms immediately after the nuclear accident. Many young couples with small children and women worried about their grandchildren visit my clinic and earnestly engage in the discussion, and there is not a single patient who resists my critical views on the impacts of radiation.
Ever since 3.11, everybody living in Eastern Japan including Tokyo is a victim, and everybody is involved.
We discovered that our knowledge from the discipline of radiology was completely useless in the face of a nuclear disaster. The keyword here is "long-term low-level internal irradiation." This differs greatly from medical irradiation or simple external exposure to radiation. I do not want to get involved in political issues; nonetheless, I must state that the policies of the WHO, the IAEA or the Japanese government cannot be trusted. They are simply far too distanced from the harsh realities that people in Chernobyl still face today.
The patients from Eastern Japan that I see here in Okayama have confirmed the feelings that I have had for a long time, since I was based in Tokyo. People are truly suffering from this utter lack of support. Since 3.11, mothers have researched frantically on radiation to protect their children. They studied in the midst of their hostile surroundings in Tokyo, where they could no longer trust either government offices or their children's schools. Family doctors were willing to listen about other symptoms, but their faces turned red at the slightest mention of radiation and ignored the mothers' questions. Mothers could not even talk openly to friends anymore as the atmosphere in Tokyo became more and more stifled.
I believe that it is our duty as medical doctors to instruct and increase awareness among the Japanese public. This is our role as experts, having knowledge of health that the general public does not possess. Three years have quickly passed since the disaster. No medical schools or books elaborate on radiation sickness. Nevertheless, if the power to save our citizens and future generations exists somewhere, it does not lie within the government or any academic association, but in the hands of individual clinical doctors ourselves.
Residents of Tokyo are unfortunately not in the position to pity the affected regions of Tohoku because they are victims themselves. Time is running short. I took an earlier step forward and evacuated to the west. My fellow doctors of medicine, I am waiting for you here. And to the people in Eastern Japan still hesitating, all my support goes to facilitating and enabling your evacuation, relocation, or a temporary relief in Western Japan.
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