Introduction

Before starting I would like to give thanks to JBMA particularly Japan part for their immense contribution by which I got trained from Surgical Gastroenterology in TWMU. I would like to give thanks to Professor emeritus Motohiro Nozaki and Professor Sakurai for their continuous support. I am very grateful to Professor Masakazu Yamamoto who was very important person for me.
This will be my last feedback report of my fellowship training program in TWMU to JBMA. I felt empty in my heart seem to be leaving the important belongings here. Which I am expressing here that is like a drop of water. I got so many things from Surgical Gastroenterology dept of TWMU. I understand the values of life. I learned not only medical science(surgery) but also a lot of things that is very important for humanity.

Clinical activities

Clinical activitiesLast 2 operation schedule days remain for me to join that will be very painful for me as I cannot see their operations any more. Next 7th to 10th June I have an opportunity to join the APHPBA conference in Yokohama, I felt honored and grateful to Prof Masakazu Yamamoto to make me chairman of two sessions.
All the sensei here are trying to help me for rest of the days of my training as I get the training adequately. I gave them sincere gratitude from my heart. Definitely I will miss the surgical skill particularly of my B1 and B2 team.

Academic activities

As I will participate APHPBA conference 7th to 10th in Yokohama, will not be in TWMU. The conference will be in English and very enjoyable. I attended all weekly morning journal and clinical presentations.

Social and communications

I developed a good relationship among most of the doctors of my department and they are very kind and helpful to me. There will be farewell party from my B1 and B2 team. I will miss them but what I learnt from them that will be the asset for me.

Acknowledgments

Again I would like to give thanks to JBMA for their tremendous effort to make the program successful. I also give thanks to Maiko Kumini, she has done a lot for me. Fumiko Daikoku and Izumi Iwata also has done good job for us. I am very grateful to all teachers,doctors,nurses,other stuffs and patients of TWMU for their contribution on my training, without their help it could not be possible Lastly I would like to give thanks to my family for their continuous support.

Special

I am very grateful to you and the peoples of Japan. If I did any wrong to you, please forgive me.

With thanks

Dr Haridas Saha

Introduction

I enjoyed the weather transition in Tokyo, Japan. The temperature was comfortable for me. Enjoying the party with my team was very memorable for me. Another month is gone; all about the training is going as well. Within this time two other trainee doctors came in TWMU. Dr Haibo jou from China and Dr Rohan chowdhury from India, then my loneliness became mitigate. They are very nice people and doing our discussion all together.

Clinical activities

Day by day I became the member of my team and still participating most of the operations and other clinical activities of Surgical Gastroenterology department especially my B1 team. Again I am very grateful to them as they guided me. All of the surgeons of TWMU are very skillful and out of my thinking about their efficiency that amazed me. Usually I reached at my department within 7.30 am and still participating the morning clinical round.

Academic activities

I attended all weekly morning journal and clinical presentations. Second week of last month I got the chance to have a journal presentation in front of the learned audience by the virtue of my B1 team especially Ariizumi sensei. I participated most others academic activities e.g. TACE, RFA etc.

Social and communications

I enjoyed parties with my team with delicious foods. I observed awesome unforgettable sakura that was simply mind blowing with enormous beauty.

Acknowledgments

I am very oblige to the teachers, doctors, nurses, officials and the patients of TWMU. I would like to give thanks to JBMA Japan and Bangladesh part for their great and continuous efforts to make a bridge of exchanging knowledge between two countries. As usually I would like to give thanks to my family for their continuous support.

Introduction

Winter season still going on as we did not experience this type of weather but enjoying it, along the peoples of Tokyo, Japan. Another month is gone; all about the training is going well. Within this time developed a good relationship between another trainee in Hepatology Dr Liangjing from China she spent already about 9 months here. I came across so many mentors, colleagues and other peoples they are really kind to me. I forgot to inform that next day of my coming here from Dr. Zakaria I got to know an invitation from Prof. Motohiro Nozaki and Prof. Sakurai sensei to join a dinner party. It was my great opportunity to meet the two legends and enjoyed with Japans delicious foods, taking pictures and beers.

Clinical activities

I can’t express in a word of the clinical environments of Surgical Gastroenterology dept. of TWMU, what they are doing here for the patients and their subjects. I took the privilege to be a part and parcel of the department.

I joined here in B1 team of Hepatobiliary and pancreatic surgery with some delighted doctors. I am very grateful to B1 team to accept me gladly. Prof Yamamoto sensei is a very efficient surgeon and good personality. I am very obliging to him. I participated all the operation schedule day with allocated operations for me. It’s my enormous learning with the beautiful skill of surgery. In my team Kotera sensei, AriIzumi sensei, Omori sensei, Yamashita, Iajawa, Nemoto and Muribushi; all are very helpful and kind to me. Ariizumi sensei is a very excellent mentor with huge helping attitude. Also very grateful to all other units of Surgical Gastroenterology where I took participate of surgery with them. All the team have the excellent surgical skills sometimes more than the text. Again I like to give thanks to my B1 and all other team of the department.

Academic activities

As usual participated the entire morning clinical round with my team though I did not understand most of the sentences but sometimes sensei made me understand. I sometimes liked to raise question before the sensei and they are kind to me. Weekly morning journal and clinical presentations were also helpful for me. I am still enjoying the discussion on Hispathological slides with famous Prof of Pathology (visiting). I participated so many other academic activities including library work every day; that’s the pleasure for me.

Social and communications

From my very beginning I enjoyed the delicious food of Tokyo. Trying to understand the language here if I do that will be beneficial for me. In the first week of February Prof Yamamoto sensei and my B1 team arranged a welcome dinner for me and feel honored and enjoyed with so many mouthwatering Japan cuisine

Acknowledgments

I like to give thanks to JBMA Japan and Bangladesh part for their great and continuous efforts to make a bridge of exchanging knowledge between two countries. I am very grateful to them to give the opportunity to work in TWMU.

Lastly I like to give thanks to my family in Bangladesh for their inspiration and huge sacrifice.

With thanks

Dr Haridas Saha

Introduction

I am Dr. Haridas saha, working as a fellowship trainee inTWMU, Tokyo, Japan. Before that long history of joining here from my country. In short probably first week of October 2016, I was informed from my Professor and Head Dr. AZM Mustaque Hossain if I could join a training program in Japan in Surgical Gastroenterology in TWMU. Instantly I agreed with my teacher but after going home and having a discussion with my family, made me confuse either join here or not. Then middle of October had a meeting with my professor, Dean and Principal Dhaka Medical College, Aleemuzzaman of JBMA by which I was selected to come to Japan in TWMU. Though there were lot of conflict and confusion, last of all I decided to come here leaving my family and lot of things behind. Now I feel it’s a great opportunity and privilege of me to join as a fellowship trainee in TWMU.

I am very grateful to JBMA Japan, International affairs of TWMU, Prof .Sakurai sensei, Iwata and Fumiko Daikukoku. Special gratefulness to Maiko for doing everything for me. Many many thanks to Dr. Zakaria Jubery without his guide I could not find anything. He also guided me what to do and not to do in Japan.
Finally that’s the ultimate Prof. Yamamoto sensei and department of Surgical Gastroenterology, he is kind, polite, gentle with humanity, arranged all the things for me.

Clinical activities in my department

Before going to the clinical session, early in the morning I met with Prof Yamamoto sensei and he gave me some important introduction that is still helpful for me. I showed my intention to work with Hepatobiliary and pancreatic unit. I feel honored as he gave permission to work there. Izumi sensei and Dr Satoshi arranged all other things for me.

I could not believe that I am going to see your all operative procedures. Your operation theatre environment is excellent and preoperative work up for a patient is remarkable as well as outstanding. I am going through imaging investigations of preoperative patients became amazed to see how you reached very inside of the diseases. Within these fifteen days I observed so many operative procedures both open and laparoscopic. First time in my life I saw liver transplantation from a living donor that was exciting for me. Sacrifice, commitments and devotions of the sensei, doctors, nurses and others to the patients were inexpressible. So many operations I observed here that was tremendously helpful for me, will inform all later on.

Academic activities

Every Tuesday and Thursday is our morning clinical session and journal presentations. Very second day of Journal presentations Prof Yamamoto sensei called me for myself introductions before the audience, I feel honored. I participated all that sessions. I also took part with my B1 team on morning round and the discussions regarding the patient’s managements.

Social and communications

On arrival in Japan I am experienced with very cold weather that was so scary for me. Already I enjoyed with food and environment of Japan. The people are very hard working, gentle and polite. Now I can speak some greeting Japan language.