{"id":1594,"date":"2026-04-06T02:59:25","date_gmt":"2026-04-06T02:59:25","guid":{"rendered":"https:\/\/kishiwada.tokushukai.or.jp\/en\/for-patients\/outpatient\/general-internal-medicine\/"},"modified":"2026-04-11T03:56:18","modified_gmt":"2026-04-11T03:56:18","slug":"general-internal-medicine","status":"publish","type":"page","link":"https:\/\/kishiwada.tokushukai.or.jp\/en\/for-patients\/outpatient\/general-internal-medicine\/","title":{"rendered":"General Internal Medicine"},"content":{"rendered":"<section class=\"op-section\">\n<div class=\"info-card info-card--primary er-quick-card\">\n<p class=\"info-card-lead\">\n      This department provides <strong>prompt evaluation for acute internal symptoms<\/strong>.<br \/>\n      It is intended for conditions that <strong>cannot wait until the next day<\/strong>, especially when local clinics are closed.\n    <\/p>\n<div class=\"info-item\">\n<p><strong>Come here<\/strong><\/p>\n<p>High fever, vomiting, diarrhea, sudden illness, or symptoms requiring same-day evaluation<\/p>\n<\/p><\/div>\n<div class=\"info-item\">\n<p><strong>Do not come<\/strong><\/p>\n<p>Chronic conditions, routine follow-up, prescription refills, or mild symptoms that can wait for a clinic visit<\/p>\n<\/p><\/div>\n<div class=\"info-item\">\n<p><strong>Go to Emergency Department<\/strong><\/p>\n<p>Chest pain, severe breathing difficulty, loss of consciousness, or signs of stroke, call 119<\/p>\n<\/p><\/div>\n<\/p><\/div>\n<\/section>\n<div class=\"dept-when\">\n<div class=\"dept-when__block\">\n<h3 class=\"dept-when__title\">Suitable for<\/h3>\n<ul class=\"dept-when__list\">\n<li>High fever or severe cold symptoms<\/li>\n<li>Acute abdominal pain, vomiting, or diarrhea<\/li>\n<li>Sudden fatigue or unexplained internal symptoms<\/li>\n<li>Symptoms that cannot wait until the next day<\/li>\n<li>Situations where a local clinic is closed or unavailable<\/li>\n<\/ul>\n<p class=\"dept-when__note\">\n        This department provides urgent assessment and initial treatment for acute internal medical problems.\n      <\/p>\n<\/p><\/div>\n<div class=\"dept-when__block dept-when__block--er\">\n<h3 class=\"dept-when__title\">Not suitable for<\/h3>\n<ul class=\"dept-when__list\">\n<li>Routine management of hypertension, diabetes, or cholesterol<\/li>\n<li>Follow-up visits or regular prescription refills<\/li>\n<li>Health check results without urgent symptoms<\/li>\n<li>Mild or long-standing symptoms<\/li>\n<li>Ongoing primary care<\/li>\n<\/ul>\n<p class=\"dept-when__note\">\n        For routine care, chronic disease management, or non-urgent concerns, please visit a local clinic.\n      <\/p>\n<\/p><\/div>\n<\/p><\/div>\n<section class=\"op-section\">\n<h2>How this department works<\/h2>\n<ol class=\"dept-timeline\">\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">1<\/div>\n<div class=\"dept-timeline__content\">\n<h3>Come here when prompt evaluation is needed<\/h3>\n<p>\n          General Internal Medicine is intended for patients with <strong>acute internal symptoms that require prompt medical assessment<\/strong>,<br \/>\n          especially when local clinics are closed or unavailable.<br \/>\n          This includes situations such as high fever, sudden vomiting or diarrhea, acute abdominal symptoms,<br \/>\n          or other conditions that cannot wait until the next day.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">2<\/div>\n<div class=\"dept-timeline__content\">\n<h3>We provide initial evaluation and urgent treatment<\/h3>\n<p>\n          This department provides <strong>initial evaluation<\/strong> for acute internal medical problems.<br \/>\n          Depending on your condition, blood tests, imaging studies, and other examinations may be performed if necessary.<br \/>\n          Short-term treatment and stabilisation are provided when immediate care is needed.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">3<\/div>\n<div class=\"dept-timeline__content\">\n<h3>You may be referred to a more appropriate department<\/h3>\n<p>\n          After initial assessment, we may determine that another department is more appropriate for your condition.<br \/>\n          In such cases, you may be referred to a specialist department within the hospital or advised to continue care at a local clinic.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<li class=\"dept-timeline__item\">\n<div class=\"dept-timeline__badge\">4<\/div>\n<div class=\"dept-timeline__content\">\n<h3>This department does not provide routine chronic care<\/h3>\n<p>\n          This department is <strong>not designed for routine care or chronic disease management<\/strong>.<br \/>\n          Routine management of hypertension, diabetes, or cholesterol, regular prescription refills,<br \/>\n          health check results without urgent symptoms, and mild or long-standing symptoms<br \/>\n          should be managed at a local clinic.\n        <\/p>\n<\/p><\/div>\n<\/li>\n<\/ol>\n<\/section>\n<div class=\"op-infobox\">\n<h3 style=\"margin-top:0;\">Before you visit<\/h3>\n<ul style=\"margin:0; padding-left:1.2rem;\">\n<li>If you are usually seen at a local clinic, please bring any available information about your condition (medication list, referral letter, or recent medical records).<\/li>\n<li>If your symptoms have worsened suddenly, information from your regular doctor will help us assess your condition more quickly.<\/li>\n<li>This department provides initial assessment. You may be advised to return to your usual doctor or clinic for follow-up care.<\/li>\n<li>If you need language support, advance notice is recommended whenever possible.<\/li>\n<\/ul>\n<\/div>\n<section class=\"op-section\" id=\"contact\">\n<h2>Contact<\/h2>\n<p>To enquire about language support or appointments, please contact our International Medical Support Department directly.<\/p>\n<ul class=\"ls-contact-icons\">\n<li><a href=\"https:\/\/lin.ee\/GRXNFOG\" class=\"ls-contact-icon ls-contact-icon--line\" target=\"_blank\" rel=\"noopener\"><i class=\"fa-brands fa-line\" aria-hidden=\"true\"><\/i><span class=\"sr-only\">LINE<\/span><\/a><\/li>\n<li><a href=\"https:\/\/wa.me\/818070945976\" class=\"ls-contact-icon ls-contact-icon--whatsapp\" target=\"_blank\" rel=\"noopener\"><i class=\"fa-brands fa-whatsapp\" aria-hidden=\"true\"><\/i><span class=\"sr-only\">WhatsApp<\/span><\/a><\/li>\n<li><a href=\"https:\/\/kishiwada.tokushukai.or.jp\/en\/contact.html\" class=\"ls-contact-icon ls-contact-icon--mail\" target=\"_blank\" rel=\"noopener\"><i class=\"fa-regular fa-envelope\" aria-hidden=\"true\"><\/i><span class=\"sr-only\">Online contact form<\/span><\/a><\/li>\n<\/ul>\n<\/section>\n","protected":false},"excerpt":{"rendered":"<p>This department provides prompt evaluation for acute internal symptoms. It is intended for conditions that cannot wait until the next day, especially when local clinics are closed. Come here High fever, vomiting, diarrhea, sudden illness, or symptoms requiring same-day evaluation Do not come Chronic conditions, routine follow-up, prescription refills, or mild symptoms that can wait [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":1417,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-1594","page","type-page","status-publish","hentry"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1594","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/comments?post=1594"}],"version-history":[{"count":1,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1594\/revisions"}],"predecessor-version":[{"id":1601,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1594\/revisions\/1601"}],"up":[{"embeddable":true,"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/pages\/1417"}],"wp:attachment":[{"href":"https:\/\/kishiwada.tokushukai.or.jp\/en\/wp-json\/wp\/v2\/media?parent=1594"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}