Respiratory Medicine

What we do

Our Respiratory Medicine Department serves as a core facility for respiratory care in Minamiboso, welcoming patients not only from Chiba Prefecture but also from the Kanto region, including Kanagawa and central Tokyo.

Outpatient consultations at the Kameda Clinic are conducted from Monday to Saturday mornings. One of the distinctive features of our outpatient service is that all physicians in our department handle the diagnosis and treatment of all respiratory diseases. Additionally, we offer smoking cessation clinics and actively promote preventive measures such as influenza and pneumococcal vaccinations from a preventative perspective. We collaborate with pharmacists to provide medication guidance and management for patients with respiratory diseases such as bronchial asthma and COPD. Chemotherapy for cancer is centralized in our outpatient chemotherapy center as much as possible. We maintain close cooperation with surrounding healthcare facilities and warmly welcome second opinions.

Patients admitted to Kameda General Hospital often present with primary lung cancer, bacterial pneumonia, interstitial pneumonia, obstructive sleep apnea syndrome, chronic obstructive pulmonary disease (COPD), and bronchial asthma. For the treatment of thoracic malignancies, especially primary lung cancer, we conduct weekly conferences jointly with respiratory surgery, oncology, radiation oncology, and certified oncology nurses to practice continuous team-based medical care. Interstitial pneumonia includes various diseases, including idiopathic pulmonary fibrosis, a designated intractable disease. We collaborate not only within our department but also with respiratory surgery, radiology, pathology, rehabilitation, and rheumatology departments to enhance diagnostic accuracy and provide effective treatment. Dr. Ito, acting department head, has been conducting specialized outpatient clinics for interstitial pneumonia since April 2020. Since 2012, we have been providing comprehensive respiratory rehabilitation for COPD patients, involving multidisciplinary collaboration among physicians, nurses, physical therapists, dietitians, and pharmacists to improve exercise capacity and enhance patients' quality of life (QOL) through rehabilitation, nutritional improvement, medication guidance, and lifestyle support. We also prioritize respiratory endoscopic examinations (bronchoscopy), which are fundamental to the diagnosis of respiratory diseases, continuously introducing the latest diagnostic and therapeutic techniques such as local anesthesia thoracoscopy and photodynamic therapy (PDT). We have been pioneering cryobiopsy for interstitial pneumonia since November 2018.

If you experience respiratory symptoms such as coughing or shortness of breath, or if you already have a respiratory disease and seek the latest diagnosis and treatment, we encourage you to visit our department.

Responsibility for the content:
Dr. Kei Nakajima, Chief of the Respiratory Medicine Department

(Last updated: August 27, 2020)

Conditions we handle

Respiratory diseases are not only for specific field but also for general such as Primary lung cancer, respiratory infections, bronchial asthma, COPD, interstitial lung diseases, allergic lung diseases, occupational lung diseases, various pleural diseases including pneumothorax, and abnormal breathing inculding sleep apnea syndrome, We provide medical care for all including respiratory management.

Number of cases

Outpatient :31,769 people/ year
Inpatient: 18,530 people /year
(FY2022)

Number of admission patients by disease

diseases	Number
Lung cancer	824
Interstitial pneumonia	101
Pneumonia	74
Sleep apnea	72
Chronic obstructive pulmonary disease	34
Pneumothorax	27
Systemic autoimmune diseases	19
Bronchial asthma	21
Aspiration pneumonia	15
Non-tuberculous mycobacteriosis	12
Pulmonary tuberculosis	9
Abscess	12
Airway bleeding	9
Other	79
Total	1,308

Operation results

None

List of Doctors

Chief of Pulmonology

Kei NAKASHIMA

Subspeciality
Pulmonology

Department name	Respiratory Medicine
Medical School	Kyushu University School of Medicine
Special Qualifications	Board Certified Physician of The Japanese Society of Internal Medicine Board Certified Specialist of The Japanese Society of Internal Medicine Board Certified Specialist and Advanced Certified Speialist of The Japanese Respiratory Society Board Certified Specialist of The Japan Society for Respiratory Endoscopy Board Certified Specialist of The Japanese Society for Infectious Diseases
Education & Career	2006 Mar. Graduated from Kyushu University School of Medicine 2006 Apr. Resident of St.Mary's Hospital 2008 Apr. Senior Resident of Saiseikai Fukuoka General Hospital 2009 Apr. Senior Resident Pulmonology， Kameda Medical Center 2012 Sep. Pulmonology， Kameda Medical Center 2013 Apr. Assistant Chief of Pulmonology， Kameda Medical Center 2017 Jan. Vice Chief of Pulmonology， Kameda Medical Center 2018 Feb. Chief of Pulmonology， Kameda Medical Center

Vice Chief of Pulmonology

Hiroyuki ITO

Subspeciality
Pulmonology

Department name	Respiratory Medicine
Medical School	Nagasaki University School of Medicine
Special Qualifications	Board Certified Physician of The Japanese Society of Internal Medicine Board Certified Specialist of The Japanese Society of Internal Medicine Board Certified Specialist of The Japan Society for Respiratory Endoscopy Board Certified Specialist of The Japanese Respiratory Society Board Certified Physician of The Japanese Society for Tuberculosis Board Certified Physician of Japan Board of Cancer Therapy
Education & Career	2008 Mar. Graduated from Nagasaki University School of Medicine 2008 Apr. Junior Resident， Japanese Red Cross Nagasaki Genbaku Hospital 2009 Apr. Junior Resident， Nagasaki University Hospital 2010 Apr. Senior Resident Infectious Diseases， Nagasaki University Hospital 2011 Apr. Internal medicine，Juzenkai Hospital 2013 Apr. Resident Gastroenterology，Kanagawa scuiar and Respiratory Center 2015 Apr. Infectious Diseases，Nagasaki University Hospital 2018 Apr. Internal medicine，Juzenkai Hospital 2018 Jun. Chief of Respiratory endoscope，Juzenkai Hospital 2019 Apr. Vice Chief of Pulmonology， Kameda Medical Center

Internal Medicine

Other

Specialist Clinic

Andrology