A semiretired pediatrician living in a countryside in Japan will describe what he thinks of his hobbies, life and the events around himself.
4/30/2022
An Amateur Farmer
4/29/2022
Visiting a museum in Nagano again
There were only very few visitors in the museum. Looking around the paintings, a mature lady clerk apologetically asked me if I would go on watching them. Yes, it was almost the time of closing. There were no one in the exhibition area of the building. I apologized her and would go out then. At the exit, where the visitors are to pay the fee, I asked them if there had been so many visitors as in the pre-pandemic era. Of course, the answer from the clerk was no. He was asking me where I came from. Only we were talking in the quiet counter.
After the last visit, I have donated a bit of money to this museum. I have received a hand written mail of thanks from the director later. I found an art book edited and written by him at the exit place. The title is 100 selections of paintings of life. It is composed of the paintings selected and the explanation by the editor. The editor says these paintings are asking us how we are living at present.
4/28/2022
The 11th Anniversary of Mother
4/25/2022
A form of childhood fulminant hepatitis in epidemic in UK etc
Novel hepatitis in childhood has been reported mainly from UK since this January.
A report from the UK government; here
A news article by Reuter; here
From January to April, there have been 130 cases reported. Among them, 108 cases are from UK. All children.
It should be concerned that 8 cases have been undergone liver transplant procedure. It means the clinical feature at least of these cases was that of fulminant hepatitis, which progresses to liver insufficiency quickly. A case was dead.
The etiology is not definitely known yet. But 77% of cases show laboratory data of infection with Adenovirus. Adenovirus is a kind of the genre of enterovirus and causes common cold. Rarely it won't be the pathogen for fulminant hepatitis in childhood. It prevails among children mostly in summer. Adenovirus is so common that the apparent relationship with this hepatitis could be just coincidence.
If Adenovirus is involved in this hepatitis, there should be changes in the pathogen, the host or the environment. The virus could undergo genomic variation, which leads to more virulence. The patients have been isolated from the group with the same age and have been infected much later than the ordinary natural infection. It could cause different immune response to the virus. SARS CoV2, the pathogen of COVID19, has been reported to alter the immune system. Co infection with SARS CoV2 may occur that change which should be responsible for fulminant hepatitis. The patients have not been immunized with COVID19 vaccine, so that it should be ruled out for the cause.
So far, the number of cases are not large and they are limited only to UK etc in distribution. This is be most likely an infectious hepatitis. In case of gastroenteritis patients in childhood deteriorating to liver dysfunction rapidly, they should be suspected for this fulminant hepatitis.
This has reminded me of Reye Syndrome. I used to see such a case when I was a resident at a med school hospital.
4/16/2022
Fresh spinach with beef, growing summer vegetables
Broccoli are almost all harvested and started bolting with beautiful flowers. Almost all winter vegetables are over. It is time to germinate summer vegetables at present. It is sometimes getting frosty at present. It is making me puzzled when I should sow the seeds. In case with tomatoes, I would have the fruits grow before the rainy season starts in June. For that purpose, early sowing seeds is necessary. I have already planted tomato seedlings bought at a store and sweet potatoes to obtain the seedlings. This weekend, it is forecasted we should have frost. I should have take a maneuver to have the seedlings survive through it, covering them with grass mulching and/or putting non-woven fabric sheets over them.
A few kinds of vegetables were already sown in pots indoor. But these are not successful so far. I may need a green house.
This series of success and fault is, however, a process of learning and a pleasure for me.
4/11/2022
Low activity in JIDX last week end
4/08/2022
Vegetables and flowers
So are the gingers budding as well wrapped with wet paper in a plastic box.
The flowers belong to my wife. Tulips are coming out beautifully. I don't know why but pulling weeds there is my duty. The azalea behind may bloom soon.
Tatsoi have bloomed before they were harvested. Can we get the seeds from them? It was a useful vegetable last year. I would seed them this fall.
The news say that some of the wheat grown in the vast field in Ukraine could hardly harvested. If harvested, they could not export to the other countries where people need it for their life. In some countries in Middle East and North Africa, a bad deficit of wheat has started. Remembering of those people in war and hunger, I should appreciate being able to do some farming here.